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Nursing staff empowerment and critical thinking in rural acute care facilities
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Nursing staff empowerment and critical thinking in rural acute care facilities
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Author
Burwell
,
Robyn
Rene
Title
Nursing
staff
empowerment
and
critical
thinking
in
rural
acute
care
facilities
Degree Program
Nursing
Abstract
Critical
thinking
and
empowerment
are
controversial
concepts
in
nursing
. A
systematic
review
of the
literature
using
a
computer
search
of
CINAHL
,
MEDLINE
,
ABI-Inform
,
Cochrane
Library
,
National
Library
of
Medicine
, and the
Virginia
Henderson
International
Nursing
Library
(on-line
:
www.nursingsociety.org)
suggests
that in
order
for
staff
nurses
to
provide
quality
care
,
nurses
need
to be
empowered
and that
empowerment
of
nursing
staff
then
permits
decision-making
,
built
on
knowledge
and
experience
, then
leading
to the
development
and
use
of
critical
thinking
.
While
quality
care
to
all
patients
is
not the
same
, the
ability
to
utilize
critical
thinking
skills
allows
a
nurse
to
better
determine
the
unique
needs
of an
individual
patient
.
Organizations
today
need
to
empower
staff
nurses
to
look
for
ways
to
make
a
difference
in how they
provide
care
to
patients
through
the
use
of
critical
thinking
. The
relationship
between
staff
nurse
empowerment
and
critical
thinking
was
investigated
using
a
quantitative
,
non-experimental
,
descriptive-correlational
research
design
. The
convenience
sample
of
198
registered
nurses
(N=198)
working
in
ten
rural
hospitals
was
taken
from the
population
of
registered
nurses
who
work
in
Kansas
rural
counties
in
hospitals
of
150
beds
or
less
located
throughout
north-central
and
northeast
Kansas
.
Orem’s
(2001)
Self
Care
Deficit
Theory
of
Nursing
(SCDTN)
,
Kanter’s
(1993)
Structural
Theory
of
Power
,
Facione
and
Facione’s
(1996)
Centrality
of
Critical
Thinking
in
Nursing
theory
, and
Benner’s
(2001)
Philosophy
of
Novice
to
Expert
were
abstracted
together
into a
new
conceptual
model
to
guide
this
investigation
. The
Conditions
of
Work
Effectiveness
Questionnaire
II
(CWEQ-II)
, by
Laschinger
,
Finegan
,
Shamian
, and
Wilk
(2000)
, was
used
to
measure
staff
nurse
empowerment
. The
California
Critical
Thinking
Dispositions
Inventory
(CCTDI)
, by
Facione
and
Facione
(1996)
, was
utilized
to
measure
the
criterion
variable
of
critical
thinking
.
Statistical
analyses
using
Pearson
Product
Moment
Correlation
coefficient
was
used
to
determine
if a
correlation
existed
between
(a)
the
mean
of the
scores
of the
representation
of
empowerment
,
predictive
empowerment
,
overall
empowerment
and
global
empowerment
of the
CWEQ-II
and the
mean
of the
total
score
of the
CCTDI
,
(b)
the
number
of
years
practicing
as a
registered
nurse
and the
mean
scores
of the
representation
of
empowerment
,
predictive
empowerment
,
overall
empowerment
and
global
empowerment
of the
CWEQ-II
, and
(c)
the
number
of
years
practicing
as a
registered
nurse
and the
mean
score
of the
CCTDI
.
Data
from
198
registered
nurses
were
used
for the
calculations
. The
value
of the
Pearson
r
correlation
coefficients
for the
first
research
question
included
:
(a)
the
mean
of the
representation
of
empowerment
and the
mean
of the
total
score
of the
CCTDI
was.208
(r=.208
;
p<0.01)
,
(b)
the
mean
of
predictive
empowerment
and the
mean
of the
total
score
of the
CCTDI
was.221
(r=.221
;
p<0.01)
,
(c)
the
mean
of
overall
empowerment
and the
mean
of the
total
score
of the
CCTDI
was.235
(r=.235
;
p<0.01)
, and
(d)
the
mean
of
global
empowerment
and the
mean
of the
total
score
of the
CCTDI
was.028
(r=.028
;
p>0.05)
. The
first
three
were
considered
statistically
significant
.
However
the
last
correlation
was not
considered
statistically
significant
. The
value
of the
Pearson
r
correlation
coefficients
for
research
questions
two
includes
(a)
the
number
of
years
practicing
as a
registered
nurse
and the
mean
score
of the
representation
of
empowerment
(r=/245
;
p<0.01)
,
(b)
the
number
of
years
practicing
as a
registered
nurse
and the
mean
score
of
predictive
empowerment
(r=.164
;
p<0.05)
,
(c)
the
number
of
years
practicing
as a
registered
nursed
and the
mean
score
of
overall
empowerment
(r=.237
;
p<0.01)
, and
(d)
the
number
of
years
practicing
as a
registered
nurse
and the
mean
score
of
global
empowerment
(r=.073
;
p>0.05)
. The
first
three
were
considered
statistically
significant
.
However
the
last
correlation
was not
considered
statistically
significant
. For
research
question
three
the
value
of the
Pearson
r
correlation
coefficient
between
the
mean
of the
total
score
of the
CCTDI
was
-0.086
(p>0.05)
. This was not
statistically
significant
.
According
to the
data
, there
is
a
statistically
significant
relationship
between
:
(a)
the
mean
scores
of
three
of the
four
subscales
of
empowerment
that
make
up
the
CWEQ-II
and the
mean
of the
total
score
of the
CCTDI
, and
(b)
the
number
of
years
practicing
as a
registered
nurse
and the
mean
scores
of
three
of the
four
subscales
of
empowerment
that
make
up
the
CWEQ-II
.
However
the
data
suggest
there
is
not a
statistically
significant
relationship
between
the
number
of
years
practicing
as a
registered
nurse
and the
mean
score
of the
CCTDI
.
Date Original
2003
Publisher
Fort Hays State University
Relation
Digital reproduction of the Fort Hays State University Theses Collection.
Type
Text
Format
application/pdf
Identifier
BurwellRobynRene_2003_web.pdf
Source
LD2652 .T5 N8 B87 2003
Language
eng
Relation-Requires
Adobe Reader is required to view this item. Download at
http://get.adobe.com/reader/.
Rights
Copyright 2003 Robyn Rene Burwell
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