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Choi, Hwang, and Jang: Effects of Nursing Practice Environment and Self-esteem on Critical Thinking Disposition among Clinical Nurses
Original Article

Journal of Korean Academy of Nursing Administration 2017; 23(2): 161-169.

Published online: 31 March 2017

DOI: https://doi.org/10.11111/jkana.2017.23.2.161

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

Eunju Choi1, Jihyeon Hwang1, Insil Jang2

1Department of Nursing, Asan Medical Center, Korea.

2Department of Nursing, University of Ulsan, Korea.

Corresponding author: Jang, Insil. Department of Nursing, University of Ulsan, 93 Daehak-ro, Nam-gu, Ulsan 44610, Korea. Tel: +82-52-259-1570, Fax: +82-52-259-1236, isjang@ulsan.ac.kr

Received 14 November 2016       Revised 18 February 2017       Accepted 11 March 2017

Copyright © 2017 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Nurses, Thinking, Environment, Self-concept

Figures and Tables

Table 1

General Characteristics of Participants (N=281)

jkana-23-161-i001

APN=Advanced practice nurse.

Table 2

Mean Scores for Nursing Practice Environment, Self-esteem and Critical-thinking Disposition (N=281)

jkana-23-161-i002
Table 3

Differences in Nursing Practice Environment, Self-esteem and Critical-thinking Disposition according to General Characteristics (N=281)

jkana-23-161-i003

CN=Charge nurse, APN=Advanced practice nurse.

Table 4

Correlations of Nursing Practice Environment, Self-esteem and Critical-thinking Disposition (N=281)

jkana-23-161-i004
Table 5

Influencing Factors on Critical-thinking Disposition (N=281)

jkana-23-161-i005

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