Effects of Nursing Practice Environment and Self-esteem on Critical Thinking Disposition among Clinical Nurses.
10.11111/jkana.2017.23.2.161
- Author:
Eunju CHOI
1
;
Jihyeon HWANG
;
Insil JANG
Author Information
1. Department of Nursing, Asan Medical Center, Korea.
- Publication Type:Original Article
- Keywords:
Nurses;
Thinking;
Environment;
Self-concept
- MeSH:
Cross-Sectional Studies;
Education, Continuing;
Foundations;
Humans;
Nurses;
Nursing*;
Organizational Culture;
Physician-Nurse Relations;
Tertiary Care Centers;
Thinking*
- From:Journal of Korean Academy of Nursing Administration
2017;23(2):161-169
- CountryRepublic of Korea
- Language:Korean
-
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.
