Critical thinking skills in intensive care and medical-surgical nurses and their explaining factors
Critical thinking skills in intensive care and medical-surgical nurses and their explaining factors
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DOI：
10.1016/j.nepr.2020.102783
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发表时间：
2020-05-01
影响因子：
3.2
通讯作者：
Nobahar, Monir
中科院分区：
文献类型：
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作者：
Ali-Abadi, Tayyebeh;Babamohamadi, Hassan;Nobahar, Monir
批判性思维在危急情况下影响患者安全。护士，特别是重症监护病房（ICU）护士，需要培养他们的批判性思维能力。本研究以120名内、外科及重症监护室护士（每组60名）为研究对象，探讨内、外科及重症监护室护士批判性思维能力的差异及其影响因素。采用加州批判性思维技能测验收集数据，并在SPSS-16中使用独立样本t检验、方差分析和回归分析进行分析。ICU护士的平均批判性思维评分为8.68 +/- 2.84，内科-外科护士为9.12 +/- 2.99。两组学生的批判性思维得分及其各领域得分均无显著性差异。回归分析的结果表明，人口统计学变量只能解释8%的批判性思维得分的变化，只有性别解释护士的批判性思维得分。结果显示，在内科手术病房工作的护士的批判性思维得分差。调查获得的成绩不佳的原因，并使用教育策略，如PBL，概念图，参与跨学科的回合，临床指南的发展和继续教育会议的参与，建议发展批判性思维能力的护士。
Critical thinking affects patient safety in critical situations. Nurses, in particular, intensive care unit (ICU) nurses, need to develop their critical thinking skills. The present article seeks to compare the level of critical thinking in medical-surgical and ICU nurses and investigate the factors explaining it. A cross-sectional study was conducted on 120 medical-surgical and ICU nurses (60 per group). Data were collected using the California Critical Thinking Skills Test and analyzed in SPSS-16 using independent samples t-test, ANOVA, and the regression analysis. The mean critical thinking score was 8.68 +/- 2.84 in the ICU nurses and 9.12 +/- 2.99 in the medical-surgical nurses. No significant differences were found between the two groups in terms of the critical thinking score and the scores of its domains. The results of the regression analysis showed that demographic variables explain only 8% of the variations in critical thinking score, as only gender explains nurses' critical thinking score. The results revealed poor critical thinking scores in the nurses working in medical-surgical wards. Investigating the reasons for the poor scores obtained and using educational strategies such as PBL, conceptual map, participation in interdisciplinary rounds, the development of clinical guidelines and participation in continuing education conferences are recommended for developing critical thinking skills in nurses.