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題名：臨床護理人員批判性思考能力之初探--以南部某醫學中心為例
書刊名：護理暨健康照護研究
作者：張美珍／周汎澔 引用關係／林真瑜／呂居學／郭詩憲 引用關係
作者(外文)：Chang, Mei-jen／Chou, Fan-hao／Lin, Chen-yu／Lu, Chu-hsueh／Kuo, Shih-hsien
出版日期：2011
卷期：7:1
頁次：頁73-83
主題關鍵詞：護理人員；批判性思考；能力；Nurse；Critical thinking；Ability
原始連結：連回原系統網址new window
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  • 共同引用共同引用:47
  • 點閱點閱:88
背景 : 批判性思考是護理人員的重要護理能力之一，然而與臨床護理人員批判性思考能力相關的實證資料非常少，多數為護生方面的研究報告。 目的 : 探討臨床護理人員之批判性思考能力及其影響因素。 方法 : 為橫斷式、描述性之研究設計；以南部某醫學中心護理人員為對象，採結構式問卷「批判性思考能力量表」共收案 570位，以 SPSS 12.0 for Windows進行描述性和單因子變異數分析。 結果 : (1) 護理人員的批判性思考能力呈中等程度，指標分數為 66.9分，其中以解釋能力最高，其次是驗證評鑑能力，以推論能力最差。(2) 護理人員的年齡、工作年資、教育程度及層級職稱於批判性思考能力呈顯著性差異；年齡 31~40歲和大於 40歲者之批判性思考能力分別高於 20~30歲的護理人員；工作年資 5.1~10年、10.1~15年、15.1~20年以及 20年以上者，其批判性思考能力均分別高於工作年資未滿 1年、1~2年以及 2.1~5年的護理人員；碩士教育程度之批判性思考能力的得分高於大學及專科的護理人員；N2、N3及 N4層級以上之批判性思考能力高於 N和 N1層級者，N4層級以上之批判性思考能力高於 N2層級者，N1層級之批判性思考能力高於 N層級職稱的護理人員。 結論／實務應用 : 可作為教育界在護理課程之規劃及教學方式的參考、醫院行政主管於護理人員在職教育之課程規劃實務應用及新進人員訓練的參考。
BACKGROUND: Critical thinking (CT) is an important professional competency for nurses. However, evidence-based reports on CT amongst clinical nurses are few, and most address CT in nursing students only. Purpose: This study explores critical thinking abilities in clinical nurses. METHODS: Researchers conducted a cross-sectional, correlational study using the Watson-Glaser Critical Thinking Appraisal (WGCTA). This study recruited 570 clinical nurses working at a medical center in southern Taiwan. RESULTS: (1) The critical thinking ability of clinical nurses was found to be “moderate”, with an index score of 66.9. The highest WGCTA subscale score was that for “interpretation ability” and the lowest was that for “inference ability.” (2) The study found significant differences between critical thinking ability and the variables of age, working years, education level and position/title. Scheffe’s post hoc analysis indicated that the critical thinking ability of nurses in the 31－40 year and over 40 year old age range to be significantly higher than those in the 20－30 year old range. The critical thinking ability of nurses in the 5.1－10, 10.1－15, 15.1－20, and over 20 years working years categories all ranked higher than those with less than 5 years of work experience. The critical thinking ability of nurses with master’s degrees was significantly higher than those with either a bachelor’s or diploma degree. The critical thinking ability of nurses at levels N2, N3 and N4 was higher than those at either the N or N1 levels, with N4 higher than N2 and N1 higher than N. CONCLUSIONS: Study findings may serve as a reference to improve nursing education curricula and teaching strategies. Findings may also be used to improve the effectiveness of nurse orientation and on-the-job training programs.
期刊論文
1.Scheffer, B. K.、Rubenfeld, M. G.(2000)。A consensus statement on critical thinking in nursing。Journal of Nursing Education，39(8)，352-359。  new window
2.Fero, L. J.、Witsberger, C. M.、Wesmiller, S. W.、Zullo, T. G.、Hoffman, L. A.(2009)。Critical thinking ability of new graduate and experienced nurses。Journal of Advanced Nursing，65(1)，139-148。  new window
3.曾惠珍、簡淑媛、徐芸芸、柯薰貴、金繼春、周汎澔(20060400)。應用「問題導向學習」於「臨床案例分析」護理課程之效果。醫護科技學刊，8(2)，121-131。new window  延伸查詢new window
4.高志薇、蕭淑貞、蔣欣欣、李錦虹(2008)。護理系研究生對問題導向學習之經驗歷程。實證護理，4 （1 ），51-60。new window  延伸查詢new window
5.許淑蓮、林惠賢、李明儀(20001200)。技職體系二年制護理系學生批判思考能力之評估。醫學教育，4(4)，46-56。new window  延伸查詢new window
6.Kuiper, R. A.、Pesut, D. J.(2004)。Promoting cognitive and metacognitive reflective reasoning skills in nursing practice: Self-regulated learning theory。Journal of Advanced Nursing，45(4)，381-391。  new window
7.譚蓉瑩(20000600)。批判性思考--我國護理人員的第七項護理能力。護理雜誌，47(3)，52-58。new window  延伸查詢new window
學位論文
1.葉玉珠(1991)。我國中小學學生批判思考及其相關因素之研究(碩士論文)。國立政治大學。  延伸查詢new window
圖書
1.Norris, Stephen P.、Ennis, Robert H.(1989)。Evaluating critical thinking。Midwest Publications。  new window
其他
1.財團法人醫院評鑑暨醫療品質策進會(2008)。新制醫院評鑑基準及評分說明，http://www.tjcha.org.tw/NewsDetail.asp?NewsId=317， 2008/08/14。  延伸查詢new window
2.Scriven, M.，Paul, R.(2003)。Defining critical thinking，http://www.critical thinking.org/aboutCT/definingCT.shtml。  new window
3.台灣護理教育評鑑委員會(2010)。大學護理學系「自我評鑑手冊」，台北市：台灣護理教育評鑑委員會。  延伸查詢new window
4.李選(1991)。護理教育發展之新趨勢--談全腦教育。new window  延伸查詢new window
5.沈佳平(2002)。STS 模式教學對學生批判思考能力之影響，台北市。  延伸查詢new window
6.周治蕙(1998)。護理過程與批判性思考。  延伸查詢new window
7.許麗齡(1999)。批判性思考在護理過程之應用。new window  延伸查詢new window
8.陳夏蓮、陳品玲、李美麗、李薇莉、李文昭(2006)。護生批判性思考能力和學習策略關係之探討。  延伸查詢new window
9.曾惠明(2004)。從護理相關刑事訴訟案件之分析探討護理人員的法律責任--以最高法院判決為例。new window  延伸查詢new window
10.楊淑民(2006)。大學生生活經驗與批判性思考之相關研究，高雄市：國立中山大學教育研究所。  延伸查詢new window
11.溫明麗(1997)。批判思考教學。new window  延伸查詢new window
12.鄭英耀(1992)。國小教學創造思考、批判性思考及其相關因素之研究，台北市。  延伸查詢new window
13.鄭英耀、王文中、吳靜吉、黃正鴣(1996)。批判性思考量表之編制初步報告。  延伸查詢new window
14.Anderson, G. L., & Tredway, C. A.(2009)。Transforming the nursing curriculum to promote critical thinking online。  new window
15.Brooks, L. K., & Shepherd, M. J.(1990)。The relationship between clinical decision-making skills in nursing and general critical thinking abilities of senior nursing students in four types of nursing programs。  new window
16.Creedy, D., & Hand, B.(1994)。The implementation of problembased learning: Changing pedagogy in nurse education。  new window
17.Drennan, J.(2010)。Critical thinking as an outcome of a master's degree in nursing programs。  new window
18.Duphorne, P. L., & Gunawardena, C. N.(2005)。The effect of three computer conferencing designs on critical thinking skills of nursing students。  new window
19.Feng, R. C., Chen, M. J., Chen, M. C., & Pai, Y. C.(2010)。Critical thinking competence and disposition of clinical nurses in a medical center。  new window
20.Flores, G.(2000)。Culture and the patient-physician relationship: Achieving cultural competency in health care。  new window
21.Girot, E. A.(2000)。Graduate nurses: Critical thinkers or better decision makers?。  new window
22.Hicks-Moore, S. L., & Pastirik, P. J.(2006)。Evaluating critical thinking in clinical concept maps: A pilot study。  new window
23.Huber, D.(2006)。Leadership and nursing care management，Philadelphia：Saunders Elsevier。  new window
24.Pickett, J.(2009)。Critical thinking a necessary factor in nursing workload。  new window
25.Sedlak, C. A., & Ludwick, R.(1996)。Dressing up nursing diagnosis a critical-thinking strategy。  new window
26.Shin, K. R.(1998)。Critical thinking ability and clinical decision- making skills among senior nursing students in associate and baccalaureate programs in Korea。  new window
27.Shin, S., Ha, J., Shin, K., & Davis, M. K.(2006)。Critical thinking ability of associate, baccalaureate and RN-BSN senior students in Korea。  new window
28.Wangensteen, S., Johansson, I. S., Björkström, M. E., & Nordström, G.(2010)。Critical thinking dispositions among newly graduated nurses。  new window
29.White, N. E., Beardslee, N. Q., Peters, D., & Supples, J. M.(1990)。Promoting critical thinking skills。  new window
 
 
 
 
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