某三级甲等精神科专科医院护士批判性思维能力现状的调查

目的调查某三级甲等精神科专科医院护士批判性思维能力现状，并研究其影响因素。方法采用批判性思维能力测量表（CTDICV），对222名护士进行问卷调查并研究结果。结果222名护士批判性思维平均得分（278．05±27．58）分，其中43．3％的护士具有正性批判性思维。教学区的护士批判性思维能力总得分为（285．04±25．58）分，高于普通区护士（271．77±27．91）分，两者比较差异有统计学意义（t=3．679，P〈0．01）；学历为本科的护士批判性思维能力总得分为（288．07±27．15）分，大专学历护士总得分为（279．15±28．82）分，中专护士总得分（268．11±19．99）分三者比较差异有统计学意义（F=4．93，P〈0．01）；222名护士批判性思维影响因素的多因素分析显示，护士批判性思维总分、求知欲维度、认知成熟度维度有影响的因素是性别，对寻找真相维度有影响的因素是职称。结论精神科专科医院护士批判性思维能力存在不足，工作环境对于批判性思维的养成有着重要影响，教学区护士和高学历的护士普遍具有更高的批判性思维能力。

Investigation of the status of critical thinking ability in nurses worked in a three-A-grade psychiatric hospital

Objective To investigate the status of the critical thinking ability in a three-A-grade-psychiatric nurses so as to study the influencing factors on nurses＇ critieal thinking. Methods Totals of 222 nurses in Beijing Huilongguan hospital were investigated with the measurement scale of Critical Thinking Ability （CTDICV）and the results were observed. Results The average critical thinking score of psychiatric nurses was （278.05 ± 27.58 ）, and 43.3% nurses had positive critical thinking. The critical thinking score of teaching area nurses was （285.04 ± 25.58 ） higher than common area （271.77 ± 27.91 ）, and the difference was statistically significant（ t = 3. 679 ,P 〈 0. 01 ）. The score of critical thinking was （288.07 ±27.15） in nurses with undergraduate education and that in nurses with junior college eduction was （279. 15 ± 28. 82 ）, then compared with nurses that received technical secondary education （268.11 ± 19.99） ,difference was statistically significant （ F = 4. 93, P 〈 0. 01 ）. Multivariate analyses showed that gender was an important factor on the critical thinking score of psychiatric nurses, dimensions of thirsting for knowledge and cognitive maturity,and professional title was an important factor on thedimension of seeking for truth. Conclusions Nurses of teaching area nurses and high education generally have a higher critical thinking abilities, although critical thinking ability of psychiatric nurses exists insufficient. Working environment has an important effect on the cultivating critical thinking.