A Convergence Study about the Effect Path of Satisfaction with Biological nursing science on Clinical competence

기초간호학만족도가 임상수행능력에 미치는 효과 경로에 관한 융합 연구

Abstract

This study is convergence study about the effect path of relationship among satisfaction with biological nursing science, satisfaction with major nursing subject, critical thinking disposition, satisfaction with major and clinical competence. The survey was performed on 203 nursing students in three college. Data was collected using a structured questionnaires in May 2018 and analysed with PASW 18.0 and AMOS 18.0. Model fit indices were in good agreement with recommended level(${\chi}^2/DF=1.093$, GFI=.992, AGFI=.968, RMSEA=.021, CFI=.998, NFI=.983). Base on the path model, satisfaction with biological nursing science showed a direct effect on satisfaction with major nursing subject(${\beta}=.345$), satisfaction with major nursing subject showed a direct effect both on critical thinking disposition(${\beta}=.272$) and satisfaction with major(${\beta}=.277$), critical thinking disposition showed a direct effect both on satisfaction with major(${\beta}=.365$) and clinical competence(${\beta}=.582$), satisfaction with major a direct effect on clinical competence(${\beta}=.228$). In conclusion the biological nursing science satisfaction has eventually improved clinical competence. Therefore, it is necessary to develop and apply various teaching methods that can increase satisfaction with biological nursing science.

본 연구는 기초간호학만족도, 전공간호학만족도, 비판적사고성향과 전공만족도 및 임상수행능력 간의 인관관계와 경로를 파악하기 위한 융합연구이다. 3개 대학 간호학과 학생 203명을 대상으로, 2018년 5월에 구조화된 설문지를 이용하여 수집하였다. PASW 18.0, AMOS 18.0을 이용하여 분석하였다. 연구결과 기초간호학만족도가 임상수행능력에 미치는 효과 경로모형은 적합하였다(${\chi}^2/DF=1.093$, GFI=.992, AGFI=.968, RMSEA=.021, CFI=.998, NFI=.983). 기초간호학만족도는 전공간호학만족도(${\beta}=.345$), 전공간호학만족도는 비판적사고성향(${\beta}=.272$)과 전공만족도(${\beta}=.277$), 비판적사고성향은 전공만족도(${\beta}=.365$)와 임상수행능력(${\beta}=.582$), 전공만족도는 임상수행능력(${\beta}=.228$)에 직접효과가 있음이 유의하게 나타났다. 기초간호학만족도가 높으면 전공간호학만족도가 높아지고, 이는 비판적사고성향과 전공만족도를 높이며, 결국에는 임상수행능력을 향상시키는 것임을 확인하였다. 이에 다양한 교수학습방법 개발과 적용으로 기초간호학만족도를 높일 수 있는 중재마련이 필요하다.

Fig. 1. Theoretical framework

Fig. 2. Path analysis for the model

Table 1. General characteristics

Table 2. Satisfaction with biological nursing science, Satisfaction with major nursing subject, Critical thinking disposition, Satisfaction with major, Clinical competence

Table 3. Correlations of variables

Table 4. Goodness of Model

Table 5. Direct effect, indirect effect and total effect in path model