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护理诊断准确性的决定因素:预备知识、知识来源、批判性思维倾向和推理技能的影响。

Determinants of the accuracy of nursing diagnoses: influence of ready knowledge, knowledge sources, disposition toward critical thinking, and reasoning skills.

机构信息

Centre for Applied Research in Health Care and Nursing, Hanze University, Groningen, The Netherlands.

出版信息

J Prof Nurs. 2010 Jul-Aug;26(4):232-41. doi: 10.1016/j.profnurs.2009.12.006.

DOI:10.1016/j.profnurs.2009.12.006
PMID:20637445
Abstract

The purpose of this study was to determine how knowledge sources, ready knowledge, and disposition toward critical thinking and reasoning skills influence the accuracy of student nurses' diagnoses. A randomized controlled trial was conducted to determine the influence of knowledge sources. We used the following questionnaires: (a) knowledge inventory, (b) California Critical Thinking Disposition Inventory, and (c) Health Science Reasoning Test (HSRT). The use of knowledge sources had very little influence on the accuracy of nursing diagnoses. Accuracy was significantly related to the analysis domain of the HSRT. Students were unable to operationalize knowledge sources to derive accurate diagnoses and did not effectively use reasoning skills.

摘要

本研究旨在确定知识来源、既有知识、以及对批判性思维和推理技能的倾向如何影响护生诊断的准确性。我们采用了以下问卷:(a)知识量表、(b)加利福尼亚批判性思维倾向量表、(c)健康科学推理测验(HSRT)。知识来源的使用对护理诊断的准确性影响很小。准确性与 HSRT 的分析域显著相关。学生无法将知识来源转化为准确的诊断,也没有有效地运用推理技能。

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