Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Effects of Nursing Practice Environment and Self-esteem on Critical Thinking Disposition among Clinical Nurses

임상간호사의 간호근무환경과 자아존중감이 비판적 사고성향에 미치는 영향

  • Received : 2016.11.14
  • Accepted : 2017.03.11
  • Published : 2017.03.31
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Abstract

Purpose: This study was a cross-sectional study done to determine the relevance and impact factors of nursing practice environment and self-esteem on critical thinking disposition in clinical nurses. Methods: A survey was conducted from March to May 2015 with self-report questionnaire. Participants were 281 registered nurses working in one tertiary hospital. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression with SPSS/WIN 21.0. Results: Factors affecting the nurses' critical thinking disposition included age (F=7.23, p<.001), educational background (F=7.82, p<.001), position (F=14.95, p<.001), clinical career (F=7.66, p<.001). Further, critical thinking disposition had a positive correlation with nursing practice environment (r=.60, p<.001) and self-esteem (r=.41, p<.001). Self-esteem and nursing practice environment accounted for 43% of the variance in critical thinking disposition. Conclusion: The study findings show that critical thinking disposition is influenced by nursing foundations for quality of care and the collegial nurse-physician relations of nursing practice environment. Therefore, it's necessary to provide continuing education for clinical nurses to reconstruct the organizational culture of nurses and physician partnerships. In addition, increasing self-esteem through various motivational programs should increase critical thinking disposition.

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References

  1. Alfaro-LeFevre R. Critical thinking, clinical reasoning, and clinical judgment: a practical approach. 5th ed. St. Louis, MO: Saunders/Elsevier; 2013.
  2. Sung KS. Education for critical thinking. Journal of Educational Idea. 2010;24(3):155-172.
  3. Zuriguel Perez E, Lluch Canut MT, Falco Pegueroles A, Puig Llobet M, Moreno Arroyo C, Roldan Merino J. Critical thinking in nursing: Scoping review of the literature. International Journal of Nursing Practice. 2015;21(6):820-830. https://doi.org/10.1111/ijn.12347
  4. Lunney M. Critical thinking to achieve positive health outcomes: nursing case studies and analyses. 2nd ed. New York, NY: John Wiley & Sons; 2013.
  5. Gang MH. Critical thinking disposition and self-esteem of psychiatric mental health nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2011;20(4):404-413. https://doi.org/10.12934/jkpmhn.2011.20.4.404
  6. Park SM, Kwon IG. Factors influencing nurses' clinical decision making-focusing on critical thinking disposition. Journal of Korean Academy of Nursing. 2007;37(6):863-871. https://doi.org/10.4040/jkan.2007.37.6.863
  7. Jung SC, Jung DY. Relationship between critical thinking disposition, clinical decision making and job satisfaction of cancer center nurses. Journal of Korean Academy of Nursing Administration. 2011;17(4):443-450. https://doi.org/10.11111/jkana.2011.17.4.443
  8. Park JA, Kim BJ. Critical thinking disposition and clinical competence in general hospital nurses. Journal of Korean Academy of Nursing. 2009;39(6):840-850. https://doi.org/10.4040/jkan.2009.39.6.840
  9. Shoulders B, Follett C, Eason J. Enhancing critical thinking in clinical practice: Implications for critical and acute care nurses. Dimensions of Critical Care Nursing. 2014;33(4):207-214. https://doi.org/10.1097/dcc.0000000000000053
  10. Lee JY, Pak SY. Relationship between the practice environment of nursing and critical thinking disposition of nurses in local general hospitals. Journal of Korean Academy of Nursing Administration. 2014;20(2):145-153. https://doi.org/10.11111/jkana.2014.20.2.145
  11. Lake ET, Friese CR. Variations in nursing practice environments: relation to staffing and hospital characteristics. Nursing Research. 2006;55(1):1-9. https://doi.org/10.1097/00006199-200601000-00001
  12. Cornell P, Riordan M, Townsend-Gervis M, Mobley R. Barriers to critical thinking: workflow interruptions and task switching among nurses. The Journal of Nursing Administration. 2011;41(10):407-414. https://doi.org/10.1097/NNA.0b013e31822edd42
  13. Raterink G. Critical thinking: reported enhancers and barriers by nurses in long-term care: implications for staff development. Journal for Nurses in Staff Development. 2011;27(3):136-142. https://doi.org/10.1097/NND.0b013e318217b3f3
  14. Rosenberg M. Society and the adolescent self-image. Princeton, N.J.: Princeton University Press; 1965.
  15. Olthuis G, Leget C, Dekkers W. Why hospice nurses need high self-esteem. Nursing Ethics. 2007;14(1):62-71. https://doi.org/10.1177/0969733007071359
  16. Profetto-McGrath J, Hesketh KL, Lang S, Estabrooks CA. A study of critical thinking and research utilization among nurses. Western Journal of Nursing Research. 2003;25(3): 322-337. https://doi.org/10.1177/0193945902250421
  17. Suliman WA, Halabi J. Critical thinking, self-esteem, and state anxiety of nursing students. Nurse Education Today. 2007;27(2):162-168. https://doi.org/10.1016/j.nedt.2006.04.008
  18. Chan ZC. A systematic review of critical thinking in nursing education. Nurse Education Today. 2013;33(3):236-240. https://doi.org/10.1016/j.nedt.2013.01.007
  19. Kang YS, Choi YJ, Park DL, Kim IJ. A study on nurses' selfleadership, self-esteem, and organizational effectiveness. Journal of Korean Academy of Nursing Administration. 2010;16(2): 143-151. https://doi.org/10.11111/jkana.2010.16.2.143
  20. Lake ET. Development of the practice environment scale of the Nursing Work Index. Research in Nursing & Health. 2002;25(3):176-188. https://doi.org/10.1002/nur.10032
  21. Cho E, Choi M, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing. 2011;41(3):325-332. https://doi.org/10.4040/jkan.2011.41.3.325
  22. Jon BJ. Self-esteem: a test of its measurability. Yonsei Nonchong. 1974;11(1):107-130.
  23. Berkow S, Virkstis K, Stewart J, Aronson S, Donohue M. Assessing individual frontline nurse critical thinking. The Journal of Nursing Administration. 2011;41(4):168-171. https://doi.org/10.1097/NNA.0b013e3182118528
  24. Kwon JO, Kim EY. Impact of unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. Journal of Korean Academy of Nursing Administration. 2012;18(4):414-423. https://doi.org/10.11111/jkana.2012.18.4.414
  25. Lee MH, Kim JK. A comparative study on nursing practice environment, professionalism, and job satisfaction according to hospital size. Journal of Korean Academy of Nursing Administration. 2013;19(4):470-479. https://doi.org/10.11111/jkana.2013.19.4.470
  26. Ma C, Park SH. Hospital magnet status, unit work environment, and pressure ulcers. Journal of Nursing Scholarship 2015;47(6):565-573. https://doi.org/10.1111/jnu.12173
  27. Song HJ, Lee SM. The effects of hospital nurses' self-esteem and communication skill on self-leadership and the quality of nursing service. Journal of Korean Academy of Nursing Administration. 2016;22(3):220-229. https://doi.org/10.11111/jkana.2016.22.3.220
  28. Choi HR, Cho DS. Influence of nurses' performance with critical thinking and problem solving process. Korean Journal of Women Health Nursing. 2011;17(3):265-274. https://doi.org/10.4069/kjwhn.2011.17.3.265
  29. Benner P. From novice to expert: excellence and power in clinical nursing practice. London: Addison-Wesley; 1984.
  30. Boschma G, Einboden R, Groening M, Jackson C, MacPhee M, Marshall H, et al. Strengthening communication education in an undergraduate nursing curriculum. International Journal of Nursing Education Scholarship. 2010;7(1). https://doi.org/10.2202/1548-923X.2043

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