Relationships between critical thinking ability and nursing competence in clinical nurses
Relationships between critical thinking ability and nursing competence in clinical nurses
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DOI：
10.1111/j.1365-2702.2010.03593.x
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发表时间：
2011-11-01
影响因子：
4.2
通讯作者：
Chou, Fan-Hao
中科院分区：
文献类型：
--
作者：
Chang, Mei Jen;Chang, Ying-Ju;Chou, Fan-Hao
目的和目标。探讨临床护士评判性思维能力与护理能力的关系。临床护理人员评判性思维能力与护理能力的相关性研究较少。采用横断面和相关性研究设计。研究对象为台湾南部某医学中心的570名临床护理人员。采用沃森-格拉泽批判性思维评估量表（WGCTA）和护理能力量表（NCS）进行问卷调查。临床护士评判性思维能力处于中等水平。WGCTA的最高分是“解释能力”，最低分是“推理能力”。临床护士的护理能力处于中等及以上水平。各分量表得分最高的是“关心能力”，最低的是“研究能力”。评判性思维能力与护理能力呈显著正相关。评判性思维、工作年限、文化程度和职称对护理能力有显著预测作用，解释变异量的32.9%。评判性思维能力与护理能力呈显著正相关。临床护士评判性思维能力中，硕士生显著高于本科生和专科生，五年以上护士显著高于五年以下护士。本研究结果可进一步提供护理教育参考，以改善护理课程及教学策略，以提升护理人员的素质。本研究亦可作为护理行政人员在职训练及护理人员入职指导之参考。
Aim and objective. To examine the relationships between critical thinking ability and nursing competence in clinical nurses.Background. There are few evidance-based data related to the relationship between critical thinking ability and nursing competence of clinical nurses.Design. A cross-sectional and correlation research design was used.Methods. A total of 570 clinical nurses at a medical centre in southern Taiwan were recruited into this study. Two self-report questionnaires, the Watson-Glaser Critical Thinking Appraisal (WGCTA) and the Nursing Competence Scale (NCS), were used to collect data.Results. The critical thinking ability of clinical nurses was at the middle level. The highest score for the subscales of the WGCTA was 'interpretation ability' and the lowest was 'inference ability'. The nursing competence of clinical nurses was at the middle level and above. The highest score for the subscales was 'caring ability' and the lowest was 'research ability'. Critical thinking ability had a significantly positive correlation with nursing competence. Critical thinking, working years, educational levels and position/title were the significant predictors of nursing competence, accounting for 32.9% of the variance.Conclusions. Critical thinking ability had a significantly positive correlation with nursing competence. The critical thinking ability of clinical nurses with a master's degree was significantly better than those with a bachelor's degree or a diploma and nurses with over five working years was significantly better than those with under five years.Relevance to clinical practice. The findings of this study can further serve as a reference for nursing education to improve nursing curricula and teaching strategies for nurse preparation. It could also be a guideline for nursing administration personnel in on-the-job training and orientation programs for nursing staff.