Objective T o test the reliability and validity of Chinese version of Self-Assessment of Clinical Reasoning and Reflection (SACRR). Methods Totally 228 undergraduates majoring in four-year nursing from 2014 to 2016 in Peking Union Medical College were tested by Chinese version of SACRR. Two weeks later, 30 subjects were selected to fill in Chinese version of SACRR again and test the retest reliability. The data of reliability and validity were analyzed by SPSS 22.0 software. Results The Cronbach's α of the SACRR was 0.754, and the total scale retest reliability was 0.785.The content validity of the scale (S-CVI/Ave) was 0.98. Four factors were extracted by using Exploratory Factor Analysis: Information System, Analysis of Problems, Finding Truth and Reflective Ability, the cumulative variance contribution rate was 57.336%.In this study, the scores measured by Chinese Version of Critical Thinking Disposition Inventory (CTVI-CV) were used as the existing criteria for validity testing.The criterion-related validity test showed that the content of Chinese version of SACRR was significantly correlated with the three dimensions of CTDI-CV: truth-seeking, systematic ability and self-confidence, Pearson correlation coefficient was 0.215, 0.172, 0.343 (all P<0.05). Conclusions Chinese version of SACRR has good reliability and validity, which provides a reference for evaluating the clinical reasoning ability of nursing students in the future.
Yu Jie
,
Wang Jialin
,
Wang Mingyu
,
Guo Aimin
,
Kang Xiaofeng
. Reliability and validity of the Chinese version of Self-Assessment of Clinical Reasoning and Reflection in nursing undergraduates[J]. Chinese Journal of Medical Education, 2019
, 39(7)
: 539
-544
.
DOI: 10.3760/cma.j.issn.1673-677X.2019.07.014
[1]曾勇,鲁映青.论临床思维概念[J].医学教育探索,2005,4(1):46-48.DOI:10.3760/cma.j.issn.2095-1485.2005.01.018.
[2]Post DL. Medical problem solving: An analysis of clinical reasoning[J]. Bull N Y Acad Med, 1979, 55(9):886-887.
[3]李文萃,李胜云,王宇,等.护理研究生基于双系统模型临床推理能力培训课程的设计与应用[J].护理学报,2017,24(15):13-16.DOI:10.16460/j.issn1008-9969.2017.15.013.
[4]Huang HM, Huang CY, Lee-Hsieh J, et al. Establishing the competences of clinical reasoning for nursing students in Taiwan: From the nurse educators' perspectives[J]. Nurse Educ Today,2018,66:110-116.DOI: 10.1016/j.nedt.2018.04.007.
[5]临床推理教学和实践指南[J].中国全科医学,2012,15(7):713-714.
[6]徐大宝,程春霞,薛敏.浅谈当前医学研究生临床推理能力的培养[J].实用医技杂志,2007,14(32):4501.DOI:10.3969/j.issn.1671-5098.2007.32.098.
[7]杨朔眉.运用多媒体案例教学培养学生临床思维能力[J].现代护理,2006,12(12):1165-1166.DOI:10.3760/cma.j.issn.1674-2907.2006.12.049.
[8]崔春黎,王慧芳,吴毅泰,等.肾脏内科学实习中的临床思维能力训练[J].中华医学教育杂志,2009,29(4):106-107.DOI:10.3760/cma.j.issn.1673-677X.2009.04.040.
[9]Kautz DD, Kuiper R, Pesut DJ, et al.Promoting clinical reasoning in undergraduate nursing students: Application and evaluation of the Outcome Present State Test (OPT) model of clinical reasoning[J].Int J Nurs Educ Scholarsh,2005,2(1):Article 1.DOI: 10.2202/1548-923x.1052.
[10]Liaw SY, Rashasegaran A, Wong LF, et al. Development and psychometric testing of a Clinical Reasoning Evaluation Simulation Tool (CREST) for assessing nursing students' abilities to recognize and respond to clinical deterioration[J]. Nurse Educ Today,2018,62:74-79.DOI: 10.1016/j.nedt.2017.12.009.
[11]Seif GA, Brown D, Annan-Coultas D.Fostering clinical-reasoning skills in physical therapist students through an interactive learning module designed in the moodle learning management system[J].J Phys Ther Educ,2013,27(3):32-40. DOI:10.1097/00001416-201307000-00006.
[12]Roth RA. Preparing the reflective practitioner:Transforming the apprentice through the dialectic[J].J Teach Educ,1989,40(2):31-35.DOI: 10.1177/002248718904000206.
[13]Trommelen RD, Karpinski A, Chauvin S.Impact of case-based learning and reflection on clinical reasoning and reflection abilities in physical therapist students[J].J Phys Ther Educ,2017,31(1):21-30. DOI:10.1097/00001416-201731010-00006.
[14]罗坤.延边地区老年骨折患者居家护理需求及影响因素的研究[D].吉林:延边大学,2017.
[15]董丹萍.跨语种问卷调查中作为翻译质量检测手段的回译有效性研究[J].教育教学论坛,2016(19):61-62.DOI:10.3969/j.issn.1674-9324.2016.19.031.
[16]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.
[17]蒋小花,沈卓之,张楠楠,等.问卷的信度和效度分析[J].现代预防医学,2010,37(3):429-431.
[18]Seif G, Coker-Bolt P, Kraft S, et al. The development of clinical reasoning and interprofessional behaviors: Service-learning at a student-run free clinic[J]. J Interprof Care,2014,28(6):559-564.DOI: 10.3109/13561820.2014.921899.
