Critical Thinking Competence and Disposition of Clinical Nurses in a Medical Center

Rung-Chuang Feng; Mei-Jung Chen; Mei-Chuan Chen; Yu-Chu Pai

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P77 - 87

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

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Critical Thinking Competence and Disposition of Clinical Nurses in a Medical Center

探讨某医学中心临床护理人员之批判性思考能力与意念

冯容庄(Rung-Chuang Feng) ；陈美蓉(Mei-Jung Chen) ；陈美娟(Mei-Chuan Chen) ；白玉珠(Yu-Chu Pai)

The Journal of Nursing Research ； 18 卷 2 期 (2010 / 06 / 01) ， P77 - 87

英文

批判性思考能力；批判性思考意念；临床护理人员； critical thinking competence ； critical thinking disposition ； clinical nurses

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摘要 │ 参考文献 (31) │ 被引用文献 (6) │ 国际计量

摘要〈TOP〉

Background: Critical thinking is essential in nursing practice. Promoting critical thinking competence in clinical nurses is an important way to improve problem solving and decision-making competence to further improve the quality of patient care. However, using an adequate tool to test nurses' critical thinking competence and disposition may provide the reference criteria for clinical nurse characterization, training planning, and resource allocation for human resource management.
Purpose: The purpose of this study was to measure the critical thinking competence and critical thinking disposition of clinical nurses as well as to explore the related factors of critical thinking competence.
Methods: Clinical nurses from four different clinical ladders selected from one medical center were stratified randomly. All qualified subjects who submitted valid questionnaires were included in the study. A Taiwan version of the modified Watson-Glaser Critical Thinking Appraisal and Critical Thinking Disposition Inventory was developed to measure the critical thinking competence and critical thinking disposition of clinical nurses. Validity was evaluated using the professional content test (content validity index=.93). Reliability was assessed with a Cronbach's alpha coefficient of .85. Data were analyzed using the SPSS for Windows (Version 12.0; SPSS Inc., Chicago, IL).
Results: Results showed that competence of interpretation was the highest critical thinking competence factor. Inference was the lowest, and reflective thinking as a critical thinking disposition was more positive. In addition, age, years of nursing experience, and experiences in other hospitals significantly influenced critical thinking competence (p＜.05). Factors of age, years of experience, and nurses clinical ladder were shown to affect critical thinking disposition scores. Clinical ladder N4 nurses had the highest scores in both competence and disposition. A significant relationship was found between critical thinking competence and disposition scores, with 29.3% of the variance in critical thinking competence potentially explained by total years of nurse hospital experience. Clinical ladder and age were predictive factors for critical thinking disposition. Commonality was 27.9%.
Conclusions and Implications for Practice: Nursing experience and clinical ladders positively affect critical thinking competence and disposition. Issues of critical thinking competence increasingly need to be measured. Therefore, appropriate tools for nursing professions should be further developed and explored for specific areas of practice.

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参考文献 ( 31 ) 〈TOP〉

Tseng, H. C.,Jian, S. Y.,Hsu, Y. Y.,Ko, H. G.,Chin, C. C.,Chou, F. H.(2006).Effectiveness of applying problem-based learning to a nursing course on "symposiums regarding clinical cases.".The Journal of Health Science,8(2),121-131.
连结：
Adams, M. H.,Stover, L. M.,Whitlow, J. F.(1999).A longitudinal evaluation of baccalaureate nursing students' critical thinking abilities.Journal of Nursing Education,38(3),139-141.
Beeken, J. E.(1997).The relationship between critical thinking and self-concept in staff nurses and the influence of these characteristics on nursing practice.Journal of Nursing Staff Development,13(5),272-278.
Benner, P.(1984).From novice to expert: Excellence and power in clinical nursing practice.Addison-Wesley, CA:Menlo Park.
Brunt, B. A.(2005).Critical thinking in nursing: An integrated reviews.The Journal of Continuing Education in Nursing,36(2),60-67.

被引用文献 ( 6 ) 〈TOP〉

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