Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Factors influencing the clinical competence of nursing students

간호대학생의 임상수행능력 영향요인

  • Kang, Kino (Department of Nursing, Masan University) ;
  • Im, Mihae (Department of Nursing, Daegu Hanny University)
  • Received : 2023.10.25
  • Accepted : 2024.02.12
  • Published : 2024.02.28
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Abstract

Purpose : The purpose of this study was to identify factors influencing the clinical competence of nursing students. Methods : The participants of this study were 209 nursing students who were in 3rd and 4th grade. The collected data were analyzed using one-way ANOVA, Kruskal-Wallis test, Mann-Whitney test, Pearson's correlation coefficients, and stepwise multiple regression. Results : Clinical competence had positive relationships with self-leadership (r=.59, p <.001) and resilience (r=.64, p <.001). Clinical competence was influenced by resilience (𝛽=.45), self-leadership (𝛽=.20), and grade (𝛽=.20), with an explanatory power of 44.9%. Conclusions : Based on these results, it is suggested that future nursing education should develop a curriculum that enhances students' personal abilities such as self-leadership and resilience, rather than only teaching knowledge and skills.

Keywords

Acknowledgement

이 논문은 2022학년도 마산대학교 연구년 지원에 의하여 연구되었음

References

  1. Fawaz MA, Hamdan-Mansour AM, Tassi A. Challenges facing nursing education in the advanced healthcare environment. International Journal of Africa Nursing Sciences. 2018;9:105-10. https://doi.org/10.1016/j.ijans.2018.10.005
  2. de Swardt R, van Rensburg GH, Oosthiuizen MJ. Supporting students in professional socialisation: guidelines for professional nurses and educators. International Journal of Africa Nursing Sciences. 2017;6:1-7. https://doi.org/10.1016/j.ijans.2016.11.002
  3. Fukada M. Nursing competency: definition, structure and development. Yonago Acta Medica. 2018;61 (1):1-7. https://doi.org/10.33160/yam.2018.03.001
  4. Song Y, Lee J. Effects of clinical practice stress and moral sensitivity on clinical competency in nursing students. The Journal of Korean Academic Society of Nursing Education. 2020;26(2):157-66. https://doi.org/10.5977/jkasne.2020.26.2.157
  5. Almekkawi M, El Khalil R. New graduate nurses' readiness to practice: a narrative literature review. Health Professions Education. 2020;6(3):304-16. https://doi.org/10.1016/j.hpe.2020.05.008
  6. Kim H, Kim M. The relationship among academic achievement clinical competence, and confidence in clinical performance of nursing students. The Journal of Korean Academic Society of Nursing Education. 2021;27(1):49-58. https://doi.org/10.5977/jkasne.2021.27.1.49
  7. Song Y, Lee J. Effects of practice stress and moral sensitivity on clinical competency in nursing students. The Journal of Korean Academic Society of Nursing Education. 2020;26(2):157-66. https://doi.org/10.5977/jkasne.2020.26.2.157
  8. Park H, Han J. Self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency of nursing students. Journal of the Korean Data and Information Science Society. 2015;26(3):695-706. https://doi.org/10.7465/jkdi.2015.26.3.695
  9. Dong H, Choi M. Influence of professional selfconcept and self-leadership on clinical competence in nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2016;23(4):373-82. https ://doi.org/10.7739/jkafn.2016.23.4.373
  10. Houghton JD, Neck CP. The revised self-leadership questionnaire Testing a hierarchical factor structure for self-leadership. Journal of Managerial Psychology. 2002;17(8):672-91. https://doi.org/10.1108/02683940210450484
  11. Jang M, Kim H. A convergence study on the effects of self-leadership and self-esteem on nursing performance. Journal of the Korea Convergence Society. 2018;9(2):51-9. https://doi.org/10.15207/JKCS.2019.9.2.051
  12. Aryuwat P, Asp M, Lovenmark A, Radabutr M, Holmgren J. An integrative review of resilience among nursing students in the context of nursing education. Nursing Open. 2023;10(5):2793-818. https://doi.org/10.1002/nop2.1559.
  13. Amsrud KE, Lyberg A, Severinsson E. Development of resilience in nursing students: a systematic qualitative review and thematic synthesis. Nurse Education in Practice. 2019;41:102621. https://doi.org/10.1016/j.nepr.2019.102621.
  14. Stephens TM. Nursing student resilience: a concept clarification. Nursing Forum. 2013;48(2):125-33. https://doi.org/10.1111/nuf.12015
  15. Kim DJ, Lee JS. Influence of ego-resilience and self-efficacy on satisfaction in major of nursing student. The Journal of Korean Academic Society of Nursing Education. 2014;20(2):244-54. http://doi.org/10.5977/jkasne.2014.20.2.244
  16. Park YS, Kwon YH. Ego resilience, problem solving process and clinical practice competency in nursing students. The Journal of Korean Academic Society of Nursing Education. 2013;19(3):341-50 https://doi.org/10.5977/jkasne.2013.19.3.341
  17. Manz CC. The art of self-leadership: Strategies for personal effectiveness in your life and work. New Jersey: Prentice Hall; 1983. p. 1-115.
  18. Kim HS. The relationship between teacher's self-leadership and the job satisfaction at secondary schools [master's thesis]. Seoul: Soongsil University; 2002. p. 41-44.
  19. Lim S. Development of integrated model of resilience and positive development of adolescents [dissertation]. Gyeongsangbuk-do: Daegu Hanny University; 2013. p. 36-51.
  20. Lee WH, Kim CJ, Yoo JS, Hur HK, Kim KS, Lim SM. Development of a clinical competence measurement tool for student. Yonsei Nursing. 1990;13:17-29.
  21. Yang J, Park M. The relationship of clinical competency and self-directed learning in nursing students. The Journal of Korean Academic Society of Nursing Education. 2004;10(2):271-7.
  22. Jang S, Kim S, Park N. Factors influencing metacognition, communication skills, and confidence in the performance of core basic nursing skills on clinical competency in nursing students. The Journal of Korean Academic Society of Nursing Education. 2019;25(4):448-58. https://doi.org/10.5977/jkasne.2019.25.4.448
  23. Yang JJ. The effect of communication ability, problem solving ability, and self-directed learning ability on clinical competency of nursing students. Journal of Wellness. 2020;15(4):217-28. https://doi.org/10.21097/kws.2020.11.15.4.217
  24. Kim H, Yoo M. The influences of nursing professionalism and emotional intelligence on the clinical performance ability in nursing students. The Korean Journal of Health Service Management. 2020;14 (2):41-54. https://doi.org/10.12811/kshsm.2020.14.2.041
  25. Jeon MK, Jang HJ. Nursing students who have experienced by clinical practice recognition type of core fundamental nursing skills. Journal of the Korea Convergence Society. 2018;9(3):297-305. https://doi.org/10.15207/JKCS.2018.9.3.297
  26. Kim Y, Jeong IJ. Influence of clinical practice stress, self-esteem and communication skills on clinical practice competency of nursing students. Journal of Korea Entertainment Industry Association. 2018;12 (3):297-308. https://doi.org/10.21184/jkeia.2018.4.12.3.297
  27. Park JS, Park YS. Preceptees' experiences of nursing students in the clinical practice with preceptorship: "Being refined while taking a firm stand with lack". The Journal of Korean Academic Society of Nursing Education. 2018;24(2):168-80. https://doi.org/10.5977/jkasne.2018.24.2.168
  28. Yang YK. Influences of communication skill and interpersonal ability on clinical competence of nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2018;25(2):99-108. https://doi.org/jkafn.2018.25.2.99 https://doi.org/10.7739/jkafn.2018.25.2.99
  29. Kourkouta L, Papathanasiou IV. Communication in nursing practice. Materia Sociomedica. 2014;26(1): 65-7. https://doi.org/10.5455/msm.2014.26.65-67.
  30. Kim H, Kim S. The effects of resolution program in nursing college students before clinical practice. The Korean Journal of Stress Research. 2011;19(4):350-60.
  31. Wigert H, Berg L, Arveklev SH, Morrison-Helme M, Lee M. Managing conflict situations nursing students encounter during their clinical practice, narrated and performed through Forum Play. Nurse Education Practice. 2021;56:103177. https://doi.org/10.1016/j.nepr.2021.103177
  32. Park E, Song Y. Predictors of emotional labor and resilience on clinical competency in nursing students. 2019;25(3):357-65. https://doi.org/10.5977.jkasne.2019.25.3.357 https://doi.org/10.5977.jkasne.2019.25.3.357
  33. Yang S. The effects of GRIT and self-leadership on nursing performance. The Society of Convergence Knowledge Transactions. 2023;11(2):93-108. https://doi.org/10.22716/sckt.2023.11.2.018
  34. Lee JY. Influence of nursing students' self-leadership and clinical competence on clinical practice satisfaction. The Journal of Convergence on Culture Technology. 2022;8(1):417-25.
  35. Yu K, Park H, Jang K. Factors related to self-leadership of Korean clinical nurses: a systematic review and meta-analysis. Journal of Korean Academy of Nursing Administration. 2018;24(5):410-22. https://doi.org/10.11111/jkana.2018.24.5.410
  36. Chun IH, Cho JY. The relationship between stress, self-efficacy, resilience and college adjustment in nursing students. Journal of Korean Society for Multicultural Health. 2016;6(1):49-60.
  37. Nam MH, Kim HO. Effect of personality and resilience on satisfaction with major in nursing students. Journal of Korean Academy of Nursing Administration. 2018;24(4):298-306. https://doi.org/10.11111/jkana.2018.24.4.298
  38. Kim S, Do ES. Affect of emotional intelligence caring efficacy and resilience on satisfaction on clinical practice in nursing students. Journal of the Korea Academia-Industrial Cooperation Society. 2019;20(8):231-9. https://doi.org/10.5762/KAIS.2019.20.8.231
  39. Jo E. Mediating effects of the relationship of perceived stress and anxiety with resilience in nursing students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2019;9(10):677-88. https://doi.org/10.35873/ajmahs.2019.9.10.058
  40. Thomas LJ, Revell SH. Resilience in nursing students: an integrative review. Nurse Education Today. 2016;36:457-62. https://doi.org/10.1016/j.nedt.2015.10.016
  41. Amsrud KE, Lyberg A, Serverinsson E. Development of resilience in nursing students: a systematic qualitative review and thematic synthesis. Nurse Education in Practice. 2019;41:102521. https://doi.org/10.1016/j.nepr.2019.102621
  42. van Dorssen-Boog P, de Jong J, Veld M, Van Vuuren T. Self-leadership among healthcare workers: A mediator for the effects of job autonomy on work engagement and health. Frontiers in Pyschology. 2020;16(11):1420. https://doi.org/10.3389/fpsyg.2020.01420
  43. Jung K, Aan ES. The effect of self-leadership and self-esteem of nursing students on problem solving ability. Asia-pacific Journal of Multimedia services convergent with Art, Humanities and Sociology. 2019;9(11):775-88.
  44. Choi J, Im S. Factors influencing self-leadership of nursing students according to locus of control. Journal of Korean Academy of Nursing Administration. 2018;24(3):182-92. https://doi.org/10.11111/jkana.2018.24.3.182