2026 Volume 46 Pages 307-317
Objective: Focusing on critical thinking orientation and proactive behavior, we aimed to clarify the factors that influence the ability of nursing in acute care hospitals to promote a team approach.
Methods: We conducted a web-based survey vis-à-vis the critical thinking orientation and proactive behaviors, as well as multiple regression analysis on the team approach promotion abilities, of 285 nurses in an acute care hospital.
Results: Nurses with longer nursing experience, clinical ladder levels, and more experience as link nurses in a medical team had higher critical thinking orientation and exhibited more proactive behaviors. Team approach facilitation was significantly associated with medical team/link nurse experience (β = 0.40), clinical ladder level (β = 0.38), proactive behavior (β = 0.06), and critical thinking orientation (β = 0.04).
Conclusion: Critical thinking orientation, proactive behavior, nursing practice competence, and organizational role competence, including medical team, were associated with the ability of nurses to promote a team approach. These findings suggest the importance of fostering proactive behaviors and critical thinking orientation alongside clinical experience and organizational involvement in enhancing team-based care in acute healthcare settings.
