临床护士评判性思维情感倾向的测试研究

目的 测试临床护士的评判性思维情感倾向.方法 应用加利福尼亚情感倾向问卷(中文版)对166名临床护士进行评判性思维情感倾向的测试.结果 所测护士的评判性思维倾向为正向;科室、生长环境、年龄、工作过的科室数目与评判性思维情感倾向无显著相关,而工作年限和学历与护士的评判性思维情感倾向具有显著正相关.结论 对临床护士的评判性思维情感倾向的测试结果 ,为培养临床护士的评判性思维提供了依据.     

Comparison of self-assessed competence and experience among critical care nurses

o'leary j. (2012) Journal of Nursing Management  20, 607–614 Comparison of self-assessed competence and experience among critical care nurses Aim To determine the level of self-assessed nursing competence and the relationship to age and experience in nursing. Background Nursing competence is a concern for all health-care stakeholders. Methods to measure competence have been evaluated worldwide. There is little agreement about the development or reliable measure of competence. Exploring these relationships can identify strategies for education, retention, professional growth and potentially affect patient outcome measures. Method The Nurse Competence Scale (NCS) was completed by 101 critical care nurses. Statistical methods were used to analyse the data. Results The nurses self-assessed level of competence ranged from good to excellent along with an increased frequency of using competencies. Statistically significant relationships were found among the variables. Conclusions Measurable, significant relationships exist among the variables. The NCS proved to be a valid and reliable instrument to measure competence. Implications for nursing management Objective and reliable assessment of nursing competence is an important measure for leadership and education. Further studies to identify other factors affecting the nurses’ experience and the effect on competence will help to develop and promote supportive strategies.     

临床护士评判性思维态度倾向性与护理伦理决策能力的相关性研究

目的 了解临床护士评判性思维态度倾向性和护理伦理决策能力的现状及影响因素,分析两者之间的相关性.方法 在四川省5所三级甲等综合性医院中分层随机抽取359名临床护士进行问卷调查,问卷由一般情况调查表、护理伦理决策量表(JAND)及中文版评判性思维态度倾向性问卷(CTDI-CV)3部分组成.结果 临床护士CTDI-CV总均分为(285.06:±26.79)分,JAND总均分为(267.91±16.62)分.护理伦理决策能力的影响因素为学历、获取专业知识的途径、护理伦理决策培训.评判性思维态度倾向性与护理伦理决策能力呈正相关.结论 临床护士护理伦理决策能力及评判性思维态度倾向性得分处于中等水平,两者呈正相关,在学校教育和医院继续教育中,可通过加强对护士评判性思维态度倾向的培养来提高其护理伦理决策能力.     

临床护士评判性思维现状及其影响因素研究

目的:探讨综合性教学医院临床护士评判性思维的现状及相关影响因素,为临床护理人员继续教育提供依据。方法:利用评判性思维倾向调查表(CTDI-CV)、评判性思维相关知识调查表及评判性思维相关因素调查表对619名临床护理人员评判性思维现状进行调查,并对影响因素进行相关性分析。结果:临床护士评判性思维的平均得分为(275.84±29.06)分,属于中等偏下水平;不同年龄、护龄、学历及临床科室的护士得分差异有统计学意义(P<0.01、P<0.05),而不同职称和不同个性特征的护士得分差异无统计学意义(P>0.05)。年龄、护龄、学历及临床科室是影响临床护士评判性思维倾向的相关因素。结论:为进一步提高临床护理人员评判性思维水平,建议临床相关部门在继续教育中合理设计强化护士评判性思维的教育活动,并为护理人员创造有利于评判性思维发展的工作环境。同时,积极培养在校护生的评判性思维能力,以达到使我国护士整体评判性思维能力上升的目的。     

Relationship between clinical performance and professional self-concept in critical care nurses

Objective: To determine the relationship between clinical performance and professional self-concept in critical care nurses.Methods: This study was conducted on 308 critical care nurses. Data gathering instruments were nurses' clinical performance questionnaire (NCPQ) and nursing professional self-concept measure (NPSCM). Independent sample t-test, one-way analysis of variance (ANOVA), and Pearson correlation coefficient were used for data analyses.Results: The average age of the nurses was 33.74 ± 7.01 years. The clinical performance score of female nurses was significantly higher than male nurses. In the domain of clinical performance, clinical judgment and clinical inquiry had the highest and lowest scores, respectively. In the nurses' professional self-concept, the highest and lowest scores were awarded to the subscales of selfconfidence and staff relations, respectively. In addition, there was a significant positive correlation between self-concept and clinical performance of nurses.Conclusions: Increasing professional self-concept improves the clinical performance of critical care nurses. Professional self-concept enhancement measures are recommended to improve the clinical performance of nurses in critical care units.     

Negative workplace behavior and coping strategies among nurses: A cross‐sectional study

Negative workplace behavior affecting nurses is an internationally recognized problem. This study examines the types and extent of negative workplace behavior experienced by nurses in non‐metropolitan, regional acute care settings and their ways of coping when subject to that behavior. A cross‐sectional study was conducted involving 74 nurse participants in four regional hospitals in Australia. The structured questionnaire consisted of four parts: demographic questions, the Negative Acts Questionnaire – Revised, questions on exposure to bullying and/or incivility and policy awareness and use of pathways, and the Ways of Coping Questionnaire. Overall, 34% of participants were exposed to bullying and 49% to incivility over the previous month. The most common type of negative workplace behavior reported was “work‐related bullying,” which included exposure to excessive workloads, unrealistic deadlines, and information being withheld. Nurses reported the use of a variety of coping mechanisms, including problem‐focused coping strategies and seeking social support. The findings imply that negative workplace behaviors occur not only at individual nurses? level but also derive from the broader contexts of organizational management and systemic factors.     

Professional quality of life: A cross‐sectional survey among Chinese clinical nurses

The Professional Quality of Life Scale was adapted to create a Chinese version to investigate the professional quality of life of Chinese nurses and possible risk factors. A cross‐sectional survey was conducted among 752 nurses sampled from four general hospitals in Shanghai, China. An expert panel, cognitive review, and pretest were used to ensure cultural adaptability. Psychometric tests included reliability and validity. One‐way and multivariate analysis of variance were conducted for statistical analysis. Content validity indexes of all items were over 0.90. Five items were excluded because their item‐total correlations and factor loading of exploratory factor analysis were less than 0.3. The 25‐item scale revealed acceptable reliability. Confirmatory factor analysis supported its structure. There was variation in the scores between different departments, religions, working positions, nursing experiences, forms of employment, and average working hours (all P < 0.05). This study extended the application of the original scale in Chinese nursing culture. Attention should be paid to risk factors and differences between East and West.     

临床实习前后护理本科生评判性思维倾向的调查与分析

目的调查临床实习前后我院护理本科生的评判性思维倾向,为护理教学改革提供资料。方法使用加利福尼亚评判性思维倾向测量表（中文版）对我院216名四年级和五年级护理本科生进行问卷调查。结果①本科生的评判性思维倾向总分（243．37±25．50）分,其中得分最高的为认知成熟度（39．58±6．98）分,评判性思维的自信心、求知欲和分析能力得分较低。②五年级学生评判性思维的自信心得分较四年级学生高,差异具有统计学意义（P〈0．05）。结论护理本科生评判性思维倾向偏低,提示应合理配置护理专业课程,改进教学方法,加强师资力量,不断提高护理本科生的评判性思维能力。     

ICU护士评判性思维的现状及影响因素分析

目的 调查ICU护士评判性思维的现状,并探讨其相关影响因素.方法 采用一般资料调查表及评判性思维能力量表对长沙市7所三级甲等医院ICU的324名护士进行横断面调查.结果 ICU护士的评判性思维能力总分为（284.22±23.62）分;职称、第一学历、从事ICU工作年限、参加活动频率和学习频率是ICU护士评判性思维能力的影响因素.结论 ICU护士的评判性思维能力总体表现为正性,但离评判性思维能力强的标准还有很大的差距,还有待进一步培养和强化.     

高职护生评判性思维能力与临床沟通能力的相关性研究

目的 探讨高职护生评判性思维能力与临床沟通能力之间的相关性.方法 采用评判性思维态度倾向性调查表(中文版)、临床沟通能力量表对漳州卫生职业学院2009级至2011级1135名高职护生进行调查,并对结果进行分析.结果 高职护生评判性思维能力平均得分为(278.54±25.98)分;高职护生临床沟通能力平均得分为(86.07±10.06)分;高职护生评判性思维能力与临床沟通能力总分及其各因子之间呈正相关.结论 高职护生评判性思维能力与临床沟通能力之间呈正相关,评判性思维能力越强,临床沟通能力越强.