基于工作过程为导向的《护理查房》课程对护理本科生评判性思维能力影响的简单效应分析

Test of simple effect of work process-oriented theory nursing ward round on critical thinking capacity of nursing undergraduates

目的探索基于工作过程为导向的《护理查房》课程，研究其对护理本科生（护生）评判性思维能力特质建构的影响。方法将选修《护理查房》课程的80名护生按照随机数字表法分为试验A组和试验B组各40例，试验A组在1—9周开课，试验B组在9～17周开课。采用评判性思维能力测量表（CTDI-CV）分别在干预前第1、9、18周评价2组的效果。结果2组护生CTDI-CV评分的组间因素及时间因素的主效应均具有统计学意义（P〈0．05），且CTDI-CV存在时间与分组的交互作用有统计学意义（P〈0．05）；简单效应分析干预后试验A组与试验B组CTDI-CV相比，差异有统计学意义（P〈0．05），2组第1、9、18周测量值相比较，效应量n〈n，试验A组的干预较试验B组的干预效果更好。结论对护生开展基于工作过程为导向的《护理查房》课程对其评判性思维能力的提升具有良好的实践指导作用，且开课时间选择大学三年级第2学期的前9周开课对护生评判性思维能力的促进作用更高。

Objective Toexplore work process-oriented theory nursing ward round, research work process-oriented theory nursing ward round on critical thinking capacity of nursing undergraduates. Methods Totally 80 Elective nursing ward round courses of nursing undergraduates were divided into the experimental A group and the experimental b group with 40 cases in each group. The experimental A group select the beginning of 9 weeks on Until, the experimental B group select the after of 9 weeks on Until. The nursing undergraduates were assessed by CTDI-CV on first, ninth, eighteenth weeks to evaluate the effect of the two groups. Results Main effect of group factor and time factor of CTDI-CV had statistical significance （P 〈 0.05）. There were significant interaction in the scores of CTDI-CV. Simple effect analysis demonstrated the scores of CTDI-CV in the experimental A group were higher than those of the experimental b group after the intervention（P 〈 0.05）. Two groups of on first, ninth, eighteenth weeks measured values compared the effect of amount of FB 〈 FA, the experimental group A intervention effect was better than in the experimental group B intervention. Conclusions For nursing undergraduates guided based on the working process of the curriculum of nursing ward round the critical thinking ability had good practice guidance, and on the start time to choose university grade three semester two on 9 weeks before commencement of nursing undergraduates promotes higher critical thinking ability.