DOI QR코드

DOI QR Code

Correlations among Self-directed Learning, Confidence of Performance in Core Nursing Skills, Clinical Learning Environment and Clinical Competency in Nursing Students

간호대학생의 자기주도학습, 핵심간호술 수행자신감, 임상실습 교육환경과 임상수행능력 간의 관계

  • Received : 2022.12.31
  • Accepted : 2023.01.09
  • Published : 2023.01.31

Abstract

Purpose: The purpose of this study was to investigate relationship among self-directed learning, confidence of performance, clinical learning environment and Clinical Competency of nursing students. Methods: 178 nursing students participated. Data analysis was performed using descriptive statistics, t-test, ANOVA and pearson's correlation coefficients with IBM SPSS Statistics 21.0. Results: Mean score of self-directed learning, confidence of performance, clinical learning environment and clinical competency was 3.36, 3.42, 3.20 and 3.66 points. There was significant positive correlation among self-directed learning, confidence of performance, clinical learning environment and clinical competency. Conclusion: Therefore, in order to improve the clinical competency of nursing students, it is necessary to systematize core nursing skills education and continuously improve the clinical learning environment through close industry-academia cooperation and relationship.

본 연구는 G시에 소재하는 간호대학생 178명을 대상으로 자기주도학습, 핵심간호술 수행자신감, 임상실습 교육환경 및 임상수행능력 간의 상관관계를 살펴보기 위한 서술적 조사연구이다. 자료수집은 2019년 9월 24일부터 10월 19일까지 이루어졌으며, 자료분석은 IBM SPSS Statistics 21.0 프로그램을 사용하여 변수의 평균과 표준편차, 실수와 백분율로 분석하였고, 일반적 특성에 따른 변수의 차이는 independent t-test, ANOVA로 분석하였고, 변수 간의 상관관계는 Pearson's correlation coefficients로 분석하였다. 연구결과, 자기주도학습 3.36점, 핵심간호술 수행자신감 3.42점, 임상실습 교육환경 3.20점, 임상수행능력 3.66이었다. 자기주도학습, 핵심간호술 수행자신감, 임상실습 교육환경과 임상수행능력 간에는 유의한 정적 상관관계가 있었다. 이에 간호대학생의 임상수행능력을 향상사키기 위하여 핵심간호술 교육을 체계화하고, 유기적인 산학협력을 통하여 임상실습 교육환경을 지속적으로 개선시켜 나가야 할 것이다.

Keywords

References

  1. H.J. Kang, J.O. Kim, H.S. Kim, S.Y. You, S.O. Choi, and H.M. Hwang, "Effects of the Selfobservation method of Essential Fundamental Nursing Skills on Self-directed learning ability, Self-confidence, and Practice Satisfaction", Journal of Learner-Centered Curriculum and Instruction, Vol. 16, No. 9, pp. 227-241, Sep 2016. DOI : 10.22251/jlcci.2016.16.9.227
  2. J. S. Park, "Evaluation of Nursing Practice Education Using Simulation", The Journal of Korean Academic Society of Nursing Education Conference, Vol. 2011, No. 5, pp. 75-104, 2011.
  3. Korean Accreditation Board of Nursing Education, "Nurses' Core Competency and Nursing Program Outcomes", 2012.
  4. E.S. Do, and Y.S. Seo, "Factors Influencing Clinical Competence in Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, Vol. 21, No. 3, pp. 283-291. Aug 2014. https://doi.org/10.7739/jkafn.2014.21.3.283
  5. Y.J. Kim, & I.J. Jeong, "Influence of Clinical Practice Stress, Self-esteem and Communication Skills on Clinical Practice Competency of Nursing Sstudents", Journal of the Korea Entertainment Industry Association, Vol. 12, No. 3, pp. 297-307, April 2018. https://doi.org/10.21184/jkeia.2018.4.12.3.297
  6. P. Candy, "Self-direction for Lifelong Learning: A Comprehensive Guide to Theory and Practice", San Francisco: Jossey-Bass.
  7. T.L. Levett-Jones, "Self-directed Learning: Implications and Limitations for Undergraduate Nursing Education", Nurse Education Today, Vol. 25, No. 5, pp. 363-368, 2005. https://doi.org/10.1016/j.nedt.2005.03.003
  8. J.J. Yang, "The Influencing Factors on Clinical Competence of Nursing Students", The Journal of Korean Academic Society of Nursing Education, Vol. 15, No. 2, pp. 159-165, Dec 2009. DOI : 10.597 /JKASNE.20 9.15.2.159 https://doi.org/10.597/JKASNE.209.15.2.159
  9. J.J. Yang, and M.Y. Park, "The Relationship of Clinical Competency and Self-directed Learning in Nursing Students", The Journal of Korean Academic Society of Nursing Education, Vol. 10, No. 2, pp. 271-277, 2004.
  10. I.S. Lee, and C.S. Park "Factors Influencing Confidence in Performance Competence of Core Basic Nursing Skills by Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, Vol. 22, No. 3, pp. 297-307, Aug 2015. https://doi.org/10.7739/jkafn.2015.22.3.297
  11. P. Joanne, M. Julia, M. Karen, & R. Anita, "Preparation for High-acuity Clinical Placement: Confidence Levels of Final-year Nursing Students", Advances in Medical Education and Practice, Vol. 2013, No. 4, pp. 83-89, 2013
  12. I. Papp, M. Markkanen, & M. von Bonsdorff, "Clinical Environment as a Learning Environment: Student Nurses' Perceptions Concerning Clinical Learning Experiences", Nurse Education Today, Vol. 23, No. 4, pp. 262-268, 2003. https://doi.org/10.1016/S0260-6917(02)00185-5
  13. D. Chan, "Development of an Innovative Tool to Assess Hospital Learning Environments", Nurse Education Today, Vol. 21, No. 8, pp. 624-631, 2001. https://doi.org/10.1054/nedt.2001.0595
  14. [14]K. Midgley, "Pre-registration Student Nurses Perception of the Hospital-learning Environment during Clinical Placements", Nurse Education Today, Vol. 26, No. 4, pp. 338-345. https://doi.org/10.1016/j.nedt.2005.10.015
  15. E. K. Lee, and E.J. Ji, "Factors Influencing Nursing Professionalism in Nursing Students: Clinical Learning Environment and Attitude toward Nurse-Physician Collaboration", Journal of Korean Academy of Fundamentals of Nursing, Vol. 23, No. 2, pp. 126-135, May 2016. DOI : 10.7 39/jkafn.2016.23.2.126 https://doi.org/10.739/jkafn.2016.23.2.126
  16. K. N, Kim, "Affecting Factors on Competence of Clinical Practice of Nursing Students", The Korean Journal of Stress Research, Vol. 22, No. 2, pp. 55-65, June 2014. https://doi.org/10.17547/kjsr.2014.22.2.55
  17. Y.H. Kang, and M.J. Hong, "Influencing Factors of Learning Style, Critical Thinking Disposition on Clinical Performance Competency of Nursing Students", Journal of The Korean Data Analysis Society, Vol. 16, No. 5, pp. 2841-2853, 2014.
  18. A. K. Lee, H.S, You, and I.H. Park, "Affecting Factors on Stress of Clinical Practice in Nursing Students", Journal of Korean Academy Nursing Administration, Vol. 21, No. 2, pp. 154-163, March 2015. .DOI : 10.11111/jkana.2015.21.2.154
  19. S.J. Lee, Y.K. Jang, H.N. Lee, and K.Y. Park, "A Study on the Development of Life-Skills: Communication, Problem Solving, and Self-Directed Learning", Korean Educational Develop ment Institute, Report No. RR 2003-15-3, Dec. 2003.
  20. S.S. Bang, "Relationship among Essentials of Fundamental Nursing Skills Performance, Stress from Work and Work Capability of New Clinical Nurses", Journal of Korean Academic Society of Nursing Education, Vol. 20, No. 4, pp. 628-638, Nov 2014. DOI: https://doi.org/10.5977/jkasne.2014.20.4.628
  21. [21]S.V. Dunn and P. Burnett, "The Development of a Clinical Learning Environment Scale", Journal of Advanced Nursing, Vol. 22, No. 6, pp. 1166-1173, Dec 1995. http://dx.doi.org/10.1111/j.1365-2648.1995.tb03119.x
  22. J.Y. Han, "Nursing Students' Perceptions of Clinical Learning Environment(CLE)", Journal of The Korean Data Analysis Society, Vol. 12, No. 5, pp. 2595-2607. Oct 2010.
  23. P.M. Schwrian, "Evaluating the Performance of Nurses: A Multi Dimensional Approach", Nurse Research, Vol. 27, pp. 347-351, 1978. https://doi.org/10.1097/00006199-197811000-00004
  24. M.S. Choi, "A Study of Teaching Effectiveness and Clinical Competency on Practice Education in Nursing Students", Ehwa Womans University Graducat School, Feb 2005.
  25. S.O. Kim, and M.S. Shim, "Problem-Solving Ability, Self-Directed Learning Ability and Confidence of Core Fundamental Nursing Skill Performance of Nursing Students", Journal of Korean Public Health Nursing, Vol. 32, No. 3, pp. 424-437, 2018. DOI : 10.5932/JKPHN.2018.32.3.424
  26. S.H. Kim, J.Y. Choi, and Y.R. Kweon, "Correlations among Learning Self-efficacy, Confidence in Performance, Perception of Importance and Transfer Intention for Core Basic Nursing Skill in Nursing Students at a Nursing University", The Journal of the Korea Contents Association, Vol. 17, No. 9, pp. 661-671. Sep 2017. https://doi.org/10.5392/JKCA.2017.17.09.661
  27. S.O. Kim, and B.H. Kang, "The Influence of Nursing Students' Learning Experience, Recogni tion of Importance and Learning Self-efficacy for Core Fundamental Nursing Skills on Their Self-confidence", Journal of the Korea Academia-Industrial Cooperation Society, Vol. 17, pp. 172-182, May 2016. https://doi.org/10.5762/ KAIS.2016.17.8.172
  28. A.K. Han, D.S. Cho, and J.S. Won, "A study on Learning Experiences and Self-confidence of Core Nursing Skills in Nursing Practicum among Final Year Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, Vol. 21, No. 2, pp. 162-173, May 2014. https://doi.org/10.7739/jkafn.2014.21.2.162
  29. M.K. Jeon, M.Y. Han, I.J. Kim, and Y.S. Kim, "Relationship among Communication Competency, Nunchi, Clinical Learning Environment, Clinical Practice Competency in Nursing Students", The Journal of Learner-Centered Curriculum and Instruction, Vol. 21, No. 5, pp. 85-94. https://doi.org/10.22251/jlcci.2021.21.5.85
  30. C.H. Kim, and J.Y. Kim, "Influence of Nursing Students' Clinical Practice Learning Environment, Self-leadership, and Clinical Practice Belonging on Nursing Professionalism", The Journal of Korean Academic Society of Nursing Education, Vol. 25, No. 1, pp. 5-16, Feb 2019. DOI : 10.5977/jkasne.2019.25.1.5
  31. E.M. Kim, J.Y. Hong, and E.K. Lee, "Effects of Clinical Learning Environment and Professor Trust on Academic Engagement in Nursing Students", Journal of the Korea AcademiaIndustrial Cooperation Society, Vol. 19, No. 5, pp. 357-365, 2018.
  32. J.A. Hong, "The Effect of Nursing Students Incivility perceived, Clinical Learning Environment on Professional Self Concept", Journal of Learner-Centered Curriculum and Instruction, Vol. 19, No. 5. pp. 167-183. March 2019 http://dx.doi.org/10.22251/jlcci.2019.19.5.167
  33. M.S. Kim, "The Mediating Effect of SelfEfficacy in the Relationship between Emotional Intelligence and Clinical Performance among Nursing Students", Journal of Korean Academic Society of Nursing Education, Vol. 22, No. 4, pp. 504-513, Nov 2016. DOI : 10.5977/jkasne.2016.22.4.504
  34. J.Y. Kim, "The Mediating Effect of the Resilience on the Relationship between Stress in Clinical Practice and Clinical Competence in Nursing Students", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 1, pp. 669-678, Jan 2017. https://doi.org/10.5762/KAIS.2017.18.1.669
  35. H.O. Oh, "The Effect of Nursing Students' Clinical Performance Ability, Clinical Practice Satisfaction on Nursing Professional Self-Concept", The Journal of Korean Nursing Research, Vol. 1, No. 2, pp. 31-43, Dec 2017.
  36. H.S. Yu, "Relationship among Stress of Clinical Practice, Practice Satisfaction, and Clinical Competence in Nursing Students", Journal of the Korean Data Analysis Society,Vol. 17, No. 2, pp. 1129-1144, April 2015.
  37. H.S. Park, J.Y. Han, "Factors Influencing Clinical Competence in Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, Vol. 20, No. 4, pp. 438-448, Nov 2013. https://doi.org/10.7739/jkafn.2013.20.4.438
  38. J.H. Park, "The Effects of Clinical Convergence Self-directedness Practice Learning Program on Self-directedness and Competency in Fundamen tal Nursing Skills in Undergraduate Nursing Students", Journal of the Korea Convergence Society, Vol. 7, No. 4, pp. 51-58, 2016. http://dx.doi.org/10.15207/JKCS.2016.7.4.051
  39. A.H. Jung, and M.Y. Moon, "A Study on the Clinical Competence, Problem Solving Ability according to Frequency of Fundamental Nursing skill Performance, Confidence of Core Fundamental Nursing Skill Performance during Clinical Practice in Nursing Student", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 8, No. 9, pp. 451-463, Sep 2018. http://dx.doi.org/10.21742/AJMAHS.2018.09.30
  40. J.Y. Han, and H.S. Park, "Effects of Teaching Effectiveness and Clinical Learning Environment on Clinical Practice Competency in Nursing Students", Journal of Korean Academy of Fun damentals of Nursing, Vol. 18, No. 3, pp. 365-372, Aug 2011.