职校护生护理综合成绩与自我效能感、评判性思维的相关性研究

目的比较护理综合成绩各分数段的护生自我效能感、评判性思维的差异，分析护生护理综合成绩与其自我效能感、评判性思维之间的相关性，探讨护生护理综合成绩的影响因素。方法选用自我效能感量表、中文版评判性思维能力测量表，对476名护生进行测评，采用单因素分析比较护理综合成绩各分数段的护生在自我效能感和评判性思维上的差异；采用相关分析研究护理综合成绩与自我效能、评判性思维的相关性，采用回归分析探讨护生护理综合成绩的影响因素。结果护理综合成绩（专业实务、实践能力）各分数段的护生自我效能感、评判性思维存在差异（P < 0.01），且与护生的自我效能感、评判性思维能力均呈成正相关关系（P < 0.01）；多元逐步回归分析显示，分析能力、学习行为效能感、开放思想、一般自我效能感、系统化能力纳入回归方程，对护生的护理综合成绩有积极预测作用。结论在护理职业教育中，应从发挥护生自主学习和管理、加强学生终生学习能力的培养以及提高反映学生的综合素养的评判性思维能力角度出发，提高护生护理综合成绩。

Study on the correlation between comprehensive nursing performance,and self-efficacy and critical thinking of nursing students in vocational schools

ObjectiveTo compare the differences of self-efficacy and critical thinking among the nursing students with different grades of comprehensive nursing achievement, analyze the correlation between comprehensive nursing achievement of nursing students and their sense of self-efficacy and critical thinking, and explore the influencing factors of comprehensive nursing achievement of nursing students.MethodsA total of 476 nursing students were investigated using the self-efficacy scale and Chinese Version of the California Critical Thinking Disposition Inventory(CTDI-CV), the differences of self-efficacy and critical thinking among nursing students with different scores of comprehensive nursing achievement were analyzed using the single factor analysis, the correlation between comprehensive nursing achievement, and self-efficacy and critical thinking were analyzed using the correlation analysis method, and the influencing factors of comprehensive nursing achievement of nursing students were analyzed using the regression analysis.ResultsThere were differences in self-efficacy and critical thinking among nursing students with different scores of comprehensive nursing achievement(P < 0.01), and the comprehensive nursing achievement were positively correlated with their self-efficacy and critical thinking ability(P < 0.01).The results of multiple stepwise regression analysis showed that analytical ability, learning behavior efficacy, open mind, general self-efficacy and systematization ability were included in the regression equation, which could positively predict the nursing students' comprehensive nursing performance.ConclusionsIn nursing vocational education, giving full play to the independent study and management of nursing students, strengthening the cultivation of students' lifelong learning ability and improving the critical thinking ability reflecting students' comprehensive quality can be used to improve the comprehensive achievement of nursing students.