评判性思维教学方法引导下规范化培训护士与实习护士评判性思维能力调查研究

A study on the evaluation of critical thinking ability of nurses with standardized training and student nurses under the guidance of critical thinking teaching method

目的:探讨评判性思维教学方法引导下规范化培训护士与实习护士评判性思维能力。方法:将于我院工作的193名规范化培训护士中满1年培训经历的92名护士设为一阶段组,将满两年培训经历的101名护士设为二阶段组;同期选取我院实习的207名护士,将刚进入我院实习未满3个月的92名护士作为实习前期组,将实习满1年的115名护士作为实习期满组。对四组分别应用《评判性思维态度倾向性调查表-中文版》进行问卷调查。结果:实习期满组评判性思维能力评分明显高于实习前期组(P<0.05)。实习期满组护士在寻找真相、分析能力、系统化能力、自信心、认知成熟度方面的评判性思维能力评分明显高于规范化培训组(P<0.05)。实习期满组在寻找真相、分析能力、系统化能力、自信心、求知欲、认知成熟度方面评判性思维能力评分明显高于一阶段组,分析能力、自信心、求知欲、认知成熟度方面评判性思维能力评分明显高于二阶段组(P<0.05)。结论:在评判性思维教学方法的培养下,我院实习护生和规范化培训护生评判性思维能力得到了极大提高,但仍需在实习阶段注重实习护生开放思想的培养。

Objective：To evaluate the critical thinking ability of nurses with standardized training and student nurses under the guidance of critical thinking teaching method. Methods ：193 nurses who received standardized training in our hospital were divided into two groups, of them 92 nurses who had one - year training experience were taken as the first stage group and the other 101 nurses who had two - year training experience were taken as the second stage group ; other 207 student nurses who had clinical practice in ＇our hospital were selected, 92 nurses who had practice less than 3 months were taken as the preparatory group and the other 115 nurses who already had one -year practice were taken as the maturity group. The nurses in the four groups were respectively investigated by using critical thinking attitude questionnaire { the Chinese version }. Results ： The scores of critical thinking ability of the nurses were significantly higher in the maturity group than the preparatory group（ P 〈 0. 05 ） ;the scores of critical thinking ability of the nurses in the maturity group were significantly higher than those in the standardized training group （ P 〈 0.05 ） ;the scores of critical thinking ability of the nurses in the maturity group were significantly higher than those in the first stage group and the second stage group （ P 〈 0.05 ）. Conclusion ： The critical thinking ability of the student nurses and the nurses with standardized training significantly improved under the guidance of critical thinking teaching method, but the hospital mangers should focus on strengthening the critical thinking ability of finding the truth and developing thirst.