实习前开展综合性情景模拟演练对护理本科生评判性思维能力的影响

Influence of comprehensive scenario simulation practice before internship on nursing undergraduates' critical thinking ability

目的探讨实习前开展综合性情景模拟演练模式的培训对护理本科生评判性思维能力的影响。方法实习前,将120名2011级护理本科生按随机原则分为实验组和对照组,每组各60名。对照组学生接受传统模式的护理培训,实验组学生接受综合性情景模拟演练模式的护理培训。培训结束后,比较两组学生的护理理论和护理技能的考核成绩;应用评判性思维态度倾向性量表(critical thinking disposition inventory-Chinese version,CTDI-CV),比较两组学生的评判性思维能力的得分情况。结果实验组学生的护理理论和护理技能考核成绩高于对照组,差异具有统计学意义(P<0.05)。实验组学生的评判性思维能力总分及开放思想、分析能力、系统化能力、自信心、求知欲、认知成熟度六个维度得分均高于对照组,差异具有统计学意义(均P<0.05);而两组学生评判性思维能力中的寻找真相维度得分,差异无统计学意义(P>0.05)。结论综合性情景模拟演练能有效提高护理本科生的评判性思维能力,可为学生适应临床护理工作奠定思维基础。

Objective To investigate the influence of comprehensive scenario simulation practice in pre-internship training on nursing undergraduates ＇ critical thinking ability. Methods We randomly divided 120 nursing undergraduates of Grade 2012 into experimental group and control group（ 60 students in each）. Students in the control group received standardized routine pre-internship training while those in the experimental group received comprehensive scenario simulation practice. Scores of nursing theory and skills examinations were compared between the two groups; Critical Thinking Disposition InventoryChinese version（ CTDI-CV） was used to compare the scores of the two groups after pre-internship training. Results The scores of theory and skills examinations were significantly higher in the experimental group than in the control group（ P〈0. 05）. Students in the experimental group significantly outperformed those in the control group in the total score of critical thinking ability and the six dimensions as follows： open-mindedness,analytical ability,systematicity,self-confidence,inquisitiveness and cognitive maturity（ P〉0. 05）,but not in truth seeking（ P〈0. 05）. Conclusion Comprehensive scenario simulation practice can effectively improve nursing undergraduates＇ critical thinking ability and and lay a better foundation in thinking for adapting themselves to nursing internship.