Maite Mendívil-Pérez , Ana Choperena , Vanesa Salas , Mayte Chocarro-Haro , Cristina Oroviogoicoechea
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引用次数: 0
Abstract
Aim
To explore interventions developed to improve nurses’ clinical judgment.
Background
Clinical judgment can assist nurses in assessing clinical situations, identifying and preventing problems, and making effective decisions about patient care. Studies on developing clinical judgment among nurses thus far been limited and heterogeneous.
Design
A systematic review with narrative synthesis.
Methods
Eight databases (PubMed, CINAHL, PsycInfo, Scopus, Web of Science, Cochrane Library and ProQuest Dissertations and Theses databases) were systematically searched for studies published until May 2024. A total of 13 studies satisfied the inclusion criteria. Joanna Briggs Institute’s critical appraisal tools were used to assess the quality of the selected studies, whereas the Mixed Methods Appraisal Tool was used for mixed methods studies.
Results
Overall, 13 studies were included for analysis. Simulation was the most used type of intervention, whereas Tanner clinical judgment model was the most used framework, and Lasater Clinical Judgment Rubric was the most used tool for exploring the development of nurses’ clinical judgment skills. Among the 13 interventions analyzed, 11 were found to be effective.
Conclusions
Simulation teaching strategies using Tanner’s clinical judgment model and Lasater Clinical Judgment Rubric satisfactorily develop clinical judgment among nurses. The findings of this systematic review underscore the dearth of nursing research exploring the efficacy of interventions designed to enhance clinical judgment among general registered nurses.
Reporting Method
The systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).
目的探讨提高护士临床判断能力的干预措施。临床判断可以帮助护士评估临床情况，识别和预防问题，并对患者护理做出有效的决策。迄今为止，关于培养护士临床判断能力的研究非常有限，而且研究内容也不尽相同。设计一种带有叙事综合的系统综述。方法系统检索PubMed、CINAHL、PsycInfo、Scopus、Web of Science、Cochrane Library和ProQuest dissertation and Theses数据库等8个数据库，检索到2024年5月前发表的论文。共有13项研究符合纳入标准。乔安娜布里格斯研究所的关键评估工具用于评估所选研究的质量，而混合方法评估工具用于混合方法研究。结果共纳入13项研究进行分析。模拟是使用最多的干预类型，Tanner临床判断模型是使用最多的框架，Lasater临床判断量表是使用最多的工具来探索护士临床判断技能的发展。在分析的13项干预措施中，发现11项有效。结论采用Tanner临床判断模型和Lasater临床判断量表的模拟教学策略能较好地培养护士的临床判断能力。本系统综述的研究结果强调了探索旨在提高普通注册护士临床判断的干预措施有效性的护理研究的缺乏。系统评价按照系统评价和荟萃分析首选报告项目（PRISMA）进行。病人或公众捐款：没有病人或公众捐款。
期刊介绍：
Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.
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