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KMID : 0388320220290020159
Journal of Korean Academy of Fundamental Nursing
2022 Volume.29 No. 2 p.159 ~ p.169
The Effect of Clinical Nurses' Critical Thinking Disposition and Communication Ability on Patient Safety Competency
Bae Ji-Yeon

Bae Sun-Hyoung
Abstract
Purpose: This study was conducted to identify the influence of critical thinking disposition and communicationability on patient safety competence among clinical nurses.

Methods: A cross-sectional descriptive study wasconducted using a self-reported questionnaire. In total, 139 nurses were recruited from a tertiary care hospitaland general hospital in Gyeonggi Province. Data were collected from March 5, 2019 to March 29, 2019 andanalyzed using descriptive statistics, independent t-test, one-way analysis of variance, the Scheffe? test, Pearson¡¯correlation coefficients, and hierarchical multiple regression with SPSS version 25.0.

Results: The item meanscore for patient safety competence was 3.83¡¾0.40 (range, 1~5). Clinical nurses who were female, older, hadhigher education, and had more clinical experiences showed higher patient safety competence. Hierarchicalmultiple regression analysis showed that healthy skepticism and objectivity (as subscales of clinical thinkingdisposition) and communication ability explained 28% and 3% of variance in patient safety competence; the modelpredicted approximately 38% of the variance in patient safety competence (F=6.69, p<.001).

Conclusion: Clinicalnurses¡¯ patient safety competence was associated with healthy skepticism and objectivity, among the subscalesof clinical thinking disposition, and communication ability. These were also found to be the major factors thatinfluenced patient safety competence. Thus, it is necessary to develop educational programs to improve clinicalnurses¡¯ critical thinking disposition and communication skills.
KEYWORD
Communication, Nurses, Patient safety, Social skills, Thinking
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