DOI QR코드

DOI QR Code

Convergence Analysis of the Factors Influencing Clinical Competency among Nursing Students Participated in Simulation-based Practice

시뮬레이션 실습을 경험한 간호대학생의 임상수행능력에 영향을 미치는 융합적 요인

  • Received : 2019.10.29
  • Accepted : 2019.12.19
  • Published : 2019.12.31

Abstract

Objectives: The purpose of the study was to identify the factors influencing the nursing students' Clinical Competency. Methods: A sample of convenience was 185 nursing students, and a questionnaire was used to measure their self-leadership, critical thinking disposition, self-directed learning ability, problem solving ability and clinical competency. Results: A significant positive correlation was found among clinical competency, self-leadership, critical thinking disposition, self-directed learning ability and problem solving ability. Grade of which the participant was in, interpersonal relationship, critical thinking disposition, problem solving ability, and self-directed learning ability were significant predictive variables of which accounted for 53% of the variance in clinical competency. Conclusions: The results from this study can be used to develop the programs for improving clinical competency.

본 연구는 간호대학생의 임상수행능력에 영향을 미치는 융합적인 요인들을 파악하기 위하여 실시하였다. 연구대상은 4년제 일 간호대학에 재학중인 간호대학생 185명이였으며 측정 도구는 셀프리더쉽, 비판적 사고성향, 자기주도학습능력, 문제해결과정, 임상수행능력에 관한 문항으로 구성되었다. 셀프리더쉽, 비판적 사고성향, 자기주도학습능력, 문제해결과정, 임상수행능력정도는 기술통계로 분석하였고 제 변수들 간의 상관관계는 Pearson correlation coefficients, 임상수행능력에 영향을 미치는 요인은 다중 선형 회귀분석(Multiple linear regression)을 적용하였다. 임상수행능력은 셀프리더쉽, 비판적 사고성향, 자기주도학습능력, 문제해결과정과 유의한 정적상관성이 있는 것으로 나타났다(r=.580, r=.604, r=.668, r=.627). 대인관계(β=.148), 비판적 사고성향(β=.158), 문제해결과정(β=.165), 자기주도학습능력(β=.321)순으로 유의미한 영향을 주는 것으로 나타나 임상수행능력의 53%를 설명하였다. 본 연구 결과를 토대로 간호대학생들의 임상수행능력을 향상시키기 위한 프로그램 개발에 활용할 수 있을 것이다.

Keywords

References

  1. M.S.Kwon, "The Influence of Self-directed learning & Critical Thinking Disposition on Clinical Competence in Nursing Students", Journal of Korean Academic Society of Nursing Education, Vol. 17, No.3, pp. 387-394, 2011. https://doi.org/10.5977/JKASNE.2011.17.3.387
  2. J.K.Ko, M.S.Chung, M.A.Choe, Y.I.Park, K.S.Bang and J.A.Kim, "Modeling of nursing competencies for competency-based curriculum development", Journal of Korean Academic Society of Nursing Education, Vol.19, No.1, pp.87-96, 2013. https://doi.org/10.5977/jkasne.2013.19.1.87
  3. Korean Accreditation Board of Nursing Education, "Public hearing on the accreditation of nursing: Strategies for the accreditation of nursing in 2012", Seoul: Korea Accreditation Board of Nursing Education.
  4. B.Campbell and G.Mackay, "Continuing competence: An Ontario Nursing regulatory Program that supports nurses and employers", Nursing Administration Quarterly, Vol.25, No.2, pp.22-30, 2001. https://doi.org/10.1097/00006216-200101000-00006
  5. Y.W.Shin, H.J.Lee and Y.J,Lim, "Predictors of the clinical competence in new graduate nurses", Journal of Korean Academy of Nursing Administration, Vol.16, No.1, pp 37-47, 2010. https://doi.org/10.11111/jkana.2010.16.1.37
  6. H.K.Hur and Y.S.Roh, " Effects of a simulation based clinical reasoning practice program on clinical competence in nursing students", Korean Journal of Adult Nursing, Vol.25, No.5, pp.574-584, 2013. https://doi.org/10.7475/kjan.2013.25.5.574
  7. E.K.Lee and J.A.Park, "Ego-resilience and the clinical competence of nursing students ", Journal of Korean Public Health Nursing, Vol.27, No.2, pp.293-303, 2013. https://doi.org/10.5932/JKPHN.2013.27.2.293
  8. H.S.Shin, K.K.Shim and Y.N.Lee, "Nursing activities identified through pediatric nursing simulation", Child Health Nursing Research, Vol.19, No.2, pp.111-119, 2013. https://doi.org/10.4094/chnr.2013.19.2.111
  9. S.K.Chaung, "Critical thinking disposition, problem solving ability, and clinical competence in nursing students", Journal of Korean Academy of Fundamentals of Nursing, Vol.18, No.1, pp.71-78, 2011.
  10. K.A.Shin and B.H.Cho, "Professional self-concept, critical thinking disposition and clinical competence in nursing students", Journal of Korean Academy of Fundamentals of Nursing, Vol.19, No.1, pp.46-56, 2012. https://doi.org/10.7739/jkafn.2012.19.1.046
  11. J.W.Park, C.J.Kim, Y.S.Kim, M.S.Yoo, S.M.Chae, J.A.Ahn and H.R.Yoo, "Impact of critical thinking disposition, general self-efficacy, and leadership on clinical competence in nursing students", Korean Journal of Medicine Education, Vol.24, No.3, pp.223-231, 2012. https://doi.org/10.3946/kjme.2012.24.3.223
  12. K.K.Shim, "The Reliability and Validity of the Lasater Clinical Judgement Rubric in Korean Nursing Students", Master's Thesis, Kyung Hee University, Seoul, 2012.
  13. I.S.Kwon, G.E.Lee, G.D.Kim, Y.H.Kim, K.M.Park, H.S.Park, S.K.Sohn, W.S.Lee, K.S.Jang and B.Y.Chung, "Development of a critical thinking disposition scale for nursing students" Journal of Korean Academy of Nursing, Vol.36, No.6, pp.950-958, 2006. https://doi.org/10.4040/jkan.2006.36.6.950
  14. N.C.Facione, P.A.Facione and C.A.Sanchez, "Critical thinking disposition as a measure of competent clinical judgement: The development of the California Critical Thinking Disposition Inventory", Journal of Nursing Education, Vol.33, No.8, pp.345-350, 1994. https://doi.org/10.3928/0148-4834-19941001-05
  15. K.R.Shin, J.Y.Ha and K.H.Kim, "A Longitudinal Study of Critical thinking Dispositions & Critical Thinking Skills in Baccalaureate Nursing Students", Journal of Korean Academy of Nursing, Vol.35, No.2, pp.382-389, 2005. https://doi.org/10.4040/jkan.2005.35.2.382
  16. C.C.Manz, "Self-leadership: Toward an expanded theory of self influence processes in organizations", Academy of Management Review, Vol.11, No.3 pp.585-600, 1986. https://doi.org/10.5465/amr.1986.4306232
  17. Y.S.Eo, "Effects of self-leadership program on mental health and ego-identity in nursing students", Journal of the Korean Data Analysis Society, Vol.12, No.2, pp.893-908, 2010.
  18. H.J.Dong and M.S.Choi, "Influence of Professional Self-concept and Self-leadership on Clinical Competence in Nursing Students", The Korea journal of fundamentals of nursing, Vol.23, No.4, pp.373-382, 2016. https://doi.org/10.7739/jkafn.2016.23.4.373
  19. K.S.Jang, N.Y.Kim and H.Y.Park, "Effects of an Action Learning based Creative Problem-Solving Course for Nursing Students", The Journal of Korean Nursing Administration Academic Society, Vol.20, No.5, pp.587-598, 2014.
  20. M.Clement, L.W.Jankowski, L.Bouchard, M.Perreault and Y.Lepage, "Health behaviors of nursing students: a longitudinal study", Journal of Nursing Education, Vol.41, No.6, pp.257-265, 2002. https://doi.org/10.3928/0148-4834-20020601-06
  21. G.A.Jo, "The effectiveness of cooperative learning and individualistic learning on problem solving process", Unpublished master's thesis, Chongbuk National University, Chounju, 2003.
  22. E.Y.Choi and J.Y.Kim, "The relationship of core competencies (problem solving ability, communication ability, self-directed learning ability) to critical thinking" The Korean journal of fundamentals of nursing, Vol.14, No.4, pp.412-419, 2007.
  23. W.S.Lee, S.H.Park and E.Y.Choi, "Development of a Korean Problem Solving Process Inventory for Adults", The Korean Journal of Fundamentals of nursing, Vol.15, No.4, pp.548-557, 2008.
  24. P.R.Jeffries, "A framework for designing, implementing, and evaluation simulations used as teaching strategies in nursing", Nursing Education Perspectives, Vol.26, No.2, pp.96-103, 2005.
  25. G.Kocaman, AUgur and A.Dicle, "A Longitudinal analysis of the self-directed learning readiness level of nursing students enrolled in a problem-based curriculum", Journal of nursing education, Vol.48, No.5, pp.286-290, 2009. https://doi.org/10.3928/01484834-20090416-09
  26. J.H.Choi and J.H.Jeong, " The effect of readiness to self-directed learning on nursing practice competence", Journal of korean Clinical Nursing Research, Vol.17, No.1, pp.16-26, 2011.
  27. M.R.Song, E.M.Kim and S.J.Yu, "Aanalysis on the Competency of Nursing Students' Basic Nursing Skills", The Journal of the Korea Contents Association, Vol.12, No.6, pp.390-401, 2012. https://doi.org/10.5392/JKCA.2012.12.06.390
  28. M.O.Chae, "Effects of a Simulation -based Program on self-Directed Learning Ability, Metacognition and Clinical Competence in Nursing student", Journal of the Korea Academia-Industrial cooperation Society, Vol.16, No.10, pp.6832-6838, 2015 https://doi.org/10.5762/KAIS.2015.16.10.6832
  29. M.R.Eom, H.S.Kim, E.K.Kim and K.Y.Seong, "Effects of teaching method using standardized patients on nursing competence in subcutaneous infection", Journal of Korean Academy of Nursing, Vol.40, No.2, pp.151-160. 2010. https://doi.org/10.4040/jkan.2010.40.2.151
  30. J.D.Houghton and C.P.Neck, "The revised self-leadership questionnaire: testing a hierarchical factor structure for self-leadership", Journal of Managerial Psychology, Vol.17, No.8, pp.672-691, 2002. https://doi.org/10.1108/02683940210450484
  31. Y.K.Shin, M.S.Kim and Y.S.Han, "A Study on the Validation of the Korean Version of the revised Self-Leadership Questionnaire(RSLQ) for Korean College Students", The Korean Journal of School Psychology, Vol.6, No.3, pp.313-340, 2009.
  32. C.Barrett and F.Myrick, "Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee", Journal of Advanced Nursing, Vol.27, No.2, pp.364-371, 1998. https://doi.org/10.1046/j.1365-2648.1998.00511.x
  33. P.M.Schwirian, " Evaluating the performance of nurse: a multidimensional approach", Nursing Research, Vol.27, No.6, pp.347-351, 1978. https://doi.org/10.1097/00006199-197811000-00004
  34. W.H.Lee, C.J.Kim, J.S.Yoo, H.K.Hur, K.S.Kim and S.M.Lim, "Development of clinical competency measurement tool for student", Journal Nursing Science, Vol.13, No.1, pp.17-29, 1990.
  35. M.S.Choi, "A study on the relationship between teaching effectiveness of clinical nursing education and clinical competency in nursing students", Unpublished master's thesis, Ewha Womans University, Seoul, 2005.
  36. J.Yoon, "Development of an instrument for the measurement of critical thinking disposition: In nursing", Unpublished doctoral dissertation, Catholic University, Seoul, 2004.
  37. Korean Educational Developmental Institute, "A study on the developmental of life-skills: Communication, problem solving, and self-directed learning", Seoul: Korea National University of Educational Developmental Institute, 2003.
  38. S.H.Han, "Effecting Factors Clinical Competency of Nursing Students", Asia-Pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.9, No.8, pp.531-540, 2019.
  39. M.O.Kim, "Study on Self-efficacy, Communication Competency, Critical thinking disposition and Clinical performance ability of nursing students", Journal of the Korea Academia-Industrial cooperation Society, Vol.17, No.6, pp.609-617, 2016. https://doi.org/10.5762/KAIS.2016.17.6.609
  40. M.Y.Kim, "Affecting Factors on Clinical Competence of Nursing Students", Journal of the Korea Academia-Industrial cooperation Society, Vol.16, No.3, pp.1884-1893, 2015. https://doi.org/10.5762/KAIS.2015.16.3.1884
  41. E.S.DO and Y.S.Seo, "Factors Influencing Clinical Competency of Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, Vol.21, No.3, pp.283-291, 2014. https://doi.org/10.7739/jkafn.2014.21.3.283
  42. I.S.Park and R.Kim, "Critical Thinking Disposition, Professional Self- Concept and Clinical Competence in Nursing Students", The Korean Journal of Health Service Management, Vol.7, No.4, pp.105-117, 2013. https://doi.org/10.12811/kshsm.2013.7.4.105
  43. S.K.Chaung, "Critical Thinking Disposition, Problem Solving Ability, and Clinical Competence in Nursing Students", The Korean journal of fundamentals of nursing, Vol.18, No.1, pp.71-78, 2011.
  44. E.M.Jun, "Critical Thinking Disposition, Professional Self-Concept and Clinical Competence in Nursing Students", Journal of Korean Data Analysis Society, Vol.21, No.4, pp.2151-2161, 2019. https://doi.org/10.37727/jkdas.2019.21.4.2151
  45. H.H.Jo, "The Relationship between Self-Leadership, Goal Commitment and Critical Thinking of Nursing Students Having Experience in a Simulation Practicum and their Problem Solving Ability", Unpublished master's thesis, Kyung Hee University, Seoul, 2015.
  46. C.C.Manz and H.P.Sims, "The new superleadership: Leading others to lead themselves", San Francisco, CA: Berrett-Koehler Publishers Inc. 2001.
  47. D.H.Kim, Y.Lee, M.S.Hwang, J.H.Jin, H.S.Kim and H.G.Cha, "Effects of a Simulation-based Integrated Clinical Practice Program(SICPP) on the problem Solving Process, Clinical Competence and Critical Thinking in a Nursing Student", The Journal of Korean Academic Society of Nursing Education, Vol.18, No.3, pp.499-509, 2012. https://doi.org/10.5977/jkasne.2012.18.3.499
  48. H.S.Song and M.Y.Moon, "Effects of Critical Thinking Promoting Nursing Process Education On Critical Thinking Disposition and Problem Solving Ability of Nursing Students", Journal of Learner-Centered Curriculum and Instruction, Vol.17, No.5, pp.445-462, 2017.
  49. J.A.Park and J.Y.Hong, "The effect of simulation education on critical thinking disposition, problem solving process, communication skills, and clinical competence of nursing students.", Journal of Learner-Centered Curriculum and Instruction, Vol.17, No.19, pp.769-786, 2017.
  50. J.Park and K.Bang, "Learning Style and Self- directed Learnig of Nursing Students at One university", Perspective in Nursing Science, Vol.7, No.1, pp.36-42, 2010.
  51. F.Timmin, "Take time to facilitate self-directed learning", Nurse education in Practice, Vol.8, No.5, pp.302-307, 2008. https://doi.org/10.1016/j.nepr.2008.02.004
  52. S.Kim, H.Nam and Mi.Kim, "Critical Thinking Disposition ,Problem Solving Process, an Simulation-Based Assessment of Clinical Competence of Nursing Atudents in pediatric Nursing", Child Health Nursing Research, Vol.20, No.4, pp.294-303, 2014 https://doi.org/10.4094/chnr.2014.20.4.294
  53. Y.S.Park and Y.H.Kwon, "Ego Resilience Problem Solving Process and Clinical Practice Competency in Nursing Students", Journal of Korean Academic Society of Nursing Education, Vol.19, No.3, pp.341-350, 2013. https://doi.org/10.5977/jkasne.2013.19.3.341
  54. S.Lee and J.Yu, "The effect of self-reflective writing on undergraduate female students' self-leadership and career preparation behavior", Journal of Women's Studies, Vol.24, No.2, pp.69-96, 2014.
  55. C.R.Kessenich, G.H.Guyatt and A.DiCenso, "Teaching nursing student evidence-based nursing", Nurse Educator, Vol.22, No.6, pp.25-29, 1997. https://doi.org/10.1097/00006223-199711000-00014
  56. J.H.Seo, "Impact of Team Based Learning on Nursing Students' Learning Performance", Unpublished phD dissertation, Seonam University, Namwon, 2012.
  57. K.O.Choi and Y.M.Park, "The Effects of Team-Based Learning on Problem Solving Ability, Critical Thinking Disposition and Self-Directed Learning in Undergraduate Nursing Students" Journal of East-West Nursing Research, Vol.20, No.2, pp.154-159, 2014.
  58. K.K.Kim, J.Yoon, K.Y.Choi, S.Y.Park and J.H.Bae, "The Effect of Interdisciplinary Cooperaton Project Learning on Communication ,Problem-Solving, and Self-Directed learning Ability of University students", Journal of Korean Academic Society of Nursing Education, Vol.14, No.2, pp.252-261, 2008. https://doi.org/10.5977/JKASNE.2008.14.2.252
  59. S.Y.Jung, "The Stuctural Model of Clinical Performance Ability for Nursing Students", Journal of the Korean Data Analysis Society, Vol.15, No.6, pp.3333-3352, 2013.
  60. M.S.Lee and S.W.Hahn, "Effect of Simulation-based Practice on Clinical Performance and Problem Solving Process for Nursing Students", Journal of Korean Academic Society of Nursing Education, Vol.17, No.2, pp.226-234, 2011. https://doi.org/10.5977/JKASNE.2011.17.2.226