护理临床决策能力及其影响因素的研究

Study on clinical decision-making ability of baccalaureate nursing students and Its related infect factors

目的分析四川省护理本科生临床决策能力现状及其影响因素。方法利用护理专业大学生临床决策能力测量工具对四川省四所大学2008年护理专业毕业实习10～12个月的本科生415名进行调查,并在单因素分析的基础上进行逐步回归分析,了解其影响因素。结果四川省护理本科生临床决策能力总平均分为72.86±4.53分;逐步回归分析表明"评判性思维能力和实习医院"对护理本科生临床决策能力总分的影响有统计学意义。结论四川省本科护生护理临床决策能力多数为合格水平,没有一个学生为优秀。对于本科护生来讲,实习医院和评判性思维能力是护理临床决策能力的主要影响因素。故选择好的实习医院和培养学生的评判性思维能力是提高护生临床决策能力的最好途径。

Objective To explore the present state of clinical decision-making ability of baccalaureate nursing students in Sichuan Province and their related effect factors. Method The instrument for measuring the clinical decision-making ability of nursing students was adopted to investigate 415 baccalaureate nursing students from four colleges and universities in Sichuan province who had completed 10--12 month clinical practice on the basis of univariate analysis. The stepwise regression analysis was adopted. Result The overall mean score of clinical decision-making ability of baccalaureate nursing students in Sichuan province was 72.86 ±4.53. The stepwise regression analysis revealed that the critical thinking ability and practical hospitals had statistical significance. Conclusion Baccalaureate nursing students in Siehuan province have not shown a high level in clinical nursing decision-making ability and most of them are just qualified. No students have reached the level of excellence. The critical thinking ability and practical hospitals are the main influential factors in clinical nursing decision-making ability. A proper choice of practical hospital and cultivation of critical thinking ability are a good means to improve the clinical decision-making ability of nursing students.