护士评判性思维能力的调查及其相关因素分析

目的 调查并分析护士评判性思维能力及其相关因素,为护士评判性思维培养提供依据.方法 采用评判性思维调查表（CTDI-CV）及艾森克人格问卷（EPQ量表）对南通市某三甲医院护士进行问卷调查.结果 护士CTDI-CV总分为（276.41±26.107）分;单因素分析结果显示不同第一学历护士评判性思维结果的比较差异有统计学意义（中专、大专、本科分别为266.5±22.200,277.03±25.750,292.92±24.841;F=19.168,P＜0.01）、最高学历护士评判性思维结果的比较差异有统计学意义（中专、大专、本科分别为267.00±26.102,272.38±23.083,281.90±27.932;F=4.497,P＜0.05）;不同职称、工龄、科室的护士评判性思维总分差异有统计学意义（P＜0.01或P＜0.05）;护士评判性思维总分与护士工龄、E维度得分呈正相关（r=0.292,0.221,P＜0.01）,与P、N维度得分呈负相关（r=-0.142,-0.196,P＜0.05或P＜0.01）;多因素分析结果显示护士评判性思维总分与护士的第一学历、工龄、科室类别和E维度得分相关（P＜0.01或P＜0.05）.结论 护理管理者应加强护士评判性思维能力的培养,根据护士的具体情况因材施教,提高培养效果.

Investigation and analysis of nurses' critical thinking and its related factors

Objective To investigate and analyze the nurses' critical thinking abilities and its related factors, and provide basic data for developing nurses' critical thinking. Methods 210 nurses accepted CTDICV and EPQ questionnaire investigation in a top hospital in Nantong. Results The total score of nurses' critical thinking was (276.41 ± 26. 107); Single factor analysis results revealed that the critical thinking scores of nurses were significant in different education background(266.5 ± 22.200,277.03 ± 25. 750,292.92 ± 24.841;F = 19. 168, P ＜ 0. 01 ), professional title, length of nursing working and different departments; The length of nursing service and the E scores were positively correlated with the scores of critical thinking; The P, N scores ( r =0. 292,0. 221 ,P ＜0. 01 ) were negatively correlated with the score of critical thinking( r = -. 0142, -0. 196,P ＜0. 05 or P ＜0. 01 ); Multivariate analysis showed that nurses' critical thinking abilities were correlated with the nurse education background, length of service, different departments and the E scores ( P ＜ 0. 01 or P ＜0. 05 ). Conclusions Nursing managers should pay attention on improvement nurses' critical thinking abilities.Nurses critical thinking abilities may be developed by individualized training according to their specific circumstances.