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The Effects of Responsibility and Critical Thinking Disposition on Clinical Competence of Nursing students who have Completed Clinical Practice

임상실습을 수료한 간호대학생의 책임성과 비판적 사고성향이 임상수행능력에 미치는 영향

  • Received : 2021.04.26
  • Accepted : 2021.06.20
  • Published : 2021.06.28

Abstract

The purpose of this study was to investigate the responsibility & critical thinking disposition and identify influencing factors of clinical competence of nursing students who have completed clinical practice. Data collection was performed from Dec. 11th, 2019 to Dec. 13th. A total of 119 4th grade nursing students were selected. Data were analyzed with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation and stepwise multiple regression analysis using SPSS 25.0. As a result of this study, the correlated factors of clinical competence included responsibility(r=.53, p<.001), critical thinking disposition(r=.71, p<.001). The factors influencing clinical competence were critical thinking disposition(𝛽=.56, p<.001), responsibility(𝛽=.32, p<.001), and clinical practice satisfaction(𝛽=.13, p=.012). These factors accounted for 52% of the clinical competence(p<.001). Therefore, it is necessary to develop and apply educational programs so that concrete and practical education for reinforcing critical thinking disposition and responsibility can be performed together with clinical practice.

본 연구는 임상실습을 수료한 간호대학생의 책임성과 비판적 사고성향 정도를 파악하고, 임상수행능력에 영향을 미치는 요인을 규명하기 위한 서술적 조사연구이다. 2019년 12월 11일-13일까지 일개 대학 4학년 간호대학생을 대상으로 총 119부의 자료를 수집하였고, 수집된 자료는 SPSS 25.0 program을 이용하여 기술통계, t-test, ANOVA, Scheffé test, Pearson's correlation, Stepwise multiple regression으로 분석하였다. 연구결과, 임상수행능력은 책임성(r=.53, p<.001)과 비판적 사고성향(r=.71, p<.001) 모두 유의한 양의 상관관계가 있었고 비판적 사고성향(𝛽=.56)이 가장 높은 영향을 주는 요인으로 나타났으며 그 다음은 책임성(𝛽=.32), 임상실습 만족도(𝛽=.13) 순으로 나타났으며 전체 설명력은 52%이었다. 따라서 비판적 사고성향과 책임성 강화를 위한 구체적이고 실제적인 교육이 임상실습과 함께 이루어질 수 있도록 교육프로그램의 개발 및 적용이 이루어져야 할 것이다

Keywords

References

  1. E. J. Yeun, Y. M. Kwon, & O. H. Ahn. (2005). "Development of a Nursing Professional Value Scale", Journal of Korean Academy of Nursing, 35(6), 1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091
  2. M. S. Choi. (2005). A study on the relation between teaching effectiveness of clinical nursing education and clinical competency in nursing students, Master's dissertation, Ewha Womans University, Seoul.
  3. J. A. Yee. (2004). A Study on the Image of Nurses and the Professional Self-Concept Perceived by Nursing Students. Journal of Korean Academy of Nursing Administration, 10(3), 325-334.
  4. Korean Accreditation Board of Nursing Education (2012). Accreditation assessment standards for education of Korea(the course of the nursing bachelor's degree). http://kabon.or.kr/kabon02/120120319133351.pdf
  5. H. Chahal & S. Mehta (2010). Antecedents and consequences of organisational citizenship behaviour(OCB): A Conceptual framework in reference to Health care sector. Journal of Services Research, 10(2), 25-44.
  6. http://www.koreanurse.or.kr/about_KNA/ethics.php
  7. M. A. Kelley, A. Connor, K. E. Kun & M. E. Salmon. (2008). Social responsibility: conceptualization and embodiment in a school of nursing. International Journal of Nursing Education Scholarship, 5(1), 1-16. DOI : 10.2202/1548-923X.1607
  8. S. M. Kim. (2020). Analysis of Press Articles in Korean Media on Online Education related to COVID-19. Journal of Digital Contents Society, 21(6), 1091-1100. DOI : 10.9728/dcs.2020.21.6.1091
  9. Y. K. Cha. (2020). The substantial content and current significance of revised 「HIGHER EDUCATION ACT」 for the unified four-year Bachelor in nursing. Journal of Law of Education, 32(3), 125-163. https://doi.org/10.17317/TJLE.32.3.202012.125
  10. R. G. Hanks. (2013). Social advocacy: A Call for nursing action. Pastoral Psychology, 62, 163-173. DOI : 10.1007/s11089-011-0404-1
  11. J. G. Kim, T. W. Lee & N. K. Han. (2018). Factors affecting the Perception of Social Responsibility of Nursing Students. Journal of Korean Academy of Nursing Administration, 24(1), 21-29. https://doi.org/10.11111/jkana.2018.24.1.21
  12. J. R. Han. (2019). The Effects of Self-leadership and Nursing Professionalism on Social Responsibility in Nursing Students. Journal of Digital Convergence, 17(5), 311-318. https://doi.org/10.14400/JDC.2019.17.5.311
  13. D. H. Bang. (2013). Human rights awareness and social responsibility of university students, the effect on attitudes toward persons with disabilities. Master's Thesis. Catholic University of Korea, Seoul.
  14. N. C. Facione, P. A. Facione. & C. A. Giancarlo (1994). Critical Thinking Disposition as a Measure of Competent Clinical Judgment: The Development of the California Critical Thinking Disposition Inventory. The Journal of nursing education, 33(8), 345-350. https://doi.org/10.3928/0148-4834-19941001-05
  15. M. G. Rubenfeld & B. K. Scheffer. (1999). Critical Thinking in Nursing: an interactive approach.. Philadelphia: Lippincott.
  16. W. M. Daly. (1998). Critical thinking as an outcome of nursing education. What is it? Why is it important to nursing practice? Journal of Advanced Nursing, 28(2), 323-331. https://doi.org/10.1046/j.1365-2648.1998.00783.x
  17. M. S. Kwon. (2011). The Influence of Self-directed Learning & Critical Thinking Disposition on Clinical Competence in Nursing Students. The Journal of Korean Academic Society of Nursing Education, 17(3), 387-394. https://doi.org/10.5977/JKASNE.2011.17.3.387
  18. B. J. Park, S. J. Park & H. Cho. (2016). The relationship between clinical practice stress, satisfaction of clinical practice, clinical performance ability and the nursing profession in nursing college students. Journal of the Korea Academia-Industrial cooperation Society, 17(7), 220-227. https://doi.org/10.5762/KAIS.2016.17.7.220
  19. S. K. Chaung. (2011). Critical Thinking Disposition, Problem Solving Ability, and Clinical Competence in Nursing Students. Journal of the Korean Academy of Fundamentals of Nursing, 18(1), 71-78.
  20. H. J. Jang & Y. K. Kwag. (2013). Affecting Factors on Clinical Competence of Nursing Students. Journal of the Korea Academia-Industrial cooperation Society, 14(9), 4380-4387. https://doi.org/10.5762/KAIS.2013.14.9.4380
  21. J. J. Yang. (2009). The Influencing Factors on Clinical Competence of Nursing Students. Journal of Korean Academic Society of Nursing Education, 15(2), 159-165. https://doi.org/10.5977/JKASNE.2009.15.2.159
  22. J. J. Yang & M. Y. Park. (2004). The Relationship of Clinical Competency and Self-directed Learning in Nursing Students. The Journal of Korean Academic Society of Nursing Education, 10(2), 271-277.
  23. D. Conrad & D. Hedin. (1985). Instruments and Scoring Guide of the Experienrial Education Project. University of Minnesota. Center for Youth Development and Research. https://digitalcommons..unomaha.edu/slceslgen/247
  24. J. S. Kim. (2000). The Impact of Youth Service Learning on the Development of Personal and Social Responsibility. Doctoral dissertation. Myong Ji University, Seoul.
  25. J. Yoon. (2004). Development of an Instrument for the Measurement of Critical Thinking Disposition: In Nursing. Doctoral dissertation. Catholic university, Seoul.
  26. W. H. Lee, J. J. Kim, J. S. Yoo, H. K. Her, K. S. Kim, & S. M. Yim(1990). A study on the development of measuring tools for college students' Clinical Competence. Yonsei University Nursing Journal, 13, 17-29.
  27. J. J. Yang & M. Y. Park. (2004). The Relationship of Clinical Competency and Self-directed Learning in Nursing Students. The Journal of Korean Academic Society of Nursing Education, 10(2), 271-277.
  28. M. Y. Kim. (2015). Affecting Factors on Clinical Competence of Nursing Students, Journal of the Korea Academia-Industrial cooperation Society, 16(3), 1884-1893. https://doi.org/10.5762/KAIS.2015.16.3.1884
  29. C. Ozturk, G., K., Muslu & A. Dicle, (2008). A comparison of problem-based and traditional education on nursing students' critical thinking dispositions. Nurse Education Today, 28(5), 627-632. DOI : 10.1016/j.nedt.2007.10.001.
  30. K. A. Shin & B. H. Cho. (2012). "Professional self-concept, critical thinking disposition and clinical competence in nursing students", The Journal of Korean Academic Society of Nursing Education, 19(3), 413-422. DOI : 10.7739/jkafn.2012.19.1.046