Influence of Critical Thinking Disposition, Clinical Reasoning Competence, and Nursing Practice Environment on Medication Safety Competence of Hospital Nurses.

Jeong An Oh, Eun A Kim, Hae Ran Kim
Author Information
  1. Jeong An Oh: Department of Nursing, Chonnam National University Hwasun Hospital, Gwangju 58128, Republic of Korea.
  2. Eun A Kim: Department of Nursing, Honam University, Gwangju 62399, Republic of Korea.
  3. Hae Ran Kim: Department of Nursing, College of Medicine, Chosun University, Gwangju 61452, Republic of Korea. ORCID

Abstract

OBJECTIVES: This study examined the impact of nurses' critical thinking disposition, clinical reasoning competency, and nursing practice environment on their medication safety competency.
METHODS: A cross-sectional design was employed, involving a convenience sample of 210 nurses from four tertiary general hospitals and two general hospitals. Data were collected in September 2023 utilizing structured online self-report questionnaires and analyzed utilizing descriptive statistics, independent -tests, one-way analysis of variance, Pearson's correlation coefficients, and stepwise multiple regression with SPSS/WIN 28.0 software.
RESULTS: Significant positive relationships ( < 0.001) were found between nurses' medication safety competence and critical thinking disposition (r = 0.47), clinical reasoning competence (r = 0.67), and nursing practice environment (r = 0.40). Factors influencing medication safety competence were identified as clinical reasoning competence (β = 0.55, < 0.001), nursing practice environment (β = 0.30, < 0.001), and critical thinking disposition (β = 0.19, < 0.001). The regression model accounted for 57% of the variance in medication safety competence and was statistically significant (F = 91.70, < 0.001).
CONCLUSIONS: These findings highlight key factors influencing medication safety competence of nurses and underscore the need for targeted strategies to enhance patient safety by optimizing critical thinking, clinical reasoning, and the nursing practice environment in healthcare settings.

Keywords

References

  1. Taehan Kanho Hakhoe Chi. 2006 Oct;36(6):950-8 [PMID: 17090994]
  2. J Clin Nurs. 2017 Dec;26(23-24):4065-4079 [PMID: 28557238]
  3. J Adv Nurs. 2018 Jun;74(6):1332-1341 [PMID: 29350781]
  4. Nurse Educ Pract. 2019 May;37:109-114 [PMID: 31132586]
  5. J Adv Nurs. 2016 Mar;72(3):707-17 [PMID: 26455724]
  6. Nurse Educ Pract. 2022 Jan;58:103274 [PMID: 34922091]
  7. J Nurs Scholarsh. 2017 Jan;49(1):103-110 [PMID: 27899008]
  8. J Nurs Manag. 2022 Jan;30(1):205-213 [PMID: 34532901]
  9. Hum Resour Health. 2017 Sep 11;15(1):63 [PMID: 28893270]
  10. BMC Nurs. 2024 Mar 14;23(1):175 [PMID: 38481264]
  11. Nurs Open. 2023 Mar;10(3):1383-1392 [PMID: 36210506]
  12. BMC Nurs. 2023 Apr 25;22(1):138 [PMID: 37098564]
  13. Nurse Educ Today. 2023 Feb;121:105679 [PMID: 36542870]
  14. Med Care. 2019 May;57(5):353-361 [PMID: 30908381]
  15. JBI Evid Synth. 2023 Apr 01;21(4):713-743 [PMID: 36730096]
  16. Nurse Educ. 2020 Nov/Dec;45(6):E62-E65 [PMID: 32091477]
  17. Open Access Maced J Med Sci. 2019 Oct 10;7(21):3579-3583 [PMID: 32010380]
  18. West J Nurs Res. 2021 Jul;43(7):686-697 [PMID: 33158408]
  19. Am J Nurs. 2023 Dec 1;123(12):18-28 [PMID: 37934872]
  20. Br J Nurs. 2017 Feb 9;26(3):159-165 [PMID: 28185490]
  21. J Clin Nurs. 2007 Mar;16(3):447-57 [PMID: 17335520]
  22. J Clin Nurs. 2018 Feb;27(3-4):e402-e411 [PMID: 28926146]

Grants

  1. 2024/Chosun University

Word Cloud

Created with Highcharts 10.0.00safetycompetence=medicationcriticalthinkingclinicalnursingenvironment<001reasoningpracticedispositionnursesrβnurses'competencygeneralhospitalsutilizingvarianceregressioninfluencingCompetenceOBJECTIVES:studyexaminedimpactMETHODS:cross-sectionaldesignemployedinvolvingconveniencesample210fourtertiarytwoDatacollectedSeptember2023structuredonlineself-reportquestionnairesanalyzeddescriptivestatisticsindependent-testsone-wayanalysisPearson'scorrelationcoefficientsstepwisemultipleSPSS/WIN28softwareRESULTS:Significantpositiverelationshipsfound476740Factorsidentified553019modelaccounted57%statisticallysignificantF9170CONCLUSIONS:findingshighlightkeyfactorsunderscoreneedtargetedstrategiesenhancepatientoptimizinghealthcaresettingsInfluenceCriticalThinkingDispositionClinicalReasoningNursingPracticeEnvironmentMedicationSafetyHospitalNurseserrors

Similar Articles

Cited By