医学生批判性思维能力现状调查及影响因素分析

doi:10.3760/cma.j.issn.1673-677X.2017.05.006

中华医学教育杂志 ›› 2017, Vol. 37 ›› Issue (5): 665-669.DOI: 10.3760/cma.j.issn.1673-677X.2017.05.006

医学生批判性思维能力现状调查及影响因素分析

余秋丽, 龚慧云, 朱俊勇, 曾宪涛, 刘晴

430071 武汉大学健康学院2016级流行病与卫生统计学专业硕士研究生(余秋丽),2015级流行病与卫生统计学专业硕士研究生(龚慧云);
430061 武汉大学本科生院教务处(朱俊勇);
430071 武汉大学第二临床学院循证医学与临床流行病学教研室(曾宪涛);
430071 武汉大学健康学院流行病与卫生统计学系(刘晴)

出版日期:2017-05-01 发布日期:2020-12-09
通讯作者: 刘晴, Email:liuqing@whu.edu.cn
基金资助:
中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2016年度医学教育研究立项项目(2016B-PG034)

Analysis on the current status of medical student's critical thinking ability and its influencing factors

Yu Qiuli, Gong Huiyun, Zhu Junyong, Zeng Xiantao, Liu Qing

Master Candidate, Grade 2016, Epidemiology and Health Statistics, School of Health Sciences, Wuhan University, Wuhan 430071, China(Yu QL);
Master Candidate,Grade 2015,Epidemiology and Health Statistics, School of Health Sciences, Wuhan University, Wuhan 430071, China(Gong HY);
Academic Affairs Office of Undergraduate School, Wuhan University, Wuhan 430061, China(Zhu JY);
Department of Evidence-based Medicine and Clinical Epidemiology, The Second Clinical College, Wuhan University, Wuhan 430071, China(Zeng XT);
Department of Epidemiology and Health Statistics, School of Health Sciences, Wuhan University, Wuhan 430071, China(Liu Q)

Online:2017-05-01 Published:2020-12-09
Contact: :Liu Qing, Email:liuqing@whu.edu.cn

摘要/Abstract

摘要： 目的了解医学生批判性思维能力现状及影响因素。方法采用中文版批判性思维能力测量问卷对武汉大学医学部320名医学生进行调查。结果医学生批判性思维能力得分为(244.97±30.03)分,10.0%的医学生表现为正性批判性思维能力。医学生批判性思维能力整体较弱,且受性别、学历、年级及临床实践能力的影响,批判性思维能力女生优于男生,研究生优于本科生,高年级医学生优于低年级医学生。医学生文献检索和临床实践能力越强,批判性思维能力越强。结论高校应结合批判性思维影响因素,改进教学方法,不断提高医学生批判性思维能力。

关键词: 批判性思维能力, 医学生, 影响因素, 调查

Abstract: Objective To investigate the current status of medical student's critical thinking ability and its influencing factor.Methods 320 medical students from the Medical School of Wuhan University were selected for investigation. Chinese Critical Thinking Disposition Inventory(CTDI-CV)was adopted for the survey.Results The average total score of CTDI-CV of the medical students was (244.97±30.03), and only 10.0% of the students showed positive critical thinking ability. Student's critical thinking ability was weak. Gender, education, grade and practical ability were the main influencing factors of critical thinking ability in medical students. In critical thinking ability, female was significantly stronger than male, graduates were superior to undergraduates and high grade medical students were better than junior medical students. The stronger students' clinical competence and ability of documents index were, the better their critical thinking ability were.Conclusions Colleges and universities should improve teaching methods to develop critical thinking ability of students majored in medicine.

Key words: Medical students, Critical thinking ability, Influencing factor, Investigation

余秋丽, 龚慧云, 朱俊勇, 曾宪涛, 刘晴. 医学生批判性思维能力现状调查及影响因素分析[J]. 中华医学教育杂志, 2017, 37(5): 665-669.

Yu Qiuli, Gong Huiyun, Zhu Junyong, Zeng Xiantao, Liu Qing. Analysis on the current status of medical student's critical thinking ability and its influencing factors[J]. Chinese Journal of Medical Education, 2017, 37(5): 665-669.

参考文献

[1] 赵梅,王维利,章新琼,等.医科大学生批判性思维能力的调查研究[J].中国校医,2008,22(3):269-271.DOI:10.3969/j.issn.1001-7062.2008.03.008.
[2] 曲巍, 闫佳, 姜腾轩, 等. 循证医学对临床医学研究生批判性思维能力的影响[J].国际眼科杂志,2014(3):523-525. DOI: 10.3980/j.issn.1672-5123.2014.03.40.
Qu W, Yan J, Jiang TX, et al. Effect of evidence-based medicine on the critical thinking ability of medical postgraduates[J].International Eye Science,2014(3):523-525. DOI: 10.3980/j.issn.1672-5123.2014.03.40.
[3] 施勇. 论外科临床教学与批判性思维能力培养[J].医学与社会,2003,16(6):70-71. DOI: 10.3870/j.issn.1006-5563.2003.06.025.
[4] 张雪, 刘莹莹, 叶敏仪. 医学生批判性思维倾向的国内研究现状和进展[J].继续医学教育,2015(12):56-58. DOI: 10.3969/j.issn.1004-6763.2015.12.035.
Zhang X,Liu YY,Ye MY. Domestic research status and development of the critical thinking tendency of medical students[J].Continuing Medical Education,2015(12):56-58. DOI: 10.3969/j.issn.1004-6763.2015.12.035.
[5] 耿劲松, 陈亚兰, 王国华, 等. 循证医学教学培养医学生批 (下转第686页)
中华医学教育杂志,2012,32(5):710-711.DOI:10.3760/cma.j.issn.1673-677X.2012.05.025.
Geng JS, Chen YL, Wang GH, et al. Research and practice of evidence-based medicine education on critical thinking abilities in medical students[J].Chin J Med Edu,2012,32(5):710-711. DOI: 10.3760/cma.j.issn.1673-677X.2012.05.025.
[6] 彭美慈,汪国成,陈基乐,等.批判性思维能力测量表的信效度测试研究[J].中华护理杂志,2004,39(9):644-647.
Peng MC,Wang GC,Chen JL,et al.Validity and reliability of the Chinese critical thinking disposition inventory[J].Chinese Journal of Nursing,2004,39(9): 644-647.
[7] Ip WY, Lee DT, Lee IF, et al. Disposition towards critical thinking: a study of Chinese undergraduate nursing students[J]. J Adv Nurs, 2000,32(1):84-90.
[8] 陆耀红, 刘嘉祯, 王道珍, 等.医学生批判性思维能力的现状调查与影响因素分析[J].中国医学教育技术,2016(1):37-41.DOI:10.13566/j.cnki.cmet.cn61-1317/g4.201601011.
Lu YH, Liu JZ, Wang DZ, et al. Analysis of the current status of medical students' critical thinking ability and its influencing factors[J].China Medical Education Technology,2016(1):37-41.DOI:10.13566/j.cnki.cmet.cn61-1317/g4.201601011.
[9] 章雅青,李丽莎,吴平,等.医学生批判性思维能力的调查及分布[J].上海交通大学学报(医学版),2009,7(29):869-872.
Zhang YQ,Li LS,Wu P,et al. Investigation and analysis of critical thinking ability in medical students[J]. Journal of Shanghai Jiao Tong University(Medical Science),2009,29(7):869-872.
[10] 包玲, 章雅青, 陈颖, 等. 医学生批判性思维能力的现状及其影响因素[J].解放军护理杂志,2010,27(18):1369-1372. DOI: 10.3969/j.issn.1008-9993.2010.18.003.
Bao L, Zhang YQ, Chen Y, et al. Analysis on current status and related factors of critical thinking ability in nursing and medical undergraduates[J].Nurs J Chin PLA,2010,27(18):1369-1372. DOI: 10.3969/j.issn.1008-9993.2010.18.003.
[11] 张云, 乔敏, 赵海平. 医学生批判性思维能力的培养[J].中华医学教育杂志,2007,27(2):7-9. DOI: 10.3760/cma.j.issn.1673-677X.2007.02.003.
Zhang Y, Qiang Min, Zhao HP.The training of critical thinking skill for medical students[J].Chin J Med Edu,2007,27(2):7-9. DOI: 10.3760/cma.j.issn.1673-677X.2007.02.003.
[12] 鞠永熙, 孙峰. 医学生批判性思维能力现状调查与对策分析[J].卫生职业教育,2009,27(20):109-111. DOI: 10.3969/j.issn.1671-1246.2009.20.062.
[13] 罗清旭. 批判性思维的社会文化历史理论分析[J].五邑大学学报(社会科学版),2003,5(3):1-4. DOI: 10.3969/j.issn.1009-1513.2003.03.001.
Luo QX. An analysis of critical thinking from the perspectives of social cultural and historical theories[J].Journal of Wuyi University(Social Science),2003,5(3):1-4. DOI: 10.3969/j.issn.1009-1513.2003.03.001.

[1]	周剑平, 邵洁, 李庆云. 临床科室优秀传统文化融入医学生职业精神教育的实践与分析[J]. 中华医学教育杂志, 2020, 40(9): 671-674.
[2]	刘畅, 董越, 张子旬, 胡畅, 彭志勇. 我国医学教育期刊论文中部分问卷调查的质量分析[J]. 中华医学教育杂志, 2020, 40(9): 721-725.
[3]	顾锋, 戚文秀, 孟畅, 李宇婧, 薛士麟, 尹昭迪, 李美瑶, 兰学立, 张萌. 新型冠状病毒肺炎疫情期间北京大学医学本科生对其在线学习效果的评价[J]. 中华医学教育杂志, 2020, 40(9): 726-730.
[4]	杨霞, 张骏. 非标准化考试在八年制临床医学专业学生行为医学教学中的应用[J]. 中华医学教育杂志, 2020, 40(9): 736-739.
[5]	艾恒, 王珏, 钱令波, 周心如, 肖池, 潘杰, 陆文. 美国加州大学洛杉矶分校医学院医学实验教学模式对我国医学生理学实验教学的启示[J]. 中华医学教育杂志, 2020, 40(9): 744-747.
[6]	葛文嘉, 魏静, 徐婉斐, 任瑞民. 某高校医学硕士研究生的心理健康相关因素调查分析[J]. 中华医学教育杂志, 2020, 40(8): 582-585.
[7]	董亚莉, 赵婷, 顾晓芬. 焦虑和抑郁水平现况及影响因素研究[J]. 中华医学教育杂志, 2020, 40(8): 586-589.
[8]	丛馨, 张艳, 徐海, 刘利梅, 郑铭, 向若兰, 蔡景一, 吴立玲. 基于学生视角的病理生理学新教学评价体系实施效果的调查与分析[J]. 中华医学教育杂志, 2020, 40(8): 637-640.
[9]	黄佳欣, 袁思越, 丁卉, 刘晨, 王蕾, 黄泽涵, 杜以恒, 张涛, 胡建莉, 杨盛力. 新型冠状病毒肺炎疫情期间某大学医学生网络学习与生活状况调查研究[J]. 中华医学教育杂志, 2020, 40(7): 495-499.
[10]	李晗歌, 王楚庭, 王帅, 孙彦, 董昱诚, 李方圆, 于憬, 杨萍, 马超. 我国部分高三学生学医意愿的调查研究[J]. 中华医学教育杂志, 2020, 40(6): 413-416.
[11]	王娜, 朱庆双, 王亚军. 临床医学专业本科生科研能力培养效果的调查研究[J]. 中华医学教育杂志, 2020, 40(6): 435-438.
[12]	潘辰, 伍妍, 王利锋, 唐秋萍. 共情训练在医学生医患沟通实践教学中的应用效果[J]. 中华医学教育杂志, 2020, 40(5): 343-348.
[13]	徐文颖, 周健, 陈楠, 王子淮, 吕梦媛, 刘伦旭. 医学学术型社团人才成长平台搭建的探索[J]. 中华医学教育杂志, 2020, 40(4): 265-268.
[14]	范冠华, 杨棉华, 林常敏, 黄展勤, 陈海滨. 基于医学生认知的分散实习模式教学质量同质化实证研究[J]. 中华医学教育杂志, 2020, 40(4): 288-292.
[15]	杨超群, 赖经纬, 程雅青, 刘泽豫, 邓国英. 部分高中生报考临床医学专业意愿的现状及其影响因素研究[J]. 中华医学教育杂志, 2020, 40(11): 858-862.

医学生批判性思维能力现状调查及影响因素分析

Analysis on the current status of medical student's critical thinking ability and its influencing factors

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价