Kuokkanen R
Hoitotiede. 1992;4(2):79-87.
This article examines how critical thinking is seen in learning decision making during the clinical lessons in the beginning of nursing students' clinical education. The data has been collected by taping all the clinical lessons (11) of the students (32). The data was analyzed by using content analysis both quantitatively and qualitatively. The phases of the nursing process, in other words the phases of decision making appeared clearly in the discussions. A lot of assessment of the nursing needs of the patient appeared clearly. Physical needs were focused among the nursing problems. The objects of the nursing were defined nurse-centrically and generally. The discussion about the implementation and the evaluation of the nursing received insufficient attention. There were presented neither alternative solutions of the care nor any reasons for proposed solutions. Learning of the students represented mainly superficial, mechanical learning, lacking critical thinking.
本文探讨了在护理专业学生临床教育初期的临床课程中,批判性思维在学习决策过程中的体现。数据收集方式为录制32名学生的全部11节临床课程。数据分析采用了定量和定性的内容分析法。护理过程的各个阶段,也就是决策阶段,在讨论中清晰可见。对患者护理需求的大量评估也清晰呈现。身体需求在护理问题中受到关注。护理对象是以护士为中心进行定义的,且较为宽泛。关于护理实施和评估的讨论关注度不足。既没有提出护理的替代方案,也没有对所提方案给出任何理由。学生的学习主要表现为表面的、机械的学习,缺乏批判性思维。