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-护理学专业论文.docxVIP

PAGE PAGE 3 士的评判性思维态度倾向来提高护士的护理伦理决策能力。 研究局限性 1.研究对象局限：本研究调查了四川省 5 所三级甲等综合性医院临床护士的评判 性思维态度倾向性及护理伦理决策能力现状，研究对象的来源比较局限，研究结 果的代表性不是很强，在后续的研究中应在全国范围内扩大调查医院数量，增加 调查医院级别。 2.研究影响因素局限：本次调查的影响因素涉及护士职称、学历、年龄，和培训 情况等方面，在后续的研究中进一步扩充影响因素，从而为提高护理伦理决策能 力提供更多理论指导。 尚需探讨的问题 人文环境、家庭背景、组织文化、学习模式等对临床护士评判性思维态度倾 向性及护理伦理决策能力的影响。 关键词 临床护士；评判性思维态度倾向性；护理伦理决策能力；相关性 Abstract Object Localazation the englishi version of judgement about nursing decision(JAND) by translate, back-translate and culture adjustment, evaluate the reliability and validity of the Chinese Version of JAND. To investigate the level and related factors of critical thinking disposition among the clinical nurses. To investigate the level of the clinical nurses’the competence of nursing ethical decision making，analyze the influence factors of it. Analyze the relationship between critical thinking disposition and nursing ethical decision making, provide the theoretical basis for improving the clinical nurses’ competence of ethical decision-making. Method The English version of JAND was translated and back-translated, as well as cross-cultural adapted by the method of psychometrics to form the Chinese version of JAND, evaluate the validity and reliability of the Chinese version of JAND . The cross-sectional survey method is use to investigate the current situation of the competence about ethical decision-making and the critical thinking disposition, a total number of 385 clinical nurses were investigate by the CTDI-CV and JAND Result The Cronbach’s α of the inventory was 0.839, was 0.567~0.891 between the dimension; the Guttman split-half coefficient was 0.752 ,was 0.709~0.587 between the dimension ; the test-retested reliability was 0.789,was 0.605~0.641 between the dimension. Factor analysis indicated the JAND was composed of 9 factors ,which could explain 60.93 percent of the total variance, the factor loading value were 0.388~0.973,the criterion-related validity was 0.820（P＜0.01） The total score of CTDI-CV was (284.85±26.76)