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临床护理教育工作者临床实践中护理批判性思维问卷的心理测量学特性

Psychometric properties of the nursing critical thinking in clinical practice questionnaire in clinical nurse educators.

作者信息

Benito-Aracil Llúcia, Bonilla-Aguilar Inmaculada, Alonso-Fernández Sergio, Zuriguel-Pérez Esperanza, Falcó-Pegueroles Anna, Delgado-Hito Pilar, Romero-García Marta, Martinez-Momblan Maria-Antonia

机构信息

Fundamental and Clinical Nursing Department, Nursing Faculty, University of Barcelona (UB), Feixa Llarga, s/n. Pavelló de Govern, 3a pl. Despatx 339, L'Hospitalet de Llobregat, 08907, Barcelona, Spain.

GRIN Research Group, IDIBELL, Bellvitge Biomedical Research Institute, Gran Via de l'Hospitalet, 199, L'Hospitalet de Llobregat, 08908, Barcelona, Spain.

出版信息

Sci Rep. 2025 Feb 27;15(1):7026. doi: 10.1038/s41598-025-90161-6.

DOI:10.1038/s41598-025-90161-6
PMID:40016295
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11868445/
Abstract

The Nursing Critical Thinking in Clinical Practice Questionnaire is an instrument designed to measure the critical thinking capacity of nurses working in clinical areas. However, there is little existing research on the potential applications of this instrument specifically in clinical nurse educators involved in the training of university nursing students. Therefore, we used a descriptive cross-sectional design to examine the psychometric properties of the questionnaire in clinical nurse educators. We evaluated the construct and convergent validity, assessed the reliability of the questionnaire, and performed a confirmatory factor analysis. A total of 639 clinical nurse educators took part in this study. Results of the Confirmatory Factor Analysis showed a good fit to the model (CFI 0.97, NFI: 0.95). The total Cronbach's alpha was 0.97. The four factors had an internal consistency > 0.7. The interclass correlation coefficient values were 0.78 [95% CI 0.75-0.81] for the whole instrument and 0.70-0.75 for the various dimensions, and all were statistically significant at p < 0.05. These findings suggests that the Nurse Critical Thinking in Practice Questionnaire is a useful tool for measuring critical thinking levels in clinical nurse educators. This enhances the knowledge of all agents involved in the learning process, making it easier to implement in clinical practice.Clinical Trial Registration: This study was prospectively registered at the two Institutional review boards.

摘要

《临床实践中的护理批判性思维问卷》是一种用于测量临床护士批判性思维能力的工具。然而,目前关于该工具在专门培训大学护理专业学生的临床护理教育工作者中的潜在应用的研究很少。因此,我们采用描述性横断面设计来检验该问卷在临床护理教育工作者中的心理测量特性。我们评估了结构效度和收敛效度,评估了问卷的信度,并进行了验证性因素分析。共有639名临床护理教育工作者参与了本研究。验证性因素分析结果显示模型拟合良好(CFI 0.97,NFI:0.95)。总克朗巴哈系数为0.97。四个因素的内部一致性>0.7。整个工具的组内相关系数值为0.78 [95% CI 0.75 - 0.81],各维度的组内相关系数值为0.70 - 0.75,且在p < 0.05时均具有统计学意义。这些结果表明,《临床实践中的护士批判性思维问卷》是测量临床护理教育工作者批判性思维水平的有用工具。这增加了学习过程中所有相关人员的知识,使其在临床实践中更容易实施。临床试验注册:本研究已在两个机构审查委员会进行前瞻性注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9d1/11868445/dda246be4272/41598_2025_90161_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9d1/11868445/dda246be4272/41598_2025_90161_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9d1/11868445/dda246be4272/41598_2025_90161_Fig1_HTML.jpg

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本文引用的文献

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Critical thinking among clinical nurses and related factors: A survey study in public hospitals.临床护士的批判性思维及相关因素:一项公立医院的调查研究。
J Clin Nurs. 2022 Nov;31(21-22):3155-3164. doi: 10.1111/jocn.16141. Epub 2021 Dec 5.
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Nurs Philos. 2021 Jan;22(1):e12332. doi: 10.1111/nup.12332. Epub 2020 Oct 7.
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Levels, antecedents, and consequences of critical thinking among clinical nurses: a quantitative literature review.临床护士批判性思维的水平、前因和后果:定量文献综述。
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Nurse Educ Pract. 2017 May;24:27-28. doi: 10.1016/j.nepr.2017.03.003. Epub 2017 Mar 16.
10
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