RESUMO
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.
Assuntos
Ansiedade/prevenção & controle , Tomada de Decisão Clínica , Preceptoria , Autoeficácia , Estudantes de Enfermagem/psicologia , Educação Técnica em Enfermagem , Bacharelado em Enfermagem , Feminino , Humanos , Masculino , Pesquisa em Educação em Enfermagem , Pesquisa em Avaliação de Enfermagem , Estudantes de Enfermagem/estatística & dados numéricos , Adulto JovemRESUMO
This article describes carbon monoxide poisoning. Using a case study approach, the article covers pathophysiology, epidemiology, clinical presentation, and complications. A nursing care plan is presented to guide the critical care nurse in the care of patients in this type of condition.