Factors Influencing Nurses' Clinical Decision Making: Focusing on Critical Thinking Disposition

Abstract

Purpose: The purpose of this study was to investigate the factors influencing nurses' clinical decision making focusing on critical thinking disposition. Methods: The subjects of this study consisted of 505 nurses working at one of the general hospitals located in Seoul. Data was collected by a self-administered questionnaire between December 2006 and January 2007. Data was analyzed by one way ANOVA, Pearson correlation coefficients, and stepwise multiple regression using SPSS Win 14.0. Results: The mean scores of critical thinking disposition and clinical decision making were 99.10 and 134.32 respectively. Clinical decision making scores were significantly higher in groups under continuing education, with a master or higher degree, with clinical experience more than 5 years, or with experts. Critical thinking disposition and its subscales have a significant correlation with clinical decision making. Intellectual eagerness/curiosity, prudence, clinical experience, intellectual honesty, self-confidence, and healthy skepticism were important factors influencing clinical decision making(adjusted R 2 =33%). Conclusion: Results of this study suggest that various strategies such as retaining experienced nurses, encouraging them to continue with education and enhancing critical thinking disposition are warranted for development of clinical decision making.

Changes in decision‐making among Italian nurses and nursing students over the last 15 years

“…Several studies have reported better decision‐making with increasing clinical experience (Watson , Radwin , Currey et al . , Park & Kwon , Hoffman et al . ).…”

A Model of Decision-Making Based on Critical Thinking

“…Merak eğiliminde olduğu gibi, literatürde yer alan ölçek geliştirme çalışmaları (Facione vd., 1994;Irani vd., 2007;Park ve Kwon, 2007;Chen vd., 2011) ve keşfedici araştırmalar (Ennis, 1996;Facione, 1990), açık fikirliliğin de eleştirel düşünme becerilerinin gelişiminde öncül birer eğilim olduğunu açıkça ortaya koymaktadır. Stanovich ve West (1997), açık fikirliliğin ön yargılı olmayan bir şekilde düşünme eğilimi olarak eleştirel düşünmenin temel özelliği olduğunu belirtmiştir.…”

The Influence of Nursing Student’s Clinical Decision Making

“…적 사고성향이고 [11], 간호사의 의사결정능력의 형성요소로 도덕판단력, 윤리적 가치관이 중요하다 고 하였다 [8]. 그러나 간호대학생의 임상의사결정능력에 대한 영향을 미치는 요인에 대한 연구는 전무후무하며 임상의사결정능력 향상을 위한 사례기반학습의 효과검증연구 [12]와 간호윤리교육의 효과검증을 위한 이상적 의사결정능력의 변화에 대한 연구뿐이었다 [13].…”