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Critical thinking abilities and clin...

Hicks, Franklin Darrell.

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Critical thinking abilities and clinical decision-making consistency among critical care nurses.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Critical thinking abilities and clinical decision-making consistency among critical care nurses./
作者:	Hicks, Franklin Darrell.
面頁冊數:	202 p.
附註:	Source: Dissertation Abstracts International, Volume: 58-04, Section: B, page: 1801.
Contained By:	Dissertation Abstracts International58-04B.
標題:	Health Sciences, Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9728482
ISBN:	9780591374438

Critical thinking abilities and clinical decision-making consistency among critical care nurses.
Hicks, Franklin Darrell.

Critical thinking abilities and clinical decision-making consistency among critical care nurses. - 202 p.

Source: Dissertation Abstracts International, Volume: 58-04, Section: B, page: 1801.

Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 1997.

The purpose of this correlational study was to describe the relationship of clinical knowledge, critical thinking (CT) dispositions and skills, and task complexity to the consistency of clinical decision-making. Clinical knowledge was defined as the highest degree in nursing attained by the subject and years of experience in direct client care in critical care nursing. CT dispositions and skills were measured by the California Critical Thinking Disposition Inventory (CCTDI) and the California Critical Thinking Skills Test (CCTST) respectively. Consistent clinical decision-making was defined as the degree to which nurses' selected interventions were congruent with decision analytic prescriptions grounded in subjective expected utility theory (SEUT) in two clinical decision tasks of low and high complexity.

ISBN: 9780591374438Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Critical thinking abilities and clinical decision-making consistency among critical care nurses.
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245 1 0 $a Critical thinking abilities and clinical decision-making consistency among critical care nurses.
300 $a 202 p.
500 $a Source: Dissertation Abstracts International, Volume: 58-04, Section: B, page: 1801.
502 $a Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 1997.
520 $a The purpose of this correlational study was to describe the relationship of clinical knowledge, critical thinking (CT) dispositions and skills, and task complexity to the consistency of clinical decision-making. Clinical knowledge was defined as the highest degree in nursing attained by the subject and years of experience in direct client care in critical care nursing. CT dispositions and skills were measured by the California Critical Thinking Disposition Inventory (CCTDI) and the California Critical Thinking Skills Test (CCTST) respectively. Consistent clinical decision-making was defined as the degree to which nurses' selected interventions were congruent with decision analytic prescriptions grounded in subjective expected utility theory (SEUT) in two clinical decision tasks of low and high complexity.
520 $a The convenience sample of 54 critical care nurses from adult critical care areas in 3 private teaching hospitals had primarily BSN (76%) or MSN (18.5%) degrees and an average of 9 years in direct client care experience in critical care. Seventeen (31%) nurses were consistent with SEUT principles in the low complexity task as compared to six nurses (11%) in the high complexity task. Thus, nurses did not utilize SEUT principles to a great degree in making clinical decisions. Multiple regression revealed no significant differences in level of clinical knowledge and CT disposition or skill, nor did logistic regression identify an association between higher levels of CT disposition or skill and clinical decision-making consistency. However, the likelihood of decision-making consistency increased as years of direct client care experience in critical care nursing increased. Further, subjects perceived that experience greatly influence their probability, values, and CT development.
520 $a The results imply that: (1) additional research is needed to further elucidate CT dispositions and skills important for clinical decision-making; (2) general CT measures may not be appropriate for nurses in clinical practice for any length of time; (3) violations of normative decision-making principles may be related to difficulty in specifying probabilities and utilities or the presence of heuristics and biases; (4) nurse educators need to place greater emphasis on the quality and types of experiences to which students and practicing nurses are exposed.
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