Journal of the Korean Data and Information Science Society

The Korean Data and Information Science Society (한국데이터정보과학회)
권호 표지
DOI QR코드

DOI QR Code

The relationship among critical thinking disposition, nursing process competency and evidence-based practice competency in nurses working in hospitals

간호사의 비판적 사고성향, 간호과정 수행능력과 근거기반실무역량과의 관계

  • Kim, Kyoung Yun (College of Nursing, Kyungpook National University) ;
  • Lee, Eunjoo (College of Nursing, Reserch Institute of Nursing Science, Kyungpook National University)
  • 김경윤 (경북대학교 간호대학 간호학과) ;
  • 이은주 (경북대학교 간호대학, 간호과학연구소)
  • Received : 2016.01.17
  • Accepted : 2016.02.25
  • Published : 2016.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to identify relationship among critical thinking, nursing process competency and evidence based practice competency of nurses working in middle sized hospitals. A descriptive correlational study design was used. The data were collected from 262 nurses working in the three hospitals located in G and P city using self-administered questionnaires. Data were analyzed using descriptive statistic, independent t-test, one-way ANOVA with scheffe, Pearson's correlation coefficient, and hierarchical multiple linear regression using SPSS Statistics 21.0 program. Nurses' evidence-based practice competency had positive correlation with critical thinking disposition (r=.42, p <.001) and nursing process competency (r=.58, p <.001). Full model accounted for 65.1% of evidence-based practice competency by nursing process competency (${\beta}=.57$, p <.001), critical thinking disposition (${\beta}=.34$, p <.001), critical thinking educational experience (${\beta}=.11$, p=.004), Master's degree (${\beta}=.09$, p=.032). Conclusion: o increase evidence-based practice competency of nurses, it is required to develop critical thinking disposition and nursing process competency of nurses.

본 연구의 목적은 400병상 이상 종합병원에 근무하는 간호사들의 비판적 사고성향, 간호과정 수행능력과 근거기반실무역량 수준을 파악하고, 비판적 사고성향, 간호과정 수행능력과 근거기반실무역량과의 관계를 파악하여 근거기반실무역량 향상을 위한 기초 자료를 제공하고자 시도되었다. 본 연구는 서술적 상관관계 연구로 종합병원에 근무하는 262명의 간호사를 대상으로 자기기입식 설문지를 통해 조사하였다. 수집된 자료는 SPSS 21.0을 사용하여 통계 분석하였다. 본 연구의 결과 간호사의 비판적 사고성향과 간호과정 수행능력과 근거기반실무역량은 중정도 이상의 수준이었고 간호사의 근거기반실무역량은 비판적 사고성향 (r=.42, p <.001), 간호과정 수행능력 (r=.58, p <.001)과 정적인 상관관계를 나타냈다. 위계적 회귀분석 결과 비판적 사고성향 (${\beta}=.34$, p <.001)과 간호과정 수행능력 (${\beta}=.57$, p <.001)은 근거기반실무역량에 유의한 영향요인으로 나타났다. 이러한 연구결과를 통해서 간호사의 근거기반실무역량 향상을 위해서 간호사의 비판적 사고성향과 간호과정 수행능력의 향상을 위한 전략이 요구되어진다.

Keywords

References

  1. Bostrom, A. M., Ehrenberg, A., Gustavsson, J. P. and Wallin, L. (2009). Registered nurses' application of evidence-based practice: A national survey. Journal of Evaluation in Clinical Practice, 15, 1159-1163. https://doi.org/10.1111/j.1365-2753.2009.01316.x
  2. Brady, J. M. (2012). Evidence-based practice application: A goal for anaesthetic and recovery nurses. British Journal of Anaesthetic and Recovery Nursing, 12, 53-56. https://doi.org/10.1017/S1742645612000113
  3. Brown, C. E., Wickline, M. A., Ecoff, L. and Glaser, D. (2009). Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. Journal of Advanced Nursing, 65, 371- 381. https://doi.org/10.1111/j.1365-2648.2008.04878.x
  4. Choi, S. H. (2013). Nursing process, 3rd Ed., Hyun Moon Sa Publishing, Seoul.
  5. Cho, S. M. and Lee, E. J. (2015). Integrative literature review of nursing performance in Korea. Journal of the Korean Data & Information Science Society, 26, 441-453. https://doi.org/10.7465/jkdi.2015.26.2.441
  6. Estabrooks, C. A., Rutakumwa, W., O'Leary, K. A., Profetto-McGrath, J., Milner, M., Levers, M. J. and Scott-Findlay, S. (2005). Sources of practice knowledge among nurses.Qualitative Health Research, 15, 460-476. https://doi.org/10.1177/1049732304273702
  7. Hockenberry, M., Wilson, D. and Barrera, P. (2006). Implementing evidence based nursing practice in a pediatric hospital. Pediatric Nursing, 32, 371-377.
  8. Hong, S. J. and Kim, H. S. (2011). Development and effects of a comprehensive web-based nursing process for nursing students. Journal of Korean Academy of Fundamentals of Nursing, 18, 497-505.
  9. Kang, K. J., Kim, E. M. and Ryu, S. A. (2011). Factors influencing clinical competence for general hospital nurses. Journal of the Korea Contents Association, 11, 284-293.
  10. Kim, J. S., Gu, M. O. and Jo, S. Y. (2013). Factors influencing evidence-based practice readiness for tertiary general hospital nurses. Journal of the Korea Academia-Industrial Cooperation Society, 14, 2945-2957. https://doi.org/10.5762/KAIS.2013.14.6.2945
  11. Kim, N. Y. and Kim, E. A. (2014). Factors influencing of evidence-based practice competency in nursing students. Journal of the Korean Data Analysis Society, 16, 2855-2868.
  12. Kim, Y. S., Kim J. M. and Park, M. M. (2015). Factors influencing competency in evidence-based practice among clinical nurses. Journal of Koran Academic Nursing Administration, 21, 143-153. https://doi.org/10.11111/jkana.2015.21.2.143
  13. Ko, K. J. (2003). A study on the critical thinking disposition and clinical competency of nursing students. Unpublished master's thesis, Kwandong University, Gangneung.
  14. Koehn, M. L. and Lehman, K. (2008). Nurses' perceptions of evidence-based nursing practice. Journal of Advanced Nursing, 62, 209-215. https://doi.org/10.1111/j.1365-2648.2007.04589.x
  15. Kwon, I. S., Lee, G. E., Kim, G. D., Kim, Y. H., Park K. M., Park, H. S., Son, S. K., Lee, W. S., Jang, K. S. and Chung, B. Y. (2006). Development of a critical thinking disposition scale for nursing students. Journal of Korean Academy of Nursing, 36, 950-958. https://doi.org/10.4040/jkan.2006.36.6.950
  16. Ilic, D. (2009). Assessing competency in evidence based practice: Strengths and limitations of current tools in practice. BMC Medical Education, 9, 1-5.
  17. Lee, W. H, Kim, C. J, Yoo, J. S, Hu, H. K. Kim, K. S. and Lim, S. M.(1990). Development of a clinical competency for nursing students. Journal of Nursing for Yonsei University, 13, 177-209.
  18. Lim, K. C, Park, K. O, Kwon, J. S., Jeong, J. S., Choe, M. A., Kim, J. H. and Lee, K. S. (2011). Registered nurses' knowledge, attitudes, and practice about evidence-based practice at general hospitals in korea. Journal of Korean Clinical Nursing Research, 17, 375-387.
  19. Newhouse, R. P., Dearholt, S. L. Poe, S. S. Pugh, L. C. and White, K. M. (2007). Johns Hopkins nursing evidence-based practice model and guidelines, The Honor Society of Nursing, Sigma Theta Tau International, Indiana.
  20. Park, J. A. and Kim, B. J. (2009). Critical thinking disposition and clinical competence in general hospital nurses. Journal of Korean Academy of Nursing, 39, 840-850. https://doi.org/10.4040/jkan.2009.39.6.840
  21. Park, H. S. and Han, J. Y. (2015). Self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency of nursing students. Journal of the Korean Data & Information Science Society, 26, 695-706. https://doi.org/10.7465/jkdi.2015.26.3.695
  22. Pierce, P. (2007). Critical thinking in nursing practice, http://www.ceufast.com/courses/112/112.htm.
  23. Polit, D. F. and Beck, C. T. (2013). Essentials of nursing research: Appraising evidence for nursing practice, Lippincott, Williams & Wilkins, Philadelphia.
  24. Sackett, D. L., Straus, S. E., Richardson, W. S., Rosenberg, W. and Haynes, R. B. (2000). Evidence-based medicine: How to practice and teach EBM, 2nd ed., Churchill Livingstone, Edinburgh.
  25. Sharts-Hopko, N. C. (2003). Evidence-based practice: What constitutes evidence? Journal of the Association of Nurses in Aids Care, 14, 76-78.
  26. Shin, K. A., Cho, B. H. (2012). Professional Self-Concept, Critical Thinking Disposition and Clinical Competence in Nursing Students. The Journal of Fundamentals of Nursing, 19, 46-56. https://doi.org/10.7739/jkafn.2012.19.1.046
  27. Shin, K. R., Hwang, J. W. and Shin. S. J. (2008). Concept analysis on the clinical critical thinking ability in nursing. Korean Journal of Adult Nursing, 20, 707-718.
  28. Son, Y. J., Kim, S. H., Park, Y. S., Lee, S. K. and Lee, Y. M. (2012). The influence of information retrieval skill on evidence based practice competency in clinical nurses. Korean Journal of Adult Nursing, 24, 635-646. https://doi.org/10.7475/kjan.2012.24.6.635
  29. Tae, S. H. and Hwang, E. H. (2012). Nurses' clinical competence and its relationship with perception of and compliance with standard precautions. Korean Journal Health Promotion, 12, 40-46.
  30. Thiel, L. and Ghosh, Y. (2008). Determining registered nurses' readiness for evidence-based practice. Worldviews on Evidence-Based Nursing, 5, 82-192.
  31. Upton, D. and Upton, P. (2006). Development of an evidence-based practice questionnaire for nurses. Journal of Advanced Nursing, 53, 454-458. https://doi.org/10.1111/j.1365-2648.2006.03739.x
  32. Wilkinson, J. (2007). Nursing process and critical thinking, 4rd ed., Prectice Hill, Paramus.
  33. Yi, J. E. and Park, M. H. (2011). Nurses' access & use of information resources and barriers & competency of evidence based practice. Korean Journal of Adult Nursing, 23, 255-266.

Cited by

  1. The Influence of Social Capital on Nurse-Perceived Evidence-Based Practice Implementation in South Korea vol.49, pp.3, 2017, https://doi.org/10.1111/jnu.12288
  2. Effects of Character, Critical Thinking Disposition and Professional Self-Concept on College Adjustment in Nursing Students vol.17, pp.8, 2016, https://doi.org/10.5762/KAIS.2016.17.8.560
  3. The relationship between sense of humor, stress and depression in the nursing students vol.27, pp.4, 2016, https://doi.org/10.7465/jkdi.2016.27.4.1035
  4. Korean Nursing Students' Acquisition of Evidence-Based Practice and Critical Thinking Skills vol.57, pp.1, 2018, https://doi.org/10.3928/01484834-20180102-05
  5. SBAR 적용 시뮬레이션 교육이 간호학생의 의료팀간 의사소통능력 향상에 미치는 효과 vol.28, pp.2, 2016, https://doi.org/10.7465/jkdi.2017.28.2.407
  6. 간호대학생의 임상수행능력 측정도구의 신뢰도와 타당도 vol.29, pp.2, 2016, https://doi.org/10.12799/jkachn.2018.29.2.220
  7. 간호대학생의 생명의료윤리의식, 비판적 사고성향이 연명치료중단에 대한 태도에 미치는 영향 vol.16, pp.9, 2016, https://doi.org/10.14400/jdc.2018.16.9.453
  8. 대학도서관 사서가 인식한 근거기반실무 지식의 영향 요인 vol.50, pp.1, 2016, https://doi.org/10.16981/kliss.50.1.201903.43
  9. 간호대학생의 비판적 사고성향, 대인관계능력이 인간중심간호 역량에 미치는 영향 vol.18, pp.3, 2016, https://doi.org/10.22678/jic.2020.18.3.035
  10. 간호사의 도덕적 행동, 도덕적 고뇌, 비판적 사고성향이 임상적 의사결정능력에 미치는 영향 vol.19, pp.2, 2021, https://doi.org/10.14400/jdc.2021.19.2.275
  11. Effects of Knowledge of Evidence Based Practice and Organizational Culture on Innovation Behavior of University Librarians vol.52, pp.1, 2016, https://doi.org/10.16981/kliss.52.1.202103.129
  12. 졸업학년 간호대학생의 비판적 사고 성향과 공감역량이 회복 탄력성에 미치는 영향 vol.11, pp.7, 2021, https://doi.org/10.22156/cs4smb.2021.11.07.057