护理本科生临床思维能力现状及影响因素分析。
Analysis of the Current Situation and Factors Influencing the Clinical Thinking Ability of Nursing Undergraduates.
出版信息
Altern Ther Health Med. 2023 Nov;29(8):200-208.
CONTEXT
Clinical thinking encompasses the critical analysis, judgment, and decision-making pertaining to the existing or potential nursing problems of patients. It plays a pivotal role in effectively executing clinical nursing work in alignment with the prescribed nursing procedures. Proficient clinical thinking empowers nurses with the capability to identify, analyze, and resolve problems.
OBJECTIVE
The study intended to investigate the current situation of clinical thinking ability of nursing students and its influencing factors, so as to improve their clinical thinking ability.
METHODS
This was a cross-sectional study and the research took place at Taizhou University in Taizhou, Zhejiang province, China in the Faculty of Nursing. 143 full-time undergraduate nursing students at the University were selected for the cross-sectional survey, including a general questionnaire and a clinical thinking ability questionnaire for undergraduate nursing students. The respondents included nursing students in their sophomore, junior and senior years.
RESULTS
The survey results obtained between the first and the third year of study were included. Age of the participants ranged from 18 to 24 years, with an average age of 21.58 ± 2.45 years. The professional knowledge score of undergraduate nursing students in this survey was found to be 52.59 ± 13.93; the score of professional emotion was 14.21 ± 2.40; the score of professional will was 19.51 ± 2.15; the score of professional values was 14.40 ± 2.31; the professional skill score was 18.52 ± 2.06; the professional expectation was found to be 12.73 ± 1.30; and the total score was (99.26 ± 7.96). All dimensions and total scores of clinical ability of thinking among undergraduate nursing students in this survey were found to be average.
CONCLUSIONS
Clinical thinking of undergraduate nursing students is found to be of a medium level, and the main influencing factors are grade and the satisfaction of teachers. Nursing colleges and practice hospitals should unite to adopt various ways to help nursing undergraduates cultivate and improve their clinical thinking ability.
背景
临床思维包括对患者现有或潜在护理问题的批判性分析、判断和决策。它在按照规定的护理程序有效地执行临床护理工作方面起着关键作用。熟练的临床思维使护士能够识别、分析和解决问题。
目的
本研究旨在调查护理本科生临床思维能力的现状及其影响因素，以期提高其临床思维能力。
方法
这是一项横断面研究，研究地点在中国浙江省台州市台州大学护理学院。采用横断面调查法，对该校全日制本科护理专业 143 名学生进行一般问卷和本科护理学生临床思维能力问卷调查。调查对象包括大学二年级、三年级和四年级的护理学生。
结果
纳入了研究第一年和第三年的调查结果。参与者的年龄在 18 至 24 岁之间，平均年龄为 21.58 ± 2.45 岁。本调查中本科护理学生的专业知识得分 52.59 ± 13.93；专业情感得分 14.21 ± 2.40；专业意志得分 19.51 ± 2.15；专业价值观得分 14.40 ± 2.31；专业技能得分 18.52 ± 2.06；专业期望得分 12.73 ± 1.30；总分（99.26 ± 7.96）。本调查中本科护理学生临床思维能力的所有维度和总分均处于中等水平。
结论
本科护理学生的临床思维能力处于中等水平，主要影响因素是年级和对教师的满意度。护理学院和实习医院应联合采取多种方式，帮助护理本科生培养和提高临床思维能力。
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