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The Effects of Critical Thinking and Clinical Decision-Making on Ethical Dilemmas by Some Dental Hygienists

일부 치과위생사의비판적 사고경향과 임상적 의사결정이 윤리적 딜레마에 미치는 영향

  • 강현경 (신라대학교 치위생학과)
  • Received : 2014.12.11
  • Accepted : 2015.03.04
  • Published : 2015.03.31

Abstract

The aim of this descriptive cross-sectional study was determine the effect of critical thinking and clinical decision-making on ethical dilemmas. A survey of dental hygienists residing in Busan and South Gyeongsang, Korea was conducted using convenience sampling between September and December, 2013. A total of 153 responses were used in the final analysis. Data analysis and structural equation modeling were performed with IBM SPSS Statistics(version 21.0) and AMOS(version 18.0) programs. A negative(-) correlation coefficient(-0.37) was observed between critical thinking and ethical dilemmas on statistical analysis, i.e., higher critical thinking led to less ethical dilemmas(p=0.024, CR=-2.264). The values from the structural equation model were ${\chi}^2=98.124$ df=66, GFI=0.919, AGFI=0.871, and RMSEA=0.057. This study proposed a theoretical model in which critical thinking, ethical values, and decision-making skills should be firmly established to effectively respond to specific situations, such as ethical dilemmas, and that greater tendencies for critical thinking led to less ethical dilemmas, thereby demonstrating a negative(-) correlation between the two parameters.

Keywords

References

  1. S.M. Lee, B.W. Kang, C.H. Kim(2010), Dental Hygienist's Ethical Dilemma, Journal of Dental Hygiene Science, Vol.10(4);259-264.
  2. K.H. Kim, G.D. Kim(2007), The Relationship between Critical Thinking Disposition and Self-Efficacy of College Nursing Students, The Journal of Korean academic society of nursing education, Vol.13(2);229-236.
  3. Y.S. Jo(2011), Review : Clinical Dental Hygiene Education and Practice based on Dental Hygiene Process, Journal of Dental Hygiene Science, Vol.11(3);135-154.
  4. H.R. Hwang, E.K. Kim, Y.S. Jo(2012), Association between Critical Thinking Disposition and Grade Point Average Score in Dental Hygiene Students, Journal of Dental Hygiene Science, Vol.12(1);7-13.
  5. H.J. Choi(2001), Public Health Nurses' Decision Making Models and Their Knowledge Structure, Journal of Korean Academy of Nursing, Vol.31(2);328-339.
  6. J.P. Hamers, H.H. Abu-Saad, R.J. Halfens(1994), Diagnostic process and decision making in nursing: A literature review, Journal of Professional Nursing, Vol.10(3);154-163. https://doi.org/10.1016/8755-7223(94)90009-4
  7. S.C. Jung, D.Y. Jung(2011), Relationship between Critical Thinking Disposition, Clinical Decision Making and Job Satisfaction of Cancer Center Nurses, Korean Academy of Nursing Administration, Vol.17(4);443-450. https://doi.org/10.11111/jkana.2011.17.4.443
  8. H.J. Kim, A.H. Jaung(2013), Analysis Relationship of Critical Thinking, Clinical Decision Making and Job Satisfaction of Dental Hygienists, The Korea Contents Society, Vol.13(2);322-330.
  9. Korean Dental Hygienists Association(2009), Hygienist professional ethics, Koonja, p.12.
  10. S.S. Han, S.H. Ahn(1992), Effects of nursing ethics education on moral reasoning and ethical decision making for student nurses, The Journal of Korean Nursing Administration Academic Society, Vol.1(2);268-284.
  11. C.A. Walleck(1991), Building the framework for dealing with ethical issues, AORN Journal, Vol.53(5);1248-1251. https://doi.org/10.1016/S0001-2092(07)69262-X
  12. C.H. Kim, H.O. Lee, S.M. Lee(2011), Clinical Dental Hygienist's Ethical Dilemma and Professionalism, Journal of Dental Hygiene Science, Vol.11(4);345-352.
  13. M.J. Kim, I.S. Park(2012), Ethical Dilemma and Empowerment among Dental Hygienists in Some Regions, Journal of Dental Hygiene Science, Vol.12(4);383-391.
  14. F.Y. Hsieh, D.A. Bloch, M.D. Larsen(1998), A simple method of sample size calculation for linear and logistic regression, Statistics in Medicine, Vol.17(14);1623-1634. https://doi.org/10.1002/(SICI)1097-0258(19980730)17:14<1623::AID-SIM871>3.0.CO;2-S
  15. J. Yoon(2008), A Study on the Critical Thinking Disposition of Nursing Students-Focusing on a School Applying Integrated Nursing Curriculum, The Journal of Korean Nursing Administration Academic Society, Vol.14(2);159-166.
  16. H.M. Jenkins(1985), A research tool for measuring perceptions of clinical decision making, Vol.1(4);221-229. https://doi.org/10.1016/S8755-7223(85)80159-9
  17. M.K. Baek(2005), Relationship between level of autonomy and clincal decision-making in nursing scale of E.T nurse, Master's Thesis, Seoul, Univ. of Yonsei, pp.77-81.
  18. Y.J. Cheon(2013), The Relationships between Ethical Dilemma and Job Satisfaction of Emergency Room Nurses, Master's Thesis, Univ. of Ajou, pp.46-48.
  19. J. Hur(2013), Amos Structural Equation Model, Hannarae, pp.181-195.
  20. J.M. Jeong, J.H. Park, S.H. Jeong(2013), Case Development on Nurses' Ethical Dilemmas with Physicians' and Nurses' Decision Making, The Journal of Korean Nursing Administration Academic Society, Vol.19(5);668-678. https://doi.org/10.11111/jkana.2013.19.5.668
  21. S.O. Chang, N.M. Shin, S.Y. Kim(2009), Critical Thinking of Clinical Nurses, Journal of Korean academy of fundamentals of nursing, Vol.16(4);459-471.
  22. B.M. Seo, H.J. Park(2014), Factors Affecting Clinical Competence among Nursing Students. The Korean Journal of Health Service Management, Vol.8(4);149-161. https://doi.org/10.12811/kshsm.2014.8.4.149
  23. K.H. Jo, K.J. An, G.M. Kim(2011), Future Changes and Directions for the Construction of a Medical Decision-Making System in Korea: Focused on delphi surveys. Korean Journal of Medical Ethics, Vol.14(2);131-144.
  24. H.K. Lee, J.S. Shin(2012), Relationships among ethical dilemma experienced by nurses, burnout and coping, Korean Journal of Medical Ethics, Vol.15(3);339-354.

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