Abstract
Purpose
This study determined the correlation between nurses' critical thinking disposition; problem solving process; and nursing performance. It also examined the impact of critical thinking disposition and problem solving process on nursing performance.
Methods
The data was collected from 419 nurses. Descriptive statistics, t-test, ANOVA, scheffe test, pearson correlation analysis and multiple regression analysis were performed.
Results
Nursing performance showed that there were differences according to age, marital status, educational level, total number of years in the career and the length of employment in the present department. The problem solving process showed differences in the educational level. Critical thinking disposition showed differences according to age, educational level and total number of years in the career. Problem solving process and nursing performance showed a positive relationship whereas critical thinking disposition and nurses' performance showed a positive relationship. Factors affecting nursing performance, were nurses' age, duration of employment in the present department, problem solving process and critical thinking disposition. This model was statistically significant and showed 22.1% of the total variance.
Conclusion
The attention of nursing administrators should be drawn to the consideration that a certain amount of experience in the current department is positively related to nursing performance. Furthermore, in order to provide a improvement in professional nursing performance, educational programs towards nurses' critical thinking disposition and problem solving process should be provided.
Figures and Tables
Table 2
Difference of Clinical Competency, Problem Solving Process and Critical Thinking Disposition according to Nurses's Demographic Variables (N=419)
![kjwhn-17-265-i002](/upload/SynapseData/ArticleImage/0102kjwhn/kjwhn-17-265-i002.jpg)
References
1. Altun I. The perceived problem-solving ability and values of student nurses and midwives. Nurse Education Today. 2003. 23(8):575–584.
2. Brunt B.A. Critical thinking in nursing: An integrated review. Journal of Continuing Education in Nursing. 2005. 36(2):60–67.
3. Cho H.S. A study on the critical thinking disposition and clinical competency of nursing students. Journal of Korean Academic Society of Nursing Education. 2005. 11(2):222–231.
4. Choi E., Kim J. The relationship of core competencies (problem solving ability, communication ability, self-directed learning ability) of critical thinking. Journal of Korean Academy of Fundamentals of Nursing. 2007. 14(4):412–419.
5. Choi H. The effects of PBL(Problem-Based Learning) on the megacognition, critical thinking, and problem solving process of nursing students. Journal of Korean Academy of Nursing. 2004. 34(5):712–721.
6. Distler J.W. Critical thinking and clinical competence: Results of the implementation of student-centered teaching strategies in an advanced practice nurse curriculum. Nurse Education In Practice. 2007. 7(1):53–59.
7. Heppner P.P., Reeder B.L., Larson L.M. Cognitive variable associated with personal problem-solving appraisal: Implication for counseling. Journal of Counseling Psychology. 1983. 30(4):537–545.
8. Hwang J.W. A study on the relationships between critical thinking disposion and professional nursing competence. 1998. Seoul: Ewha Womans University;Unpublished master's thesis.
9. Kang H.J. Relationship between the critical thinking disposition and job stress in the nurses from university hospital. 2008. Seoul: The Catholic University of Korea;Unpublished master's thesis.
10. Kim E.J., Lim J.Y., Choi K.W. The correlation between critical thinking disposition and decision making styles. Journal of Korean Academy of Nursing Administration. 2008. 14(2):144–149.
11. Kim H.M., Choi Y.H., Jeon E.Y. The effect of the solution-focused group counseling program on problem-solving capacity of the nursing students. Korean Journal of Rehabilitation Nursing. 2003. 6(2):183–191.
12. Kim J.Y. A study on the relationship between critical thinking disposition and job satisfaction in clinical nursing. 2007. Seoul: Kyung Hee University;Unpublished master's thesis.
13. Kwon I.S., Lee G.E., Kim G.D., Kim Y.H., Park K.M., Park H.S., et al. Development of a critical thinking disposition scale for nursing students. Journal of Korean Academy of Nursing. 2006. 36(6):950–958.
14. Lechasseur K., Lazure G., Guilbert L. Knowledge mobilized by a critical thinking process deployed by nursing students in practical care situation: A qualitative study. Journal of Advanced Nursing. 2011. 67(9):1930–1940.
15. Lee J.D., Lee C.S. The effects of preceptorship on nursing students' critical thinking propensity, clinical competency and satisfaction of clinical practice. Journal of Korean Academy of Nursing Administration. 2006. 12(3):434–443.
16. Lee W.S., Park S.H., Choi E.Y. Development of a problem solving process inventory for adults. Journal of Korean Academy of Fundamentals of Nursing. 2008. 15(4):548–557.
17. Martin C. The theory of critical thinking of nursing. Nursing Education Perspectives. 2002. 23(5):243–247.
18. Myrick F., Yonge O. Preceptor questioning and student critical thinking. Journal of Professional Nursing. 2002. 18(3):176–181.
19. Park J.A. A study on the critical thinking disposition and clinical competency in general hospital nurses. 2008. Ulsan: Ulsan University;Unpublished master's thesis.
20. Park J.S. Critical thinking disposition of preceptor nurse and professional nursing competence of new graduate nurse. 2008. Suwon: Ajou University;Unpublished master's thesis.
21. Park S.A., Park K.O., Kim S.Y., Sung Y.H. A development of standardized nurse performance appraisal tool. Clinical Nursing Research. 2007. 13(1):197–211.
22. Park S., Kwon I.G. Factors influencing nurses' clinical decision making-focusing on critical thinking disposition-. Journal of Korean Academy of Nursing. 2007. 37(6):863–871.
23. Raymond C.L., Profetto-McGrath J. Nurse educator's critical thinking: Reflection and measurement. Nurse Education in Practice. 2005. 5(4):209–217.
24. Rogal S.M., Young J. Exploring critical thinking in critical care nursing education: A pilot study. Journal of Continuing Education in Nursing. 2008. 39(1):28–33.
25. Thompson C., Rebeschi L.M. Critical thinking skills of baccalaureate nursing student at program entry and exit. Nursing Health Care Perspect. 1999. 20(5):248–252.
26. Sung M.H., Eum O.B. Relationships between critical thinking disposition, professional nursing competence and job satisfaction in clinical nurses. Journal of Korean Academy of Nursing Administration. 2009. 15(1):26–36.
27. Terzioglu F. The perceived problem-solving ability of nurse managers. Journal of Nursing Management. 2006. 14(5):340–347.
28. Woo O.H. The effects of a PBL (Problem-Based Learning) on the problem solving process of students by their meta-cognitive levels. 2000. Cheongwon: Korea National University of Education;Unpublished master's thesis.
29. Yoon J. Development of an instrument for the measurement of critical thinking disposition: In nursing. 2004. Seoul: The Catholic University of Korea;Unpublished doctoral dissertation.
30. Zhang Z.X., Luk W., Arthur D., Wong T. Nursing competencies: Personal characteristics contributing to effective nursing performance. Journal of Advanced Nursing. 2001. 33(4):467–474.