J Korean Acad Nurs Adm.  2017 Mar;23(2):161-169. 10.11111/jkana.2017.23.2.161.

Effects of Nursing Practice Environment and Self-esteem on Critical Thinking Disposition among Clinical Nurses

• Choi E
• Hwang J
• Jang I

• KMID: 2408102
• DOI: http://doi.org/10.11111/jkana.2017.23.2.161

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.

Keyword

Nurses; Thinking; Environment; Self-concept

MeSH Terms

Cross-Sectional Studies
Education, Continuing
Foundations
Humans
Nurses
Nursing*
Organizational Culture
Physician-Nurse Relations
Tertiary Care Centers
Thinking*

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