护理人员临床思维能力评价途径的质性研究

目的探讨护理人员临床思维能力的评价途径。方法采用含有8个问题的半结构式访谈提纲，对黑龙江省的14名护理专家进行深入访谈，应用现象学资料整理分析方法，将资料进行编码、分类，解释现象实质和意义，提炼主题和要素，之后获得主题。结果得到护理人员临床思维能力评价途径的两大主题：评价指标和评价方式。其中评价指标含有6个次主题：基本理论知识、基本护理技能、应变能力、沟通能力、思维的独创性和思维的批判性。评价方式应为多种评价方式相结合。结论护理人员临床思维能力的培养需要学校和医院的共同努力，并需要建立科学、严谨的评价途径。

Qualitative research on the evaluation approach of clinical thinking of nursing staff

Objective To provide insights into the evaluation index and evaluation methods of clinical thinking of nursing staff. Methods 14 nursing experts in Heilongjiang province were interviewed by a half- structured in-depth outline with 8 questions. Themes were obtained by phenomenological data analysis method, including coding, classification, explanation of phenomena and significance, refining essence and elements. Results Two themes of evaluation approach of clinical thinking of nursing staff was obtained： evaluation index and evaluation method. Basic theoretical knowledge, basic practical skills, strain capacity, communication ability, originality of thinking and critical thinking are subthemes of the evaluation index. The best way of evaluating methods is combining multiple evaluations. Conclusions Cultivation of clinical thinking of nursing staff requires efforts from schools and hospitals to establish a scientific, rigorous evaluation approach.