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A comparative study Nursing competency and Major satisfaction between Nursing college students before and after their First Clinical Practice

간호대학생의 첫 임상실습 전·후 간호역량과 전공만족도의 차이

  • Kim, Eun Jae (Department of Nursing, JinJu Health College) ;
  • Lee, Oi Sun (Department of Nursing, Gyeongnam Geochang University)
  • 김은재 (진주보건대학교 간호학과) ;
  • 이외선 (경남도립거창대학 간호학과)
  • Received : 2021.04.04
  • Accepted : 2021.07.20
  • Published : 2021.07.28

Abstract

This study was attempted to identify the difference between nursing competencies and major satisfaction before and after the first clinical practice of nursing college students and use it as basic data for efficient clinical practice education. Data collection by single group pre- and post-design was conducted from February 18 to April 23, 2019 for 201 nursing college students before and after clinical practice for 8 weeks. The collected data were analyzed by frequency, paried t-test, and Pearson's Correlation, Multiple Regression using SPSS/Win 23.0. As a result of the study, Nursing competency increased after the first clinical practice than before, but it was not significant(t=-1.73, p=.084). Among the sub-factors of nursing competency, educational ability(t=-1.97, p=.050) and ethical practical ability(t=-209, p=.038) was found to increase significantly. Major satisfaction was significantly increased after clinical practice than before(t=-2.45, p=.015). After clinical practice, it was found that general satisfaction, relationship satisfaction, and recognition satisfaction which are sub-factors of major satisfaction, had a positive correlation with nursing competency. As a result of analyzing the impact on nursing competency, it was found that recognition satisfaction explains nursing competency as 9.9%. Therefore, it is necessary to reorganize the clinical practice curriculum that can improve nursing competency, develop a program that can improve major satisfaction, and verify the effectiveness.

본 연구는 간호대학생의 첫 임상실습 전·후 간호역량과 전공만족도의 차이를 파악하여 효율적인 임상실습 교육운영을 위한 기초자료로 활용하고자 시도되었다. 단일군 사전·사후 설계로 자료수집은 2019년 2월 18일부터 4월 23일까지 간호대학생 201명을 대상으로 8주간 임상실습 전·후 이루어졌다. 수집된 자료는 SPSS/Win 23.0을 이용하여 빈도, paried t-test, 피어슨 상관관계, 회귀분석으로 분석하였다. 연구결과 첫 임상실습 후 간호역량은 실습 전보다 증가하였으나 유의하지 않았고(t=-1.73, p=.084), 간호역량의 하위요인 중 교육능력(t=-1.97, p=.050)과 윤리적 실무능력(t=-209, p=.038)은 유의하게 증가한 것으로 나타났으며, 전공만족도는 유의하게 증가한 것으로 나타났다(t=-2.45, p=.015). 임상실습 후 전공만족도의 하위요인인 일반만족, 관계만족 및 인식만족이 간호역량과 정의 상관관계가 있는 것으로 나타났으며 간호역량에 미치는 영향을 분석한 결과 인식만족이 간호역량을 9.9%로 설명하는 것으로 나타났다. 그러므로 간호역량을 향상 시킬 수 있는 임상실습 교육과정 개편 및 전공만족도 중 인식만족을 향상 시킬 수 있는 프로그램 개발 및 효과검증이 필요하다.

Keywords

References

  1. Y. I. Park., J. A. Kim., J. K. Ko., M. S. Chung., K. S. Bang.. M. Choe & H. Y. Jang.(2013). An identification study on core nursing competency. The Journal of Korean Academic Society of Nursing Education, 19(4), 663-674. DOI: https://doi.org/10.5977/jkasne.2013.19.4.663
  2. International Council of Nurses.(2003). An implementation models for the ICN framework of competencies for the generalist nurse. Geneva; International Council of Nurses.
  3. E. J. Kim & K. A. Nam. (2016). Development and preliminary testing of nursing competence scale in simulation for nursing students. The Journal of Korean Academic Society of Nursing Education, 22(4), 549-558. DOI:http://dx.doi.org/10.5977/jkasne.2016.22.4.549
  4. H. J. Chae. (2019). Relationships between nursing competency and emotional intelligence and nurse role transition of nursing students. Journal of Digital Convergence, 17(9), 221-229. DOI: https://doi.org/10.14400/JDC.2019.17.9.221
  5. K. H. Kim, & H. S. Ha.(2000). A study of department satisfaction factors of undergraduate students. Korea Journal of Counseling, 1(1), 7-20.
  6. M. S. Jung, & H. J. Kwon. (2015). A structural equation model on core competencies of nursing students. The Journal of Korean Academic Society of Nursing Education, 21(2), 256-265. https://doi.org/10.5977/JKASNE.2015.21.2.256
  7. D. J. Lee. (2004). The relationships among satisfaction in major, gender identity, and gender stereotypes of male nursing students. Unpublished master's thesis, Yonsei University, Seoul. Korea.
  8. E. J. Kim. (2016). Development of an instrument to measure nursing competence of nurses in the long-term care hospitals. Unpublished doctoral dissertation). Gyeong-sang National University, Jinju, Korea.
  9. H. S. Kang, Y. S. Kang, & H. H. Hong. (2015). Comparative study on the clinical competence and nursing professionalism of clinical practice among nursing students. Journal of Korean Clinical Health Science, 3(4), 495-503. DOI: https://doi.org/10.15205/kschs.2015.3.4.49
  10. J. S. Park, M. J. Choi. & S. Y. Jang.(2015). The effects of preclinical clinical performance examination on nursing students' confidence in nursing skills and critical thinking competence. The Journal of Korean Academic Society of Nursing Education, 21(1), 75-85. DOI:https://doi.org/10.5977/jkasne.2015.21.1.75
  11. H. K. Kim. (2015). Development of program outcome self-assessment tool in Korean nursing baccalaureate education. The Journal of Korean Academic Society of Nursing Education, 21(2), 215-226. DOI:https://doi.org/10.5977/jkasne.2015.21.2.215
  12. J. K. Park. & I. S. Seo. (2020). Factors Influencing Patient Safety Management Activity of Nursing Students with Clinical Practice, The Journal of Learner-Centered Curriculum and Instruction, 20(20), 665-682 DOI : 10.22251/jlcci.2020.20.20.665
  13. I. S. Seo, S. M. Oh, D. Choi, H. O. Park. & R. W. Ma.(2014). Effects of basic clinical practice program in academic motivation, critical thinking and clinical nursing competence of nursing students. Journal of the Korea Academia-Industrial cooperation Society, 15(4), 2276-2284. DOI :https://doi.org/10.5762/KAIS.2014.15.4.2276
  14. M. K. Park. & K. W. Sung. (2017). Effects of Clinical Practice Education with Learning Contract on Self-Directed Learning, Critical Thinking Ability and Clinical Competence of Nursing Students. Journal of the Korea Academia-Industrial cooperation Society, 17(11), 95-110. DOI : 10.22251/jlcci.2017.17.11.95
  15. J. K. Ko, M. S. Chung, M. A. Choe, Y. I. Park, K. S. Bang. & J. A. Kim, et al. (2013). Modeling of nursing competencies for competency-based curriculum development. Journal of Korean Academy Social Nursing Education, 19(1), 87-96. DOI :http://dx.doi.org/10.5977/jkasne.2013.19.1.87
  16. M. O. Lee. (2019). Differences in the relationship, learning perception and satisfaction of nursing students before and after clinical practice. Journal of the Korea Society of Computer and Information, 24(4), 145-151. DOI :https://doi.org/10.9708/jksci.2019.24.04.145
  17. S. H. Kim, & J. H. Park. (2012). Development and validation of a tool for evaluating core competencies in nursing cancer patients on chemotherapy. Journal of Korean Academy Nursing, 42(5), 632-643. DOI :http://dx.doi.org/10.4040/jkan.2012. 42.5.632
  18. S. H Bae, & J. S. Park, (2013). The recognition of achievement and importance of nursing program outcome among nursing students. Journal of Korean Academy Social Nursing Education, 19(2), 203-214. DOI :http://dx.doi.org/10.5977/jkasne.2013.19.2.203
  19. H. S. Kim, K. Oh, & K. J. Lee. (1999). The evaluation of nursing education using adult learning method. Korean Journal of Nursing Query, 8(1), 124-138.
  20. A. Bdshaw. (1998). Defining 'competency' in nursing (part II): an analytical review. Journal of Clinical Nursing, 7, 103-111. https://doi.org/10.1111/j.1365-2702.1998.00130.x
  21. Y. S. Kang, S. J. Lee, I. J. Kim, & K. H. Ahn. (2008). A measurement scale development of nursing competence for nurses working in general wards. Journal of Korean Academy Nursing Administration, 14(3), 219-228.
  22. M. W. Kim,(2003). Development of objectives of nursing clinical education, based on nursing core competency. Unpublished doctoral Dissertation, Yonsei University, Seoul.