目的 评价北京市属医院护士规范化培训对提高护士批判性思维能力的效果,以期为护士规范化培训方案的修订和实施提供依据。方法 采用便利抽样法,选取北京市6所医院2014年新入职的418名护士为研究对象,其中3所护士规培试点医院的209名护士设为实验组,3所非规培试点医院的209名护士设为对照组。规培后,分别采用问卷调查方法了解受训护士批判性思维的变化情况并进行评价。结果 规培一年后,实验组护士的批判性思维评分为(294.78±29.25)分,既高于本组护士培训前评分(282.57±28.16)分,又高于对照组护士评分(283.59±27.33)分,其差异均具有统计学意义(均P<0.05);专科及以下学历护士培训前后批判性思维评分差异具有统计学意义(P<0.05),本科及以上学历护士培训前后批判性思维评分差异无统计学意义(P>0.05)。结论 规范化培训对于提高护士的批判性思维有正向作用,未来需要针对护士的具体情况进行长期、系统的培训,保证不同学历的护士均能够有效提高批判性思维能力。
Objective To explore the evaluation of nursing standardized training to enhance critical thinking in Beijing municipal hospitals, and to provide evidence for the revision of this program. Methods Convenience sampling was used to recruit 418 nurses who started their career in 2014. They were divided into two groups equally. 209 nurses from the 3 standardized training pilot hospitals were set up as experimental group, and 209 nurses from 3 non-pilot hospitals were set as control group. Questionnaires were used to evaluate the critical thinking of the training program before and after the intervention. Results After the one-year standardized training, the mean score of critical thinking was improved from (282.57±28.16) to (294.78±29.25), and higher than the non-pilot nurses (283.59±27.33), the difference was statistically significant (all P<0.05). The subgroup of nurses with specialist qualifications showed an improved scores of core competence (P<0.05). No significant difference was found in the subgroup of nurses with bachelor degree or above(P>0.05). Conclusions Standardized training has a positive effect on improving the critical thinking of nurses, but it needs long-term and systematic training for nurses' specific circumstances, to ensure that different levels of nurses can effectively enhance critical thinking.
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