Abstract：
BACKGROUND:There is a lack of objective and valid measures for assessing nursing clinical competence which could adversely impact patient safety. Therefore, we evaluated an objective assessment of clinical competence, Time to Task (ability to perform specific, critical nursing care activities within 5 min), and compared it to two subjective measures, (Lasater Clinical Judgement Rubric [LCJR] and common "pass/fail" assessment). DESIGN/METHODS:Using a prospective, "Known Groups" (Expert vs. Novice nurses) comparative design, Expert nurses (ICU nurses with >5 years of ICU experience) and Novice nurses (senior prelicensure nursing students) participated individually in a simulation of a patient in decompensated heart failure. Fourteen nursing instructors or preceptors, blinded to group assignment, reviewed 28 simulation videos (15 Expert and 13 Novice) and scored them using the LCJR and pass/fail assessments. Time to Task assessment was scored based on time thresholds for specific nursing actions prospectively set by an expert clinical panel. Statistical analysis consisted of Medians Test and sensitivity and specificity analyses. RESULTS:The LCJR total score was significantly different between Experts and Novices (p < 0.01) and revealed adequate sensitivity (ability to correctly identify "Expert" nurses; 0.72) but had a low specificity (ability to correctly identify "Novice" nurses; 0.40). For the subjective measure 'pass/fail', sensitivity was high (0.90) but specificity was low (0.47). The Time to Task measure had statistical significance between Expert and Novice groups (p < 0.01) and sensitivity (0.80) and specificity (0.85) were good. CONCLUSION:Commonly used subjective measures of clinical nursing competence have difficulties with achieving acceptable specificity. However, an objective measure, Time to Task, had good sensitivity and specificity in differentiating between groups. While more than one assessment instrument should be used to determine nurse competency, an objective measure, such as Time to Task, warrants further study.
journal_name
Nurse Educ Todayjournal_title
Nurse education todayauthors
Shinnick MA,Woo MAdoi
10.1016/j.nedt.2018.02.011subject
Has Abstractpub_date
2018-05-01 00:00:00pages
108-114eissn
0260-6917issn
1532-2793pii
S0260-6917(18)30077-7journal_volume
64pub_type
杂志文章abstract：BACKGROUND:Empathy is an important clinical skill for nursing students, but it is a characteristic difficult to teach and assess. OBJECTIVE:To evaluate the effect of situated teaching on empathy learning among undergraduate nursing students. DESIGN:A cohort study with pre-post-test quasi-experimental design. PARTICI...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2018.02.013
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:Pressure ulcers still remain a significant problem in many healthcare settings. Poor knowledge and negative attitudes toward pressure ulcer prevention could undesirably affect preventive care strategies. OBJECTIVE:To assess both knowledge and attitudes among nursing students on Pressure Ulcer Prevention Evi...
journal_title：Nurse education today
pub_type： 杂志文章,多中心研究
doi：10.1016/j.nedt.2014.12.020
更新日期：2015-04-01 00:00:00
abstract：:Nurse educator's critical thinking remains unexamined as a key factor in the development of students' critical thinking. OBJECTIVES:The objective of this study is to understand how nurse educators reveal their critical thinking in the clinical setting while supervising students. DESIGN:This study uses a single-phase...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2018.04.011
更新日期：2018-07-01 00:00:00
abstract：:The purpose of this study was to describe final year undergraduate nurses' experiences of assessment through the use of a learning contract. Using a qualitative descriptive design, data was collected from a purposive sample of final (fourth) year undergraduate student nurses. Two approaches were taken for data collect...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2009.03.012
更新日期：2009-10-01 00:00:00
abstract：:The literature recommends that in the light of the constant changes in the contexts in which nurses perform [Buerhaus, P., 1997. The future of the nurse labour market. Image 29(4), 313-318], nurse education systems should incorporate specialised and continuing education [Lenera, V., 1987. The Nurse and the Future: Rol...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2004.08.004
更新日期：2005-01-01 00:00:00
abstract：:It has been suggested that philosophy is a bit like manure: pile it high and it rots and stinks, but spread it around and it becomes surprisingly useful. Philosophical enquiry, used sparingly, can provide a means to develop critical and analytical ability in nurses. A key principle of philosophical enquiry is the deve...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1054/nedt.2000.0512
更新日期：2001-01-01 00:00:00
abstract：:The author provides a definition of nursing knowledge, reviews the critical literature up to 1989 and discusses the current trends. She concludes her paper with her reflections upon the path to true nursing knowledge. ...
journal_title：Nurse education today
pub_type： 杂志文章,评审
doi：10.1016/0260-6917(90)90002-8
更新日期：1990-10-01 00:00:00
abstract：:This paper discusses an attempt to introduce liberal studies into a Project 2000 nurse education course. The paper reviews the origins of liberal studies and other attempts to nurture the 'whole person' in further and higher education, and describes a 'contract learning' approach to liberal studies adopted at one coll...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/s0260-6917(95)80037-9
更新日期：1995-04-01 00:00:00
abstract：:This paper arose from a research study and its follow-up in four schools of nursing and midwifery. The study was concerned with evaluating the extent to which a philosophy of health had been integrated into the educational curricula of nurses, midwives and health visitors. The purpose of the follow-up was to dissemina...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1054/nedt.2000.0466
更新日期：2000-10-01 00:00:00
abstract：:Using the concepts of human, social and cultural capital this paper will review the literature on these theories and evaluate their application to nurse education in the United Kingdom (UK). Each concept will be explored before considering the impact and application within nurse education. Issues of sponsorship via me...
journal_title：Nurse education today
pub_type： 杂志文章,评审
doi：10.1016/j.nedt.2011.10.018
更新日期：2012-07-01 00:00:00
abstract：:Nursing education in Iran has undergone significant change since its genesis with foreign missionaries over one hundred years ago. More recently, following the 1979 Islamic revolution, nurse education has followed the direction taken by most other countries in moving from an apprenticeship model of training to an acad...
journal_title：Nurse education today
pub_type： 杂志文章,评审
doi：10.1016/j.nedt.2006.10.003
更新日期：2007-10-01 00:00:00
abstract：:Master's degrees, especially in the form of coursework master's programmes are becoming the main conduit for continuing professional education to the professions. However, there is a paucity of literature on the academic or professional destination of nurses following the completion of master's degrees in nursing. A c...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2007.12.003
更新日期：2008-08-01 00:00:00
abstract：BACKGROUND:To provide safe and competent patient care, it is very important that medical institutions should provide nurses with continuing education by using appropriate learning methods. As compared to traditional learning, electronic learning (e-learning) is a more flexible method for nurses' in-service learning. He...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2012.02.005
更新日期：2013-01-01 00:00:00
abstract：:This study compares the effects of computer-based and instructor-led training on long-term care staff with a high school education or less on fire safety knowledge, attitudes, and practices. Findings show that both methods of instruction were effective in increasing staff tests scores from pre- to posttest. Scores of ...
journal_title：Nurse education today
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/j.nedt.2004.02.004
更新日期：2004-05-01 00:00:00
abstract：:The drift towards competency based nurse interventions has seen a growth in concern regarding the most appropriate methods of assessment of such competencies. Nurse educators and practitioners alike are struggling with the concept of measuring the performance of nursing skills; due to an uneasy relationship between co...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2010.10.017
更新日期：2011-08-01 00:00:00
abstract：BACKGROUND:The peripheral intravenous catheter (PIVC) is the most frequently used invasive medical device. PIVCs fail for a variety of reasons and failure often results in serious adverse events leading to patient discomfort, delays in treatment, increased health care costs and even death. Undergraduate nurses assess a...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2020.104577
更新日期：2020-11-01 00:00:00
abstract：:This article gives an account of the use of 'self-study programmes' (SSPs) in a registered mental nurse curriculum. The account spans a period of over 3 years. It describes the development and implementation of two SSPs in the author's school and the generally favourable outcomes that were found to be associated with ...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/0260-6917(91)90094-q
更新日期：1991-08-01 00:00:00
abstract：BACKGROUND:Being faced with death and caring for dying patients is one of the most difficult aspects of the nursing profession. As they are the nurses of the future, it is important to prepare nursing students for this difficult role so that they are able to provide a qualified caring service. Ensuring nursing students...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2020.104696
更新日期：2021-02-01 00:00:00
abstract：:This paper starts from the personal view that there are a number of issues related to the process of assessment which require investigation. It is suggested that a model of the assessment process might help clarify the present situation. The Brunswik lens model is explained and then expanded and adapted to facilitate ...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/0260-6917(91)90124-s
更新日期：1991-02-01 00:00:00
abstract：:The ethical demands of professional nursing practice are considered, and the concept of Agency is offered as a potentially useful part of the nurses conceptual equipment for such practice. The pressures of working in large organisations are suggested to be inimical to a sense of Agency, and it is also suggested that s...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/0260-6917(93)90101-7
更新日期：1993-06-01 00:00:00
abstract：:Attrition rates among nursing students are a global issue, and a possible factor in current nursing shortages. Numerous studies have been conducted to determine why students drop out of nursing programmes. The limitations of previous studies have included overly small sample sizes, being largely descriptive, and not f...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2018.11.024
更新日期：2019-03-01 00:00:00
abstract：BACKGROUND:In the European context regulated by the Bologna Process principles, there is little evidence to date on the different profiles, if any, of nursing students enrolled in the 1st academic year and their academic outcomes. AIMS:To describe and compare the nursing student profiles and their academic outcomes at...
journal_title：Nurse education today
pub_type： 杂志文章,多中心研究
doi：10.1016/j.nedt.2015.12.013
更新日期：2016-03-01 00:00:00
abstract：BACKGROUND:Medication safety is an integral aspect of patient safety. Nurses, as advocates of patient safety, actively consider medication safety in the course of their daily work. Hence, it is important to consider the educational preparation of nursing students in medication management, as future caregivers. There ar...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2020.104512
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Problem-based learning (PBL) is a method widely used in nursing education to develop students' critical thinking skills to solve practice problems independently. Although PBL has been used in nursing education in Korea for nearly a decade, few studies have examined its effects on Korean nursing students' lea...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2013.02.012
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:Within Australia and internationally (Health Workforce Australia, 2012) an increasing and on-going nursing workforce shortage is documented. Recent international estimates indicate that there will be ongoing and significant gaps in the supply of a nursing workforce; the United Kingdom is predicted to have a ...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2013.08.017
更新日期：2014-05-01 00:00:00
abstract：BACKGROUND:Reflective practice is now widely used as a critical learning tool in undergraduate and postgraduate nursing programs in most developed countries. However in developing countries, reflective practice is in its infancy. AIM:To introduce reflective practice to postgraduate students in an Indonesian nursing ed...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2015.11.029
更新日期：2016-03-01 00:00:00
abstract：:Although much importance is attached to continuing professional education for nurses, midwives and health visitors, there is a paucity of empirical studies on the subject. This article reviews research in continuing education for midwives and adds to the body of literature by reporting on findings on continuing educat...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/0260-6917(94)90078-7
更新日期：1994-06-01 00:00:00
abstract：BACKGROUND:Substantial numbers of Enrolled Nurses (ENs) enrol in higher education programs to undergo the transition to Registered Nurse (RN) with the experience described as containing numerous challenges. OBJECTIVES:This paper reports on a synthesis of the literature that explores the experiences of ENs undertaking ...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2018.04.017
更新日期：2018-08-01 00:00:00
abstract：:Michael Oakeshott warned in 1950 that the very existence of the university as a place of learning and scholarship was under threat from corporate interests, and that the provision of education was being replaced by the sale of qualifications. By the end of the century, Bill Readings had pronounced that the university ...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2012.03.020
更新日期：2012-10-01 00:00:00
abstract：:As many Departments of Nursing within universities consider raising their academic entry requirements in an attempt to attract a more high academic achieving entrant and also endeavour to attract more school leavers one of the fundamental questions that needs to be answered is--are high academic achieving school pupil...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2008.03.008
更新日期：2008-08-01 00:00:00
