Evaluatión of Clinical aptitude through the nurse process method
Keywords:
Evaluatión, nursing process, Nursing Care, Clinical Aptitude, Geriatric patientAbstract
Introduction: with an inclusive and plural perspective, an idea of progress is introduced that involves the active participation of the subjects, mediated by the critic for the construction and reconstruction of the professional knowledge of a discipline, and in the development, skills in the attention processes of nursing.
Objective: to evaluate the clinical aptitude of undergraduate interns and general nurses in the application of the nursing process to geriatric patients.
Methods: comparative cross-sectional study, in two groups of nursing undergraduate interns in two stages, at the beginning (Group I) and term (Group II) of the social service, as well as general nurses (Group III) with experience in the care of geriatric patient. Clinical aptitude was defined as the ability of the nurse to identify, recognize, analyze and treat human responses to health problems. The measurement instrument was constructed with real clinical cases submitted to the judgment of four experts in two rounds. Kruskal Wallis analysis of variance was applied in the comparison of groups and indicators and the χ2 test to compare within the groups between indicators.
Results: the scores per medians were distributed as follows: 22 for group I, 16.5 group II and 16 group III. Of the population studied in clinical aptitude, 74% of the nurses obtained a score equivalent to that expected by chance; there were no significant differences between indicators.
Discussion: a) the fact that there are no statistical differences between the groups studied suggests that the clinical aptitude in these groups is based primarily on routine rather than reflexive actions. b) the groups of interns did not reveal the expected clinical aptitude, despite having a background of professional training with a focus on the nursing process. c) the validation and reliability (0.92) of the instrument allows expressing its usefulness in the evaluation of clinical aptitude through real clinical cases.
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