Judgment

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  • 文章类型: Journal Article
    做出回归运动的决定可能是复杂和多方面的,因为它需要对个人的身体进行评估,心理,和社会福祉。具体来说,进步的时机,回归,由于临床医生需要考虑的大量信息,因此很难确定重返体育运动。随着新运动技术的出现,数据量的增加对临床医生有效处理和利用它来提高其决策质量提出了挑战。为了更深入地了解人类决策和相关偏见的机制,这篇叙述性综述简要概述了与运动康复设置相关的不同决策模型.因此,可以直观地做出决定,分析,和/或启发式。这篇叙述性综述展示了如何在回归运动决策的背景下应用决策模型,并阐明了可能帮助临床医生提高决策质量的策略。
    Making return-to-sport decisions can be complex and multi-faceted, as it requires an evaluation of an individual\'s physical, psychological, and social well-being. Specifically, the timing of progression, regression, or return to sport can be difficult to determine due to the multitude of information that needs to be considered by clinicians. With the advent of new sports technology, the increasing volume of data poses a challenge to clinicians in effectively processing and utilising it to enhance the quality of their decisions. To gain a deeper understanding of the mechanisms underlying human decision making and associated biases, this narrative review provides a brief overview of different decision-making models that are relevant to sports rehabilitation settings. Accordingly, decisions can be made intuitively, analytically, and/or with heuristics. This narrative review demonstrates how the decision-making models can be applied in the context of return-to-sport decisions and shed light on strategies that may help clinicians improve decision quality.
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  • 文章类型: Journal Article
    背景:患有慢性头痛和慢性口面部疼痛的患者通常会出现可能影响社交互动的社会心理问题。一个可能的原因可能是患有这些疾病的患者可能会出现面部识别障碍,偏侧性判断和述情障碍。然而,总结面部情绪识别效果的系统综述,在患有头痛和口面部疼痛的个体中,侧向性判断和述情障碍仍然不可用。
    目的:本系统评价(SR)和荟萃分析(MA)的主要目的是汇编和综合有关述情障碍发生的证据,慢性头痛和面部疼痛患者的侧向或左右(LR)识别和/或面部情绪识别(FER)缺陷。
    方法:在五个数据库(截至2023年9月)中进行了电子搜索,并进行了手动搜索以确定相关研究。感兴趣的结果是述情障碍评分,LR和/或FER的速度和精度,或任何其他评估身体图像失真的定量数据。筛选过程,数据提取,偏倚风险和数据分析由两名独立评估人员按照系统评价标准进行.
    结果:从1395份手稿中发现,只有34项研究符合标准。证据的总体质量/确定性非常低。尽管应该仔细解释结果,与健康个体相比,慢性头痛个体的述情障碍水平明显更高。对于其他感兴趣的变量没有发现结论性结果。
    结论:尽管本综述的总体证据非常低,患有慢性原发性头痛和口面部疼痛的人可以定期筛查述情障碍,以确保适当的治疗。
    BACKGROUND: Patients with chronic headaches and chronic oro-facial pain commonly present psychosocial issues that can affect social interactions. A possible reason could be that patients with these disorders might present impairments in facial recognition, laterality judgement and also alexithymia. However, a systematic review summarizing the effects of facial emotion recognition, laterality judgement and alexithymia in individuals with headaches and oro-facial pain is still not available.
    OBJECTIVE: The main objective of this systematic review (SR) and meta-analysis (MA) was to compile and synthesize the evidence on the occurrence of alexithymia, deficits in laterality or left-right (LR) recognition and/or facial emotion recognition (FER) in patients with chronic headache and facial pain.
    METHODS: Electronic searches were conducted in five databases (up to September 2023) and a manual search to identify relevant studies. The outcomes of interest were alexithymia scores, speed and accuracy in LR and/or FER, or any other quantitative data assessing body image distortions. The screening process, data extraction, risk of bias and data analysis were performed by two independent assessors following standards for systematic reviews.
    RESULTS: From 1395 manuscripts found, only 34 studies met the criteria. The overall quality/certainty of the evidence was very low. Although the results should be interpreted carefully, individuals with chronic headaches showed significantly higher levels of alexithymia when compared to healthy individuals. No conclusive results were found for the other variables of interest.
    CONCLUSIONS: Although the overall evidence from this review is very low, people with chronic primary headaches and oro-facial pain could be regularly screened for alexithymia to guarantee appropriate management.
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  • 文章类型: Journal Article
    绝对音高是指在不需要参考音调的情况下以自动且毫不费力的方式识别音符的罕见能力。那些有绝对音高的人可以,例如,说出他们听到的音符,识别给定和弦的所有音调,和/或命名日常声音的音高,如汽车喇叭或警报器。因此,绝对音高可以被视为在试听中提供绝对感官判断的罕见例子。令人惊讶的是,然而,有趣的问题是,这种能力是否在感官知觉领域呈现独特的特征,或者类似的感知技能是否也存在于其他感官领域,以前没有明确解决。在本文中,通过使用PRISMA(系统评估和荟萃分析的首选报告项目)方法系统地回顾绝对音高的研究,解决了这个问题。此后,我们将绝对音高与两种罕见的感官体验进行比较,即通感和全感记忆,了解这些现象是否以及如何表现出与绝对音高相似的特征。此外,一种常见的绝对感知能力,经常被比作绝对音高,即颜色感知,也讨论了。提供了支持以下观点的论点:没有一个被检查的能力可以被视为绝对音高。因此,我们得出的结论是,绝对音高确实似乎构成了人类独特的绝对感官判断,我们讨论了绝对音高的一些悬而未决的问题和未来研究的新方向。
    Absolute pitch is the name given to the rare ability to identify a musical note in an automatic and effortless manner without the need for a reference tone. Those individuals with absolute pitch can, for example, name the note they hear, identify all of the tones of a given chord, and/or name the pitches of everyday sounds, such as car horns or sirens. Hence, absolute pitch can be seen as providing a rare example of absolute sensory judgment in audition. Surprisingly, however, the intriguing question of whether such an ability presents unique features in the domain of sensory perception, or whether instead similar perceptual skills also exist in other sensory domains, has not been explicitly addressed previously. In this paper, this question is addressed by systematically reviewing research on absolute pitch using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method. Thereafter, we compare absolute pitch with two rare types of sensory experience, namely synaesthesia and eidetic memory, to understand if and how these phenomena exhibit similar features to absolute pitch. Furthermore, a common absolute perceptual ability that has been often compared to absolute pitch, namely colour perception, is also discussed. Arguments are provided supporting the notion that none of the examined abilities can be considered like absolute pitch. Therefore, we conclude by suggesting that absolute pitch does indeed appear to constitute a unique kind of absolute sensory judgment in humans, and we discuss some open issues and novel directions for future research in absolute pitch.
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  • 文章类型: Journal Article
    护士临床决策,即,数据收集,分析,以及评估过程,通过该过程他们得出临床判断并做出临床决定,是护理实践的核心,对于提供安全和优质的护理至关重要。已经开发了用于研究和教育的工具来评估护士对其临床决策能力或技能的看法。因此,必须确定最有效和最可靠的工具,以准确反映护士自我报告的临床决策.
    评估自我报告的临床决策工具在护理中的测量特性。
    对健康测量指标(COSMIN)的选择进行了系统审查(PROSPERO注册:CRD42022364549)。2022年7月,使用与护士相关的描述符和关键词搜索了五个书目数据库,临床决策,并对测量特性进行了研究。两名独立的审阅者进行了参考选择和数据提取。评估涉及评估研究质量的仪器测量特性,每个测量属性的质量(即,有效性,可靠性,响应能力),以及基于COSMIN的证据质量。
    在11项研究中对来自各种临床背景的注册护士或护生进行了评估。九种乐器中有五种是原件;四个是翻译或改编。最专注于分析和直觉决策,尽管有些是基于临床判断和临床推理理论。结构效度和内部一致性是最常报告的测量属性;其他属性,如测量误差,标准有效性,和响应能力,没有对任何仪器进行评估。在护士或护生参与仪器开发过程和内容有效性评估方面也发现了差距。根据COSMIN标准,六种仪器似乎很有希望,但需要进一步的研究来证实其有效性和可靠性。
    关于评估护士自我报告临床决策的工具的证据仍然很少。尽管不能根据COSMIN标准推荐任何仪器,护士临床推理量表有最有力的支持证据,其次是改编版的护理临床决策量表。未来应努力通过目标人群的参与,并通过确保其他测量属性的结果,系统地评估内容的有效性。比如可靠性,测量误差,或假设检验,严格评估和报告。
    尽管证据有限,这次COSMIN审查确定了六种有前途的工具来评估护士的临床决策,特别是护士临床推理量表和护理中临床决策量表的适应。#护理研究#护理教育。
    UNASSIGNED: Nurses\' clinical decision-making, i.e., the data collection, analysis, and evaluation process through which they reach clinical judgements and makes clinical decisions, is at the core of nursing practice and essential to provide safe and quality care. Instruments to assess nurses\' perceptions of their clinical decision-making abilities or skills have been developed for research and education. Thus, it is essential to determine the most valid and reliable instruments available to reflect nurses\' self-reported clinical decision-making accurately.
    UNASSIGNED: To evaluate the measurement properties of self-reported clinical decision-making instruments in nursing.
    UNASSIGNED: A systematic review based on the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) was conducted (PROSPERO registration: CRD42022364549). Five bibliographical databases were searched in July 2022 using descriptors and keywords related to nurses, clinical decision-making, and studies on measurement properties. Two independent reviewers conducted reference selection and data extraction. The evaluation of the instruments\' measurement properties involved assessing the quality of the studies, the quality of each measurement property (i.e., validity, reliability, responsiveness), and the quality of evidence based on the COSMIN.
    UNASSIGNED: Nine instruments evaluated in eleven studies with registered nurses or nursing students from various clinical contexts were identified. Five of the nine instruments were originals; four were translations or adaptations. Most focused on analytical and intuitive decision-making, although some were based on clinical judgment and clinical reasoning theories. Structural validity and internal consistency were the most frequently reported measurement properties; other properties, such as measurement error, criterion validity, and responsiveness, were not assessed for any instruments. A gap was also identified in the involvement of nurses or nursing students in the instrument development process and the content validity assessment. Six instruments appear promising based on the COSMIN criteria, but further studies are needed to confirm their validity and reliability.
    UNASSIGNED: The evidence regarding instruments to assess nurses\' self-reported clinical decision-making is still minimal. Although no instruments could be recommended based on the COSMIN criteria, the Nurses Clinical Reasoning Scale had the most robust supporting evidence, followed by the adapted version of the Clinical Decision Making in Nursing Scale. Future efforts should be made to systematically assess content validity through the involvement of the target population and by ensuring that the results of other measurement properties, such as reliability, measurement error, or hypothesis testing, are rigorously assessed and reported.
    UNASSIGNED: Despite limited evidence, this COSMIN review identified six promising instruments to assess nurses\' clinical #decision-making, especially the Nurses Clinical Reasoning Scale and an adaptation of the Clinical Decision Making in Nursing Scale. #nursingresearch #nursingeducation.
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  • 文章类型: Journal Article
    人们对浪漫伴侣的看法有些准确,但也包含偏见。在当前的元分析综述中,我们试图检查浪漫伴侣感知的准确性和偏见的总体水平,以及准确性和偏见的调节因素。我们检查了跟踪精度(k=157),投影(k=157),间接精度(k=69),以及同时估计跟踪准确性和投影的样本中对浪漫伴侣的感知的均值水平偏差(k=153)。性别,关系长度,研究设计,地理区域,出版年份,和判断类型被视为潜在的调节者。结果表明,跟踪精度的平均效应大小显著(β=.24),投影(β=.42),相似性(β=.22),和间接精度(β=.11)。总的来说,即使结构在概念上被编码为阳性或阴性(d=-0.03),人们也倾向于具有平均水平的准确性(d=-0.006)。男人似乎更消极地看待他们的伴侣。出版年份和关系长度对任何感知过程都无关紧要。总体判断跟踪精度较高,而在日常判断中投影较高。积极的互动特征和读心术判断显示出消极的偏见。非交互判断中较大的投影和正偏差与较高的关系质量相关。我们的结果是第一个为投影提供效果大小的,跟踪精度,同时控制投影,和间接准确性,并建立在先前关于合作伙伴彼此感知的复杂方式的研究基础上。(PsycInfo数据库记录(c)2023年APA,保留所有权利)。
    People\'s perceptions of their romantic partners are somewhat accurate but also contain biases. In the current meta-analytic review, we sought to examine overall levels of accuracy and bias in romantic partner perceptions and moderators of accuracy and bias. We examined tracking accuracy (k = 157), projection (k = 157), indirect accuracy (k = 69), and mean-level bias (k = 153) in perceptions of a romantic partner across samples that estimated tracking accuracy and projection simultaneously. Gender, relationship length, study design, geographic region, publication year, and judgment type were examined as potential moderators. Results revealed significant mean effect sizes for tracking accuracy (β = .24), projection (β = .42), similarity (β = .22), and indirect accuracy (β = .11). Overall, people tended to have mean-level accuracy (d = -0.006) even when constructs were coded as conceptually positive or negative (d = -0.03). Men seemed to view their partners more negatively. Publication year and relationship length did not matter for any perceptual process. Tracking accuracy was higher in overall judgments, whereas projection was higher in daily judgments. Positive interaction traits and mind-reading judgments showed a negative bias. Greater projection and positive bias in noninteraction judgments were associated with higher relationship quality. Our results are the first to provide effect sizes for projection, tracking accuracy while controlling for projection, and indirect accuracy, and build on prior research concerning the complex ways in which partners perceive each other. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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  • 文章类型: Journal Article
    情感预测-对未来情绪反应的估计-是未来思维的重要方面,可以为判断和决策提供依据。普遍注意到情感预测中的偏见,特别是有情感障碍的人。尽管如此,情感预测在精神病理学模型中的作用很少受到关注。鉴于文学的现状,采用范围审查方法来总结和综合在精神病理学背景下测量情感预测的方法学方法以及有关这种关联的证据范围。搜索了三个数据库,以查找11月13日或之前发表的研究报告,2023年。回顾了研究情感预测及其与精神病理学关联的原始定量研究。使用为这项研究设计的表格绘制数据。总的来说,这篇综述强调了情感预测可操作性的异质性。大多数证据支持精神病理学的严重程度和情感预测的强度之间的关联,除了值得注意的例外,在情感预测的方法论和可操作性的范围内进行了讨论。这仍然是在精神病理学的信息处理模型中进行研究的重要过程,以阐明其在精神病理学的发展和维持中的作用以及作为干预目标的潜力。
    Affective forecasting - estimations of future emotional reactions - is an important aspect of future thinking that informs judgement and decision making. Biases in affective forecasting have been noted generally and with people with emotional disturbances specifically. Still, the role of affective forecasting within models of psychopathology has received little attention. Given the state of the literature, a scoping review method was adopted to summarize and synthesize the methodological approaches used in measuring affective forecasting within the context of psychopathology and the scope of the evidence on this association. Three databases were searched for research published on or before November 13th, 2023. Original quantitative research that examined affective forecasting and its association with psychopathology was reviewed. Data were charted using a form designed for this study. Overall, the review highlights the heterogeneity in operationalization of affective forecasting. The majority of the evidence supports an association between severity of psychopathology and intensity of affective forecasts, with notable exceptions, which are discussed within the scope of methodology and operationalization of affective forecasting. This remains an important process to investigate in information processing models of psychopathology to elucidate its role in the development and maintenance of psychopathology and potential as a target for intervention.
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  • 文章类型: Systematic Review
    目的:将当前的评估实践与护士从本科教育到进入实习的临床判断相关的学习成果进行映射。
    方法:使用JoannaBriggs研究所指南进行范围审查,并根据系统审查和荟萃分析(PRISMA)的首选报告项目进行报告。
    方法:电子数据库-护理和相关健康文献的累积指数(CINAHLComplete;EBSCOhost),EMBASE(Ovid),MEDLINE(Ovid),PsycINFO(Ovid),和WebofScience(社会科学引文索引,引文索引扩展)-使用与护生相关的描述符和关键词的组合,新毕业的护士,临床判断和相关术语(例如,批判性思维,临床推理,临床决策,和解决问题),和评估。
    方法:两名评审员独立提取研究特征,对于与临床判断相关的每个结果,这个概念,定义和框架,评估工具,以及评估的数量和时间表。数据采用叙述性和描述性统计方法进行综合。
    结果:52项综述研究中的大多数研究检查了学术环境中离散教育干预(76.9%)的结果(78.8%)。只有6项研究(11.5%)涉及新毕业的护士。临床判断(34.6%),批判性思维(26.9%),临床推理(9.6%)是最常见的三个概念。在一项以上的研究中使用了三种评估工具:Lasater临床判断规则(n=22,42.3%),加州批判性思维技能测试(n=9,17.3%),和健康科学推理测试(n=2,3.8%)。11项研究(21.2%)使用了为该研究设计的评估工具。
    结论:除了对基本概念的不同理解之外,关于护生和护士临床判断评估的研究很少,特别是从教育到临床实践的纵向评估。虽然有一些关于这一主题的现有研究,需要进一步的研究来建立有效和可靠的临床能力评估方法,在相关时间点将临床判断有效地整合到临床情况中。
    OBJECTIVE: To map current assessment practices for learning outcomes related to nurses\' clinical judgment from undergraduate education to entry to practice.
    METHODS: Scoping review using the Joanna Briggs Institute guidelines and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).
    METHODS: Electronic databases-Cumulative Index of Nursing and Allied Health Literature (CINAHL Complete; EBSCOhost), EMBASE (Ovid), MEDLINE (Ovid), PsycINFO (Ovid), and Web of Science (Social Sciences Citation Index, Citation Index Expanded)-using a combination of descriptors and keywords related to nursing students, newly graduated nurses, clinical judgment and related terms (e.g., critical thinking, clinical reasoning, clinical decision-making, and problem-solving), and assessment.
    METHODS: Two reviewers independently extracted study characteristics and, for each outcome relevant to clinical judgment, the concept, definition and framework, assessment tool, and the number and schedule of assessments. Data were synthesized narratively and using descriptive statistics.
    RESULTS: Most of the 52 reviewed studies examined the outcome of a discrete educational intervention (76.9 %) in academic settings (78.8 %). Only six studies (11.5 %) involved newly graduated nurses. Clinical judgment (34.6 %), critical thinking (26.9 %), and clinical reasoning (9.6 %) were the three most frequent concepts. Three assessment tools were used in more than one study: the Lasater Clinical Judgment Rubric (n = 22, 42.3 %), the California Critical Thinking Skills Test (n = 9, 17.3 %), and the Health Science Reasoning Test (n = 2, 3.8 %). Eleven studies (21.2 %) used assessment tools designed for the study.
    CONCLUSIONS: In addition to a disparate understanding of underlying concepts, there are minimal published studies on the assessment of nursing students and nurses\' clinical judgment, especially for longitudinal assessment from education to clinical practice. Although there is some existing research on this topic, further studies are necessary to establish valid and reliable clinical competency assessment methods that effectively integrate clinical judgment in clinical situations at relevant time points.
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  • 文章类型: Journal Article
    目标:历史上,强调任务的完成和缺乏有意识的方法来培养学生的思维能力已经主导了临床教育。一个促成因素可能是关于在临床环境中发展临床推理和临床判断的教学的有限文献。这篇综合评论访问了可用的文献来回答这个问题,在临床教育环境中使用了哪些策略来开发临床判断?
    方法:Whittemore和Knafl方法构成了综合评价。该框架包括以下步骤1)问题识别,2)文献检索,3)数据评价,4)数据分析,5)介绍。
    方法:数据库CINAHLPlus与全文,OVID,和ProQuest在2000年1月至2022年7月期间进行了搜索。
    方法:PRISMA方案为文献综述和筛选提供了信息。作者通过抽象评论的首次筛选来评估文章的资格,其次是全文的回顾。两位作者都回顾了这些文章,评估纳入资格并评估内容。对符合条件的文章中的数据进行了分析和综合,以回答研究问题。
    结果:在最初的427篇文章中,共有20篇文章符合最终分析的纳入标准。在临床教育过程中,出现了五个临床判断的一般主题。研究结果确定了护士教育者使用的教学策略。许多教学方法包括在计划和实施策略时的审议性和意向性。除了评估临床判断,护士教育者指导和指导学生思维。最后,本综述确定了教学策略和方法的报告结果和结果.
    结论:发现了有限数量的文章描述了在临床环境中进行临床判断的教学。文章分析发现,护士教育者为了培养学生的临床判断力,采用了多种教学策略。需要更多的研究来指导临床教育的最佳实践。我们必须推动科学向前发展,以更有意识地改变和利用临床教育,以在实践中教授有关患者护理的思维和决策。
    OBJECTIVE: Historically, emphasis on task-completion and lack of intentional approaches that develop students\' thinking skills have dominated clinical education. One contributing factor may be the limited literature about teaching to develop clinical reasoning and clinical judgment in the clinical environment. This integrative review accessed available literature to answer the question, What strategies are used to develop clinical judgment in the clinical education environment?
    METHODS: The Whittemore and Knafl approach framed the integrative review. The framework includes the following steps 1) problem identification, 2) literature search, 3) data evaluation, 4) data analysis, and 5) presentation.
    METHODS: The data bases CINAHL Plus with Full Text, OVID, and ProQuest were searched through the period of January 2000 through July of 2022.
    METHODS: The PRISMA protocol informed review and screening of the literature. Authors assessed articles for eligibility via first screening by abstract review, followed by review of the full text. Both authors reviewed the articles, assessing qualification for inclusion and evaluating the content. Data from eligible articles were analyzed and synthesized to answer the research question.
    RESULTS: Of the initial 427 articles, a total of 20 articles met inclusion criteria for final analysis. Five general themes emerged for clinical judgment during clinical education. The findings identified the teaching strategies nurse educators use. Many of the teaching methods include deliberateness and intentionality in planning and implementing the strategies. In addition to evaluating clinical judgment, nurse educators guided and mentored student thinking. Finally, this review identified reported outcomes and results of the teaching strategies and methods.
    CONCLUSIONS: A limited number of articles describing teaching for clinical judgment in clinical environment were found. The articles analyzed found that nurse educators used a variety of teaching strategies for the purpose of developing students\' clinical judgment. More research is needed to guide best-practices in clinical education. We must move the science forward to transform and leverage clinical education more deliberately to teach thinking in practice and decision-making about patient care.
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  • 文章类型: Systematic Review
    目的:本综述旨在系统地界定本科或研究生高等教育护理专业学生的临床实践教学和评估方法,以确定与促进学生评估判断相一致的特征。
    背景:评价判断是护理高等教育的一个新概念。目前,没有发表的关于护理临床实践教育中评估性判断的评论。这篇综述旨在帮助护理教育者在临床实践教育中实施评估判断的概念。因此,起点是确定当前临床教学和评估设计中评估判断的特征。
    方法:同行审查了定性或定量研究,这些研究评估了高等教育(大学/高等教育)注册前(本科)或注册后(研究生)护理学生的教学和/或评估临床实践。
    方法:系统范围评价是前瞻性注册系统评价(OSFDOI10.17605/OSF。IO/PYWZ6)使用PRISMA指南报告。对五个数据库的系统搜索(Medline,Scopus,WebofScience,ProQuest,CINAHL)进行了,从1989年起限制使用英语。两名审稿人独立筛选标题和摘要,然后全文,与第三位独立作者解决了分歧。数据被提取,包括在识别质量的类别中发展学生的评估判断的频率和方法,判断过程,校准和反馈。进行了叙事合成。
    结果:包括71项研究(n=53教学,n=18评估)。大多数纳入的研究,包括一些,但不是全部,培养护生评价判断的特点。对于教学方法,纳入研究中最明确的评价判断特征是辨别质量(n=47),反馈(n=41)和判断过程(n=21)。只有三项研究包括校准方法。对于评估方法,反馈(n=16),辨别质量(n=15),包括判断过程(n=9)和校准(n=4)。护理中的许多临床实践教学和评估方法包括培养学生评估判断的特征,与识别质量和反馈相关的方法很好地嵌入。需要进一步调整,包括帮助学生判断和校准自己的表现的方法。
    结论:本系统范围审查发现,当前护理临床教学和评估中的评估判断并不是一个公开的目标。通过对教学和评估设计的微小调整,可以更好地支持护理专业学生培养其判断自身工作价值的能力。
    OBJECTIVE: This review aimed to systematically scope undergraduate or postgraduate tertiary higher education nursing students\' clinical practice teaching and assessment methods to identify features that align with promoting students\' evaluative judgement.
    BACKGROUND: Evaluative judgement is a new concept to nursing tertiary education. Currently, there are no published reviews of evaluative judgement in nursing clinical practice education. This review aims to assist nursing educators to operationalise the concept of evaluative judgement in clinical practice education. As such the starting point was to determine features of evaluative judgement in current clinical teaching and assessment designs.
    METHODS: Peer reviewed qualitative or quantitative studies that have evaluated teaching and/or assessment of tertiary (university/higher education) pre-registration (undergraduate) or post-registration (postgraduate) nursing students\' clinical practice.
    METHODS: The systematic scoping review was prospectively registered systematic review (OSF DOI 10.17605/OSF.IO/PYWZ6) reported using PRISMA guidelines. A systematic search of five databases (Medline, Scopus, Web of Science, ProQuest, CINAHL) was conducted, limited from 1989 onwards and in English. Two reviewers independently screened titles and abstracts, then full text, with disagreements resolved with a third independent author. Data were extracted, including the frequency and methods of developing students\' evaluative judgement across the categories of discerning quality, judgement process, calibration and feedback. A narrative synthesis was performed.
    RESULTS: Seventy-one studies were included (n=53 teaching, n=18 assessment). Most of the included studies, included some, but not all, of the features to develop nursing students\' evaluative judgment. For teaching methods, the most identified evaluative judgement features in the included studies were discerning quality (n=47), feedback (n=41) and judgement process (n=21). Only three studies included a method of calibration. For the assessment methods, feedback (n=16), discerning quality (n=15), judgement process (n=9) and calibration (n=4) were included. Many clinical practice teaching and assessment methods in nursing included features that develop students\' evaluative judgement, with methods relating to discerning quality and feedback well embedded. Further adjustments are required to include methods to assist students to judge and calibrate their own performance.
    CONCLUSIONS: This systematic scoping review identified that evaluative judgement in current nursing clinical teaching and assessment is not an overt aim. With minor adjustment to teaching and assessment design, nursing students could be better supported to develop their ability to judge the value of their own work.
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  • 文章类型: Meta-Analysis
    发现了衰老过程中元认知的复杂保存和恶化模式,特别是关于预测未来的记忆检索(即,知道的感觉,FOK).虽然语义FOK(sFOK)随年龄而保留,对情景任务(eFOK)的研究产生了模棱两可的发现。我们对20项关于eFOK和sFOK的研究进行了荟萃分析,分析922名年轻人和966名老年人的元认知敏感性差异,考虑到内存性能的差异。sFOK研究没有产生总体年龄效应(8种效应,g=-0.10[-0.29,0.10])。然而,我们在eFOK上发现了可靠的年龄组差异(22种效应,g=0.53[0.28,0.78]),在考虑识别性能时对此进行了调整。此外,使用来自我们实验室已发表和未发表研究的134名年轻人和235名老年人的汇总数据,我们研究了记忆表现作为eFOK缺陷的解释。我们表明,老年人对eFOK的元认知敏感性低于年轻人,至少部分地,由于与年龄相关的记忆力下降。我们强调两个非排他性解释:在一阶和二阶任务中起作用的回忆不足,以及一阶表现和用于评估元认知敏感性的度量之间的混淆。
    A complex pattern of preservation and deterioration in metacognition in aging is found, especially regarding predicting future memory retrieval (i.e., feeling-of-knowing, FOK). While semantic FOK (sFOK) is preserved with age, studies on episodic tasks (eFOK) produce equivocal findings. We present a meta-analysis of 20 studies on eFOK and sFOK, analyzing the difference in metacognitive sensitivity between 922 younger and 966 older adults, taking into account the difference in memory performance. The sFOK studies yielded no overall age effect (8 effects, g = -0.10 [-0.29, 0.10]). However, we found a reliable age-group difference on eFOK (22 effects, g = 0.53 [0.28, 0.78]), which was moderated when considering recognition performance. Moreover, using aggregated data of 134 young and 235 older adults from published and unpublished studies from our lab, we investigated memory performance as an explanation of the eFOK deficit. We show that older adults are less metacognitively sensitive than younger adults for eFOKs which is, at least partly, due to the age-related memory decline. We highlight two non-exclusive explanations: a recollection deficit at play in the first and second order tasks, and a confound between first order performance and the measure used to assess metacognitive sensitivity.
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