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http://dx.doi.org/10.14400/JDC.2019.17.2.255

Effects of critical thinking and nursing practice environment on clinical decision making among nurses  

Jang, Insil (Department of Nursing, Ulsan University)
Lee, Kyoung-Sook (Department of Nursing, Ulsan University)
Publication Information
Journal of Digital Convergence / v.17, no.2, 2019 , pp. 255-264 More about this Journal
Abstract
This study was a cross-sectional study done to determine the relevance and impact factors of critical thinking and nursing practice environment on clinical decision making among nurses. A survey was conducted for April 2017 with self-report questionnaire. Participants were 261 registered nurses working in one tertiary hospital. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical regression analysis with SPSS/WIN(21.0). Factors affecting clinical decision making included age, educational background, position, work shift, clinical career. Clinical decision making had a positive correlation with critical thinking and nursing practice environment. And position, critical thinking and nursing practice environment accounted for 35.8% of the variance in clinical decision making. Therefore, quality management for developing nursing professionalism and administrative support for effective staffing and resource adequacy in addition improving critical thinking increase nurses'clinical decision making.
Keywords
Nurses; General hospital; Critical thinking; Environment; Decision making;
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