Browse > Article
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;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 S. Park & I. Kwon. (2007). Factors Influencing Nurses' Clinical Decision Making - Focusing on Critical Thinking Disposition. Journal of Korean Academy of Nursing, 37(6), 836-871. https://doi.org/10.4040/jkan.2007.37.6.863   DOI
2 E. Rober. (1991). Critical thinking. Teaching Philosophy, 14(1), 5-24.   DOI
3 K. Sung. (2010). The education for critical thinking. Journal of Korean Educational Idea, 24(3), 155-72.DOI :
4 S. Jung & D. Jung. (2011). Relationship between Critical Thinking Disposition, Clinical Decision Making and Job Satisfaction of Cancer Center Nurses. The Journal of Korean Nursing Administration Academic Society, 17(4), 443-450. https://doi.org/10.11111/jkana.2011.17.4.443   DOI
5 J. Park & B. Kim. (2009). Critical Thinking Disposition and Clinical Competence in General Hospital Nurses. Journal of Korean Academy of Nursing, 39(6), 840-850. https://doi.org/10.4040/jkan.2009.39.6.840   DOI
6 E. Cho, M. Choi, E. Y. Kim, I. J. Yoo & N. J. Lee. (2011). 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, 41(3), 325-332. https://doi.org/10.4040/jkan.2011.41.3.325   DOI
7 H. Jenkins. (1985). Improving clinical decision making in nursing. Journal of Nursing Education, 24(6), 242-243.   DOI
8 M. Baek. (2005). Relationship between level of autonomy and clinical decision-making in nursing scale of E. T. nurse, Yonsei University, Unpublished master's thesis.
9 E. T. Lake & C. R. Friese. (2006). Variations in nursing practice environments - Relation to staffing and hospital characteristics. Nursing Research, 55(1), 1-9.   DOI
10 J. Kwon & E. Kim. (2012). 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, 18(4), 414-423. https://doi.org/10.11111/jkana.2012.18.4.414   DOI
11 M. Lee & J. Kim. (2013). A comparative study on nursing practice environment, professionalism, and job satisfaction according to hospital size. Journal of Korean Academy of Nursing Administration, 19(4), 470-479. https://doi.org/10.11111/jkana.2013.19.4.470   DOI
12 J. Lee & S. Pak. (2014). Relationship between the practice environment of nursing and critical thinking disposition of nurses in local general hospitals. Journal of Korean Academy of Nursing Administration, 20(2), 145-153. https://doi.org/10.11111/jkana.2014.20.2.145   DOI
13 C. Ma & S. H. Park. (2015). Hospital magnet status, unit work environment, and pressure ulcers. Journal of Nursing Scholarship, 47(6), 565-573.   DOI
14 H. Choi & D. Cho. (2011). Influence of Nurses' Performance with Critical Thinking and Problem Solving Process Korean. Journal of women health nursing, 17(3), 265-274.   DOI
15 J. Lee & S. Park. (2014). Relationship between the Practice Environment of Nursing and Critical Thinking Disposition of Nurses in Local General Hospitals. The Journal of Korean Nursing Administration Academic Society, 20(2), 145-153. https://doi.org/10.11111/jkana.2014.20.2.145   DOI
16 M. Sung & O. Eum. (2009). Relationships between critical thinking disposition, professional nursing competence and job satisfaction in clinical nurses. Journal of Korean Academy of Nursing Administration, 15(1), 26-36.
17 Y. Bong, H. So & H. You. (2009). A study on the relationship between job stress, self-efficacy and job satisfaction in nurses. Journal of Korean Academy of Nursing Administration, 15(3), 425-433.
18 Y. Shin, H. Lee & Y. Lim. (2010). Predictors of clinical competence in new graduate nurses. Journal of Korean Academy of Nursing Administration, 16(1), 37-47. https://doi.org/10.11111/jkana.2010.16.1.37   DOI
19 L. Aiken & P. Patrician. (2000). Measuring organizational traits of hospitals: the Revised Nursing Work Index. Nursing research, 49(3), 146-153.   DOI
20 L. Fowler. (1998). Improving critical thinking in nursing practice. Journal for nurses in staff development : JNSD, Official Journal of the National Nursing Staff Development Organization, 14(4), 183-187.   DOI
21 M. Rosenberg. (1965). Society and the adolescent self-image. Princeton University Press.
22 G. Olthuis, C. Leget & W. Dekkers. (2007). Why hospice nurses need high self-esteem. Nurs Ethics, 14(1), 62-71.   DOI
23 J. Profetto-McGrath, K. L. Hesketh, S. Lang & C. A. Estabrooks. (2003). A study of critical thinking and research utilization among nurses. Western Journal of Nursing Research, 25(3), 322-337.   DOI
24 J. W. Westerman & B. L. Simmons. (2007). The effects of work environment on the personality-performance relationship: An exploratory study. Journal of Managerial Issues, 19(2), 289-305.
25 M. Gang. (2011). Critical Thinking Disposition and Self-esteem of Psychiatric Mental Health Nurses. Journal for Korean Academy of Psychiatric and Mental Health Nursing, 20(4), 404-413. https://doi.org/10.12934/jkpmhn.2011.20.4.404   DOI
26 E. T. Lake. (2002). Development of the practice environment scale of the Nursing Work Index. Research in Nursing & Health, 25(3), 176-188.   DOI
27 M. Smith, J. Higgs & E. Ellis. (2007). Physiotherapy decision making in acute cardiorespiratory care is influenced by factors related to the physiotherapist and the nature and context of the decision: a qualitative study. Australian Journal of Physiotherapy, 53(4), 261-267.   DOI
28 E. Lake & C. Friese. (2006). Variations in nursing practice environments: relation to staffing and hospital characteristics. Nursing research, 55(.1), 1-9.   DOI
29 S. Kim. (2010). A study on the clinical decision making of home healthcare nurses, Seoul National University, Unpublished doctoral dissertation.
30 G. Raterink. (2011). Critical thinking: Reported enhancers and barriers by nurses in long-term care: Implications for staff development. Journal for Nurses in Professional Development, 27(3), 136-142.
31 S. Berkow, K. Virkstis, J. Stewart S. Aronson & M. Donohue. (2011). Assessing Individual Frontline Nurse Critical Thinking. The Journal of nursing administration, 41(4), 168-171.   DOI
32 E. Choi, J. Hwang & I. Jang. (2017). Effects of nursing practice environment and self-esteem on critical thinking disposition among clinical nurses. Journal of Korean Academy of Nursing Administration, 23(2), 161-169. https://doi.org/10.11111/jkana.2017.23.2.161   DOI