| 研究生: |
黃秀雲 Hwang, Shiow-Yun |
|---|---|
| 論文名稱: |
中文版批判性思維特質測量表於臺灣臨床護理人員之測試 Testing of the Chinese Version of Critical Thinking Disposition Inventory among Clinical Nurses in Taiwan |
| 指導教授: |
顏妙芬
Yen, Miaofen |
| 學位類別: |
碩士 Master |
| 系所名稱: |
醫學院 - 護理學系 Department of Nursing |
| 論文出版年: | 2008 |
| 畢業學年度: | 96 |
| 語文別: | 中文 |
| 論文頁數: | 102 |
| 中文關鍵詞: | 精簡版中文版批判性思維特質量表 、信度 、中文版批判性思維特質量表 、效度 |
| 外文關鍵詞: | reliability, validity., SF-CTDI-CV, Critical Thinking Disposition Inventory- Chinese |
| 相關次數: | 點閱:121 下載:32 |
| 分享至: |
| 查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
批判性思維為臨床照護必備之能力,了解護理人員的批判性思維特質,可做為臨床護理行政策略之依據,但測量台灣護理人員批判性思維特質量表仍從缺。本研究目的主在檢測香港學者彭等之批判性思維特質量表(CTDI-CV),用於臺灣臨床護理人員的信、效度,以了解此量表之合適性。研究設計採結構式問卷調查法,以隨機取樣,取領有護理證照,現職臨床護理人員為研究對象,採自填量表方式,研究工具為CTDI-CV,有效樣本864位。先以驗證性因素分析法觀察建構效度,如結果欠佳,再以探索性因素分析法檢測效度,以內在一致性檢測信度和內在等級相關係數檢測穩定度,主要發現:(一)驗證性因素分析檢視CTDI-CV用於臺灣護理人員之建構效度,絕對適配指標p< .05、χ2/df = 4.66、GFI.59、AGFI.56、SRMR.11,呈現模式適配度不良。(二)以探索性因素分析,依據項目分析,去除不良題項,得三因素18個題項之量表結構最佳,總解釋變異量最高,達44%,總量表及分量表之內在一致性皆大於.8。(三)再以驗證性因素分析檢視SF-CTDI-CV用於臺灣護理人員之建構效度,絕對適配指標χ2/df = 4.04、p< .05、GFI = .93、AGFI = .91、SRMR = .076、RMSEA = .059,模式適配度佳。SF-CTDI-CV對台灣護理人員是一具有良好信、效度的測量工具,可方便有效的使臨床行政管理者了解護理人員之批判思維特質,做為教育策略之考量。
Critical thinking skill is the essential ability in nursing clinical practice. It would be a guide line to lead nursing administration strategy when we understand the nurse’s critical thinking disposition. But the scale of critical thinking disposition inventory for Taiwan nurses is still lacking.
The Chinese version of critical thinking disposition inventory (CTDI-CV) was edited by Pang-et-al who applied the Chinese culturally concept in the California critical thinking disposition inventory. It had been tested among Chinese nursing students. The overall content validity index (CVI) was .89 and the subscale CVI were ranging from .60 to 1. Cronbach’s α of the overall scale was .90, the subscale ranged from .54 to .77. The CTDI-CV contained 70 items with 7 subscales.
This study was to test the CTDI-CV among clinical nurses in Taiwan. There were 864 participants in this study whom were stratified random sampling from different hospital’s registered nurses. Data were collected by self administration using a structred questionnaire. The confirmatory factor analysis used to test the goodness-of-fit of the hypothetical measurement model with poor results: χ2/df = 4.66, p< .05, GFI = .59, AGFI = .56, SRMR = .11, RMSEA = .07. The exploratory factor analysis was then to test the structures of the underline factors. Guiding by item analysis the number of items was decreased to 32 items. Further, 14 items were deleted through the analysis of factoral structure and communalities < .3. The final scale norminated short form critical thinking disposition inventory contained 18 items with 3 subscales. The total explained variance from the 18 items was 44%. Cronbach’s α for overall and each subscale were over .8. The CFA reused to test the goodness-of-fit of the SF-CTDI-CV among clinical nurses in Taiwan with good results: χ2/df = 4.04, p< .05, GFI = .93, AGFI = .91, SRMR = .076, RMSEA = .059. SF CTDI-CV are effective and convenient for researches and participants to understand Participants’ critical thinking disposition.
參考資料
中文文獻
王保進(2006).SPSS與行為科學研究.臺北:心理。
王敬茹、孫保亮、王蘭平、於新美(2006).批判性思維在謢生實習教學中的應用.齊魯護理雜誌,12(3),212-213。
王維利、陳元鯤、陳珊珊、趙梅、蘇普玉(2006).批判性思維教學實踐及效果評價.中華護理雜誌,41(9),834-836。
王俊明(1999).問卷與量表的編製及分析方法.於張至滿、王俊明主編,體育測驗與評價(139-158頁).台北市:中華民國體育學會。
史麗珠、張薰榕、劉孟茹、鄭秀貴(2007).醫療工作的壓力源感受量表之設計及信效度檢定.台灣衛誌,26(6),452-461。
李丹、張琳、蔡小紅、胡榮、譚進(2007).高職護理專業護生評判性思維的測量及相關因素分析.中華護理雜誌,42(1),68-70。
李茂能(2006).結構方程模式軟體AMOS之簡介及其在測驗編制上之應用.臺北市:心理。
何容主編(1988).國語日報辭典.台北市:國語日報社。
何三本、王玲玲(1995).現代語義學.臺北市:三民。
林明珍、潘妮妮、姜秋玲(2005).運用概念圖於五專新生護理學導論之教學.實證護理,1(2),101-111。
林明珍、黃秀雲、陳芳巧(2003).護理系在職專班學生學習概念圖之態度與成效.慈濟護理雜誌,2(1),42-52。
吳炳鍾、陳本立、蘇篤仁(1993).大陸簡明英漢辭典.台北:大陸
吳明隆(2006).SPSS統計應用實務.臺北市:松崗。
吳明隆、涂金堂(2006).SPSS與統計應用分析.臺北市:五南。
吳淑芳(2005).國外量表之兩階段翻譯及信、效度測試.護理雜誌,53(1),65-71。
吳禮權(1998).中國現代修辭學通論.臺北市:臺灣商務。
邱皓政(2006).量化研究與統計分析:SPSS中文視窗版資料分析範例解析(三)‧臺北市:松崗。
阮玉梅/胡月娟(2006).醫療保健體系與護理人員的角色功能.於蘇麗智、阮玉梅、胡月娟、林明珍、李引玉、羅筱芬、張淑珍,最新護理學導論(五版,151-212頁).台北:華杏。
祝建華(2001).中文傳播研究之理論化與本土化:以受眾及媒介效果的整合理論為例.新聞學研究,68,1-22。
徐烈炯(1996).語意學.臺北市:五南。
孫汝建(2006).修辭的社會心理分析.上海:上海外語教育。
許虹、彭美慈、汪國成、陳基樂、胡ㄧ平、汪國建(2006).護理本科生評判性思維能力特徵及相關因素的分析.中華護理雜誌,41(2),155-157。
許麗齡(1999).批判性思考在護理過程之應用.護理雜誌,46(5),75-80。
許麗齡、謝素英(2001).臨床概念圖-提昇學生之臨床學習.護理雜誌,48(1),70-76。
許麗齡(2002).反省思維與批判性思考--以臨床日誌為例.護理雜誌,49(6),67-72。
陳密桃(1995).我國台灣地區國中學生批判思考的相關因素及其教學效果之分析研究.國立高雄師範大學教育學系教育學刊,12,71-148。
陳麗華、李涵鈺、林陳涌(2004).國內批判思考測驗工具及其應用之分析.課程與教學季刊,7(2),1-24。
陳夏蓮、陳品玲、李美麗、李薇莉、李文昭(2006).護生批判思考能力和學習策略關係之探討.實證護理,2(1),43-52。
陳順宇(2005).多變量分析.臺北:華泰。
黃財尉(2003).共同因素分析與主成份分析之比較.彰化師大輔導學報,25,63-86。
黃芳銘(2007).結構方程模式:理論與應用.臺北市:五南。
郭生玉(2004).教育測驗與評量.臺北:精華。
張琳、司聯晶、許明、米家鳳(2006).護理本科生評判性思維能力的比較研究.中國高等醫學教育,12,55-56。
張春興(2006).張氏心理學辭典.臺北:東華。
張樑治、蔡志堅(2005).醫護人員專屬的工具書:SPSS for生物統計.臺北市:啟英。
彭美慈、汪國成、陳基樂、陳滿輝、白洪海、李守國、李繼平、蔡芸芳、王君俏、殷磊(2004).中華護理雜誌,39(9),644-647。
溫明麗(1997).批判性思考教學:哲學之旅.台北:師大書苑。
溫明麗(2002).皮亞傑與批判性思考教學.臺北:洪葉。
曾惠珍、簡淑媛、徐芸芸、柯薰貴、金繼春、周汎澔(2006).應用“問題導向學習”於“臨床案例分析”護理課程之效果.醫護科技學刊,8(2),121-131。
傅粹馨(2002).主成份分析和共同因素分析相關議題之探究.教育與社會研究,3,107-132。
葉玉珠(1999).代理(課)教師批判思考教學專業知識、個人教學效能及教學行為之現況及關係之研究.國立政治大學學報,78,55-84。
葉美玲(2001).批判性思維與護理教學策略.新台北護理期刊,3(1),7-12。
葉美玲、陳興夏(2002).互動式影音電腦輔助教學教材之研發與測試.護理雜誌,49(1),55-60。
錢乃榮(2002).現代漢語概論.臺北市:師大書苑。
戴維揚、梁耀南主編(2003).語言與文化.臺北市:文鶴。
顏崑陽主編(1990).故鄉實用成語辭典.臺北市:故鄉。
辭海(1981)台南:正業。
譚蓉瑩(2000).批判性思考--我國護理人員的第七項護理能力.護理雜誌,47(3),52-58。
蘇惠明、黃瑞美(2000).應用於臨床推理的批判思考策略.護理雜誌,47(6),65-70。
蘇惠明、黃瑞美(2001).直接教授思考策略的教學設計.護理雜誌,48(3),85-89。
Fisher, A.(2004).批判思考導論(林葦芸譯).臺北市:巨流。(原著出版於2001)
Maruyama, G. M.(2006).結構方程模式的基本原理(陳玉樹、黃財尉、黃芳銘譯).高雄市:麗文。(原著出版於1997)
英文文獻
Adams, B. L. (1999). Nursing education for critical thinking: An integrative review. Jounal of Nursing Education, 38(3), 111-119.
Albert, R. T., Albert, R. E., & Radsma, J. (2002). Relationships among bilingualism, critical thinking ability, and critical thinking disposition. Journal of Professional Nursing, 18(4), 220-229.
Beckie, T. M., Lowry, L. W., & Barnett, S. (2001). Assessing critical thinking in baccalaureate nursing students: A longitudinal study. Holistic Nursing Practice, 15(3), 18-26.
Benner P., Tanner, C. (1987) Clinical Judgment: How Expert Nurses Use Intuition The American Journal of Nursing, 87 (1), 23-31
Beauchamp, T. L., & Childress, J. F. (2001). Principles of biomedical ethics. NY: Oxford.
Boychuk, J. E. (1999). Catching the wave: Uunderstanding the concept of critical thinking. Journal of Advanced Nursing, 29(3), 577-583.
Colucciello, M. L. (1997). Critical thinking skills and dispositions of baccalureate nursing students — a conceptual model for evaluation. Journal of Professional Nursing, 13, 236-245.
Comrey A. (1973) A First Course on Factor Analysis, London: Academic Press.
DeVellis, R. F. (2003). Scale development: Theory and applications (2nd ed.). Newbury Park, CA: Sage Publications.
Dewey, J. (1997). How We Think. N.Y.: Dover Publicaions.
Duchscher, J. E. B. (2003). Critical thinking: Perceptions of newly graduated female baccalaureate nurses. Journal of Nursing Education, 42(1), 14-27.
Facione, P. A. (1990). Critical thinking: A statement of expert consensus for purposes of educational assessment and instruction. Millbrae, CA: The California Academic Press.
Facione, P. A., & Facione, N. C. (1992). The California critical thinking dispositions inventory. Millbrae, CA: The California Academic Press.
Facione, N., Facione, P. A., & Sanchez, C. A. (1994). Critical thinking disposition as a measure of competent clinical judgment: The development of the California critical thinking disposition inventory. Journal of Nursing Education, 33(8), 345-350.
Facione, P. A., Sanchez, C. A., Facione, N. C., & Gainen, J. (1995). The disposition toward critical thinking. Journal of General Education, 44(1), 1-25.
Facione, N. C., & Facione, P. A. J. (1996). Externalizing the critical thinking in clinical judgment. Nursing Outlook, 44, 129-136.
Facione, P. A., Facione, N. C., & Giancarlo, C. A. F. (1997). Professional Judgment and the disposition toward critical thinking. Millbrae, CA: The California Academic Press.
Facione, P. A., Facione, N. C., & Giancarlo, C. A. F. (2000). The disposition toward critical thinking: Its character, measurement, and relationship to critical thinking skill. Informal Logic, 20(1), 61-84.
Fealy, G. M. (2004). The good nurse’ visions and values in images of the nurse. Journal of Advanced Nursing, 46(6), 649–656.
Fink, A. (2003). How to ask survey questions ( 2nd ed.). Thousand Oaks, CA: Sage Publications.
Gambrill, E.,(2005). Critical thinking in clinical practice :improving the quality of judgments and decisions. Hoboken, N. J.: Wiley.
Giancarlo, C. A., & Facione, P. A. (2001). A look across four year at the disposition toward critical thinking among undergraduate students. Journal of General Education, 50(1), 29-55.
Gorsuch R. (1983) Factor Analysis (2nd ed.). London: Saunders.
Ip, W. Y., Lee, D. T. F., Lee, I. F. K., Chau, J. P. C., Wootton, Y. S. Y., & Chang, A. M. (2000). Disposition towards critical thinking: A study of Chinese undergraduate nursing students. Journal of Advanced Nursing, 32(1), 84-90.
Kendall, P.C., Butcher, J. N., & Holmbeck, G. N. (1999). Handbook of Research Methods in Clinical Psychology (2nd ed.). John Wiley & Sons Inc.
King, L., Appleton, J.V. (1997) Intuition: a critical review of the research and rhetoric.
Journal of Advanced Nursing 26(1), 194–202.
Knapp, T. R. (1985). Validity, reliability, and neither. Nursing, 34(3), 189-192.
McCarthy, P., Schuster, P., Zehr, P. & McDougal D. (1999) Evaluation of critical thinking in baccalaureate nursing program. Journal of Nursing Education, 38, 142-144.
Norbeck, J. (1985). What constitutes a publishable report of instrument development? Nursing Research, 34, 380-382.
Norris, S. P., & Ennis, R. H. (1989). Evaluating critical thinking. Pacific Grove, CA: Midwest Publication.
Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory. New York: McGraw-Hill.
Pan, S. M. C., Wong, T. K. S., Wang, C. S., Zhang, Z. J., Chan, H. Y. L., & Lam, C. W. Y., et al. (2004). Towards a Chinese definition of nursing. Journal of Advanced Nursing, 46(6), 657–670.
Pett, M. A. (1997). Nonparametric statistics for health care research: Statistics for small samples and unusual distributions.(pp. 35-40).Calfornia:Sage.
Profetto-McGrath, J. (2003). The relationship of critical thinking skills and critical thinking dispositions of baccalaureate nursing students. Journal of Advanced Nursing, 43(6), 569-577.
Profetto-McGrath, J. Hesketh, K.L., Lang, S., & Estabrooks, C. A. (2003). A Study of Critical Thinking and Research Utilization Among Nurses. Western Journal of Nursing Reseach, 25(3).
Raylu, N. & Oei, T. P. S. (2004) The Gambling Related Cognitions Scale (GRCS): development, confirmatory factor validation and psychometric roperties. Society for the Study of Addiction, 99, 757–769.
Robinson, J. P., Shaver, P. R., & Wrightsman, L. S. (1991) Measures of Personality and Social Psychological Attitudes. San Diego: Academic Press.
Simpson, E., & Courtney, M. (2002). Critical thinking in nursing education: Literature review. International Journal of Nursing Practice, 8(2), 89-98.
Thurmond, V. A. (2001). The holism in critical thinking: A concept analysis. Journal of Holistic Nursing, 19(4), 375-389.
Tinsley, H. E. A., & Tinsley, D. J. (1986). Uses of factor analysis in counseling psychology research. Journal of Counseling Psychology, 34(4), 414-424.
Tiwari, A., Lai, P., So, M.& Yuen, K. (2006). A comparison of the effects of problem-based learning and lecturing on the development of students’ critical thinking. Medical Education, 40, 547-554.
Tiwari, A., Avery, A., & Lai, P. (2003). Critical thinking disposition of Hong Kong Chinese and Australian nursing students. Journal of Advanced Nursing, 44(3), 298-307.
Waltz, C. F., Strickland, O. L., & Lenz, E. R. (2005). Measurement in nursing and health research (3rd ed.). New York: Springer.
Yeh, M. L. (2002). Assessing the reliability and validity of the Chinese version of the California critical thinking disposition inventory. International Journal of Nursing Studies, 39(2), 123–132.
Yeh, M. L., & Chen, H. H. (2003). Comparison affective disposition toward critical thinking across Chinese and American baccalaureate nursing students. Journal of Nursing Research, 11(1), 39–45.
Yeh, M. L., & Chen, H. H. (2005). Effects of an educational program with interactive videodisc systems in improving critical thinking dispositions for RN-BSN students in Taiwan. International Journal of Nursing Studies, 42, 333–340.
Yen, M., & Lo, L-H. (2002). Examining test-retest reliability. Nursing Research, 51(1), 59-62.
Yu, D., Lee, D., & Woo, J. (2004). Issues and challenges of instrument translation. Western Journal of Nursing Research, 26(3), 307-320.