多中心护理院校护理实习生临床思维能力量表信效度检验及影响因素分析研究
Reliability and Validity Test of the Clinical Thinking Ability Scale for Nursing Interns in Multi-Center Nursing Colleges and Analysis of Influencing Factors
摘要: 目的：验证护理实习生临床思维能力评价量表的信效度，探讨影响其临床思维能力的因素，为护理教育提供理论依据。方法：采用横断面调查方法，通过护理实习生临床思维能力量表及影响因素问卷对2024年1月~6月全国护理院校205名护理实习生进行调查。量表信度通过Cronbach’s α系数分析，效度通过内容效度指数(CVI)和因子分析评估，影响因素采用多元线性回归分析。结果：量表Cronbach’s α系数为0.968，内部一致性较好；CVI为0.987，内容效度良好。因子分析提取了5个公共因子，累积方差解释率为66.171%。多元线性回归分析结果显示，是否担任班干部或社团干部、学习时长、学习或查阅专业资料的频率、对护理专业的喜爱程度是护理实习生临床思维能力的影响因素(P < 0.001)。结论：护理实习生临床思维能力量表信效度及适用性良好，且其能力受多因素影响，建议护理教育者设计有针对性的教学策略，以提升学生临床思维能力。
Abstract: Objective: To validate the reliability and validity of the clinical thinking ability assessment scale for nursing interns, explore the main factors influencing their clinical thinking ability, and provide a theoretical basis for nursing education. Methods: A cross-sectional survey was conducted using the Clinical Thinking Ability Scale for Nursing Interns and a questionnaire on influencing factors among 205 nursing interns from nursing colleges across the country from January to June 2024. The reliability of the scale was analyzed using Cronbach’s α coefficient, and the validity was assessed through the Content Validity Index (CVI) and factor analysis. Multiple linear regression analysis was used to identify influencing factors. Results: The Cronbach’s α coefficient of the scale was 0.968, indicating high internal consistency. The CVI was 0.987, demonstrating good content validity. Factor analysis extracted five common factors, with a cumulative variance explained rate of 66.171%. Multiple linear regression analysis revealed that factors such as holding a class or student leadership role, study duration, frequency of studying or consulting professional materials, and interest in the nursing profession significantly influenced the clinical thinking ability of nursing interns (P < 0.001). Conclusion: The good reliability and applicability of the Clinical Thinking Skills Scale for Nursing Practitioners and the fact that their skills are influenced by multiple factors suggest that nursing educators should design targeted teaching strategies to enhance students’ clinical thinking skills.
文章引用：李梦西, 李倩, 徐莉, 赵平, 冉海燕. 多中心护理院校护理实习生临床思维能力量表信效度检验及影响因素分析研究[J]. 护理学, 2025, 14(6): 1041-1049. https://doi.org/10.12677/ns.2025.146138

参考文献

[1] 侯雪蓓, 乔桂圆, 贺惠娟, 等. 赛教融合背景下护生临床思维能力培养的教学设计[J]. 中华医学教育探索杂志, 2024, 23(3): 419-423.
[2] Taichman, D.B., Williams, S.V. and Laine, C. (2020) Clinical Decision Making: Nurturing Our Core Skills. Annals of Internal Medicine, 172, Article No. 627.
[3] 王艳蕊, 高建梅, 张从飞, 等. 护理本科实习生临床思维能力现况及影响因素研究[J]. 卫生职业教育, 2024, 42(1): 137-141.
[4] 李玥桐, 李红玉, 李齐, 等. 护理本科实习生临床思维能力评价指标体系的构建[J]. 中华护理教育, 2022, 19(11): 965-969.
[5] Chen, L., Kong, D., Zhang, S., et al. (2021) A Quasi-Experimental Study of Specialized Training on the Clinical Decision-Making Skills and Social Problem-Solving Abilities of Nursing Students. Contemporary Nurse, 57, 4-12.
[6] 倪翠萍, 刘宇, 穆晓云, 等. 情景模拟教学法对护理本科学生感知教育环境的影响[J]. 护理学杂志, 2021, 36(7): 8-11.
[7] 黄天雯, 邓丽君, 刘圆圆, 等. 护理学专业本科生外科实习岗位胜任能力里程碑评价体系的构建与思考[J]. 中华医学教育杂志, 2024, 44(6): 421-425.
[8] Zhu, J., Xie, X., Pu, L., Zou, L., Yuan, S., Wei, L., et al. (2024) Relationships between Professional Identity, Motivation, and Innovative Ability among Nursing Intern Students: A Cross-Sectional Study. Heliyon, 10, e28515. [Google Scholar] [CrossRef] [PubMed]
[9] 张标新, 汪璐璐, 方常君, 等. 基于临床思维能力培养的护理本科实习生客观结构化考核案例编制[J]. 护理学报, 2023, 30(18): 23-26.
[10] 胡淑娟, 范郁冰, 喻嵘, 等. 中医硕士专业学位研究生临床思维能力培养CAA模式的构建与实践[J]. 中国毕业后医学教育, 2023, 7(10): 83-86.
[11] Peterson, B.D., Magee, C.D., Martindale, J.R., et al. (2022) REACT: Rapid Evaluation Assessment of Clinical Reasoning Tool. Journal of General Internal Medicine, 37, 2224-2229.
[12] 吕童玉, 李军, 翟雯容, 等. 基于BOPPPS的混合教学模式在护理本科生评判性思维能力培养中的应用[J]. 卫生职业教育, 2023, 41(21): 91-94.
[13] 周薇, 侯婷婷, 凡丹, 等. 在校护理本科生评判性思维能力的现状及差异分析[J]. 右江民族医学院学报, 2023, 45(5): 130-133.
[14] Lane, A.S. and Roberts, C. (2022) Contextualised Reflective Competence: A New Learning Model Promoting Reflective Practice for Clinical Training. BMC Medical Education, 22, Article No. 71. [Google Scholar] [CrossRef] [PubMed]
[15] 廖琴, 曾满萍, 刘兆平, 等. 思维导图式分层目标教学在中医康复护理实习带教中的效果[J]. 中西医结合护理(中英文), 2021, 7(6): 204-206.
[16] 袁帅, 秦娟文, 覃珊媚, 等. 基于动画微视频的“翻转课堂”对实习护生临床思维能力的影响[J]. 护理实践与研究, 2023, 20(1): 137-140.
[17] Niu, Y., Xi, H., Liu, J., et al. (2023) Effects of Blended Learning on Undergraduate Nursing Students’ Knowledge, Skills, Critical Thinking Ability and Mental Health: A Systematic Review and Meta-Analysis. Nurse Education in Practice, 72, Article ID: 103786.
[18] 杜世正, 金胜姬, 张姮, 等. 基于循证思维的护理研究课程教学改革及效果评价[J]. 军事护理, 2023, 40(1): 96-99+111.
[19] Jeong, D., Park, C., Sugimoto, K., Jeon, M., Kim, D. and Eun, Y. (2024) Effectiveness of an Evidence-Based Practice Education Program for Undergraduate Nursing Students: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 21, Article No. 637. [Google Scholar] [CrossRef] [PubMed]
[20] 胡雁, 周英凤, 邢唯杰, 等. 护理学专业学生循证思维的培养[J]. 中华护理教育, 2021, 18(10): 869-874.
[21] 王景芳, 郭晓静, 冀金亮. 预见性护理干预在淋巴瘤病人化疗后口腔感染预防中的应用[J]. 护理研究, 2022, 36(4): 727-730.
[22] Li, X., Chen, C. and Kang, X. (2022) Research on the Cultivation of Sustainable Development Ability of Higher Vocational Students by Creative Thinking Teaching Method. Frontiers in Psychology, 13, Article ID: 979913. [Google Scholar] [CrossRef] [PubMed]
[23] 鄢建军, 杨建国, 江燕, 等. 临床护理人员创新能力评价量表的构建及信效度检验[J]. 中华护理杂志, 2018, 53(10): 1213-1217.

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