DOI QR코드

DOI QR Code

Modeling Core Competencies in the Competency-based Nursing Curriculum

역량기반 간호교육과정을 위한 핵심역량 모델링

  • Received : 2015.10.07
  • Accepted : 2015.11.06
  • Published : 2015.11.30

Abstract

The purpose of this study is modeling nursing competencies and reasoning out the core competencies, the ability for 20% of important actions for nursing jobs which can manage the rest 80% so that the competency-based nursing curriculum can be developed. A literature review of the vast studies regarding competencies was done to understand the concepts of competency-based curriculum, competency, and nursing competencies, identifying the relationships among each nursing competency categorized in accordance with those concepts. An exemplified concept map of core competencies for the competency-based nursing curriculum is suggested based on a thorough review of various competency modeling methodologies. The core competencies consist of base competency (theoretical/practical nursing knowledge and skills), practical competency (clinical judgment, patient education, communication, etc.), and personality competency (leadership, sense of responsibility, cooperation, etc.). The circular relationship among them can remain consistent through self-directed learning and critical thinking. Therefore, a nurse who have those core competencies is a knowledge worker, a self-directed learner, and also an effective, professional communicator. Further studies which solidify the concept of nursing competencies should be done, as well as the feedback procedures which evaluate the program outcomes and then reflect the evaluation results in the curriculum should be followed continuously.

본 논문은 간호사의 역량을 규명하고, 전체 간호업무의 80%를 통제할 수 있는 20%의 핵심간호역량을 도출하여 이를 기반으로 하는 간호교육과정 개발을 위한 간호역량을 모델링하기 위해 시도되었다. 각종 역량 관련 문헌고찰을 통하여 역량기반 교육과정, 역량 및 간호역량의 개념을 확인하고, 간호역량의 개념에 부합하는 각종 간호역량을 열거 및 유목화 하여 이들 간의 관계를 규명하였다. 또한 각종 역량 모델링의 방법을 검토하여 이를 토대로 역량기반 간호교육과정에 고유한 핵심역량 모델의 예시적 개념 지도를 제시하였다. 역량기반 간호교육과정을 위한 핵심역량은 기저역량, 실무역량, 인성역량으로 대별되고 기저역량은 전공(이론+실기)과 간호술로 역량의 기본이 된다. 실무역량은 임상적 판단, 대상자 교육, 의사소통, 환자 안전, 질 향상, 병동 및 자원 관리 등으로 구성되며 인성역량은 리더십, 책임 인식, 협력, 정책변화 대응 등으로 이루어진다. 이들은 자기주도적 학습과 비판적 사고 능력을 통하여 지속적인 순환 관계를 유지한다. 결국 이러한 역량을 가진 간호사는 지식근로자로써 자기주도적 학습자이며 전문적이고 효율적인 의사소통가이다. 간호역량을 확정시키는 후속연구가 계속되어야 하며 실제 역량기반교육과정에 적용하여 성과를 측정하고 이를 다시 반영하는 과정이 지속적으로 이루어져야 함을 제언한다.

Keywords

References

  1. J. Liaschenko & E. Peter, "Nursing ethics and conceptualizations of nursing: Profession, practice and work", Journal of Advanced Nursing, 46(5), pp.488-495, 2004. DOI: http://dx.doi.org/10.1111/j.1365-2648.2004.03011.x
  2. C. A. Tanner, "Preparing the next generation of nurses", Keynote Speech at the 8th International Nursing Conference in Seoul, Korea, 2011.
  3. D. D. McClelland, "Testing for competence rather than for intelligence". American Psychologist, 28(1), pp.1-14. 1973. DOI: http://dx.doi.org/10.1037/h0034092
  4. G. Hamel & C. K. Prahalad, "The Core Competence of the Corporation", Havard Business Review, pp.79-90, May/June, 1990.
  5. E. O'Neil, "The opportunity that is nursing. Nursing & Health Care Perspectives, 20(1), pp.10-17, 1999.
  6. L. L. Arcand & J. A. Neumann, "Nursing competency assessment across the continum of care", Journal of Continuing Education in Nursing, 36(6), pp.247-254, 2005.
  7. M. G. Anema, & J. McCoy, "Competency-based nursing education: Guide to achieving outstanding learner outcomes", NY: Springer Publishing Company, 2010.
  8. C. G. Mailloux, "Using the essentials of baccalaureate education for professional nursing practice as a framework for curriculum revision", Journal of Professional Nursing, 27(6), pp.385-389, 2011. DOI: http://dx.doi.org/10.1016/j.profnurs.2011.04.009
  9. L. G. Landry, M. D. Alameida, L. Orsolini-Hain, A. R. Boyle, A. Prive, A. Annie Chien & et. al., "Responding to demands to change nursing education: Use of curriculum mapping to assess curricular content", Journal of Nursing Education, 50(10), pp.587-590, 2011. DOI: http://dx.doi.org/10.3928/01484834-20110630-02
  10. R. Alfaro-LeFevre, "Applying Nursing Process: The Foundation for Clinical Reasoning", 8th Ed. Wolters Kluwer Health, 2014.
  11. K.H. Chun & E. Kang, A competency modeling for medical education, Journal of educational technology, 27(2) pp.341-364, 2011. https://doi.org/10.17232/KSET.27.2.341
  12. J. K. Ko, M. S. Chung, M. A. Choi, Y. M. Park, K. S. Bang, et. al., "Modeling of Nursing Competencies for Competency-Based Curriculum Development", Journal of Korean Academic Society of Nursing Education, 19(1), pp.87-96, 2013. DOI: http://dx.doi.org/10.5977/jkasne.2013.19.1.87
  13. W. S. Park, "Competency-based human resource management. Seoul: Korea Labor Institute, 2002.
  14. R. M. Gagne, "Conditions of Learning", Holt, Rinehart & Winston of Canada Ltd; 2nd edition, 1970
  15. Korean Accreditation Board of Nursing Education (KABON), "Nursing core competencies". Retrieved December 20, 2012, from http://www.kabon.or.kr/
  16. J. Y. Lee, "21st Century Learner's Core Competencies and Challenges for Korean Education", Physics & High technology, 22(4), pp.13-16, 2013. DOI: http://dx.doi.org/10.3938/PhiT.22.014
  17. R. E. Boyatzis, "Competencies in the 21st century", Journal of Management Development, 27(1) pp.5-12, 2008. DOI: http://dx.doi.org/10.1108/02621710810840730
  18. International Council of Nursing(ICN), "An implementation models for the ICN framework of competencies for the generalist nurse", Standards and competencies series (2nd ed.). Geneva: ICN, 2003.
  19. D. Kim, H. Oh, Y. Song, E. Koh, S. Park, & E. Jung, "Exploring students' core competencies in higher education from professors' perspectives: A case study of Seoul National University", Asian Journal of Education, 10(2), pp.195-214, 2009. DOI: http://dx.doi.org/10.15753/aje.2009.10.2.007
  20. Y. Byeon, N. Lim, K. Kang, M. Sung, J. Won, I. Ko, S. Chang, H. Jang, S. Yang, & H. Kim, "Clinical Nursing Competency for New Graduate Nurses: A Grounded Theory Approach", Journal Korean Academic Fundamental Nursing, 10(1), pp.47-56. 2003.
  21. Y. I. Park, J. A. Kim, J. K. Ko, M. S. Chung, K. S. Bang, "An Identification Study on Core Nursing Competency", Journal of Korean Academic Society of Nursing Education, 19(4), pp.663-674, 2013. DOI: http://dx.doi.org/10.5977/jkasne.2013.19.4.663
  22. Accreditation Council for Graduate Medical Education(ACGME), "ACGME Common Program Requirements", Retrieved September, 09, 2013 from www.acgme.org/acgmeweb/Portals/0/PFAssets/ProgramR equirements/CPRs2013.pdf.
  23. D. H. Lee, "Knowledge-based society and education", Educational policy report, pp.1-22. 1999.
  24. H. S. Cho, "A study on the critical thinking disposition and clinical competency of nursing students", Journal Korean Academic Society of Nursing Education, 11(2), pp.222-231, 2005.
  25. K. J. Ko, "A study on the critical thinking disposition & clinical competency of nursing students", Unpublished master's thesis, Kwandong University. 2003.
  26. Y. W. Shin, H. Lee, Y. Lim, "Predictors of clinical competence in new graduate nurses", Journal of Korean Academy of Nursing Administration, 16(1), pp.37-47. 2010. DOI: http://dx.doi.org/10.11111/jkana.2010.16.1.37
  27. S. K. Chaung, "Critical Thinking Disposition, Problem Solving Ability, and Clinical Competence in Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, 18(1), pp.71-78, 2011.
  28. J. J. Yang & M. Y. Park, "The relationship of clinical competency and self-directed learning in nursing students", Journal Korean Academic Society of Nursing Education, 10(2), pp.271-277, 2004.
  29. K. A. Shin & B. H. Cho, "Professional Self-Concept, Critical Thinking Disposition and Clinical Competence in Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, 19(1), pp.46-56, 2012. DOI: http://dx.doi.org/10.7739/jkafn.2012.19.1.046
  30. O. S. Lee & M. O. Gu, "The Relationship between Emotional intelligence and Communication skill, Clinical competence & Clinical practice stress in Nursing Students", Journal of the Korea Academia-Industrial cooperation Society, 14(6), pp.2749-2759, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.6.2749
  31. J. C. Jeong, B. M. Min, & J. M. Kim(Trans.), "Easy to understand competency modeling", Seoul: PSI Consulting.
  32. B. M. Min, D. G. Park, J. G. Park, & J. C. Jeong(Trans.), "Development and application for core competency model", by L. M. Spencer & S. M. Spencer(1993). Seoul: PSI Consulting, 2003.
  33. J. C. Chung, B. M. Min, J. M. Kim(Trans.), "The art and science of competency model: pinpointing critical success factors in organization", by A. D. Lucia & R. Lepsinger(1999), Jossey-Bass/Pfeiffer. Seoul: PSI Consulting, 2001.
  34. J. K. Lee, "Reflection on a methodology of developing competency-based curriculum: based on a case of curriculum development for improving marketing competency", Journal of Educational Technology, 18(4), pp.25-56, 2002. https://doi.org/10.17232/KSET.18.4.25
  35. C. A. Tanner, "Thinking like a nurse: A research-based model of clinical judgment in nursing", Journal of Nursing Education, 45(6), pp.204-211, 2006.
  36. P. McLegan, "Great ideas revisitied : Job competency models", Training & Development, 50(1), pp.40-47, 1996.
  37. 21st Century Student Outcomes and Support Systems (P21), 1 Massachusetts Avenue NW, Suite 700, Washington, DC 20001, 2002. Retrieved from www.p21.org/404-page-not-found
  38. Massachusetts Department of Higher Education. Nurse of the future nursing core competencies. Boston: M.A., 2010. Retrieved from www.mass.edu/currentinit/documents/NursingCoreCompetencies.pdf
  39. Competencies for entry-level registered nurse practice college of nurses of Ontario pp.2-15. 2014, Retrieved from www.cno.org/Global/docs/reg/41037_EntryToPracitic_final.pdf?epslanguage=en

피인용 문헌

  1. Rehabilitation Nursing Competencies of Korean Nurses by Type of Health Institute vol.20, pp.2, 2017, https://doi.org/10.7587/kjrehn.2017.89