导管室护士评判性思维能力的调查研究  

Investigation on the critical thinking ability of nurses in Catheterization Room

作　　者：朱雪清 葛杨 王丽婷 李萌 袁胜 甘天朋 李奇 田丽娟 武涛 荆丽敏 Zhu Xueqing;Ge Yang;Wang Liting;Li Meng;Yuan Sheng;Gan Tianpeng;Li Qi;Tian Lijuan;Wu Tao;Jing Limin(Cardiac Catheterization Room,Peking Union Medical College Hospital,Beijing 100730,China;Catheterization Room,Beijing Electric Power Hospital,Beijing 100073,China)

机构地区：[1]中国医学科学院北京协和医院内科心导管室,100730 [2]北京电力医院导管室,100073

出　　处：《中华现代护理杂志》2021年第16期2174-2179,共6页Chinese Journal of Modern Nursing

摘　　要：目的:调查我国导管室护士评判性思维能力的现状并分析其影响因素,为提高导管室护士评判性思维能力提供参考依据。方法:采用方便抽样法,于2020年7月采用一般资料调查表、中文版评判性思维倾向测评量表(CTDI-CV)对我国28个省会城市的154所三级甲等、三级乙等及二级甲等医院的导管室护士进行问卷调查,本调查共回收问卷422份,有效问卷408份,有效率为96.68%。结果:408名导管室护士的评判性思维能力总分为(247.92±33.77)分,整体处于较低水平;不具有正性评判性思维者361名(88.48%),具有正性评判性思维者42名(10.29%),其中具有强的正性评判性思维5名(1.23%)。二项Logistic回归分析结果显示,护士层级、学历、职称、职务是导管室护士评判性思维能力的主要影响因素(P<0.05)。结论:导管室护士评判性思维态度倾向总体为负性,与正性倾向差距较大,亟须进一步提升,护理部应对导管室护士给予更多倾向性政策及更多的支持,导管室护理管理者应积极采取措施提高护士评判性思维能力。Objective To investigate the current situation of critical thinking ability of nurses in Catheterization Room in China,and analyze its influencing factors,so as to provide reference for improving the critical thinking ability of nurses in Catheterization Room.Methods In July 2020,the catheterization nurses from 154 hospitals,including ClassⅢGrade A,ClassⅢGrade B and ClassⅡGrade A,in 28 provincial capital cities of China were investigated with general information questionnaire and Chinese Critical Thinking Disposition Inventory(CTDI-CV),by convenience sampling method.422 questionnaires were collected in this survey,408 were valid,and the effective rate was 96.68%.Results The total score of critical thinking ability of the 408 catheterization nurses was(247.92±33.77),which was at a low level as a whole.There were 361 nurses(88.48%)without positive critical thinking,42(10.29%)with positive critical thinking,and 5(1.23%)with strong positive critical thinking.Binary Logistic regression analysis showed that nurse level,education background,professional title and position were the main influencing factors of critical thinking ability of nurses in Catheterization Room(P<0.05).Conclusions The critical thinking attitude of nurses in Catheterization Room is generally negative,which is far from positive,and needs to be further improved.The nursing department should give more tendentious policies and support to the nurses in the Catheterization Room.At the same time,the nursing managers in the Catheterization Room should actively take measures to improve the critical thinking ability of nurses.

关 键 词：护士 导管室 评判性思维 影响因素 

分 类 号：R47[医药卫生—护理学]