以教促学,以学促教:支持临床教育新手、实习医生和学生的临床思维工具

Michelle House-Kokan, Farah Jetha
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摘要

导言和背景:当今复杂的医疗环境需要熟练的临床决策能力。然而,根据记录,新手和学生护士的这一技能是线性的,基于有限的知识和经验,而且往往集中在单一的问题上。与此同时,护士教育者的持续短缺导致许多临床指导者和带教老师都是相对较新的教育者:方法:在临床实践教育中,批判性思维和临床推理的教学和评估具有挑战性,尤其是对新手临床指导员和实习医生而言。本文介绍了批判性思维和临床推理工具,将其作为一种有用的教学方法,用于对学生以及新手教育者和实习医生进行批判性思维、临床推理和临床决策的教学和评估:通过利用基于理论的临床思维工具来指导学习者进行批判性思维、临床推理和决策过程,学习者和新手教育者都能从中受益。
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Teaching to learn, learning to teach: Clinical thinking tools to support novice clinical educators, preceptors and students
Introduction and background: Today’s complex healthcare environment requires skilled clinical decision making. Yet, this skill in novice and student nurses is documented as linear, based on limited knowledge and experience, and often focused on single problems. Concurrently, an ongoing shortage of nurse educators has resulted in many clinical instructors and preceptors being relatively novice as educators.Methods: Teaching and assessing critical thinking and clinical reasoning is challenging in the context of clinical practice education, especially for novice clinical instructors and preceptors. Critical thinking and clinical reasoning tools are presented as a useful pedagogical approach for teaching and assessing critical thinking, clinical reasoning and clinical decision-making both with students as well as with novice educators and preceptors.Conclusions: By utilizing theoretically-based clinical thinking tools to guide learners through critical thinking, clinical reasoning and decision-making processes, both learners and novice educators benefit.
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