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KMID : 0614820170230020161
Journal of Korean Academy of Nursing Administration
2017 Volume.23 No. 2 p.161 ~ p.169
Effects of Nursing Practice Environment and Self-Esteem on Critical Thinking Disposition among Clinical Nurses
Choi Eun-Ju

Hwang Ji-Hyeon
Jang In-Sil
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.
KEYWORD
Nurses, Thinking, Environment, Self-concept
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학술진흥재단(KCI) KoreaMed