DOI QR코드

DOI QR Code

간호대학생의 비판적 사고성향과 임상의사결정능력 및 환자안전 지식, 태도가 임상실습 시 환자안전 수행능력에 미치는 융복합적 영향요인

Convergence Factors Affecting Critical Thinking Disposition, Clinical Decision Making Ability, Patient Safety Knowledge and Attitude to Perform Safety Nursing Activities in Clinical Practice on Nursing Students

  • 문미영 (중부대학교 간호학과) ;
  • 김지영 (창원문성대학교 간호학과)
  • 투고 : 2018.11.15
  • 심사 : 2018.12.20
  • 발행 : 2018.12.28

초록

본 연구의 목적은 간호대학생의 비판적 사고성향과 임상의사결정능력 및 환자안전 지식, 태도가 임상실습 시 환자안전수행능력에 미치는 영향을 조사하고 이들 변수간의 관련성을 파악하여 환자안전수행능력의 향상을 위한 중재 프로그램 개발의 기초자료를 마련하기 위함이다. 자료분석은 SPSS 21.0 프로그램을 이용하여 t-tests, one-way ANOVA 등을 실시하였다. 연구결과, 대상자의 환자안전 수행능력은 비판적 사고성향(r=.278, p=.001)과 양적 상관관계,. 임상의사결정능력(r=.202, p=.014)과 양적 상관관계, 환자안전 태도(r=.421, p<.001)와 양적 상관관계가 있었다. 환자안전 수행능력에 미치는 영향요인은 성별(${\beta}=.175$, p=.031), 환자안전 교육(${\beta}=-2.266$, p=.025), 비판적 사고성향(${\beta}=3.354$, p=.001), 환자안전 태도(${\beta}=.368$, p<.001)로서 설명력은 31.5%의 영향력을 보였다(R2=.561, F=4.56 p<.001). 간호대학생의 임상실습 교육에 필요한 환자안전 수행능력을 증진하기 위해서 비판적 사고성향, 임상의사결정능력, 환자안전교육에 대한 교과 과정의 수립이 필요하다.

The purpose of this study was to investigate the effect of critical thinking, clinical decision making ability, patient safety knowledge and attitude ability to perform patient safety activities during clinical practice on nursing student's. Data were analyzed using t-tests and one-way ANOVA using the SPSS 21.0 program. As a result, the subjects' safety nursing activities was positively correlated critical thinking disposition(r=.278, p=.001), clinical decision making ability(r=.202, p=.014), patient safety attitude(r=.421, p<.001).The significant predictors of perform safety nursing activities were gender(${\beta}=.175$, p=.031), patient safety education(${\beta}=-2.266$, p=.025), critical thinking disposition(${\beta}=3.354$, p=.001), patient safety attitude(${\beta}=.368$, p<.001). These factors explained 31.5% of the variance(R2=.561, F=4.56 p<.001). It is necessary to establish a curriculum for critical thinking disposition, clinical decision making ability, and patient safety education in order to improve patient safety performance necessary for clinical practice education of nursing college students.

키워드

Table 1. The General Characteristics with Critical Thinking Disposition, Clinical Decision Making, Knowledge of Patient Safety, Attitude of Patient Safety, Safety Nursing Activities

DJTJBT_2018_v16n12_511_t0001.png 이미지

Table 2. Level of Critical thinking disposition, Clinical decision making, Knowledge of Patient Safety, Attitude of Patient Safety, Safety Nursing Activities

DJTJBT_2018_v16n12_511_t0002.png 이미지

Table 3. Correlations between Critical thinking disposition, Clinical decision making, Knowledge of Patient Safety, Attitude of Patient Safety and Safety Nursing Activities

DJTJBT_2018_v16n12_511_t0003.png 이미지

Table 4. Factors Influencing of Safety Nursing Activities

DJTJBT_2018_v16n12_511_t0004.png 이미지

참고문헌

  1. J. H. Park & M. W. Park. (2014). Knowledge, Attitude, and Confidence on Patient Safety of Undergraduate Nursing Students, Journal of Korean Academic Society of Nursing Education, 20(1), 5-14. DOI:http://dx.doi.org/10.5977/jkasne.2014.20.1.5
  2. L. T. Kohn, J. M. Corrigan & M. S. Donaldson. (2000). To error is human : building a safer health system. Washington D. C.: National Academy Press.
  3. B. K. Cha & J. Choi. (2015). A Comparative Study on Perception of Patient Safety Culture and Safety Care Activities: Comparing University Hospital Nurses and Small Hospital Nurses, Journal of Korean Nursing Administration Academic Society, 21(4), 405-416. DOI:http:/dx.doi.org/10.11111/Jkana.2015.21.4.405
  4. K. C. Lim, M. S. Park & G.. Y. Shin. (2017). Influences of Sense of Ethics and Attitude toward Patient Safety in the Confidence in Patient Safety in Nursing Students, Journal of Muscle and Joint Health, 24(2), 140-149. https://doi.org/10.5953/JMJH.2017.24.2.140
  5. S. H. Choi & H. Y. Lee. (2014). Factors affecting Nursing Students; Practice of Patient Safety Management in Clinical Practicum. Journal of Korean Nursing Administration Academic Society, 21(2), 184-192. DOI:http:/dx.doi.org/10.11111/Jkana.2015.21.2.184
  6. H. S. Kim. (2015). Effects of the Nursing Process Education Program on Critical Thinking Dispositions of the Nursing Students, Journal of the Korean Data Analysis Society, 17(1), 561-574.
  7. I. S. Kwo & Y. M. Seo. (2012). Nursing Students' needs for Clinical Nursing Education, Journal of Korean Academic Society of Nursing Education, 18(1), 25-33. DOI:http:/dx.doi.org/10.5977/kasne.2012.18.1.025.
  8. H. S. Jeong, J. H. Kong & M. Y. Jeon. (2017). Factors influencing Confidence in Patient Safety Management in Nursing Students. Journal of Korea Covergence Society, 13(2), 121-130. DOI:http:/doi.org/10.1520/JKCS.2017.8.6.121.
  9. S. H Son. & J. S. Park. (2017). A Study Nursing Students' Knowledge, Attitude, Confidence in Performance and Behavoir of Patient Safety. Journal of Korean Fisheries and Marine Education, 29(4), 1043-1053. DOI:http:/dx.doi.org/10.13000/JFMSE.2017.29.4.1043
  10. H. J. Kim & N. C. Kim. (2014). The Status of Blood and Body fluid exposure and affecting Factors among Students including Knowledge, Performance regarding standard precautions. Journal of Korean Society for School & Community Health Education, 15(3), 17-30.
  11. S. S Hu & H. Y. Kang. (2015). The Attitude of Patient Safety and Patient Safety Management Activity in Nursing Students. Journal of the Korea Academia- Industrial cooperation Society, 16(8), 5458-5467. DOI:http:/dx.doi.org/10.5762/KAIS.2015.16.8.5458
  12. C. M. Noland. (2014). Baccalaureate nursing students' accounts of medical mistakes occuring in the clinical setting: implications for curricula. Journal of Nursing Education, 53(3), 34-37. DOI:10.3928/01484834-20140211-04.
  13. S. H. Yoo. (2015). Effects of Critical Thinking Disposition and Clinical Decision Making of one tertiary hospital nurse on the Patient Safety Competency. Unpublished master's thesis, Ewha womans University, Seoul, Korea.
  14. S. Y. Park. (2016). Relationship between Self-reflection, Critical thinking disposition, Multi Cultural Experience and Cultural Competence in Nursing students, Journal of Digital Convergence, 14(12), 345-355. DOI:http:/dx.doi.org/10.44001/JDC.2016.14.12.345
  15. H. J. Yang. (2013). Relationship between Critical Thinking Disposition and Problem Solving Ability of Nursing Students, Journal of the Korea Academia- Industrial cooperation Society, 14(12), 6387-6394. DOI:http:/dx.doi.org/10.5762/KAIS.2013.14.12.6387
  16. 2015 Mindspark Interactive Network, Inc. G Power 3.1 analysis software. retrived Augest 5, 2015, from DOI:http://gpower.software.informer.com/3.1/
  17. J. Yoon. (2004). Development of an Instrument for the Measurement of Critical Thinking Disposition : In Nursing. Unpublished doctoral dissertation, Catholic University, Seoul, Korea.
  18. H. M. Jenkins. (1985). Improving clinical decision making in nursing. Journal of Nursing Education, 24(6), 242-243,
  19. M. K. Baek. (2005). Relationship between level of Autonomy and Clinical Decision-Making in Nursing Scale of E.T nurse. Unpublished dissertation, Yonsei University. Seoul, Korea.
  20. M. J. Park, I. S. Kim & Y. L. Ham. (2013). Development of a Perception of Importance on Patient Safety Management Scale (PI-PSM) for Hospital Employee. Journal of Korea Contents Society, 13(5), 332-341. DOI:http:/dx.doi.org/10.5392/JKCA.2013.13.05.332
  21. I. S. Kim, M. J. Park, M. Y. Park, H. N. Yoo. & J. H. Choi. (2013). Factors Affecting Perception of Importance and Practice on Patient Safety Management among Hospitals Employees in korea. Asian Nursing Research, 7(1), 26-32. DOI:http:/dx.doi.org/10.1016/j.anr.2013.01.001
  22. H. N. Yoo & H. Y. Lee. (2014). The Initial Application of the Patient Safety Management Activity Scale (PSM-A) for Nursing Students: Brief on Reliability and Validity", Journal of the Korean Data Analysis Society, 16(6), 3423-3436. http://uci.or.kr/G704-000930.2014.16.6.013.
  23. K. I. Kim, G. S. Jeon & G. S. Chae. (2015). NFC payment system model for security privacy and location information of user. Journal of Convergence Society for SMB, 5(2), 21-22,
  24. S. H. Bae, J. S. Shin, S. H. Chun & H. S. Chung. (2016). A study on improving the privacy for personal information collected for statistical processing, Journal of Convergence Society for SMB, 6(2), 25-30. DOI:http:/dx.doi.org/10.22156/CS4SMB.2016.6.2.025
  25. Y. M. Lee. (2012). Safety Accident Occurrence to Perceptions of Patient Safety Culture of Hospital Nurses. Journal of the Korea Academia-Industrial cooperation Society, 13(1), 117-124. DOI:http:/dx.doi.org/10.5762/KAIS.2012.13.1.117.
  26. J. W. Yoon. (2017). Relationships among Attitude of Patient Safety, Critical Thinking Disposition and Safety Nursing Activities in Nursing Students. Journal of Learner-Centered Curriculum and Instruction, 17(23), 859-877. DOI:http:/dx.doi.org/10.22251/jlcci.2017.17.23.859.
  27. J. H. Kim & H. L. Kang, (2017). Relationships among Critical Thinking Disposition, Problem Solving Ability and Self-Leadership of Nursing Students. Journal of Learner-Centered Curriculum and Instruction, 17(18), 430-450. DOI:http:/dx.doi.org/10.22251/jlcci.2017.17.18..435.
  28. J. H. Kim, K. J. Kwon & S. H. Lee. (2017). Factors Influencing Problem Solving Abilities of Nursing Students. Journal of Digital Convergence, 15(4), 295-307. DOI:http:/doi.org/10.14400/JDC.2017.15.4.295.
  29. M. Y. Moon. (2018). A Study on Knowledge, attitude and Confidence in performance of Patient Safety with Experience of safety incidents during Clinical Practicum in Nursing Students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 8(4), 847-856. DOI:http:/dx.doi.org/10.217421/AJMAHS.2018.04.80.
  30. S. H. Kim & S. H. Lee. (2017). The Influence of Nursing Student's Clinical Decision Making. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 7(8), 713-726. DOI:http:/dx.doi.org/10.217421/AJMAHS.2017.08.02
  31. J. A. Kim, J. I. Jung & Y. J. Cha. (2007). A study on the moral judgement and nursing ethical values of nursing students". Journal of Kyungbuk College, 25, 283-305.
  32. S. M. Choi & M. K. Lee. (2014). Relationship between Critical Thinking Disposition and Clinical Decision-Making Abilities in Home Health Advanced Practice Nurses. Journal of Korean Academic Society of Home Care Nursing, 21(2), 147-155. DOI: http://uci.or.kr/G704-SER000009889.2014.21.2.002
  33. M. O. Song & J. E. Moon. (2017). A Study on Patient Safety Management Activity for Nursing Students, Journal of Korea Convergence Society, 9(9), 379-388. DOI:http:/doi.org/10.15207/JKCS.2017.9.0.379