Skill-based competencies, not traits, are associated with design thinking–aligned teaching behaviours in nursing education: a cross-sectional survey
摘要
Healthcare systems’ growing complexity has driven the adoption of design thinking (DT) pedagogies to cultivate creativity, collaboration, and adaptive expertise among nursing graduates. Faculty teaching behaviours play a critical role in how DT curricula are enacted, yet it remains unclear whether skill-based DT competencies or trait-based dispositions are more strongly associated with DT-aligned teaching behaviours. This study examined their relative and indirect associations among interdisciplinary faculty involved in DT-integrated nursing education in Taiwan.
MethodsA cross-sectional survey was conducted with 95 faculty members from 12 Taiwanese institutions offering DT-integrated nursing courses. Measures included the 14-item Creative Teaching Behaviours Scale (CTBS) as a proxy for DT-aligned teaching behaviours, the 18-item Creative Synthesis Inventory–Taiwan version (CSI-TW) for skill-based DT competencies, and the 9-item Design Thinking Traits Questionnaire–Taiwan version (DTTQ-TW) for trait-based DT dispositions. Analyses included exploratory group comparisons, hierarchical multiple regression, and mediation analysis, controlling for demographic characteristics and DT-related teaching experience.
ResultsFaculty with higher CTBS scores demonstrated significantly higher levels of both skill-based and trait-based DT competencies at the descriptive level. Hierarchical regression analysis showed that skill-based DT competencies (β = 0.429, p < 0.05) and DT teaching experience (β = 0.379, p < 0.05) were independently associated with DT-aligned teaching behaviours, explaining 27.2% of the variance. Trait-based DT dispositions did not contribute additional explanatory value once skills were taken into account (ΔR² = 0.001, p = 0.784). Mediation analysis further suggested an indirect association, whereby trait-based DT competencies were related to teaching behaviours through skill-based competencies, with no detectable direct association.
ConclusionsWithin this cross-sectional sample, DT-aligned teaching behaviours were more closely associated with skill-based DT competencies and accumulated teaching experience than with trait-based dispositions. The findings are consistent with a distal–proximal interpretation derived from social cognitive theory and suggest that faculty development initiatives should prioritise sustained, hands-on training in DT process skills and authentic teaching practice opportunities rather than trait-based selection.