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Factors Affecting the Clinical Practice Adaptation of the First Year of Clinical Practice

임상실습 1년차의 임상실습적응에 미치는 영향 요인

  • Je, Nam-Joo (Department of nursing, Changshin University) ;
  • Hwa, Jeong-seok (Department of Urology, Gyeongsang National University Hospital, College of Medicine and Institute of Health Sciences, Gyeongsang National University) ;
  • Park, Meera (Department of nursing, Changshin University)
  • Received : 2019.07.17
  • Accepted : 2019.11.01
  • Published : 2019.11.30

Abstract

This study examined the factors affecting clinical practice adaptation to provide basic data for the improvement of clinical practice adaptation for the first year of clinical practice. The subjects were 153 nursing students and medical students in G-do. Data were collected from April 1 to April 30, 2019, and analyzed using a t-test, ANOVA, Pearson correlation coefficient, and multiple regression using IBM SPSS WIN/21.0. The mean of college adjustment, character, interpersonal competence, communicative competence, and clinical practice adaptation was 3.37 points, 3.82, 3.61, 3.56, and 3.54, respectively. Clinical practice adaptation was related to college adjustment, character, interpersonal competence, and communicative competence (p<.001). The most influential factor in clinical practice was interpersonal competence (β=.502, p<.001), followed by department adaptation (β=-.215, p<.001) and college adjustment (β=.174, p=.010), respectively. The explanatory power was 41.1% (F=34.11, p<.001). Therefore, a way to improve interpersonal competence is needed to advance clinical practice adaptation. In the character building program for adjustment to college life, systematic education is needed, including the opportunity to think about and understand oneself, continuous meeting to understand and accept others. In addition, repeated communication training to improve interpersonal competence is needed.

본 연구는 임상실습 1년차 학생을 대상으로 임상실습적응에 영향을 미치는 요인을 파악하여 임상실습적응을 높이기 위한 대책 마련의 기초자료를 마련하고자 시도되었다. 연구대상자는 G도의 간호대학생과 의과대학생 153명을 대상으로 하였다. 자료수집은 2019년 4월 1일부터 4월 30일까지였고, 자료분석은 IBM SPSS WIN/21.0을 이용하여 t-test, ANOVA, Pearson correlation coefficient, Multiple regression 을 사용하였다. 대학적응은 평균 3.37점, 인성은 평균 3.82점. 대인관계 유능성은 평균 3.61점, 의사소통은 평균 3.56점, 임상실습적응은 평균 3.54점이었다. 임상실습적응은 대학적응, 인성, 대인관계 유능성, 의사소통과 순상관관계가 있었다(p<.001). 임상실습에 가장 영향을 미치는 요인은 대인관계 유능성(β=.502, p<.001)이었고, 그 다음으로 학과적응(β=-.215, p<.001), 대학적응(β=.174, p=.010) 순으로 나타났다. 설명력은 41.1%이었다(F=34.11, p<.001). 따라서 임상실습적응의 향상을 위해 대인관계 유능성을 높여줄 수 있는 방안이 필요하며, 대학생활적응을 위한 인성교육 프로그램에는 자신에 대해 생각해보고 이해할 수 있는 계기마련과 지속적인 만남을 통한 타인의 이해와 타인수용이 필요하다. 또한, 반복적인 의사소통 훈련을 통한 대인관계능력을 향상을 시킬 수 있는 내용의 체계적인 교육을 제공하는 것이 필요하다.

Keywords

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