Self-reflection and critical thinking: the influence of professional qualifications on registered nurses

Background: Ensuring the delivery of quality care and patient safety requires that nurses improve their self-reflection and insight as well as their critical thinking. To understand the factors that influence self-reflection, insight, and critical thinking, more evidence-based research is needed. Pu...

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Bibliographic Details
Published in:Contemporary nurse : a journal for the Australian nursing profession 2019-01, Vol.55 (1), p.59-70
Main Authors: Chen, Fen-Fang, Chen, Shu-Yueh, Pai, Hsiang-Chu
Format: Article
Language:English
Subjects:
Adult
Clinical Competence
critical thinking
Female
Humans
insight
Male
nurse
Nursing
Nursing Staff - psychology
qualification
Self-Assessment
self-reflection
Taiwan
Thinking
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Summary:Background: Ensuring the delivery of quality care and patient safety requires that nurses improve their self-reflection and insight as well as their critical thinking. To understand the factors that influence self-reflection, insight, and critical thinking, more evidence-based research is needed. Purpose: The purpose of this study was to examine whether professional qualifications (i.e. age, years of job experience, and position on the clinical ladder) would affect self-reflection and critical thinking in the experienced registered nurses (RNs) group. Methods: This quantitative and correlational study included 597 RNs (297 novice nurses and 300 experienced nurses), recruited from one medical center hospital in central Taiwan, as participants. Data were collected on self-reflection and critical thinking, using the Chinese-version of the Self-Reflection and Insight Scale and the Taiwan Critical Thinking Disposition Inventory. A structural equation modeling approach was used to examine the relationships among variables. Findings: The results showed a non-significant mean difference in self-reflection with insight scores between the two groups. Experienced RNs had a significantly higher mean score for critical thinking. Further analysis of the data of experienced nurses revealed that self-reflection with insight significantly affected critical thinking (β = 0.24, t = 4.141, p  .05) and critical thinking (β = 0.18, t = 3.143, p 
ISSN:1037-6178
1839-3535
DOI:10.1080/10376178.2019.1590154