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Original Article

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

Eunju Choi1, Jihyeon Hwang1, Insil Jang2
Journal of Korean Academy of Nursing Administration 2017;23(2):161-169.
Published online: March 31, 2017

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: November 14, 2016   • Revised: February 18, 2017   • Accepted: March 11, 2017

Copyright © 2017 Korean Academy of Nursing Administration

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.

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  • 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.
  • Key Words: Nurses; Thinking; Environment; Self-concept
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Table 1

General Characteristics of Participants (N=281)

jkana-23-161-i001.jpg

APN=Advanced practice nurse.

Table 2

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

jkana-23-161-i002.jpg
Table 3

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

jkana-23-161-i003.jpg

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.jpg
Table 5

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

jkana-23-161-i005.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Development of Nursing Clinical Judgment Scale
      Shi Nae Kwon, Hyojung Park
      Journal of Korean Academy of Nursing.2023; 53(6): 652.     CrossRef
    • Correlation between critical thinking dispositions and self-esteem in nursing students
      Parvaneh Vasli, Yousef Mortazavi, Parvin Aziznejadroshan, Behnam Esbakian, Hemmat Gholinia Ahangar, Hasanali Jafarpoor
      Journal of Education and Health Promotion.2023;[Epub]     CrossRef
    • Structural Equation Modeling on Clinical Decision Making Ability of Nurses
      Min Kyoung Park, Soukyoung Kim
      Journal of Korean Academy of Nursing.2019; 49(5): 601.     CrossRef
    • Self-esteem enhancement as a strategy for promoting the mental health and averting the occupational problems of nurses
      Ling He, Yu-Feng Ma, Ke-Sen Zhang, Ya-Xing Wang
      Frontiers of Nursing.2019; 6(1): 59.     CrossRef
    • Associations Among Nursing Work Environment and Health‐Promoting Behaviors of Nurses and Nursing Performance Quality: A Multilevel Modeling Approach
      Hyeonmi Cho, Kihye Han
      Journal of Nursing Scholarship.2018; 50(4): 403.     CrossRef

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    Effects of Nursing Practice Environment and Self-esteem on Critical Thinking Disposition among Clinical Nurses
    J Korean Acad Nurs Adm. 2017;23(2):161-169.   Published online March 31, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.2.161
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    Effects of Nursing Practice Environment and Self-esteem on Critical Thinking Disposition among Clinical Nurses
    J Korean Acad Nurs Adm. 2017;23(2):161-169.   Published online March 31, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.2.161
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    Related articles

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

    General Characteristics of Participants (N=281)

    APN=Advanced practice nurse.

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

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

    CN=Charge nurse, APN=Advanced practice nurse.

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

    Influencing Factors on Critical-thinking Disposition (N=281)
    Table 1 General Characteristics of Participants (N=281)

    APN=Advanced practice nurse.

    Table 2 Mean Scores for Nursing Practice Environment, Self-esteem and Critical-thinking Disposition (N=281)

    Table 3 Differences in Nursing Practice Environment, Self-esteem and Critical-thinking Disposition according to General Characteristics (N=281)

    CN=Charge nurse, APN=Advanced practice nurse.

    Table 4 Correlations of Nursing Practice Environment, Self-esteem and Critical-thinking Disposition (N=281)

    Table 5 Influencing Factors on Critical-thinking Disposition (N=281)

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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