护理学报2025，Vol.32Issue(9)：1-6,6.DOI:10.16460/j.issn2097-6569.2025.09.001
无法忍受不确定性在本科护生批判性思维与临床推理间的中介效应
Mediating effect of intolerance of uncertainty between critical thinking and clinical reasoning in nursing undergraduates
摘要
Abstract
Objective To explore the mediating effect of intolerance of uncertainty between critical thinking and clinical reasoning among nursing undergraduates,and to provide theoretical basis for enhancing their clinical reasoning abilities.Methods Using convenience sampling,363 nursing undergraduates from a tertiary grade-A hospital in Shandong Province from October to December 2023 were selected as subjects.Data were collected using the General Information Questionnaires,the Critical Thinking Disposition Inventory,the Intolerance of Uncertainty Scale,and the Nurses Clinical Reasoning Scale.Structural equation modeling was conducted using AMOS 26.0,and the Bootstrap method was applied to examine the mediating effect model.Results The scores for critical thinking,intolerance of uncertainty,and clinical reasoning among nursing undergraduates were 130.94±20.94,32.40±6.51,and 55.15±14.23,respectively.Intolerance of uncertainty was negatively correlated with both critical thinking and clinical reasoning(both P＜0.01),while critical thinking was positively correlated with clinical reasoning(P＜0.01).Intolerance of uncertainty played a partial mediating role between clinical reasoning and critical thinking,with a mediating effect value of 0.133,accounting for 34.10％of the total effect.Conclusion Clinical reasoning ability,intolerance of uncertainty,and critical thinking are closely related.Critical thinking can indirectly influence clinical reasoning ability through intolerance of uncertainty.Nursing educators should adopt strategies to foster critical thinking and improve tolerance of uncertainty in nursing undergraduates to enhance their clinical reasoning abilities.关键词
本科护生/无法忍受不确定性/临床推理/批判性思维/中介效应Key words
nursing undergraduate/intolerance of uncertainty/clinical reasoning/critical thinking/mediating effect分类
预防医学引用本文复制引用
郭娜娜,安晓,夏雨,薛雅婷,王红..无法忍受不确定性在本科护生批判性思维与临床推理间的中介效应[J].护理学报,2025,32(9):1-6,6.基金项目
山东省重点研发计划-软科学项目(2020RKB14106) （2020RKB14106）
山东省教育厅本科教学改革研究项目(XM2022134) （XM2022134）
