Department of Nursing, Karlstad University, Sweden.
J Adv Nurs. 2010 Oct;66(10):2170-81. doi: 10.1111/j.1365-2648.2010.05282.x. Epub 2010 Jun 14.
The aim of the study was to describe critical thinking dispositions among newly graduated nurses in Norway, and to study whether background data had any impact on critical thinking dispositions.
Competence in critical thinking is one of the expectations of nursing education. Critical thinkers are described as well-informed, inquisitive, open-minded and orderly in complex matters. Critical thinking competence has thus been designated as an outcome for judging the quality of nursing education programmes and for the development of clinical judgement. The ability to think critically is also described as reducing the research-practice gap and fostering evidence-based nursing.
A cross-sectional descriptive study was performed. The data were collected between October 2006 and April 2007 using the California Critical Thinking Disposition Inventory. The response rate was 33% (n = 618). Pearson's chi-square tests were used to analyse the data.
Nearly 80% of the respondents reported a positive disposition towards critical thinking. The highest mean score was on the Inquisitiveness subscale and the lowest on the Truth-seeking subscale. A statistically significant higher proportion of nurses with high critical thinking scores were found among those older than 30 years, those with university education prior to nursing education, and those working in community health care.
Nurse leaders and nurse teachers should encourage and nurture critical thinking among newly graduated nurses and nursing students. The low Truth-seeking scores found may be a result of traditional teaching strategies in nursing education and might indicate a need for more student-active learning models.
本研究旨在描述挪威新毕业护士的批判性思维倾向,并研究背景数据是否对批判性思维倾向产生影响。
批判性思维能力是护理教育的期望之一。批判性思维者被描述为对复杂问题有充分的了解、好奇、开放和有序。因此,批判性思维能力被指定为判断护理教育项目质量和发展临床判断的结果。批判性思维能力还被描述为缩小研究实践差距和促进循证护理。
本研究采用横断面描述性研究。2006 年 10 月至 2007 年 4 月期间,使用加利福尼亚批判性思维倾向量表收集数据。应答率为 33%(n=618)。采用 Pearson's chi-square 检验进行数据分析。
近 80%的受访者对批判性思维表现出积极的倾向。最高的平均分数在好奇心分量表上,最低的在寻求真相分量表上。在批判性思维得分较高的护士中,年龄在 30 岁以上、具有护理教育前的大学教育背景以及在社区卫生保健工作的护士比例显著较高。
护理领导者和护理教师应鼓励和培养新毕业护士和护理学生的批判性思维。发现的低真相寻求分数可能是护理教育中传统教学策略的结果,可能表明需要更多以学生为中心的学习模式。