自主学习能力在护理本科生评判性思维与心理弹性间的中介效应

doi:10.3761/j.issn.1672-9234.2021.06.009

摘要/Abstract

摘要：

目的了解混合式教学背景下护理本科生自主学习能力在心理弹性与评判性思维间的中介效应。方法 2020年7月,采用便利抽样法,利用自主学习量表、中文版加利福尼亚评判性思维问卷、成人心理弹性量表对采用混合式教学的288名护理本科生进行调查。结果护理本科生评判性思维能力、自主学习能力、心理弹性得分分别为（231.89±29.03）分、（106.35±14.43）分、（156.59±24.84）分,评判性思维对心理弹性的总效应系数为0.343,间接效应系数为0.146,95%CI为0.060~0.218;直接效应系数为0.197,95%CI为0.163~0.230。结论护理本科生评判性思维、自主学习能力、心理弹性均处于中等水平,自主学习能力在评判性思维与心理弹性间存在中介作用。教师应通过优化混合式课程教学,强化临床实践与人际关系等培养学生评判性思维,通过影响自主学习能力,提高其心理弹性水平。

关键词: 教育,护理, 评判性思维, 自主学习, 心理弹性

Abstract:

Objective To understand the mediating effect of self-regulated learning ability between psychological resilience and critical thinking ability of nursing undergraduates. Methods A total of 288 nursing undergraduates were recruited by convenience sampling and investigated by the nursing specialty self-regulated scale,California Critical Thinking Disposition Inventory-Chinese Version and the Resilience Scale of Adults. Results The scores of critical thinking ability,self-regulated learning ability and resilience were（231.89±29.03）,（106.35±14.43） and （156.59±24.84） respectively. The total effect coefficient of critical thinking on resilience was 0.343. The indirect effect coefficient was 0.146 and 95%CI was 0.060~0.218. The direct effect coefficient was 0.197 and 95%CI was 0.163~0.230. Conclusion The critical thinking,self-regulated learning ability and resilience of nursing undergraduates were in the middle level. There is a mediating role of self-regulated learning ability between critical thinking and resilience. Teachers should optimize the blended curriculum,strengthen the clinical practice and interpersonal relationship to cultivate students’ critical thinking and improve the level of psychological resilience by influencing self-regulated learning ability.

Key words: Education,Nursing, Critical thinking, Self-regulated learning, Resilience

刘敦,姜小鹰,宋继红,高骥,陈云雪,肖春秀. 自主学习能力在护理本科生评判性思维与心理弹性间的中介效应[J]. 中华护理教育, 2021, 18(6): 525-529.

LIU Dun,JIANG Xiao-ying,SONG Ji-hong,GAO Ji,CHEN Yun-xue,XIAO Chun-xiu. The mediating effect of self-regulated learning ability between critical thinking and resilience of nursing undergraduates[J]. Chinese Journal of Nursing Education, 2021, 18(6): 525-529.

图/表 2

参考文献 19

[1]	许珂, 张森, 任辉. 临床护士心理弹性特点及影响因素的路径分析[J]. 护理管理杂志, 2019,19(12):858-863.
	Xu K, Zhang S, Ren H. Study on the characteristics of resilience in clinical nurses and path analysis of the influencing factors[J]. J Nurs Adm, 2019,19(12):858-863.
[2]	史逸秋, 戴晓婧, 童为燕, 等. 新型冠状病毒肺炎疫情期间护理人员心理弹性及影响因素分析[J]. 中华护理杂志, 2020,55(增刊1):108-112.
	Shi YQ, Dai XJ, Tong WY, et al. Analysis of psychological resilience and influencing factors of nurses during New Coronavirus pneumonia outbreak[J]. Chin J Nurs, 2020,55(Supple-ment 1):108-112.
[3]	闻曲, 代艺, 刘敏. 肿瘤科护士自主学习护理论坛的创建与运作[J]. 护理学杂志, 2018,33(19):5-7.
	Wen Q, Dai Y, Liu M. Establishment and operation of self-learning nursing forum for oncology nurses[J]. J Nurs Sci, 2018,33(19):5-7.
[4]	王沛玲, 杨彦伟, 李嘉慧, 等. 兰州市护理本科生自主学习能力与坚韧人格的相关性研究[J]. 中华护理教育, 2019,16(12):913-917.
	Wang PL, Yang YW, Li JH, et al. Correlation between self-learning ability and tough personality of nursing undergraduates in Lanzhou[J]. Chin J Nurs Educ, 2019,16(12):913-917.
[5]	李红, 赵丽, 庞晓丽, 等. 护士情商、心理弹性和心理授权对自主学习能力的影响[J]. 中国实用护理杂志, 2017,33(11):854-858.
	Li H, Zhao L, Pang XL, et al. Effects of nurses’ EQ,resilience and empowerment on self-learning ability[J]. Chin J Pract Nurs, 2017,33(11):854-858.
[6]	张蓝方, 蒋文慧, 张亚楠, 等. 我国重点院校护理硕士生评判性思维能力现状及其影响因素[J]. 解放军护理杂志, 2017,34(17):1-5.
	Zhang LF, Jiang WH, Zhang YN, et al. Current situation and influencing factors of critical thinking ability of nursing postgraduates in key universities in China[J]. Nurs J Chin PLA, 2017,34(17):1-5.
[7]	洪小丽, 周小燕. 基于案例和问题的临床带教方法在培养护理实习生评判性思维能力中的应用[J]. 解放军护理杂志, 2017,34(9):71-73.
	Hong XL, Zhou XY. Application of case-based and problem-based clinical teaching method in cultivating critical thinking ability of nursing interns[J]. Nurs J Chin PLA, 2017,34(9):71-73.
[8]	戴垚, 梁丽萍, 王小玲, 等. 老年科护士评判性思维现况调查及其相关因素[J]. 解放军护理杂志, 2018,35(15):11-16.
	Dai Y, Liang LP, Wang XL, et al. Investigation on critical thinking of geriatric nurses and its related factors[J]. Nurs J Chin PLA, 2018,35(15):11-16.
[9]	邓丽, 陈亚飞, 邢蓓蓓, 等. 护理本科生心理健康状况与其评判性思维能力相关性研究[J]. 护理研究, 2014,28(11):1305-1307.
	Deng L, Chen YF, Xing BB, et al. Study on correlation between mental health of nursing undergraduates and their critical thinking ability[J]. Chin Nurs Res, 2014,28(11):1305-1307.
[10]	李娜, 张善红, 关红, 等. 心理资本对临床护理教师评判性思维能力与胜任力的中介效应分析[J]. 中国卫生事业管理, 2018,8:620-623.
	Li N, Zhang SH, Guan H, et al. Mediating effect of psychological capital on critical thinking ability and competency of clinical nursing teachers[J]. China Health Management, 2018,8:620-623.
[11]	谢银环, 肖惠敏. 评判性思维与学习策略对护生自主学习能力的影响[J]. 福建医科大学学报(社会科学版), 2020,21(3):41-46.
	Xie YH, Xiao HM. Influence of critical thinking and learning strategies on autonomous learning ability of nursing students[J]. Journal of Fujian Medical University(Social Science Edi-tion), 2020,21(3):41-46.
[12]	彭美慈, 汪国成, 陈基乐, 等. 批判性思维能力测量表的信效度测试研究[J]. 中华护理杂志, 2004,39(9):644-647.
	Peng MC, Wang GC, Chen JL, et al. Validity and reliability of the Chinese critical thinking disposition inventory[J]. Chin J Nurs, 2004,39(9):644-647.
[13]	张喜琰. 护理专业学生自主学习能力测评工具的研制及现状调查[D]. 沈阳:中国医科大学, 2007.
	Zhang XY. Development and status investigation of self-learning ability evaluation tool for nursing students[D]. Shenyang: China Medical University, 2007.
[14]	王雅西, 绳宇. 对艾滋病专科护理人员进行专业化教育的效果评价与分析[J]. 中华护理杂志, 2007,42(7):606-610.
	Wang YX, Sheng Y. Effect of professional training to the nurses coming into contact with people living with HIV and AIDS[J]. Chin J Nurs, 2007,42(7):606-610.
[15]	杨立状, 吕兖周. 《成人心理弹性量表》的心理测量学分析[EB/OL]. (2008-06-05). http://www.paper.edu.cn/releasepaper/content/200806-94.
	Yang LZ, LÜ YZ. Psychometric analysis of Adult Resilience Scale[EB/OL]. (2008-06-05). http://www.paper.edu.cn/releasepaper/content/200806-94.
[16]	齐永芹, 邓凡茂. 大学生职业自我概念对职业成熟度影响研究:基于“有调节中介模型”的实证分析[J]. 高教探索, 2017(11):111-118.
	Qi YQ, Deng FM. Research on the influence of college students’ career self-concept on career maturity:an empirical analysis based on the “moderated mediation model”[J]. High Educ Explor, 2017(11):111-118.
[17]	姜永志, 王海霞, 蒋怀滨, 等. 神经质人格对青少年移动社交网络过度使用的影响:冲动性与人际困扰的双重中介[J]. 心理与行为研究, 2018,16(2):272-282.
	Jiang YZ, Wang HX, Jiang HB, et al. The influence of neuroticism on the excessive use of mobile social networks in adolescents:the dual mediating effects of impulsive and interpersonal disturbance[J]. Stud Psychol Behav, 2018,16(2):272-282.
[18]	刘婉露, 耶玉玲, 王莉莉, 等. 护理专业本科生评判性思维与自主学习能力的现状调查及影响因素分析[J]. 中医临床研究, 2017,9(24):140-141.
	Liu WL, Ye YL, Wang LL, et al. Present situation investigation and influencing factor analysis of critical thinking and self-learning ability in nuring specialty undergradutes[J]. Clin J Chin Med, 2017,9(24):140-141.
[19]	谈益芬. 护理本科生自主学习能力及评判性思维的相关性分析[J]. 护理实践与研究, 2017,14(2):109-110.
	Tan YF. Analysis on correlation of nursing undergraduate’ autonomous learning ability and critical thinking[J]. Nurs Pract Res, 2017,14(2):109-110.