Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Factors Influencing Nurses' Clinical Decision Making - Focusing on Critical Thinking Disposition -

간호사의 임상 의사결정능력 영향 요인 - 비판적 사고 성향을 중심으로 -

  • Park, Seung-Mi (Nursing staff development, Samsung Medical Center) ;
  • Kwon, In-Gak (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 박승미 (삼성서울병원 간호교육파트) ;
  • 권인각 (성균관대학교 임상간호대학원)
  • Published : 2007.10.31
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Abstract

Purpose: The purpose of this study was to investigate the factors influencing nurses' clinical decision making focusing on critical thinking disposition. Methods: The subjects of this study consisted of 505 nurses working at one of the general hospitals located in Seoul. Data was collected by a self-administered questionnaire between December 2006 and January 2007. Data was analyzed by one way ANOVA, Pearson correlation coefficients, and stepwise multiple regression using SPSS Win 14.0. Results: The mean scores of critical thinking disposition and clinical decision making were 99.10 and 134.32 respectively. Clinical decision making scores were significantly higher in groups under continuing education, with a master or higher degree, with clinical experience more than 5 years, or with experts. Critical thinking disposition and its subscales have a significant correlation with clinical decision making. Intellectual eagerness/curiosity, prudence, clinical experience, intellectual honesty, self-confidence, and healthy skepticism were important factors influencing clinical decision making(adjusted $R^2=33%$). Conclusion: Results of this study suggest that various strategies such as retaining experienced nurses, encouraging them to continue with education and enhancing critical thinking disposition are warranted for development of clinical decision making.

Keywords

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