García NMG, Matus MR

Language: Spanish
References: 12
Page: 131-136
PDF size: 128.74 Kb.

ABSTRACT

Introduction: Within the educative process, research has been permanently interested in the search looking time more complete answers which knowledge presents to explain all the needs and demands of the current society, for which highly prepared personnel is needed, i.e. oriented to wards reflexive education and not to the recall of knowledge, achieving in this way a higher level in clinical aptitude and thus make a change to education and patient care.
Objective: To explore the degree of clinical aptitude development in bacalaureate nursing and obstetrics students, before initiating and after initiating clinical practice in the pediatric area.
Methodology: A longitudinal, prospective, and analytical study was performed among fourth semester baccalaureate nursing students whose clinical aptitude was measured before initiating practical phase and after its conclusion. An instrument to explore clinical aptitude based on real clinical cases, was construted and validated.
Results: The instrument had a confiability coefficient of 0.9966 when the formula 20 of Kuder Richardson was applied. The global scores median was 42 with a range of (17 to 60 when proceeding mathematically for the questions' total. No statistical significance was found in either group nor in the indicators according to the Kruskall-Wallis test ant the Wilcoxon test of paired pairs.
Conclusions: The obtained results reflect that clinical aptitude does not only depend on the knowledge obtained in the classroom but on the stimulation of the reflection of real situations. This leads us to the implementation of new educational techniques based on the linkage of knowledge and the real cases away from the traditional education.

REFERENCES

1. Allende CM de. Evaluación educativa, calidad de la educación; México, Ed. ANUIES, año 1990, p50-58.

2. Viniegra L, JL Jiménez. Nuevas aproximaciones a la medición de la competencia clínica. Revista de Investigación Médica, año 1992.

3. Pelletier, D et al. Lìmpact de la sélection et du profil académique sur la performance cognitive détudiants universitaires, Canadian Journal of Higher Education 1989.

4. Faireweather JS. Reputational quality of academic programs. En: Research in Higher Education, Editorial: Agathon Press, Inc. Nueva York, EUA, No. 4, 1998; 19(2).

5. Kirschling JM. Evaluating teaching effectiveness; Jornal of Nursing Education 1995; 34(2).

6. Noreen C, Facione Pho, Peter A, Carol A, Sánchez MA. Critical thinking disposition a measure of competent clinical judment: the development of the California critical, thinking disposition inventory; Jornal of Nursing Education 1995; 34(9).

7. Gillis A, Mac Lellan M, Perry A. Competencies of liberal education in post rn baccalaureate students: a longitudinal study; Journal of Nursing Education 1998; 97(9).

8. Sabido S, Viniegra L. Competencia y desempeño clínico. Investigación Clínica 1998; 50(3). p212-216.

9. Larios Mendoza H, Trejo JA. Evaluaci ón de la competencia clínica. Mé- dica IMSS 1998; 36 (1). p77-82.

10. Jiménez Vázquez MM. Competencia clínica de enfermeras en la atención quirúrgica; RevEnferm 2000: p75-80.

11. Esquivel-Rosales R, Matus-Miranda R. Habilidades clínicas complejas en estudiantes de enfermería. Rev Enferm del IMSS, 2000; 8(2): p81-86.

12. Méndez-Domínguez I y cols. Desempe ño de la enfermera en dialisis peritoneal intermitente. Rev Enferm del IMSS 1999; p7-14.