Park Jin-Ah, Kim Bog-Ja
Ewha Womans University Hospital, Seoul, Korea.
J Korean Acad Nurs. 2009 Dec;39(6):840-50. doi: 10.4040/jkan.2009.39.6.840.
This study was done to investigate the relationship between critical thinking disposition and clinical competence among nurses in general hospitals.
This study was a descriptive-correlational study with a convenience sample of 560 nurses from 5 general hospitals. The data were collected by self-administered questionnaires. Critical thinking disposition was measured using the Critical Thinking Disposition Scale for Nursing Students. Clinical competence was measured using the Standardized Nurse Performance Appraisal Tool.
The mean score for critical thinking disposition and clinical competence was 3.37 and 4.10 respectively on a 5 point scale. A statistically significant correlation was found between critical thinking disposition and clinical competence. A regression model explained 72.8% of clinical competence. Prudence is the most significant predictor of clinical competence (R(2)=.728).
Study findings suggest that nurses with a higher level of critical thinking disposition would have a higher level of clinical competence. Furthermore, prudence might be the most important predictor of clinical competence. In order to strengthen clinical competence in nurses, the development and enhancement of critical thinking should be emphasized at the college level and nurses should be encouraged to make a clinical decision with greater prudence.
本研究旨在调查综合医院护士批判性思维倾向与临床能力之间的关系。
本研究为描述性相关性研究，便利抽样选取了来自5家综合医院的560名护士。数据通过自填式问卷收集。批判性思维倾向采用护理专业学生批判性思维倾向量表进行测量。临床能力采用标准化护士绩效评估工具进行测量。
在5分制量表上，批判性思维倾向和临床能力的平均得分分别为3.37和4.10。批判性思维倾向与临床能力之间存在统计学上的显著相关性。一个回归模型解释了临床能力的72.8%。审慎是临床能力最显著的预测因素（R² = 0.728）。
研究结果表明，批判性思维倾向水平较高的护士临床能力水平也较高。此外，审慎可能是临床能力最重要的预测因素。为了增强护士的临床能力，应在大学阶段强调批判性思维的培养和提升，并鼓励护士更加审慎地做出临床决策。
