基层医院临床护士评判性思维与自主学习能力的现状及相关性分析

Current status and correlation study of critical thinking and self-learning ability of primary hospital clinical nurses

目的：了解基层医院临床护士评判性思维能力与自主学习能力的现状并探讨两者间的关系，为医学继续教育提供理论依据和参考。方法采用一般资料调查问卷、中文版评判性思维能力测量表（CTDI-CV）和护理人员自主学习能力评价量表，对3所县级医院345名临床护士进行调查。结果基层医院临床护士评判性思维能力总分为（276．08±34．31）分，自主学习能力总分为（121．40±18．42）分；除认知成熟度与任务分析和自我监控及调节无关外，评判性思维能力与自主学习能力的总分及其他维度均呈正相关（P＜0．05）。结论基层医院临床护士评判性思维能力和自主学习能力均有待提高，两者间相互正性影响；护理管理者应采取多种方法和措施，双管齐下，培养和提高基层医院临床护士评判性思维能力和自主学习能力。

Objective To understand the current status of primary hospital clinical nurses ’ critical thinking ability and self-learning ability and to explore the relationship between them , so as to provide theoretical basis and reference for continuing medical education .Methods Totals of 345 clinical nurses in three county hospitals were surveyed by general information questionnaire , Critical Thinking Disposition Inventory-Chinese Version （ CTDI-CV ） and nurse self-learning ability rating scale .Results The total score of clinical nurses ’ critical thinking ability was （276.08 ±34.31）, and the self-learning ability score was （121.40 ±18.42）. Based on the above results , Except that cognitive maturity had no significant correlation with task analysis , self-monitoring and regulation , critical thinking ability was positively related to self -learning ability and other dimensions （P 〈0.05）.Conclusions The critical thinking and self-learning ability of clinical nurses in primary hospital need to be improved .Because of their mutual positive impact , nursing managers should take a variety of measures to develop and improve these abilities .