以问题为基础的护理查房模式对外科护士评判性思维能力影响的研究

目的 探讨以问题为基础学习模式（PBL）应用于护理查房对护士评判性思维能力的影响及其效果评价。方法 将外科全体护士，以抽签的方式，以病区为单位随机分为实验组86名和对照组85名。实验组采用PBL护理查房模式每2周1次，持续8个月，对照组采用传统护理查房模式。在教育方案实施前、后，采用评判性思维能力测量表（CTDI—CV），对外科护士的评判性思维进行测量。观察不同护理查房模式对2组护士评判性思维能力的影响。结果 教学方案实施后实验组外科护士的总体评判性思维能力均提高，差异明显；实验组护士各评判思维特质均有不同程度提高。结论 运用PBL护理查房模式，对提高外科护士评判性思维能力是可行并有效的。

Influence of problem-based learning nursing ward round on critical thinking capacity of surgical nurses

Objective To explore the role of problem-based leaming（PBL） nursing ward round on critical thinking capacity of nurses from surgical departments. Methods All nurses from surgical departments were randomly divided into the experimental group（86 nurses） and the control group（85 nurses） by drawing lots. Objects from the experimental group received PBL nursing ward round training twice a week for 8 months, while those from the control group used the traditional nursing ward round training. The influence of the different teaching methods on the critical thinking capacity of the nurses was assessed before and after the training, using critical thinking disposition inventory- Chinese version （CTDI- CV）. Results Total critical thinking capacity was improved significantly in the experimental group after the training. All sorts of critical thinking characteristics were strengthened in different degree. Conclusions PBL nursing ward round training can effectively facilitate the critical thinking capacity of surgical nurses.