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Nursing Science 2025
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
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Abstract:
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。
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.
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