Hemşirelik Öğrencilerinde Klinik Karar Verme Ve Problem Çözme Süreci İle Eleştirel Düşünce Arasındaki İlişki

Öz

Amaç: Bu çalışma hemşirelik öğrencilerinde klinik karar verme ve problem çözme ile eleştirel düşünme arasındaki ilişkiyi belirlemek amacı ile yapılmıştır. Yöntem: Kesitsel-analitik türdeki araştırma Mayıs-Haziran 2025 tarihleri arasında193 hemşirelik öğrencisi ile yürütüldü. Araştırma verileri Kişisel Bilgi Formu, Hemşirelikte Klinik Karar Verme Ölçeği, Problem Çözme Envanteri ve Eleştirel Düşünme Eğilim Ölçeğiyle toplanmıştır. Verilerin değerlendirilmesinde bağımsız gruplarda t testi, tek yönlü varyans ve pearson korelasyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan hemşirelik öğrencilerinin Eleştirel Düşünme Ölçeği toplam puan ortalaması 201.68±20.67, Hemşirelikte Klinik Karar Verme Ölçeği toplam puan ortalaması 103.78±25.35 ve Problem Çözme Envanteri toplam puan ortalaması 104.09±28.25 olarak bulunmuştur. Eleştirel Düşünme Ölçeği toplam puanı ile Hemşirelikte Klinik Karar Verme Ölçeği toplam puanı arasında pozitif yönlü ve düşük düzeyde bir ilişki bulunmuştur (r=0.155, p<0.05). Problem Çözme Envanteri ile Hemşirelikte Klinik Karar Verme Ölçeği toplam puanları arasında pozitif yönlü ve düşük şiddette ilişki belirlenmiştir (r=0.264, p˂0.01). Sonuç ve Öneriler: Hemşirelik öğrencilerinde eleştirel düşünme ve problem çözme becerilerindeki artışın klinik karar vermeyi olumlu etkilediği bulunmuştur. Dolayısıyla hemşirelik eğitiminde, aktif ve sorgulayıcı öğrenme tekniklerinin kullanılması, mentörlük programlarının işletilmesi, problem çözme ve eleştirel düşünmeyi bütünleştiren yapılandırılmış eğitim müfredatları ile desteklenmesi önerilmektedir.

Anahtar Kelimeler

• Eleştirel Düşünme
• Klinik Karar Verme
• Öğrenci Hemşire
• Problem Çözme

The Relatıonship Between Clinical Decision-Making And Problem-Solving Processes And Critical Thinking in Nursing Students

Öz

Purpose: This study was conducted to determine the relationship between clinical decision-making and problem-solving and critical thinking in nursing students. Method: This cross-sectional-analytical study was conducted with 193 nursing students between May and June 2025. Research data were collected using a Personal Information Form, the Clinical Decision Making Scale in Nursing, the Problem Solving Inventory, and the Critical Thinking Tendency Scale. Independent groups t-test, one-way analysis of variance, and Pearson correlation analysis were used to evaluate the data. Results: The mean total scores of the nursing students participating in the study were 201.68±20.67 for the Critical Thinking Scale, 103.78±25.35 for the Clinical Decision Making Scale in Nursing, and 104.09±28.25 for the Problem Solving Inventory. A positive and low-level correlation was found between the total score on the Critical Thinking Scaleand the total score on the Clinical Decision Making Scale in Nursing (r=0.155, p<0.05). A positive and low-level correlation was determined between the total scores of the Problem Solving Inventory and the Clinical Decision Making Scale in Nursing (r=0.264, p˂0.01). Conclusions and Suggesitons: It was found that the increase in critical thinking and problem-solving skills among nursing students positively affected clinical decision-making. Therefore, it is recommended that active and inquiry-based learning techniques be used in nursing education, mentoring programs be implemented, and structured curriculaint egrating problem-solving and critical thinking be supported.

Anahtar Kelimeler

• Clinical Decision Making
• Cricital Thinking
• Problem Solving
• Student Nurse

Kaynakça

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