南京市城郊结合部区级医院护士自主学习能力与评判性思维能力的相关性分析

Relationship between the self-learning ability and critical thinking ability of nurses in district hospitals in Nanjing suburban areas

目的：调查并分析南京市城郊结合部区级医院护士自主学习能力与评判性思维能力的现状以及两者之间的关系,为护理管理者培训提供参考依据。方法2014年4—7月采用便利抽样法选择南京市城郊结合部4所区级医院的404名护士,采用护理人员自主学习能力评价量表和中文版评判性思维能力测量表（CTDI-CV）进行问卷调查。结果城郊结合部区级医院护士自主学习能力总分为（122.57±18.00）分；评判性思维能力总分为（276.03±24.43）分。单因素分析显示,不同职称护士评判性思维能力差异有统计学意义（F=6.788,P〈0.05）,是否参与科研、担任护理骨干、护士长是自主学习能力和评判性思维能力的影响因素（P〈0.05）。 Pearson相关分析显示,自主学习能力与评判性思维能力呈正相关（r=0.378,P〈0.01）。结论南京市城郊结合部区级医院护士自主学习能力和评判性思维能力处于中等水平,两者相互正性影响。护理管理者应根据影响因素,采取多种形式和方法,培养和提高区级医院护士自主学习能力和评判性思维能力。

Objective To survey the current status of the self-learning ability and critical thinking ability of nurses in district hospitals in suburban areas and explore the relationship between them to supply grounds for nurse training programs. Methods By convenient sampling from April to June 2014, a total of 404 nurses from 4 district hospitals in suburban areas in Nanjing were investigated with the nurse self-learning ability rating scale and critical thinking disposition inventory in Chinese version （CTDI-CV）. Results The total score of suburban nurse self-leaning ability was （122. 57 ± 18. 00） while that of critical thinking ability was （276. 03 ± 24. 43）. The single factor analysis presented that nurses with different occupational title had different level of critical thinking with statistical significance （F=6. 788,P〈0. 05）. The influencing factors of nurse self-leaning ability and critical thinking ability included whether they involved research, whether they were nursing mainstay or manager. The self-leaning ability was positively correlated with the critical thinking ability by Pearson analysis （ r=0. 378,P〈0. 01）. Conclusions The self-leaning ability and critical thinking ability of nurses in the four hospitals in Nanjing are in the moderate level, and they have a positive interacted relationship. According to the influencing factors, nursing managers should take appropriate and effective measures to develop and improve nurses, both abilities.