• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.19 no.7
• /
• pp.463-473
• /
• 2018

This investigation was a descriptive study that examined the relationship among factors including professional autonomy, role conflict, and clinical decision-making ability of nurses on comprehensive nursing service wards. To accomplish this, a survey of 234 nurses working at D city and G city who were selected based on convenience sampling was conducted. Data were collected using a self-reported questionnaire completed by 234 nurses at four clinical hospitals from October 12, 2017 to November 30, 2017. The collected data were evaluated by t-tests, ANOVA, Pearson's correlation and stepwise multiple regression analysis. The mean clinical decision-making ability score was $3.38{\pm}0.78$, which corresponded to an intermediate level of clinical decision-making ability. Clinical decision making ability was positively correlated with professional autonomy, but role conflict showed a negative correlation. The factors having the greatest impact on clinical decision-making ability were found to be, in order, length of work, education level, professional autonomy and role conflict, which together accounted for 38.7% of the total impact. To improve clinical decision making ability, it is important to improve autonomy and role conflict. Additionally, to improve clinical decision-making ability, it is necessary to improve clinical decision-making ability to determine nurses tasks through professional autonomy and role conflict. Overall, the results of this study can be utilized as baseline data when developing a program to enhance nurses' clinical decision making ability. Moreover, it is suggested that an interventional study analyzing validity and effectiveness of developed education programs be conducted.

• Journal of Digital Convergence
• /
• v.20 no.4
• /
• pp.769-777
• /
• 2022

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.

• The Journal of the Korea Contents Association
• /
• v.13 no.2
• /
• pp.322-330
• /
• 2013

The purpose of this study was to examine the influence of critical thinking, clinical decision making and job satisfaction of 132 dental hygienists. The data was collected from 1st May to 31th October, 2012 in Ulsan, Pusan and Gyeongsangnam-do areas. The majority participants were female, 30.6 years old, graduate diploma course of dental hygienist, and working in dental clinics. In critical thinking, truth-seeking was highest score, 3.36 but maturity was lowest score, 3.00. In clinical decision making, canvassing of objectives & values was highest score 3.39, but search for alternatives or options was lowest score, 3.10. In job satisfaction, professional status was highest score 3.20, but incomes & promotion was lowest score 2.84. In correlation between general characteristics and critical thinking, there was significantly different in religion, education status, total working period and working areas. There was significantly different with religion and education status in clinical decision making, And There was significantly different with religion and education status, total working period, and working areas in job satisfaction. Critical thinking, clinical decision making and job satisfaction was positive relationship. To improve professional competence and job satisfaction of dental hygienist it need to use actively the critical thinking and clinical decision making. And it need to prepare the education and strategy to increase the job satisfaction of dental hygienist.

• Journal of Digital Convergence
• /
• v.19 no.2
• /
• pp.275-288
• /
• 2021

This study was attemted to grasp the factors affecting the clinical decision-making ability of nurse. Data were collected from 156 nurse working in hospital in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/25.0. The most influential factor on the subjects' clinical decision-making ability was nursing Research 'very interest', critical thinking tendency, 'master/doctor', clinical experience 'more than 20 years and 1 month', moral behavior, nursing research 'important', 'single', clinical work experience '5 years, 1 month-10 years', department work experience '3 years 1 month-5 years'. The explanatory power was 51.4%. It was significant in that it was confirmed that interest and importance, moral behavior, academic background, and career are variables that influence clinical decision-making ability. The results of this study can be utilized as basic data for the development of intervention plans and programs that can increase clinical decision-making ability in the context of an ethical dilemma. In addition, developing and verifying educational programs that can increase clinical decision-making abilities in ethical dilemmas is needed.

• Journal of Industrial Convergence
• /
• v.22 no.3
• /
• pp.79-89
• /
• 2024

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.

• Journal of Digital Convergence
• /
• v.16 no.12
• /
• pp.511-521
• /
• 2018

The purpose of this study was to investigate the effect of critical thinking, clinical decision making ability, patient safety knowledge and attitude ability to perform patient safety activities during clinical practice on nursing student's. Data were analyzed using t-tests and one-way ANOVA using the SPSS 21.0 program. As a result, the subjects' safety nursing activities was positively correlated critical thinking disposition(r=.278, p=.001), clinical decision making ability(r=.202, p=.014), patient safety attitude(r=.421, p<.001).The significant predictors of perform safety nursing activities were gender(${\beta}=.175$, p=.031), patient safety education(${\beta}=-2.266$, p=.025), critical thinking disposition(${\beta}=3.354$, p=.001), patient safety attitude(${\beta}=.368$, p<.001). These factors explained 31.5% of the variance(R2=.561, F=4.56 p<.001). It is necessary to establish a curriculum for critical thinking disposition, clinical decision making ability, and patient safety education in order to improve patient safety performance necessary for clinical practice education of nursing college students.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.7
• /
• pp.73-81
• /
• 2020

This study is a single-group study to check the effectiveness of nursing students on their communication credibility, communication confidence and clinical decision-making ability by implementing SBAR-applied simulation training to improve the difficulty of delivering clear information to medical personnel during transition. By combining simulation practices and SBAR training based on emergency situations of mothers and newborns, programs were developed and applied to communicate clearly and briefly to the medical staff about emergencies and to enhance communication skills. The subjects were 91 fourth-year nursing college students from one university in B metropolitan city. The data were collected from Feb. 18, 2019 to Feb. 28, 2019 and were analyzed using the SPSS/WIN 18.0 program as a paired t-test. The results revealed that the communication clarity measured after the simulation exercise (t=-3.99, p<.001), Communication Confidence (t=-8.60, p<.001), Clinical Decision Capacity (t=-4.66, p<.001) Statistically, it has increased significantly. Therefore, the purpose of this research is significant in that it seeks to promote the expertise of nursing college students by developing and applying simulation practical education programs to enhance the communication skills and clinical decision-making skills of nursing college students as prospective medical personnel.

• Journal of Digital Convergence
• /
• v.17 no.2
• /
• pp.255-264
• /
• 2019

This study was a cross-sectional study done to determine the relevance and impact factors of critical thinking and nursing practice environment on clinical decision making among nurses. A survey was conducted for April 2017 with self-report questionnaire. Participants were 261 registered nurses working in one tertiary hospital. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical regression analysis with SPSS/WIN(21.0). Factors affecting clinical decision making included age, educational background, position, work shift, clinical career. Clinical decision making had a positive correlation with critical thinking and nursing practice environment. And position, critical thinking and nursing practice environment accounted for 35.8% of the variance in clinical decision making. Therefore, quality management for developing nursing professionalism and administrative support for effective staffing and resource adequacy in addition improving critical thinking increase nurses'clinical decision making.

• Journal of the Korea Convergence Society
• /
• v.11 no.10
• /
• pp.181-186
• /
• 2020

In this study, an attempt was made to investigate the clinical reasoning of nursing students and to identify the factors that influence it. This study was held to grasp the learning ability related to core nursing competency for 297 3^rd and 4^rd grade nursing students. Results indicated that there was a significant difference when comparing clinical competence by grade(p=0.001). Also variables effecting clinical reasoning competence were Problem solving ability, Clinical Decision making ability, Clinical practice performance, and grade of nursing students were found to be significant (p,.001). Outcome of this study can be used as the basis for the development of various curriculums to enhance the clinical reasoning competence, in the future, research for this education development is expected to be needed.

• Journal of the Korean Applied Science and Technology
• /
• v.38 no.1
• /
• pp.88-98
• /
• 2021

This study was conducted to identify the factors affecting the self-confidence in performing patient safety management in nursing students. As a result of the analysis, 7.0 points in knowledge of patient safety management, 3.86 points in attitude of patient safety management, 3.47 points in clinical decision making ability, and 4.15 points in self-confidence in performing patient safety management. Self-confidence in performing patient safety management was positively correlated with knowledge of patient safety management(r=.216, p<.01) and attitude of patient safety management(r=.375, p<.01), clinical decision making ability(r=.467, p<.01). The self-confidence in performing patient safety management was influenced by clinical decision making ability(β=.409, p<.001) and attitude of patient safety management(β=.198, p=.011), explanatory power was 26.3%.