反思性学习法对实习护生评判性思维能力的影响

Effect of reflective learning on the ability of critical thinking of nursing students in clinical practice

目的探索反思性学习法对实习护生评判性思维能力的影响，为临床护理教学模式的改革提供参考依据。方法将本科和专科实习护生共102人随机分为实验组和对照组各51人，对照组按常规实习程序实习；实验组在常规实习的基础上，对其进行反思性学习相关知识培训，并要求书写反思日记及定期召开小组讨论会。实习前和实习结束时均采用评判性思维能力量表”（CTDI-CV）对2组护生进行测试。结果实习前对照组CTDI-CV总平均分为（286．26±28．15）分，实验组为（285_7930．52）分，2组比较无显著差异；实习结束时，对照组CTDI—CV总平均分为（289．34±32．53）分，实验组为（305．63±22．46）分，2组比较差异显著。结论反思性学习法有助于培养实习护生的评判性思维能力，值得临床护理教育工作者借鉴使用。

Objective To explore the effect of reflective learning on the ability of critical thinking of nursing students in clinical practice. Methods 102 students were randomly divided into the experimental group and the control group with 51 students in each group. The control group took routine clinical practice. The experimental group took routine clinical practice and reflective learning. Critical Thinking Disposition Inventory-Chinese Version （CTDI-CV）was used to test nursing students＇ ability of critical thinking before and after the clinical practice. Results The average CTDI-CV scores of the control group and the experimental group were（286.26±28.15）and（285.79±30.S2）respectively before the clinical practice,there was no significant difference between them. After the clinical practice, the average CTDI-CV scores of the control group and the experimental group were （289.34±32.53）and （305.63±22.46）respectively, the latter was significantly higher than the former. Conclusions Reflective learning can improve nursing students＇ ability of critical thinking, it can be used for reference by clinical educator.