• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Nursing Education and Practice >An exploratory mixed methods study of urban and rural registered nurses’ experience of clinical reasoning
【24h】

An exploratory mixed methods study of urban and rural registered nurses’ experience of clinical reasoning

机译：城乡注册护士临床推理经验的探索性混合方法研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background and objective: Engaging in clinical reasoning frequently occurs in busy, high pressured, stressful settings with competing demands. Patient outcomes are affected in part by RNs’ clinical reasoning ability. This study aims to explore the extent to which the clinical context influences clinical reasoning among urban and rural registered nurses.Methods: In this exploratory study using a mixed method approach, 11 rural hospital RNs and 7 RNs practicing in urban medical or surgical units completed a survey and a semi-structured individual qualitative interview. Data were generated over a two month period in 2015. Descriptive statistics and Mann-Whitney U was used to test for differences among groups. Qualitative data analysis procedures were used to help identify two major themes.Results: The perceived lack of time influenced the participants’ ability to engage in clinical reasoning. The findings also suggest that rule following hampered the participants’ ability to confidently share their clinical reasoning.Conclusions: To deepen RNs clinical reasoning an examination of the clinical environment’s structure and processes that support or impede engagement in clinical reasoning is required. Specific strategies that enhance clinical reasoning need to be unit specific and driven by RNs.
机译：背景与目的：从事临床推理的情况经常发生在繁忙，高压，压力大，竞争激烈的环境中。 RN的临床推理能力会部分影响患者的预后。本研究旨在探讨城乡注册护士的临床背景在多大程度上影响临床推理。方法：在这项采用混合方法的探索性研究中，在城市医疗或外科部门执业的11家农村医院护士和7名护士完成了一项研究。调查和半结构化的个人定性访谈。在2015年的两个月内生成了数据。使用描述性统计数据和Mann-Whitney U来检验组之间的差异。使用定性数据分析程序来帮助确定两个主要主题。结果：缺乏时间影响了参与者进行临床推理的能力。研究结果还表明，遵循规则会阻碍参与者自信地分享其临床推理的能力。结论：要加深RNs临床推理，需要对支持或阻碍参与临床推理的临床环境的结构和过程进行检查。增强临床推理能力的特定策略需要针对特定​​单位并由RN驱动。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号