循证护理教学法培养护生评判性思维效果的系统评价

Effect of evidence-based teaching on critical thinking of nursing students:a systematic review of randomized controlled trials

目的评价循证护理教学法与传统教学法对护理专业学生评判性思维的影响。方法计算机检索国内外两种教学方法对护生评判性思维能力影响的随机对照试验研究,予文献评价并使用RevMan 5.2软件进行分析。结果初检文献139篇,经筛选最终纳入Meta分析文献4篇。异质性检验χ2=5.71,P=0.13,I2=47%;采用固定效应模型进行分析,Z=22.23,P<0.01。结论循证护理教学法在培养护生评判性思维能力方面优于传统教学法。但因纳入分析的研究风险偏倚较高,有必要开展更高质量的大样本随机对照试验来验证该结论。

Objective To evaluate the effect of evidence based teaching versus traditional teaching on critical thinking of nursing students. Methods Controlled studies related to evidence based teaching versus traditional teaching on critical thinking were retrieved from electronic databases with computer-assisted method. The quality of included studies was evaluated and then data were analyzed by using RevMan 5.2 software. Results A total of 139 articles were retrieved and finally 4 were enrolled. Meta-analysis showed that evidence based teaching was superior to traditional teaching in cultivating of critical thinking heterogeneity test.. （X2 = 5.71,P=0.13,12 = 47%; fix effect model.. Z = 22.23, P〈 0.01 ）. Conclusion Evidence based teaching cultivates students＇ critical thinking better than traditional teaching method. However, all the trials included in this review are of low quality; larger scale RCTs of higher quality are needed to confirm this conclusion.