循证护理对护理本科生批判性思维能力影响的前瞻性队列研究  

Effect of Evidence-based Nursing Course in Undergraduate Nursing Students' Critical Thinking Ability: A Prospective Cohort Study

作　　者：沈建通[1,2] 程遥[1] 贺丽芳[1] 沈旭慧[1,2] 彭剑英[1] 李丽红[1,2] 

机构地区：[1]湖州师范学院医学院.护理学院,浙江湖州313000 [2]循证医学教育部网上合作研究中心湖州师范学院分中心(筹)

出　　处：《中国循证医学杂志》2016年第3期257-262,共6页Chinese Journal of Evidence-based Medicine

基　　金：湖州师范学院教改课题"循证护理教育对护理本科生批判性思维能力提高的前瞻性研究"(编号:JY30079);2013湖州师范学院人才科研启动经费(编号:RK30030)

摘　　要：目的研究循证护理学课程对护理本科生批判性思维能力的影响。方法采用前瞻性队列研究设计,将2个护理本科班中自愿选修循证护理学课程学生纳入观察组,对应未选修该课程的学生作为对照组。选用中文版"批判性思维能力测量表"分别在学期初和学期末进行测量,采用t检验和秩和检验比较2组批判性思维分值的差异。结果共纳入88名护生,其中观察组41人、对照组47人,两组基线无统计学差异。观察组在批判性思维总分及各维度的得分均高于对照组[总分:MD=22.29,95%CI(13.477,31.114);寻找真相:MD=2.81,95%CI(0.211,5.410);开放思想:MD=3.37,95%CI(1.280,5.471);分析能力:MD=3.41,95%CI(1.351,5.481);系统化能力:MD=3.39,95%CI(1.447,5.336);批判性思维的自信心:MD=2.83,95%CI(0.512,5.152);求知欲:MD=4.53,95%CI(2.273,6.786);认知成熟度:MD=1.93,95%CI(–0.502,4.377)]。与对照组相比,观察组提高了批判性思维总分和寻找真相、分析能力、系统化能力、批判性思维的自信心、求知欲5个维度的能力等级。结论循证护理学课程的学习能提高护理本科生的批判性思维能力。Objective To investigate the effect of evidence-based nursing course in undergraduate nursing students’ critical thinking ability. Methods A prospective cohort study design was performed in students from two nursing undergraduate classes, who elected evidence-based nursing course as an observation group and students lacked of the course as a control group. The Chinese Version of Critical Thinking Disposition Inventory（CTDI-CV） was used to test critical thinking ability at the beginning and the end of the semester. The scores of CTDI-CV and rank of scores were compared between the two groups using t test and rank sum test. Results A total of 88 students were included, of which 41 students were in the observation group and 47 students were in the control group. Compared to the control group, the observation group demonstrated significantly more improvement in the total scores（MD=22.29, 95%CI 13.477 to 31.114）, the search for truth（MD=2.81, 95%CI 0.211 to 5.410）, open-minded（MD=3.37, 95%CI 1.280 to 5.471）, analysis capabilities（MD=3.41, 95%CI 1.351 to 5.481）, systematicity（MD=3.39, 95%CI 1.447 to 5.336）, confidence critical thinking（MD=2.83, 95%CI 0.512 to 5.152）, curiosity（MD=4.53, 95%CI 2.273 to 6.786） and cognitive maturity（MD=1.93, 95%CI –0.502 to 4.377）. The level of total scores, the search for truth, analysis capabilities, systematicty, confidence critical thinking, and curiosity in the observation group were significantly improved. Conclusion Evidence-based nursing course learning can improve the undergraduate nursing students’ critical thinking skill.

关 键 词：循证护理 批判性思维 本科护理教学 

分 类 号：R47-4[医药卫生—护理学]