临床推理与决策课程对护理本科生评判性思维能力的影响

Effect of clinical reasoning and decision making curricuimn on critical thinking disposition of undergraduate nursing students

目的探讨内地首门“临床推理与决策”课程对护理本科生评判性思维能力的影响。方法采用前后对照设计。在“临床推理与决策”课程开设前后，组织选修该门课程的38名护生填写评判性思维态度倾向量表一中文版（CTDI—CV），进行前后对照分析。结果教学后护理本科生的评判性思维能力总分为（318．05±24．87）分，高于教学前的（308．49±22．96）分，组间比较差异具无统计学意义（t=-1．839，P=0．074）。7个评判性思维维度中，寻找真相、系统化能力以及批判性思维的自信心得分增加，差异有统计学意义（t分别为-2．727，～2．622，-2．417；P〈0．05）。结论在护理本科生中推行临床推理与决策课程有助于提高学生的评判性思维能力。

Objective To explore the relationship between the clinical reasoning and decision making curriculum and the critical thinking disposition of nursing students. Methods 38 nursing students registered in the curriculum were investigated by the questionnaire of Chinese Version of Critical Thinking Disposition Inventory（CTDI-CV） before and after the curriculum. Results The total score（318.05 ±24.87） of CTDI-CV was higher than that （308.49 ± 22.96） before the curriculum, the difference was no statistically significant （t = - 1. 839, P = 0. 074）. During seven subscale, scores of truth seeking, systematization and confidence raised （t= -2.727, -2.622, -2. 417,respeetively;P 〈0. 05）. Conclusions The clinical reasoning and decision making curriculum was helpful to enhance the critical thinking ability of undergraduate nursing students.