关键词: clinical judgement fundamental care new graduate nurses nursing patient assessment professional competence professional development

Mesh : Humans Follow-Up Studies Qualitative Research Learning Students Nurses Clinical Competence

来  源:   DOI:10.1111/jan.15631

Abstract:
OBJECTIVE: To explore in-depth nurses\' use and further development of assessment skills in different nursing contexts in the first 2 years after graduation, and factors that influenced their use and development of assessment skills.
METHODS: The study had explorative qualitative design.
METHODS: Eight nurses who previously had been interviewed about their learning of physical assessment skills in clinical rotation as students participated in this follow-up study. Individual in-depth interviews were conducted, where the nurses spoke freely about their experiences after graduation.
RESULTS: Four prominent features influencing the nurses\' use and development of assessment skills were identified: (a) assessment approaches and readiness for practice, (b) the primacy of communication, (c) recognition related to performing assessments, and (d) the influence of organizational factors on their assessment applications.
CONCLUSIONS: Newly graduated nurses\' use of assessment skills is an important part of providing holistic care. This study suggest that assessment skills is not only an assessment task but is central in relationship building and in supporting the professional development of nursing competence.
UNASSIGNED: No Patient or Public Contribution, due to study design.
摘要:
目的:探讨在毕业后的前2年中,护士在不同护理环境中对评估技能的深入使用和进一步发展。以及影响他们使用和发展评估技能的因素。
方法:本研究采用探索性的定性设计。
方法:8名护士以前接受过关于他们在临床轮换中学习身体评估技能的访谈,作为学生参加了这项后续研究。进行了个人深入访谈,护士们在毕业后自由地谈论他们的经历。
结果:确定了影响护士使用和发展评估技能的四个突出特征:(a)评估方法和实践准备,(b)通信的首要地位,(c)与执行评估有关的认可,和(D)组织因素对其评估应用的影响。
结论:新毕业的护士使用评估技能是提供整体护理的重要组成部分。这项研究表明,评估技能不仅是一项评估任务,而且在建立关系和支持护理能力的专业发展中至关重要。
未经批准:没有患者或公共捐款,由于研究设计。
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