本研究目的旨在驗證臨床護理人員的批判性思考能力與各項護理能力間的因果關係;資料來自大型調查資料庫,以PLS統計方法進行次級資料分析,進而分析臨床護理人員批判性思考能力對護理能力的預測效果。研究工具包括護理能力與批判性思考能力量表。研究結果顯示:(1)護理人員之批判性思考能力各變項中以「解釋」能力最高,「推論」能力最低。(2)護理人員之護理能力以「照顧」能力最高,「溝通」能力次之,「研究」能力最差。(3)護理能力應可分為三階因素模型。(4)臨床護理人員的批判性思考能力各變項對護理能力均無正向且顯著的影響,但考量批判性思考的重要性,或許可將批判性思考列為第七項護理能力。希望藉由此研究結果來確認兩者之間的關連性,以提供臨床護理人員職前重點訓練的方向,落實臨床護理人員的護理能力精進,並進而提升其成就感。
The purpose of this study was to examine the cause-and-effect relationship between critical thinking ability and nursing competence of clinical nurses. It is a secondary data analysis from a database. We analyze the minor data by PLS-SEM, and then analyze the forecasted result how clinical nurses’ critical thinking influences their nursing competence. Study tools included Critical Thinking Ability Scale and the Nursing Competence Structured Questionnaire. The results of the study showed: (1) The highest score of critical thinking ability of clinical nurses is “explanation”, and the lowest is “deduction”; (2) The highest score of nursing competence of clinical nurses is “care”, follow is “communication’’, and the lowest one is “research”; (3) Nursing competence could be classified into three factor models; (4) The critical thinking ability of clinical nurses had no significant influence on nursing competence. Considering the importance of critical thinking ability, it might be considered as the 7th nursing competence. We hope to verify the cause-and-effect relationship between above two abilities through this study, and then provide a direction for on-job education of clinical nurses, in order to improve clinical nurses’ nursing competence and promote their sense of achievement.