DOI QR코드

DOI QR Code

Critical Thinking Disposition and Clinical Competence in General Hospital Nurses

종합병원 간호사의 비판적 사고성향과 임상수행능력

  • Park, Jin-Ah (Ewha Womans University Hospital) ;
  • Kim, Bog-Ja (Department of Clinical Nursing, College of Medicine, University of Ulsan)
  • 박진아 (이대목동병원 순환기내과병동) ;
  • 김복자 (울산대학교 의과대학 임상간호)
  • Published : 2009.12.31

Abstract

Purpose: This study was done to investigate the relationship between critical thinking disposition and clinical competence among nurses in general hospitals. Methods: This study was a descriptive-correlational study with a convenience sample of 560 nurses from 5 general hospitals. The data were collected by self-administered questionnaires. Critical thinking disposition was measured using the Critical Thinking Disposition Scale for Nursing Students. Clinical competence was measured using the Standardized Nurse Performance Appraisal Tool. Results: The mean score for critical thinking disposition and clinical competence was 3.37 and 4.10 respectively on a 5 point scale. A statistically significant correlation was found between critical thinking disposition and clinical competence. A regression model explained 72.8% of clinical competence. Prudence is the most significant predictor of clinical competence ($R^2=.728$). Conclusion: Study findings suggest that nurses with a higher level of critical thinking disposition would have a higher level of clinical competence. Furthermore, prudence might be the most important predictor of clinical competence. In order to strengthen clinical competence in nurses, the development and enhancement of critical thinking should be emphasized at the college level and nurses should be encouraged to make a clinical decision with greater prudence.

References

  1. American Philosophical Association. (1990). Critical Thinking: A statement of expert consensus for purposes of educational assessment and instruction. 'The Delphi Report', Committee on Pre-college Philosophy (ERIC Document Reproduction Service No. ED 315 423). Newark, DE: Author
  2. Brunt, B. A. (2005). Critical thinking in nursing: An integrated review. The Journal of Continuing Education in Nursing, 36(2), 60-67
  3. Chang, Y. H., Cho, Y. S., & Kwak, M. J. (2006). A study of factor related nursing competency in nurses. Clinical Nursing Research, 12, 7-19
  4. Cho, H. S. (2005). A study on the critical thinking disposition and clinical competency of nursing students. Journal of Korean Academic Society of Nursing Education, 11, 222-231
  5. Facione, N. C., 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, 345-350
  6. Hwang, J. W. (1998). A study on the relationships between critical thinking disposition and professional nursing competence. Unpublished master's thesis, Ewha Womans University, Seoul
  7. Jang, K. S. (2000). A study on establishment of clinical career development model of nurses. Unpublished doctoral dissertation, Yonsei University, Seoul
  8. Jeon, Y. S. (2007). A study on multiple sources in the nurse performance appraisal. Unpublished master's thesis, Chonbuk National University, Jeonju
  9. Jung, D. Y. (2001). A study on the critical thinking disposition and critical thinking skill about student nurse. Unpublished master's thesis, Ewha Womans University, Seoul
  10. Kim, J. L. (2007). A study on the relationships between critical thinking disposition and job satisfaction. Unpublished master's thesis, Kyunghee University, Seoul
  11. Kim, S. Y. (2003). A study of professional self-concept, critical thinking disposition and nursing performance of operating room nurses. Unpublished master's thesis, Korea University, Seoul
  12. Ko, K. J. (2003). A study on the critical thinking disposition and clinical competency of nursing students. Unpublished master's thesis, Kwandong University, Gangneung
  13. Kwon, I. S., Lee, G. E., Kim, G. D., Kim, Y. H., Park, K. M., Park, H. S., et al. (2006). Development of a critical thinking disposition scale for nursing students. Journal of Korean Academy of Nursing, 36, 950-958
  14. Lee, H. J. (2002). A study on critical thinking disposition and empowerment of clinical nurses. Unpublished master's thesis, Kyunghee University, Seoul
  15. Lee, M. J. (2002). A study on factor related to clinical competency in nurse. Unpublished master's thesis, Yonsei University, Seoul
  16. Martin, C. (2002). The theory of critical thinking of nursing. Nursing Education Perspectives, 23, 243-247
  17. May, B. A., Edell, B., Butell, S., Doughty, J., & Langford, C. (1999). Critical thinking and clinical competence: A study of their relationship in BSN. Journal of Nursing Education, 38, 100-110
  18. Maynard, C. A. (1996). Relationship of critical thinking ability to professional nursing competence. Journal of Nursing Education, 35, 12-18
  19. Park, J. S. (2008). Critical thinking disposition of preceptor nurse and professional nursing competence of new graduate nurse. Unpublished master's thesis, Ajou University, Suwon
  20. Park, S. A., Park, K. O., Kim, S. Y., & Sung, Y. H. (2007). A development of standardized nurse performance appraisal tool. Clinical Nursing Research, 13, 197-211
  21. Park, S. M., & Kwon, I. K. (2007). Factor influencing nurses' clinical decision making-Focusing on critical thinking disposition. Journal of Korean Academy of Nursing, 37, 863-871
  22. Profetto-McGrath, J. (2003). The relationship of critical thinking skills and critical thinking dispositions of baccalaureate nursing students. Journal of Advanced Nursing, 43, 569-577 https://doi.org/10.1046/j.1365-2648.2003.02755.x
  23. Rane-Szostak, D., & Robertson, J. F. (1996). Issue in measuring critical thinking: Meeting the challenge. Journal of Nursing Education, 35, 5-11
  24. Shin, K. R., Ha, J. Y., & Kim, K. H. (2005) A longitudinal study of critical thinking dispositions and critical thinking skills in baccalaureate nursing students. Journal of Korean Academy of Nursing, 35, 382-389
  25. Shin, K. R., Kang, M. J., Ko, J. K., Kong, B. H., Kim, S. L., Park, I. S., et al. (2007). Critical thinking and nursing process. Seoul:Hyunmoonsa
  26. Simpson, E., & Courtney, M. (2002). Critical thinking in nursing education: Literature review. International Journal of Nursing Practice, 8, 89-98. https://doi.org/10.1046/j.1440-172x.2002.00340.x
  27. Zhang, Z. X., Luk, W., Arthur, D., & Wong, T. (2001). Nursing competencies: Personal characteristics contributing to effective nursing performance. Journal of Advanced Nursing, 33, 467-474 https://doi.org/10.1046/j.1365-2648.2001.01688.x