J Korean Acad Nurs.  2009 Dec;39(6):840-850. 10.4040/jkan.2009.39.6.840.

Critical Thinking Disposition and Clinical Competence in General Hospital Nurses

Affiliations
  • 1Ewha Womans University Hospital, Seoul, Korea.
  • 2Department of Clinical Nursing, College of Medicine, University of Ulsan, Seoul, Korea. bjkim@amc.seoul.kr

Abstract

PURPOSE
This study was done to investigate the relationship between critical thinking disposition and clinical competence among nurses in general hospitals. METHODS: This study was a descriptive-correlational study with a convenience sample of 560 nurses from 5 general hospitals. The data were collected by self-administered questionnaires. Critical thinking disposition was measured using the Critical Thinking Disposition Scale for Nursing Students. Clinical competence was measured using the Standardized Nurse Performance Appraisal Tool. RESULTS: The mean score for critical thinking disposition and clinical competence was 3.37 and 4.10 respectively on a 5 point scale. A statistically significant correlation was found between critical thinking disposition and clinical competence. A regression model explained 72.8% of clinical competence. Prudence is the most significant predictor of clinical competence (R2=.728). CONCLUSION: Study findings suggest that nurses with a higher level of critical thinking disposition would have a higher level of clinical competence. Furthermore, prudence might be the most important predictor of clinical competence. In order to strengthen clinical competence in nurses, the development and enhancement of critical thinking should be emphasized at the college level and nurses should be encouraged to make a clinical decision with greater prudence.

Keyword

Thinking; Clinical competence; Nurses

MeSH Terms

Adult
*Clinical Competence
Demography
Female
Hospitals, General
Humans
Male
Nursing Staff, Hospital/*psychology
Questionnaires
*Thinking
Young Adult

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Reference

1. American Philosophical Association. "The Delphi Report", Committee on Pre-college Philosophy (ERIC Document Reproduction Service No. ED 315 423). Critical Thinking: A statement of expert consensus for purposes of educational assessment and instruction. 1990. Newark, DE: Author.
2. Brunt BA. Critical thinking in nursing: An integrated review. The Journal of Continuing Education in Nursing. 2005. 36(2):60–67.
3. Chang YH, Cho YS, Kwak MJ. A study of factor related nursing competency in nurses. Clinical Nursing Research. 2006. 12:7–19.
4. Cho HS. A study on the critical thinking disposition and clinical competency of nursing students. Journal of Korean Academic Society of Nursing Education. 2005. 11:222–231.
5. Facione NC, Facione PA, Sanchez CA. Critical thinking disposition as a measure of competent clinical judgment: The development of the California critical thinking disposition inventory. Journal of Nursing Education. 1994. 33:345–350.
6. Hwang JW. A study on the relationships between critical thinking disposition and professional nursing competence. 1998. Seoul: Ewha Womans University;Unpublished master's thesis.
7. Jang KS. A study on establishment of clinical career development model of nurses. 2000. Seoul: Yonsei University;Unpublished doctoral dissertation.
8. Jeon YS. A study on multiple sources in the nurse performance appraisal. 2007. Jeonju: Chonbuk National University;Unpublished master's thesis.
9. Jung DY. A study on the critical thinking disposition and critical thinking skill about student nurse. 2001. Seoul: Ewha Womans University;Unpublished master's thesis.
10. Kim JL. A study on the relationships between critical thinking disposition and job satisfaction. 2007. Seoul: Kyunghee University;Unpublished master's thesis.
11. Kim SY. A study of professional self-concept, critical thinking disposition and nursing performance of operating room nurses. 2003. Seoul: Korea University;Unpublished master's thesis.
12. Ko KJ. A study on the critical thinking disposition and clinical competency of nursing students. 2003. Gangneung: Kwandong University;Unpublished master's thesis.
13. Kwon IS, Lee GE, Kim GD, Kim YH, Park KM, Park HS, et al. Development of a critical thinking disposition scale for nursing students. Journal of Korean Academy of Nursing. 2006. 36:950–958.
14. Lee HJ. A study on critical thinking disposition and empowerment of clinical nurses. 2002. Seoul: Kyunghee University;Unpublished master's thesis.
15. Lee MJ. A study on factor related to clinical competency in nurse. 2002. Seoul: Yonsei University;Unpublished master's thesis.
16. Martin C. The theory of critical thinking of nursing. Nursing Education Perspectives. 2002. 23:243–247.
17. May BA, Edell B, Butell S, Doughty J, Langford C. Critical thinking and clinical competence: A study of their relationship in BSN. Journal of Nursing Education. 1999. 38:100–110.
18. Maynard CA. Relationship of critical thinking ability to professional nursing competence. Journal of Nursing Education. 1996. 35:12–18.
19. Park JS. Critical thinking disposition of preceptor nurse and professional nursing competence of new graduate nurse. 2008. Suwon: Ajou University;Unpublished master's thesis.
20. Park SA, Park KO, Kim SY, Sung YH. A development of standardized nurse performance appraisal tool. Clinical Nursing Research. 2007. 13:197–211.
21. Park SM, Kwon IK. Factor influencing nurses' clinical decision making-Focusing on critical thinking disposition. Journal of Korean Academy of Nursing. 2007. 37:863–871.
22. Profetto-McGrath J. The relationship of critical thinking skills and critical thinking dispositions of baccalaureate nursing students. Journal of Advanced Nursing. 2003. 43:569–577.
23. Rane-Szostak D, Robertson JF. Issue in measuring critical thinking: Meeting the challenge. Journal of Nursing Education. 1996. 35:5–11.
24. Shin KR, Ha JY, Kim KH. A longitudinal study of critical thinking dispositions and critical thinking skills in baccalaureate nursing students. Journal of Korean Academy of Nursing. 2005. 35:382–389.
25. Shin KR, Kang MJ, Ko JK, Kong BH, Kim SL, Park IS, et al. Critical thinking and nursing process. 2007. Seoul: Hyunmoonsa.
26. Simpson E, Courtney M. Critical thinking in nursing education: Literature review. International Journal of Nursing Practice. 2002. 8:89–98.
27. Zhang ZX, Luk W, Arthur D, Wong T. Nursing competencies: Personal characteristics contributing to effective nursing performance. Journal of Advanced Nursing. 2001. 33:467–474.
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