CAJ | 학술논문

目的：了解基层医院临床护士评判性思维能力与自主学习能力的现状并探讨两者间的关系，为医学继续教育提供理论依据和参考。方法采用一般资料调查问卷、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3所县级医院345名临床护士进行调查。结果基层医院临床护士评判性思维能力总分为（276．08±34．31）分，自主学习能力总分为（121．40±18．42）分；除认知成熟度与任务分析和自我监控及调节无关外，评判性思维能力与自主学习能力的总分及其他维度均呈正相关（P＜0．05）。结论基层医院临床护士评判性思维能力和自主学习能力均有待提高，两者间相互正性影响；护理管理者应采取多种方法和措施，双管齐下，培养和提高基层医院临床护士评判性思维能力和自主学习能力。
목적：료해기층의원림상호사평판성사유능력여자주학습능력적현상병탐토량자간적관계，위의학계속교육제공이론의거화삼고。방법채용일반자료조사문권、중문판평판성사유능력측량표（CTDI-CV）화호리인원자주학습능력평개량표，대3소현급의원345명림상호사진행조사。결과기층의원림상호사평판성사유능력총분위（276．08±34．31）분，자주학습능력총분위（121．40±18．42）분；제인지성숙도여임무분석화자아감공급조절무관외，평판성사유능력여자주학습능력적총분급기타유도균정정상관（P＜0．05）。결론기층의원림상호사평판성사유능력화자주학습능력균유대제고，량자간상호정성영향；호리관리자응채취다충방법화조시，쌍관제하，배양화제고기층의원림상호사평판성사유능력화자주학습능력。
Objective To understand the current status of primary hospital clinical nurses ’ critical thinking ability and self-learning ability and to explore the relationship between them , so as to provide theoretical basis and reference for continuing medical education .Methods Totals of 345 clinical nurses in three county hospitals were surveyed by general information questionnaire , Critical Thinking Disposition Inventory-Chinese Version ( CTDI-CV ) and nurse self-learning ability rating scale .Results The total score of clinical nurses ’ critical thinking ability was (276.08 ±34.31), and the self-learning ability score was (121.40 ±18.42). Based on the above results , Except that cognitive maturity had no significant correlation with task analysis , self-monitoring and regulation , critical thinking ability was positively related to self -learning ability and other dimensions (P <0.05).Conclusions The critical thinking and self-learning ability of clinical nurses in primary hospital need to be improved .Because of their mutual positive impact , nursing managers should take a variety of measures to develop and improve these abilities .