城郊结合部区级医院护士评判性思维与自主学习能力的影响因素及相关性研究

发布时间：2018-03-05 07:26

本文选题：城郊结合部区级医院　切入点：护士　出处：《南京中医药大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：1.调查城郊结合部区级医院护士评判性思维能力现状。2.比较不同背景资料城郊结合部区级医院护士评判性思维能力的差异。3.调查城郊结合部区级医院护士自主学习能力现状。4.比较不同背景资料城郊结合部区级医院护士自主学习能力的差异。5.探讨城郊结合部区级医院护士评判性思维与自主学习能力之间的相关性。6.根据参考文献和调查结果,提出提高城郊结合部区级医院护士评判性思维和自主学习能力的对策。方法：采用便利抽样法,运用中文版评判性思维能力测量表(CTDI-CV)和护理人员自主学习能力评价量表对南京市4所城郊结合部区级医院404名护士进行问卷调查。结果：1.城郊结合部区级医院护士评判性思维能力总分为276.03±24.43分。7个维度中分析能力得分最高,寻求真相得分最低。2.不同年龄、护龄、婚姻、职称、职务的城郊结合部区级医院护士评判性思维能力评分差异有统计学意义(P0.05)。年龄35岁、护龄15年、已婚、职称为主管护师及以上、职务为护士长的城郊结合部区级医院护士评判性思维能力评分显著高于其他护士(P0.05)。3.不同班次、担任科室骨干、参与科研、外出学习与参加交流会议、参加学历教育的城郊结合部区级医院护士评判性思维能力评分差异有统计学意义(P0.05)。常上白班、担任科室骨干、参与科研、外出学习与参加学术交流会议、参加学历教育的护理人员评判性思维能力水平显著高于其他护理人员(P0.05)。4.不同科室、学历、月收入、既往工作单位、轮转、进修、制定学习目标的城郊结合部区级医院护士评判性思维能力评分差异无统计学意义(P0.05)。5.城郊结合部区级医院护士自主学习能力总分为122.57±18.00分,自我动机信念为52.32±7.85分,任务分析为20.75±3.89分,自我监控及调节为35.84±5.73分,自我评价为13.66±2.67分,其中任务分析、自我评价得分偏低。6.不同职务、常上班次、既往工作单位的城郊结合部区级医院护士自主学习能力评分差异有统计学意义(P0.05)。职务为护士长、常上白班、既往工作单位为民营医院的城郊结合部区级医院护士自主学习能力评分显著高于其他护理人员(P0.05)。7.不同担任科室骨干、参与科研、参加学历教育的城郊结合部区级医院护士自主学习能力评分差异有统计学意义(P0.05)。担任科室骨干、参与科研、参加学历教育的城郊结合部区级医院护士自主学习能力评分显著高于其他护理人员(P0.05)。8.不同年龄、护龄、职称、月收入、学历、婚姻的城郊结合部区级医院护士自主学习能力评分差异无统计学意义(P0.05)。9.不同科室、轮转、外出学习与参加学术交流会议、进修、制定学习目标的城郊结合部区级医院护士自主学习能力评分差异无统计学意义(P0.05)。10.城郊结合部区级医院护士的评判性思维能力与自主学习能力呈正相关,评判性思维能力的求知欲、认知成熟度是自主学习能力的保护因素。结论：1.城郊结合部区级医院护士评判性思维能力处于中等水平,能胜任日常的护理工作,但达不到高水平；各维度中分析能力最高,寻求真相最弱,仍需加强其评判性思维能力培养,尤其要端正寻找知识所应有的真诚和客观的态度。2.年龄、护龄、婚姻、职称、职务、不同班次、担任科室骨干、参与科研、外出学习与参加交流会议、参加学历教育等因素是城郊结合部区级医院护士评判性思维能力的影响因素。3.城郊结合部区级医院护士自主学习能力处于中等水平,亟待加强。4.职务、常上班次、既往工作单位、担任科室骨干、参与科研、参加学历教育等因素是城郊结合部区级医院护士自主学习能力的影响因素。5.求知欲、认知成熟度及评判性思维能力总体水平均与自主学习能力水平呈显著正相关,是自主学习能力的保护因素,增加其求知欲、认知成熟度水平有助于提高自主学习能力水平。
[Abstract]:Objective: To compare the.5. 1. survey suburbs with the status of nurses' critical thinking ability of.2. district hospitals in different background suburban differences in nurses' critical thinking ability of the.3. survey of suburban district hospital nurse department of Municipal Hospital of autonomous learning ability of.4. compared the different background of suburban district hospital nurse department of the autonomous learning ability on the outskirts.6. correlation between nurses' critical thinking of district hospitals and autonomous learning ability according to the references and results of the investigation, put forward measures to improve nurses' critical thinking combined with the Ministry of municipal hospital and the autonomous learning ability on the outskirts of town. Methods: using convenience sampling method, using the Chinese version of critical thinking ability scale (CTDI-CV) and the nursing staff of autonomous learning the scale of 4 in the suburbs of Nanjing city in conjunction with the Ministry of municipal hospital conducted a questionnaire survey of 404 nurses. Results: 1. suburban nurses' critical thinking ability is the highest score of the district hospital analysis of 276.03 + 24.43.7 dimensions ability score, the lowest score of.2. to seek the truth of different age, nursing age, marriage, title, combined with the Ministry of municipal hospital nurses' critical thinking ability score between the positions of suburb was statistically significant (P0.05) at 35 years of age, nursing age 15 years, married, the title of the charge nurse and above duties as head nurse suburban district hospital nurses' critical thinking scores were significantly higher than other nurses (P0.05).3. in different divisions, departments as the backbone, to participate in scientific research, go out to participate in the exchange of learning and meeting with the nurses' critical Department of municipal hospital thinking ability score between education in suburb was statistically significant (P0.05). On the day shift, as the Department backbone, to participate in scientific research, learning and go out to participate in academic exchange meeting,. With the education of nursing staff in the critical thinking ability of nursing staff was significantly higher than the other (P0.05).4. in different departments, education, monthly income, previous work, rotation, learning, learning objectives of suburban nurses' critical thinking ability of district hospitals score no significant difference (P0.05).5. suburban department nurses the District Hospital self-learning ability score was 122.57 + 18, 52.32 + 7.85 for self motivation, task analysis was 20.75 + 3.89, self-monitoring and regulation of 35.84 + 5.73, 13.66 + 2.67 points for self evaluation, including task analysis, self evaluation score low.6. different positions, often on previous flights, the work units of the suburban district hospital nurse department of the autonomous learning ability score difference was statistically significant (P0.05). Post for the head nurse, often on the day shift, previous work unit for the private hospital in the outskirts of a city Department of municipal hospital nurse self-learning ability score is significantly higher than other nurses (P0.05).7. in different departments as the backbone, participation in scientific research and education in the suburban district hospital nurse department of the autonomous learning ability score difference was statistically significant (P0.05). The department served as the backbone, participation in scientific research and education in the suburban district nurse department the hospital of autonomous learning ability score is significantly higher than other nurses (P0.05).8. in different age, nursing age, professional title, income, education, marriage and the suburban district hospital nurse department had no significant independent learning ability scores (P0.05).9. in different departments, rotation, go out to learn and participate in academic conferences, training, development the learning objectives of the suburban district hospital nurse department of the autonomous learning ability score difference was statistically significant (P0.05).10. in bonding part district hospital nurses' evaluation Positive thinking ability and independent learning ability, critical thinking ability of curiosity, cognitive maturity is a protective factor for the ability of autonomous learning. Conclusion: 1. suburban district hospital nurses' critical thinking ability in the middle level, can do the daily nursing work, but did not reach the high level; the highest ability analysis in the dimension of seeking truth is weakest, still need to strengthen the cultivation of critical thinking ability, especially to correct the search for knowledge should be sincere and objective attitude.2. age, nursing age, marriage, titles, positions, different divisions, departments served as the backbone, to participate in scientific research, go out to participate in the exchange of learning and education to participate in the meeting factors affecting suburban nurses' critical thinking ability of the.3. suburban district hospital nurse department of Municipal Hospital of autonomous learning ability in the middle level, the urgent need to strengthen the position of.4., often Flights, previous work units, departments as the backbone, to participate in scientific research, education and other factors in.5. factors affecting suburban district hospital nurse department of the autonomous learning ability of thirst for knowledge, cognitive maturity and critical thinking ability and the overall level of autonomous learning ability level is positively related, is a protective factor of autonomous learning ability and increase their thirst for knowledge and cognitive maturity level is helpful to improve the ability of autonomous learning.

【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R47

【参考文献】