{"title":"麻醉师护士对麻醉师学生临床推理的监督特点：一项定性研究。","authors":"Agnès Saint-Sulpice, David Naudin","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Errors in reasoning are the main causes of poor decision-making in clinical practice. To remedy this, many studies highlight the importance of supervising clinical reasoning during medical internships.\nAlthough decision-making is an ongoing process at all key moments of the perioperative period, there are no studies on the supervision of clinical reasoning during student nurse anesthetist internships.\nThe objective of this study was to identify the characteristics of the supervision of clinical reasoning by anesthesia professionals with student nurse anesthetists.</p><p><strong>Methodology: </strong>A multicenter qualitative study was carried out using observations and individual interviews with five nurse anesthetists and five students.</p><p><strong>Results: </strong>Three themes are identified : the characteristics of the learner’s and supervisor’s posture ; the teaching methods used ; and the specificities of clinical reasoning.</p><p><strong>Analysis: </strong>The nurse anesthetists question clinical reasoning only when they detect difficulties in the student. However, no traceability is carried out. Students spontaneously verbalize their clinical reasoning when unexpected events occur.</p><p><strong>Discussion: </strong>The results will be used as a basis for a new tool for tracing learning during internships.</p>","PeriodicalId":94187,"journal":{"name":"Recherche en soins infirmiers","volume":"156 1","pages":"67-78"},"PeriodicalIF":0.2000,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Characterization of the supervision of clinical reasoning by nurse anesthetists with student nurse anesthetists: a qualitative study\",\"authors\":\"Agnès Saint-Sulpice, David Naudin\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Errors in reasoning are the main causes of poor decision-making in clinical practice. To remedy this, many studies highlight the importance of supervising clinical reasoning during medical internships.\\nAlthough decision-making is an ongoing process at all key moments of the perioperative period, there are no studies on the supervision of clinical reasoning during student nurse anesthetist internships.\\nThe objective of this study was to identify the characteristics of the supervision of clinical reasoning by anesthesia professionals with student nurse anesthetists.</p><p><strong>Methodology: </strong>A multicenter qualitative study was carried out using observations and individual interviews with five nurse anesthetists and five students.</p><p><strong>Results: </strong>Three themes are identified : the characteristics of the learner’s and supervisor’s posture ; the teaching methods used ; and the specificities of clinical reasoning.</p><p><strong>Analysis: </strong>The nurse anesthetists question clinical reasoning only when they detect difficulties in the student. However, no traceability is carried out. Students spontaneously verbalize their clinical reasoning when unexpected events occur.</p><p><strong>Discussion: </strong>The results will be used as a basis for a new tool for tracing learning during internships.</p>\",\"PeriodicalId\":94187,\"journal\":{\"name\":\"Recherche en soins infirmiers\",\"volume\":\"156 1\",\"pages\":\"67-78\"},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2024-06-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Recherche en soins infirmiers\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Recherche en soins infirmiers","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
Characterization of the supervision of clinical reasoning by nurse anesthetists with student nurse anesthetists: a qualitative study
Introduction: Errors in reasoning are the main causes of poor decision-making in clinical practice. To remedy this, many studies highlight the importance of supervising clinical reasoning during medical internships.
Although decision-making is an ongoing process at all key moments of the perioperative period, there are no studies on the supervision of clinical reasoning during student nurse anesthetist internships.
The objective of this study was to identify the characteristics of the supervision of clinical reasoning by anesthesia professionals with student nurse anesthetists.
Methodology: A multicenter qualitative study was carried out using observations and individual interviews with five nurse anesthetists and five students.
Results: Three themes are identified : the characteristics of the learner’s and supervisor’s posture ; the teaching methods used ; and the specificities of clinical reasoning.
Analysis: The nurse anesthetists question clinical reasoning only when they detect difficulties in the student. However, no traceability is carried out. Students spontaneously verbalize their clinical reasoning when unexpected events occur.
Discussion: The results will be used as a basis for a new tool for tracing learning during internships.
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