Insil Jang
Ulsan University, South Korea
Title: The effects of nursing practice environment and self-esteem on critical thinking competencies among clinical nurses
Biography
Biography: Insil Jang
Abstract
Purpose: This study is a cross-sectional study to determine the relevance and impact factors to critical thinking competencies by nursing practice environment and self-esteem for clinical nurses. Methods: The survey was conducted from March 2015 to May 2015 with self-report questionnaire. Participants were 281 registered nurses working in one tertiary hospital. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression using SPSS/WIN(21.0). Results: The factors affecting the subjects’ critical thinking competencies included their age(F=7.234, p<.001), educational background(F=7.820, p<.001), position(F=14.949, p<.001), clinical career(F=7.658, p<.001). And critical thinking competencies represented a positive correlation with nursing practice environment(r=.595, p<.001) and self-esteem(r=.408, p<.001). Critical thinking competencies were affected by factors of clinical career, nursing foundations for quality of care, collegial nurse-physician relations and self-esteem with an explanatory power of 45.1%. Conclusion: Based on the study findings, critical thinking competencies were influenced by nursing foundations for quality of care and collegial nurse-physician relations of nursing practice environment. Therefore, it’s necessary to improve continuing education for clinical nurses and to reconstruct the organizational culture for partnerships with nurse-physician. In addition, the rise of self-esteem by mentoring and individual coaching raise critical thinking competencies.