Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
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Nursing Students' Clinical Competence and Decision-Making: Impact of a Multiple-components Practice-based Learning

간호학생의 임상수행능력과 임상의사결정: 다중요소 실습기반교육의 효과

  • Received : 2023.12.20
  • Accepted : 2024.03.20
  • Published : 2024.03.28
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Abstract

This study is a one-group pre-post experimental design that investigates the effects of a practice-based learning program with multiple components on the clinical competence of nursing students, and clinical decision-making. From May 4 to 29, 2020, a total of 60 third-year nursing students with no clinical practice experience were divided into two teams and participated in multi-component practice-based education for two weeks each, and the data of the final 51 students were included in the analysis. Following the practicum, there was a significant increase in clinical competence (t=-4.74, p<.001) and self-confidence in clinical decision-making (t=-8.41, p<.001), and a decrease in anxiety related to clinical decision-making (t=2.54, p=.014). The findings suggest that a multi-component, practice-based learning approach for nursing students can enhance their clinical competence, reduce preclincal anxiety and increase confidence in clinical decision-making in patient care.

본 연구는 단일그룹 사전-사후 실험설계를 통해 다중요소 실습기반교육의 간호학생의 임상수행능력과 임상의사결정에 대한 효과를 탐색하는 것을 목적으로 하였다. 2020년 5월 4일부터 29일까지 임상실습 경험이 없는 간호학과 3학년 학생 총 60명이 2팀으로 나누어 2주씩 다중요소 실습기반교육에 참여했고, 최종 51명의 자료가 분석에 포함되었다. 연구결과 임상수행능력, 임상의사결정 자신감은 실습교육전에 비해 유의미하게 상승하였고, 임상의사결정에 대한 불안은 유의미하게 감소하였다. 간호학생을 위한 다중요소를 포함한 실습교육은 환자 간호를 위한 수행 자신감을 향상시키고, 임상적 의사결정에 대한 자신감을 증가와 불안 완화의 교육방법으로 적용될 수 있다.

Keywords

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