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임상간호사의 비판적 사고

 Critical Thinking of Clinical Nurses

기본간호학회지 2009년 16권 4호 p.459 ~ 471
KMID : 0388320090160040459
장성옥 ( Chang Sung-Ok ) - 고려대학교 간호대학

신나미 ( Shin Nah-Mee ) - 고려대학교 간호대학
김순용 ( Kim Soon-Yong ) - 고려대학교 간호대학

Abstract

Introduction: Critical thinking involves identifying problem(s), assessing resources, and generating possible solutions and allows clinical nurses to decide which solution is the most reasonable under the given circumstances, taking into consideration the “what ifs” and how they will affect the end result. This research was conducted to further understanding and identification of subjective factors in critical thinking in clinical nurses.

Methods: The research design was a Q-Methodological Approach. Q-population was formulated from a non-structured questionnaire and interviews from 17 experienced clinical nurses. Thirty selected Q-statements were sorted by 30 experienced clinical nurses.

Results: Four factors for critical thinking were identified: (1) Deductive reasoning based on causal relation, (2) Construction of an effective model based on patients’ responses, (3) Formulating categories based on priorities for effective interventions, and (4) Judging validity of the situational significance on clinical performances.

Conclusion: Critical thinking is an attitude and reasoning process. From this study, the frame of reference for clinical nurses in formulating critical thinking within the context of clinical settings is identified and indicates the way nurses utilize thinking skills when they care for patients and areas that need further exploration as nurses and faculty develop education systems to advance clinical performance competency.
KeyWords
임상간호사, 비판적 사고
Inference, Clinical decision making
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학술진흥재단(KCI) KoreaMed