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The effect of clinical experience judgment task difficulty and time pressure on nurses’ confidence calibration in a high fidelity clinical simulation

机译:高保真临床模拟中临床经验判断任务难度和时间压力对护士自信心校准的影响

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摘要

BackgroundMisplaced or poorly calibrated confidence in healthcare professionals’ judgments compromises the quality of health care. Using higher fidelity clinical simulations to elicit clinicians’ confidence 'calibration' (i.e. overconfidence or underconfidence) in more realistic settings is a promising but underutilized tactic. In this study we examine nurses’ calibration of confidence with judgment accuracy for critical event risk assessment judgments in a high fidelity simulated clinical environment. The study also explores the effects of clinical experience, task difficulty and time pressure on the relationship between confidence and accuracy.
机译:背景对医疗保健专业人员的判断的信心错位或校准不当会损害医疗保健的质量。在更现实的环境中使用更高逼真的临床模拟来激发临床医生的信心“校准”(即过度自信或信心不足)是一种有前途但未得到充分利用的策略。在这项研究中,我们检查护士对置信度的校准,以及在高保真模拟临床环境中对关键事件风险评估判断的判断准确性。该研究还探讨了临床经验,任务难度和时间压力对置信度和准确性之间关系的影响。

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