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从创造性的自我效能到临床决策的信心:一个维度结构方程建模分析通过自导学习在护理研究生之间的学习
Wenyu Yue1, Yihui Lin1, Xiaoqin Ma2
1School of Nursing, Zhejiang Chinese Medical University, No. 548 Binwen Road, Binjiang District, Hangzhou, 310053, China.
Nurse education today
|September 16, 2025
概括
自主学习部分介绍了研究生护理学生的创造性自我效能和临床决策信心之间的联系. 超认知技能,如学习意识和策略,是提高信心的关键.
科学领域:
- 护理教育 护理教育
- 认知心理学 认知心理学
- 医学教育 医学教育
背景情况:
- 研究生护理学生在临床实践中经历了重大的认知和情感挑战.
- 在护理中的理论知识和实际应用之间存在差距.
- 了解创造性自我效能和自我导向学习的作用对于培养临床决策信心至关重要.
研究的目的:
- 检查自主学习 (SDL) 对创造性自我效能与临床决策信心之间的关系的调解效应.
- 探索SDL如何影响研究生护理学生对临床决策的信心的发展.
主要方法:
- 对来自多所中国医学院的278名研究生进行了横截面研究.
- 经过验证的调查问卷测量了创造性自我效能,SDL和临床决策信心.
- 使用结构方程建模与引导式调解分析.
主要成果:
- 工作经验是临床决策信心的最强有力的预测因素,其次是创造性的自我效能.
- 自主学习显著调解了创造性自我效能与临床决策信心之间的关系.
- 作为SDL的维度,学习意识和学习策略是重要的调解者.
结论:
- 自主学习部分介绍了创造性自我效能与临床决策信心之间的关系.
- SDL的元认知方面,特别是学习意识和策略,是增强信心的主要途径.
- 教育干预应专注于培养超认知技能和战略学习,以支持护理学生的临床决策.
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