Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
권호 표지

Predictors of Clinical Competence in New Graduate Nurses

신규간호사의 임상수행능력 예측요인

  • 신연화 (부산대학교 간호대학) ;
  • 이해정 (부산대학교 간호대학 간호학과) ;
  • 임연정 (부산대학교 간호대학)
  • Published : 2010.03.31
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Abstract

Purpose: The purpose of this study was to identify the predictors of clinical competence in new graduate nurses. Methods: The subjects of this study were 238 nurses at 13 general hospitals who have had less than 12 months of nursing experience. The data were collected by structured questionnaire from August 5 to August 31 of 2009 and analyzed by the SPSS Win 12.0 program. Results: The total mean score for clinical competence was $181.05{\pm}15.17$, critical thinking disposition was $94.65{\pm}8.12$, and practice environment was $41.00{\pm}5.55$. There were significant differences of clinical competence according to the GPA (t=-3.58, p<.001), the number of beds in the hospital (t=-3.22, p=.001), instruction by preceptor (t=-2.32, p=.021), and previous experience of clinical practice in the hospital (t=-2.21, p=.028). Additionally, critical thinking disposition and practice environment were positively correlated to clinical competence (r=.50, p<.001; r=.20, p=.002). In multivariate approach, predictors included in this study explained 43% of variance in clinical competence. Significant predictors of clinical competence were critical thinking disposition ($\beta=.50$, p<.001), practice environment ($\beta=.14$, p=.012), and working duration ($\beta=.13$, p=.018). Conclusions: Based on these findings, it is needed that providing supportive practice environment and developing curriculum for enhancing the critical thinking disposition to improve the clinical competence in new graduate nurses.

Keywords

References

  1. Aiken, L. H., & Patrician, P. A. (2000). Measuring organizational traits of hospitals: The revised nursing work index. Nurs Res, 49(3), 146-153. https://doi.org/10.1097/00006199-200005000-00006
  2. Anderson, T., Linden, L., Allen, M., & Gibbs, E. (2009). New graduate RN work satisfaction after completing an interactive nurse residency. J Nurs Adm, 39(4), 165-169. https://doi.org/10.1097/NNA.0b013e31819c9cac
  3. Berkow, S., Virkstis, K., Stewart, J., & Conway, L. (2009). Assessing new graduate nurse performance. Nurse Educ, 34(1), 17-22. https://doi.org/10.1097/01.NNE.0000343405.90362.15
  4. Bowles, K.(2000). The relationship of critical-thinking skills and the clinical judgment skills of baccalaureate nursing students. J Nurs Educ, 39(8), 373-376.
  5. Byeon, Y. S. (1998). A study of the factors influencing new graduates' ability of clinical performance. Nurs Sci, 10(1), 31-42.
  6. Byeon, Y. S., Lim, N. Y., Kang, K. S., Sung, M. S., Won, J. S., & Ko, I. S., et al. (2003). Clinical nursing competency for new graduate nurses: A grounded theory approach. J Korean Acad of Fundam Nurs, 10(1), 47-56.
  7. Cho, E. H. (2009, July). Nurse practice environment and nurse retention in Korea. In L. H. (Chair), Global evidence in support of improving hospital work environments. Symposium conducted at the meeting of the 2009 ICN Conference, Durban, South Africa.
  8. Cho, H. S. (2005). A study on the critical thinking disposition and clinical competency of nursing students. J Korean Acad Soc Nurs Edu, 11(2), 222-231.
  9. Cho, M. H., & Kwon, I. S. (2007). A study on the clinical practice experiences on nursing activities of nursing students. J Korean Acad Soc Nurs Educ, 13(2), 143-154.
  10. Chun-Heung, L., & French, P. (1997). Education in the practicum: A study of the ward learning climate in Hong Kong. J Adv Nurs, 26(3), 455-462. https://doi.org/10.1046/j.1365-2648.1997.t01-2-00999.x
  11. Hickey, M. T. (2009). Preceptor perceptions of new graduate nurse readiness for practice. J Nurses Staff Dev, 25(1), 35-41. https://doi.org/10.1097/NND.0b013e318194b5bb
  12. Ji, E. O. (2009). A study on field adaptation of new nurses. Unpublished master's thesis, Ewha Womans University, Seoul.
  13. Jung, M. S. (2008). A study on the correlation among new graduate nurses' OSCE results, self-efficacy and competence. Unpublished master's thesis, Sungkyunkwan University, Seoul.
  14. Kang, S. Y., Um, Y. R., & Han, S. S. (2005). A professional nursing practice environment and its impact on nurses' task motivation. J Korean Acad Nurs, 35(2), 353-361. https://doi.org/10.4040/jkan.2005.35.2.353
  15. Kim, H. S. (1995). A study of nursing activities practiced by new graduated nurses. Unpublished master's thesis, Korea University, Seoul.
  16. Kim, Y. O. (2006). Perceived clinical performance ability of RNs in the ICU. Unpublished master's thesis, Yonsei University, Seoul.
  17. Kwon, I. S., Lee, G. E., Kim, G. D., Kim, Y. H., Park, K. M., & Park, H. S., et al. (2006). Development of a critical thinking disposition scale for nursing students. J Korean Acad Nurs, 36(6), 950-958. https://doi.org/10.4040/jkan.2006.36.6.950
  18. Lee, J. D., & Lee, C. S. (2006). The effects of preceptorship on nursing students' critical thinking propensity, clinical competency and satisfaction of clinical practice. J Korean Acad Nurs Admin, 12(3), 434-443.
  19. Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill.
  20. Park, J. A. (2008). A study on the critical thinking disposition and clinical competency in general hospital nurse. Unpublished master's thesis, Ulsan University, Ulsan.
  21. Rane-Szostak, D., & Robertson, J. F. (1996). Issues in measuring critical thinking: Meeting the challenge. J Nurs Educ, 35(1), 5-11.
  22. Shin, K. R. (1996). A study of critical thinking ability of associate and baccalaurate degree nursing students. J Korean Acad Nurs, 26(1), 43-52.
  23. Shin, K. R., Ha, J. Y., & Kim, K. H., (2005). A longitudinal study of critical thinking dispositions & critical thinking skills in baccalaureate nursing students. J Korean Acad Nurs, 35(2), 382-389. https://doi.org/10.4040/jkan.2005.35.2.382
  24. Snow, J. L. (2002). Enhancing work climate to improve performance and retain valued employees. J Nurs Adm, 32(7/8), 393-397. https://doi.org/10.1097/00005110-200207000-00007
  25. Son, H. M., Koh, M. H., Kim, C. M., & Moon, J. H. (2001). The clinical experiences of adaptation as a new nursing staff. J Korean Acad Nurs, 31(6), 988-997. https://doi.org/10.4040/jkan.2001.31.6.988
  26. Son, J. T., Park, M. H., Kim, H. R., Lee, W. S., & Oh, K. S. (2007). Analysis of RN-BSN students' clinical nursing competency. J Korean Acad Nurs, 37(5), 655-664. https://doi.org/10.4040/jkan.2007.37.5.655
  27. Yoo, K. H., Um, Y. R., Suh, Y. O., Song, R. Y., June, K. J., & Cho, N. O. (2000). The comparison between comparis graduates' performance and clinical nurses' performance of clinical competency. J Korean Acad Soc Nurs Edu, 6(1), 147-159.
  28. Yoo, O. I. (2000). Study on the stress and the satisfaction with the orientation program of new nurses. Unpublished master's thesis, Kyung Hee University, Seoul.
  29. Yoon, S. H. (2002). A study on new graduate nurses' clinical experience of adaptation. JKANA, 8(1), 55-72.
  30. Wangensteen, S., Johansson, I. S., & Nordström, G. (2008). The first year as a graduate nurse - an experience of growth and development. J Clin Nurs, 17(14), 1877-1885. https://doi.org/10.1111/j.1365-2702.2007.02229.x