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社会问题解决训练对护生批判性思维和决策能力的影响。

Impact of social problem-solving training on critical thinking and decision making of nursing students.

作者信息

Ahmady Soleiman, Shahbazi Sara

机构信息

Department of Medical Education, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Virtual School of Medical Education and management, Shahid Beheshty University of Medical Sciences, Tehran, Iran.

出版信息

BMC Nurs. 2020 Oct 7;19:94. doi: 10.1186/s12912-020-00487-x. eCollection 2020.

Abstract

BACKGROUND

The complex health system and challenging patient care environment require experienced nurses, especially those with high cognitive skills such as problem-solving, decision- making and critical thinking. Therefore, this study investigated the impact of social problem-solving training on nursing students' critical thinking and decision-making.

METHODS

This study was quasi-experimental research and pre-test and post-test design and performed on 40 undergraduate/four-year students of nursing in Borujen Nursing School/Iran that was randomly divided into 2 groups; experimental ( = 20) and control (n = 20). Then, a social problem-solving course was held for the experimental group. A demographic questionnaire, social problem-solving inventory-revised, California critical thinking test, and decision-making questionnaire was used to collect the information. The reliability and validity of all of them were confirmed. Data analysis was performed using SPSS software and independent sampled T-test, paired T-test, square chi, and Pearson correlation coefficient.

RESULTS

The finding indicated that the social problem-solving course positively affected the student' social problem-solving and decision-making and critical thinking skills after the instructional course in the experimental group ( < 0.05), but this result was not observed in the control group ( > 0.05).

CONCLUSIONS

The results showed that structured social problem-solving training could improve cognitive problem-solving, critical thinking, and decision-making skills. Considering this result, nursing education should be presented using new strategies and creative and different ways from traditional education methods. Cognitive skills training should be integrated in the nursing curriculum. Therefore, training cognitive skills such as problem- solving to nursing students is recommended.

摘要

背景

复杂的卫生系统和具有挑战性的患者护理环境需要经验丰富的护士,尤其是那些具备解决问题、决策和批判性思维等高认知技能的护士。因此,本研究调查了社会问题解决训练对护生批判性思维和决策能力的影响。

方法

本研究为准实验性研究,采用前测和后测设计,对伊朗博鲁詹护理学院的40名本科/四年制护理专业学生进行研究,这些学生被随机分为两组:实验组(n = 20)和对照组(n = 20)。然后,为实验组开设了一门社会问题解决课程。使用人口统计学问卷、修订后的社会问题解决量表、加利福尼亚批判性思维测试和决策问卷来收集信息。所有问卷的信效度均得到证实。使用SPSS软件进行数据分析,采用独立样本t检验、配对t检验、卡方检验和皮尔逊相关系数。

结果

研究结果表明,实验组在完成教学课程后,社会问题解决课程对学生的社会问题解决、决策和批判性思维技能产生了积极影响(P < 0.05),但对照组未观察到这一结果(P > 0.05)。

结论

结果表明,结构化的社会问题解决训练可以提高认知问题解决、批判性思维和决策能力。考虑到这一结果,护理教育应采用新策略,以有别于传统教育方法的创新方式呈现。认知技能训练应纳入护理课程。因此,建议对护生进行诸如解决问题等认知技能的训练。

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