Extern Programs Promote Confidence and Reduce Anxiety With Clinical Decision Making in Nursing Students.

Autor:	White KA; Author Affiliations: Assistant Professor (Dr White), Department of Advanced Nursing Practice, Georgetown University, Washington, DC; Instructor (Ms Fetter), Department of Nursing, Pennsylvania College of Health Sciences, Lancaster; and Professor (Dr Ruth-Sahd), Department of Nursing, York College of Pennsylvania, Pennsylvania., Fetter ME, Ruth-Sahd LA
Jazyk:	angličtina
Zdroj:	Nurse educator [Nurse Educ] 2019 Sep/Oct; Vol. 44 (5), pp. 239-244.
DOI:	10.1097/NNE.0000000000000625
Abstrakt:	Background: Clinical decision making (CDM), expected of professional nurses, affects patient outcomes but is arduous for nursing students to learn. Psychological barriers (low self-confidence [SC] and high anxiety with CDM) have an impact on its achievement. Externship programs help mitigate these barriers. Purpose: The aim was to examine the impact of summer employment (nurse extern [NE], nursing assistant, and non-health care employed) on students' confidence and anxiety with CDM. Methods: The study used a quasi-experimental before-and-after design using the Nursing Anxiety and Self-Confidence with Clinical Decision Making scale. Associate and baccalaureate degree students (N = 134) from 2 nursing and 2 extern programs were included. Results: The NEs reported significantly increased SC (F = 14.02, P < .001) and reduced anxiety (F = 8.64, P < .001). Nonsignificant improvements were noted in other groups. Conclusions: Externships appear to enhance students' SC and lessen their anxiety with CDM.
Databáze:	MEDLINE
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