Moving upstream: Becoming a public health nurse, part 2.
Moving upstream: Becoming a public health nurse, part 2.
复制标题
向上游迈进：成为一名公共卫生护士，第 2 部分。
DOI：
10.1111/j.0737-1209.2004.021202.x
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发表时间：
2004
影响因子：
2.1
通讯作者：
S. Leander
中科院分区：
文献类型：
--
作者：
L. SmithBattle;M. Diekemper;S. Leander
本文扩展了第1部分中的论点，即标准、协议、教科书知识和其他外部指南虽然对初学者很重要，但必须屈服于实践的“真实的世界”。额外的叙述文件如何发展的实际推理，感知技能，并响应客户端取代初学者的依赖外部准则，并促进了实践的理解。通过与个人和家庭的一线经验培养的这种理解和临床知识的增长，促进了对“大局”的感性把握，并使护士能够通过客户的眼睛了解社区。家访和社区活动的经验提供了重要的教训，告知和激励护士采取行动和思考上游。这种解释为临床实践作为情境知识和临床推理的丰富来源的合法化提供了额外的证据。
This article extends the argument in Part 1 that stand- ards, protocols, textbook knowledge, and other external guidelines, while important for beginners, must yield to the "real world" of practice. Additional narratives document how the development of practical reasoning, perceptual skills, and responsiveness to clients supplants the beginner's reliance on external guidelines and promotes a situated understanding of practice. This growth in understanding and clinical know-how, cultivated by frontline experience with individuals and families, fosters a perceptual grasp of the "big picture" and makes it possible for the nurse to learn the community through the eyes of clients. Experiences from home visiting and community-based activities provide critical lessons that inform and inspire nurses to act and think upstream. This interpretation provides additional evidence for legitimizing clinical practice as a rich source of situated knowledge and clinical reasoning.