Journal List > J Korean Acad Nurs Adm > v.17(4) > 1051610

Jung and Jung: Relationship between Critical Thinking Disposition, Clinical Decision Making and Job Satisfaction of Cancer Center Nurses

Abstract

Purpose

This study was a descriptive correlation study to increase understanding of, and relationships among critical thinking disposition, clinical decision making and job satisfaction of cancer center nurses.

Method

The participants in this study were 150 nurses working in one cancer center located in Gyeonggi Province. The statistic program, SPSS WIN17.0 was used for data analysis and data were analyzed using t-test, ANOVA, and Pearson correlation.

Results

The critical thinking disposition of the participants showed statistically significant differences according to areas of practice (F=4.426, p=.005), and current position (F=9.346, p=.000). For clinical decision making of the participants, statistically significant differences were found according to current position (F=10.667, p=.000). Furthermore, for job satisfaction, there were statistically significant differences according to income (F=6.779, p=.002), length of career (F=2.701, p=.033) and current position (F=5.423, p=.005). There were significant positive correlations for critical thinking disposition with clinical decision making, and with job satisfaction.

Conclusion

The results of the study indicate that to improve clinical decision making and job satisfaction of cancer center nurses, it is necessary to increase critical thinking disposition. To make this change, appropriate programs are needed to increase critical thinking and clinical decision making of general cancer center nurses.

Figures and Tables

Table 1
General Characteristics of the Study Participants (N=150)
jkana-17-443-i001
Table 2
Critical Thinking Disposition, Clinical Decision Making, and Job Satisfaction of the Study Participants (N=150)
jkana-17-443-i002

1. Total mean (±SD) = 97.13±8.71

2. Total mean (±SD) = 136.89±10.06

3. Total mean (±SD) = 63.00±7.56

Table 3
Critical Thinking Disposition, Clinical Decision Making, Job Satisfaction according to Demographic Data (N=150)
jkana-17-443-i003

*Others=out-patient unit, health care center

Table 4
Correlations between Critical Thinking Disposition, Clinical Decision Making, and Job Satisfaction (N=150)
jkana-17-443-i004

References

1. Adams A, Bond S. Hospital nurses' job satisfaction, individual and organizational characteristics. J Adv Nurs. 2000. 32:536–543.
crossref
2. Baek MK. Relationship between level of autonomy and clinical decision making in nursing scale of E. T. nurse. 2005. Seoul: Yonsei University;Unpublished master's thesis.
3. Bong Y, So H, You H. A study on the relationship between job stress, self-efficacy and job satisfaction in nurses. J Korean Acad Nurs Adm. 2009. 15(3):425–433.
4. Cowin LS. The effect of nurses's job satisfaction on retention. Journal of Nursing Administration. 2002. 32(5):283–291.
5. Facione NC, Facione PA. Externalizing the critical thinking in knowledge development and clinical judgment. Nurs Outlook. 1994. 44(3):129–136.
crossref
6. Girot EA. Graduate nurses: critical thinkers or better decision makers? J Adv Nurs. 2000. 31(2):288–297.
crossref
7. Golbasi Z, Kelleci M, Dogan S. Relationships between coping strategies, individual characteristics and job satisfaction in a sample of hospital nurses: cross-sectional questionnaire survey. Int J Nurs Stud. 2008. 45(12):1800–1806.
crossref
8. Ha N, Choi J. The relationship among leadership styles of nurse managers, job satisfaction, organizational commitment, and turnover intention. J Korean Acad Nurs. 2002. 32(6):812–822.
crossref
9. Han C. A study on role conception and job satisfaction of clinical nurses. 1996. Seoul: Kyung-Hee University;Unpublished thesis.
10. Hicks FD, Merritt SL, Elstein AS. Critical thinking and clinical decision making in critical care nursing: a pilot study. Heart Lung. 2003. 32(3):169–180.
crossref
11. Jenkins HM. Improving clinical decision making in nursing. J Nurs Educ. 1985. 24(6):242–243.
crossref
12. Jeong JH, Kim JS, Kim KH. The risk factors influencing turnover intention of nurses. J Korean Acad Nurs Adm. 2008. 14(1):35–44.
13. Johnson BM, Webber PB. An introduction to theory and reasoning in nursing. 2005. 2nd ed. Philadelphia: Lippincott Williams & Wilkins.
14. Kang K, Kim E, Ryu S. Factors influencing clinical competence for general hospital nurses. J Korea Contents Assoc. 2011. 11(1):284–293.
crossref
15. Kim JY. A study on the relationship between critical thinking disposition and job satisfaction in clinical nursing. 2007. Seoul: Kyung Hee University;Unpublished master's thesis.
16. Ko SH, Chung BY. Nursing professionalism and job satisfaction of nurses in general hospital. J Korean Acad Nurs Adm. 2004. 10(3):335–341.
17. Lee S, Park J. A study on the spatial organization of major area in cancer hospitals : focused on the cases of the metropolitan area. J Korea Ins Healthc Archit. 2006. 12(1):7–15.
18. Lim EJ. A study on the relationships between critical thinking disposition and critical thinking skill in clinical nurses. Korean J Adult Nurs. 2006. 18(1):31–40.
19. Leou C, Kim K, Kim J. Factors associated with burnout of nurses working for cancer patients. Korean J Hosp Palliat Care. 2005. 8(1):45–51.
20. Ministry of Health and Welfare. Registered cancer reports. 2010. Retrieved June 10, 2011. from http://www.mw.go.kr/front/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=247149&page=1.
21. Ministry of Health and Welfare. The second stage of cancer conquest plan. 2006. Retrieved June 10, 2011. from http://www.mw.go.kr/front/jb/sjb0501vw.jsp?PAR_MENU_ID=03&MENU_ID=030501&BOARD_ID=320&BOARD_FLAG=00&CONT_SEQ=178337&page=1.
22. Park H. Transformational and transactional leadership styles of the nurse administrators and job satisfaction, organizational commitment in nursing. J Nurs Acad Soc. 1997. 27(1):228–241.
crossref
23. Park M, Yoo Y. Burden, job satisfaction, and quality of life of nurses caring for cancer patients. Korean J Hosp Palliat Care. 2005. 8(1):8–17.
24. Park MO, Park J, Ryu S, Kang M, Kim K, Min S, Kim H. The influence of health promotion life style, perception of head nurse's leadership and job satisfaction on the work performance among nurses of some neterans hospitals. J Korean Acad Nurs Adm. 2009. 15(1):45–53.
25. Park S, Kwon I. Factors influencing nurses' clinical decision making-focusing on critical thinking disposition-. J Korean Acad Nurs. 2007. 37(6):863–871.
crossref
26. Stamps PL, Piedmont EB, Slavitt DB, Hasse AM. Measurement of work satisfaction among health profession. Med Care. 1978. 16(4):337–352.
27. Sung M, Eum O. Relationships between critical thinking disposition, professional nursing competence and job satisfaction in clinical nurses. J Korean Acad Nurs Adm. 2009. 15(1):26–36.
28. Usy BY, Meyer SM. Critical thinking of students nurses during clinical accompaniment. Curationis. 2005. 28(3):11–19.
29. Yoon J. Development of an instrument for the measurement of critical thinking disposition: In nursing. 2004. Seoul: Catholic University;Unpublished doctoral dissertation.
30. Yoon J. A study on the critical thinking disposition of nursing studies- focusing on a school applying integrated nursing curriculum. J Korean Acad Nurs Adm. 2008. 14(2):159–166.
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