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Titre : | Reflection on actions: Identifying facilitators of and barriers to using physical assessment in clinical practice (2021) |
Auteurs : | Kirsten Røland Byermoen ; Espen Andreas Brembo ; H. Ösp Egilsdottir ; Lena Günterberg Heyn ; Anne Moen ; Hilde Eide |
Type de document : | Article |
Dans : | Nurse Education in Practice (Vol. 50, January 2021) |
Article en page(s) : | 102913 |
Note générale : | https://doi.org/10.1016/j.nepr.2020.102913 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Compétence clinique ; Concept du soi ; Élève infirmier ; Evaluation de la pratique ; Évaluation des besoins en soins infirmiers |
Résumé : | Current research suggests that nursing students do not apply all sets of physical assessment skills (PAS) learned in their nursing education. The aim of this study was to evaluate third-year nursing students' process of clinical judgment using PAS in clinical rotation. Specific focus was on how the process of clinical judgment affected when the nursing students performed physical assessment, and which types of knowledge were implied in their practice. Ten nursing students performed PAS independently while in clinical rotation; these performances were audiotaped and observed. Shortly after, individual semi-structured stimulated recall interviews (SRI) took place. Regardless of the nursing students stated level of PAS utilization, self-efficacy or scientific knowledge, clinical judgment was primarily based on contextual factors and personal prerequisites. This study contributes to in-depth knowledge about how nursing students perform physical assessment, how they describe their clinical judgment process and their strategies towards systematically and confidently using PAS. We conclude the paper with pedagogical strategies and learning activities that can facilitate reflection-in-action and reflection-on-action. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1471595320309999#! |