Influences of Critical Thinking Disposition, Nurse Managers' Transformation and Transactional Leadership Style on Nurses' Competency with Evidence Based Practice

Abstract

This study was conducted to identify the influences of critical thinking disposition and perceived nurse managers' leadership style on nurses' competency with evidence based practice in hospitals. Methods: The participants were 147 nurses working in two university hospitals in Seoul, Korea. Data were collected during February and March in 2017 and were analyzed with Multiple Regression Analysis using SPSS/WIN 18.0. Results: The most influential factor on nurses' competency of evidence based practice was critical thinking disposition (β=.55, p<.001), followed by transformation (β=.20, p=.011) which together explained their competency of evidence based practice up to 53.0%. Conclusion: It is necessary to develop intervention programs and curriculum to enhance competence for nurses. It is also necessary to draw plans to develop nursing managers' transformational leadership. Therefore not only clinical nurses but also throughout the organization, strategies and curriculums should be developed to help nurses perform evidence based practice.

Effects of Length of Employment and Head Nurse Leadership Style on the Clinical Competency of Staff Nurses in Taiwan

“…Also, the findings of this study revealed distinct differences in clinical competency based on staff nurse age, marital status, job title, and length of employment, which aligns with previous research (S. O. Kim & Choi, 2019; Lee et al, 2020; Lin et al, 2012). However, in this study, differences in competency were also found to be associated with staff nurse job titles, which differs with the findings of Lee et al (2020).…”

“…Kim & Choi, 2019; Lee et al, 2020; Lin et al, 2012). However, in this study, differences in competency were also found to be associated with staff nurse job titles, which differs with the findings of Lee et al (2020). Furthermore, work department, although not associated with significant differences in this study, has been associated with significant differences in other previous studies (S. O.…”

“…Kim & Choi, 2019). Similarly, evidence-based practice competency was found to be higher among nurses who were 36 years or older, married, and educated to the graduate school level and possessed over a decade of work experience, with no effect on competency found for either job position or work department (Lee et al, 2020). Personal characteristics such as a clear vision of goals and strong interpersonal relationships may also impact clinical competency (Yamamoto et al, 2021).…”

“…The qualitative study of Purfarzad et al (2019) identified leadership as playing a supportive role in competency development. In South Korea, Lee et al (2020) employed multiple regression analysis and determined critical thinking disposition and transformational leadership to be the most influential factors affecting staff nurse competency in evidence-based practice. Chang (2008) explored the influence of Chinese cultural values on nursing leadership styles in Taiwan using multivariate analysis of variance (MANCOVA), finding a significantly positive association between cultural values and perceptions of leadership behavior.…”

Validity and Reliability of a Korean Version of the ConCom Safety Management Scale

“…Nevertheless, the larger the hospital, the more important it is to have a formal, disciplined, and hierarchical organizational culture [ 28 ]. Korean nurses feel burdened with doing their work quickly within a certain time, so they focus on improving work efficiency rather than exploring new solutions to problems [ 29 ]. There is also a widespread perception that nursing managers are solely responsible for patient safety [ 30 ].…”