Assessment of the needs of student nurses regarding critical thinking in nursing practice

Louise Pretoruis, A. V. Dyk, L. Small, H. Amukugo
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Abstract

This study involved a quantitative, quasi-experimental and contextual design. The target population for this phase was senior student nurses registered at the University of Namibia, in their fourth year of nursing studies in the training hospitals of Windhoek and Oshakati. A total of 46 fourth-year nursing students, registered at the Faculty of Medical and Health Sciences in the Department of Nursing, were included for phase 1 except for the two students who took part in the pilot study. The students were from both campuses, namely the Windhoek and Oshakati campuses, doing the four-year Diploma in Comprehensive Nursing curriculum, which incorporates the principles of critical thinking. An imaginary case scenario was developed for students to analyse and answer some relevant questions to enable the researcher to determine the level of understanding and integration of critical thinking. In this study each student’s answers were deductively analysed by calculating central values, more specifically the mean for each question, to determine their application of critical thinking skills in the management of a nursing problem The researcher has, with literature support, arrived at “umbrella” concepts, namely the most important concepts that nurses in Namibia need and without which they cannot practice. These umbrella concepts are to be included in the educational programme.
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评估学生护士在护理实践中对批判性思维的需求
本研究采用定量、准实验和情境设计。这一阶段的目标人群是在纳米比亚大学注册、在温得和克和奥沙卡提培训医院学习护理学第四年的高级实习护士。除参加试点研究的两名学生外,共有46名在护理系医学和健康科学学院注册的四年级护理学生被纳入第一阶段。这些学生来自两个校区,即温得和克校区和奥沙卡蒂校区,他们正在学习四年制综合护理文凭课程,其中包括批判性思维的原则。为了让学生分析和回答一些相关问题,研究者设计了一个虚构的案例场景,以确定理解和整合批判性思维的水平。在这项研究中,通过计算中心值,更具体地说是每个问题的平均值,对每个学生的答案进行演绎分析,以确定他们在护理问题管理中应用批判性思维技能。研究人员在文献支持下,得出了“保护伞”概念,即纳米比亚护士需要的最重要的概念,没有这些概念,他们就无法实践。这些概括性概念将列入教育方案。
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