Wang LingYing, Chang WenLing, Tang HaiTao, He WenBo, Wu Yan
Critical Care Medicine Department, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
School of Population Health & Environmental Sciences, King's College London, London SE1 1UL, UK.
BMJ Open. 2024 Aug 31;14(8):e082461. doi: 10.1136/bmjopen-2023-082461.
This study aimed to investigate the associations between critical thinking (CT) disposition and personal characteristics and tutors' guidance among medical graduate students, which may provide a theoretical basis for cultivating CT.
A cross-sectional study was conducted.
This study was conducted in Sichuan and Chongqing from November to December 2021.
A total of 1488 graduate students from clinical medical schools were included in this study.
The distribution of the study participants' underlying characteristics and CT was described and tested. The Spearman rank correlation coefficient was used to evaluate the correlation between each factor and the CT score. The independent risk factors for CT were assessed using a logistic regression model.
The average total CT score was 81.79±11.42 points, and the proportion of CT (score ≥72 points) was 78.9% (1174/1488). Female sex (OR 1.405, 95% CI 1.042 to 1.895), curiosity (OR 1.847, 95% CI 1.459 to 2.338), completion of scientific research design with reference (OR 1.779, 95% CI 1.460 to 2.167), asking 'why' (OR 1.942, 95% CI 1.508 to 2.501) and team members' logical thinking ability (OR 1.373, 95% CI 1.122 to 1.681) were positively associated with CT while exhaustion and burn-out (OR 0.721, 95% CI 0.526 to 0.989), inattention (OR 0.572, 95% CI 0.431 to 0.759), Following others' opinions in decision-making (OR 0.425, 95% CI 0.337 to 0.534) and no allow of doubt to tutors (OR 0.674, 95% CI 0.561 to 0.809) had negative associations with the formation of CT disposition in the fully adjusted model.
Factors associated with motivation and internal drive are more important in the educational practice of cultivating CT. Educators should change the reward mechanism from result-oriented to motivation-maintaining to cultivate students' CT awareness.
本研究旨在探讨医学研究生批判性思维(CT)倾向与个人特征及导师指导之间的关联,为培养批判性思维提供理论依据。
采用横断面研究。
本研究于2021年11月至12月在四川和重庆开展。
本研究共纳入1488名来自临床医学院的研究生。
描述并检验了研究参与者的基本特征和批判性思维的分布情况。采用Spearman等级相关系数评估各因素与批判性思维得分之间的相关性。使用逻辑回归模型评估批判性思维的独立危险因素。
批判性思维平均总得分81.79±11.42分,批判性思维(得分≥72分)比例为78.9%(1174/1488)。在完全调整模型中,女性(OR 1.405,95%CI 1.042至1.895)、好奇心(OR 1.847,95%CI 1.459至2.338)、参照完成科研设计(OR 1.779,95%CI 1.460至2.167)、提问“为什么”(OR 1.942,95%CI 1.508至2.501)和团队成员的逻辑思维能力(OR 1.373,95%CI 1.122至1.681)与批判性思维呈正相关,而疲惫和倦怠(OR 0.721,95%CI 0.526至0.989)、注意力不集中(OR 0.572,95%CI 0.431至0.759)、决策时听从他人意见(OR 0.425,95%CI 0.337至0.534)和不容置疑导师(OR 0.674,95%CI 0.561至0.809)与批判性思维倾向的形成呈负相关。
在培养批判性思维的教育实践中,与动机和内在驱动力相关的因素更为重要。教育工作者应将奖励机制从结果导向转变为维持动机,以培养学生的批判性思维意识。