디지털융복합연구 (Journal of Digital Convergence)

  • 제20권4호
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  • Pages.769-777
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  • 2022
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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요양병원 간호사의 임상의사결정능력에 미치는 영향요인

Factors Influencing on Clinical Decision Making Ability of Nurses in Long-term Care Hospitals

  • No, Ji-Yeong (Department of nursing Science, Jinju Health College)
  • 투고 : 2022.02.08
  • 심사 : 2022.04.20
  • 발행 : 2022.04.28
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초록

본 연구의 목적은 요양병원 간호사의 임상의사결정능력에 미치는 영향요인을 규명하기 위함이다. 2021년 10월 11일부터 12월 10일까지 G도 소재 요양병원 간호사 174명을 대상으로 조사하였다. 수집된 자료의 분석은 SPSS 23.0을 이용하여 서술통계, t-test, ANOVA, Pearson's correlation, stepwise multiple regression으로 분석하였다. 연구결과 연구대상자의 임상의사결정능력은 비판적 사고성향(r=.494, p<.001), 간호근무환경(r=.451, p<.001)과 양의 상관관계를 나타내었으며, 비판적 사고성향과 간호근무환경이 임상의사결정능력을 33.1% 설명하였다. 간호사의 핵심능력인 임상의사결정능력의 향상을 위해서는 비판적 사고성향을 높이는 교육과 바람직한 간호근무환경 조성이 필요하다. 추후연구에서는 요양병원 간호사의 임상의사결정능력에 영향을 미치는 다양한 변수를 확인하는 연구와 임상의사결정능력 향상을 위한 프로그램 개발 및 효과를 위한 연구를 제언한다.

The purpose of this study was to identify factors influencing the clinical decision making ability of nurses in long-term care hospitals. Data were collected from 174 nurses working in long-term care hospitals in G-do from October 11 to December 10, 2021. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression through the SPSS 23.0. As a result of the study, the clinical decision making ability was positively correlated with critical thinking disposition(r=.494, p<.001) and nursing work environment(r=.451, p<.001). Critical thinking disposition and nursing work environment explained 33.1% of clinical decision making ability. In order to improve the clinical decision making ability, which is the core competency of nurses, education to increase critical thinking disposition and the creation of a desirable nursing work environment are necessary. In future research, research to identify various variables affecting the clinical decision making ability of nursing hospital nurses, and research for the development and effectiveness of programs to improve clinical decision making ability are suggested.

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참고문헌

  1. Korean Statistical Information service. (2022). https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1YL20631&vw_cd=MT_GTITLE01&list_id=101&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_GTITLE01
  2. Korean Statistical Information service. (2022). https://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_HIRA4B&vw_cd=MT_ZTITLE&list_id=354_MT_DTITLE&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE
  3. H. S. Kim & K. H. Kim. (2019). The study of work environment of nurses in long-term care hospitals. Journal of the Korea Academia-Industrial cooperation Society, 20(2), 250-258. DOI : 10.5762/KAIS.2019.20.2.250
  4. K. S. Kim & H. O. Park. (2016). The moderating effect of empowerment in relationship between self-leadership and job satisfaction for nurses working in long-term care hospitals. Journal of Korean Gerontological Nursing, 18(1), 32-40. DOI : 10.17079/jkgn.2016.18.1.32
  5. S. Park & E. Y. Yeom. (2016). Experience of the role conflict of nurses in long-term care hospitals. The Journal of the Korea Contents Association, 16(7), 368-381. DOI : 10.5392/JKCA.2016.16.07.368.
  6. J. O. Kwon. (2016). Nursing performance and innovative behavior as factors affecting the self-leadership of geriatric hospital nurses. The Korean Journal of Health Service Management, 10(1), 53-66. DOI : 10.12811/kshsm.2016.10.1.053.
  7. H. M. Jenkins. (1985). Improving clinical decision making in nursing. Journal of Nursing Education, 24(6), 242-243. https://doi.org/10.3928/0148-4834-19850601-07
  8. M. Banning. (2008). A review of clinical decision-making: models and current research. Journal of Clinical Nursing, 17(2), 187-195. DOI : 10.1111/j.1365-2702.2006.0179.x
  9. I. T. Bjork & G. A. Hamilton. (2011). Clinical decision-making of nurses working in hospital settings. Nursing Research and Practice, 1-8. DOI : 10.1155/2011/524918
  10. M. Smith, J. Higgs & E. Ellis. (2007). Physiotherapy decision making in acute cardiorespiratory care is influenced by factors related to the physiotherapist and the nature and context of the decision: A qualitative study. Australian Journal of Physiotherapy, 53, 261-267. DOI : 10.1016/s0004-9514(07)70007-7
  11. Y. S. Lee, M. H. Gang & M. S. Jung. (2013). Impact of professional autonomy and nursing work environment on clinical decision making of clinical nurses. Korean Journal of Occupational Health Nursing, 22(4), 285-294. DOI : 10.5807/KJOHN.2013.22.4.285
  12. S. Park. & I. G. Kwon. (2007). Factors influencing nurses' clinical decision making: Focusing on critical thinking disposition. Journal of Korean Academy of Nursing, 37(6), 863-871. DOI : 10.4040/jkan.2007.37.6.863.
  13. Y. S. Kim. (2020). Impact of professional autonomy and critical thinking disposition on clinical decision making of clinical nurses. The Journal of Humanities and Social Sciences 21, 11(3), 125-136. DOI : 10.22143/hss21.11.3.10.
  14. I. Oh & J. H. Kim. (2016). Impacts of critical thinking disposition and nursing work environment on nurses' clinical decision making abilities. The Journal of Korean Academic Society of Nursing Education, 31, 304-315. DOI : 10.5977/jkasne.2016.22.3.304.
  15. E. U. Weber & E. J. Johnson. (2009). Mindful judgment and decision making. Annual Review of Psychology, 60(1), 53-85. DOI : 10.1146/annurev.psych.60.110707.163633.
  16. L. J. Fero, C. M. Witsberger, S. W. Wesmiller, T. G. Zullo & L. A. Hoffman. (2009). Critical thinking ability of new graduate and experienced nurses. Journal of advanced nursing, 65(1), 139-148. DOI : 10.1111/j.1365-2648.2008.04834.x
  17. E. T. Lake & C. R. Friese. (2006). Variations in nursing practice environments: Relation to staffing and hospital characteristics. Nursing Research, 55(1), 1-9. DOI : 10.1097/00006199-200601000-00001
  18. I. Jang & K. S. Lee. (2019). Effects of critical thinking and nursing practice environment on clinical decision making among nurses. Journal of Digital Convergence, 17(2), 255-264. DOI : 10.14400/JDC.2019.17.2.255
  19. S. Y. Kim. (2010). A study on participation in clinical decision making by home healthcare nurses. Journal of Korean Academy of Nursing, 40(6), 892-902. DOI : 10.4040/jkan.2010.40.6.892.
  20. I. O. Jung & J. H. Han. (2020). The effect of emotional labor, nursing informatics competency and nursing service environment on nursing performance of convalescent hospital nurse. Journal of the Korea Academia-Industrial cooperation Society, 21(10), 334-344. DOI : 10.5762/KAIS.2020.21.10.334
  21. M. O. Kim. (2015). Awareness of biomedical ethics of long-term care hospital nurses. Journal of the Korea Academia-Industrial cooperation Society, 16(6), 4048-4055. DOI : 10.5762/kais.2015.16.6.4048.
  22. J. Yoon. (2004). Development of an instrument for the measurement of critical thinking disposition: In nursing. Doctoral dissertation. Catholic University, Seoul.
  23. E. T. Lake. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing and Health, 25, 176-188. DOI : 10.1002/nur.10032.
  24. E. Cho, M. Choi, E. Y. Kim, I. Y. Yoo & N. J. Lee. (2011). Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing. 41(3), 325-332. DOI : 10.4040/jkan.2011.41.3.325
  25. M. K. Baek. (2004). Relationship between level of autonomy and clinical decision-making in nursing scale of E.T nurse. Masters thesis. Yonsei University, Seoul.
  26. J. Y. Lee & S. Y. Pak. (2014). Relationship between the practice environment of nursing and critical thinking disposition of nurses in local general hospitals. Journal of Korean Academy of Nursing Administration, 20(2). 145-153. DOI : 10.11111/jkana.2014.20.2.145
  27. J. H. Kim. (2020). Influence of role conflict, nursing professionalism and nursing work environment on retention intention of nurses at long-term care hospitals. Master's thesis. Inje University, Busan.
  28. J. W. Westerman & B. L. Simmons. (2007). The effects of work environment on the personality-performance relationship: An exploratory study. Journal of Managerial Issues, 19(2), 289-305.
  29. J. O. Kwon & E. Y. Kim. (2012). Impact of unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. Journal of Korean Academy of Nursing Administration, 18(4), 414-423. DOI : 110.11111/jkana.2012.18.4.414
  30. M. A. Hagbaghery, M. Salsali & F. Ahmadi. (2004). The factors facilitating and inhibiting effective clinical decision-making in nursing: A qualitative study. BMC Nursing, 3(1), 2. DOI : 10.1186/1472-6955-3-2
  31. J. A. Park & B. J. Kim (2009). Critical thinking disposition and clinical competence in general hospital nurses. Journal of Korean Academy of Nursing, 39(6), 840-850. DOI : 10.4040/jkan.2009.39.6.840.