Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

The Influence of Clinical Learning Environment, Clinical Practice Powerlessness, Field Practice Adaptation, and Nursing Professionalism on Caring Efficacy in Convergence Era

융합 시대의 임상실습 교육환경, 임상실습관련 무력감, 현장실습적응, 간호전문직관이 돌봄효능감에 미치는 영향

  • Received : 2020.11.09
  • Accepted : 2020.12.20
  • Published : 2020.12.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study was attemted to grasp the factors affecting the caring efficacy of senior nursing students. Data were collected from 173 nursing students at J university in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/25.0. Caring efficacy was positively correlated with clinical learning environment (r=.42, p<.001), field practice adaptation (r=.53, p<.001), nursing professionalism (r=.42, p<.001), and negatively correlated to clinical practice powerlessness (r=-.46, p<.001). The most influential factor on the subjects' caring efficacy was field practice adaptation (β=.330, p<.001), followed by nursing professionalism (β=.188, p=.005), clinical learning environment (β=.176, p=.015), introvert (β=-.146, p=.018), and extrovert (β=.134, p=.035). The explanatory power was 41.8%. Therefore, systematic nursing programs that can enhance caring efficacy are needed. Also, the following data can be utilized as basic data to help develop caring efficacy programs.

본 연구는 간호학과 4학년을 대상으로 돌봄효능감에 미치는 영향을 파악하고자 시도되었다. G도 J대학 간호학과 173명을 자료수집 하였다. IBM SPSS WIN/25.0을 이용하여 t-test, ANOVA, Pearson correlation coefficient, Multiple regression을 사용하였다. 돌봄효능감은 임상실습 교육환경(r=.42, p<.001), 현장실습적응(r=.53, p<.001), 간호전문직관(r=.42, p<.001)과 상관관계, 임상실습관련 무력감(r=-46, p<.001)과 역상관관계가 있었다. 대상자의 돌봄효능감에 가장 영향을 미치는 요인은 현장실습적응(β=.330, p<.001), 그 다음으로, 간호전문직관(β=.188, p=.005), 임상실습 교육환경(β=.176, p=.015), 내성적(β=-.146, p=.018), 외향적(β=.134, p=.035) 순이었다. 설명력은 41.8%이었다. 본 연구결과를 토대로 돌봄효능감 향상을 위한 체계적인 간호교육 프로그램이 필요하며, 돌봄효능감 프로그램 개발에 도움이 되는 기초자료로 활용될 수 있을 것이다.

Keywords

References

  1. H. J. Kang, J. O. Kim, H. S. Kim, S. Y. Yoo, S. O. Choi, & H. M. Hwang. (2016). Effects of the self-observation method of essential fundamental nursing skills on self-directed learning ability, self-confidence, and practice satisfaction. Korean Association for Learner-Centered Curriculum and Instruction, 16(9), 227-241. DOI : 10.22251/jlcci.2016.16.9.227
  2. T. Locken, & H. Norberg. (2005) Reduced anxiety improves learning ability of nursing students through utilization of mentoring triads. Journal of Nursing Education, 48(1), 17-23. DOI : 10.14370/jewnr.2018
  3. Y. K. Oh, & E. Y. Kim. (2018). The effects of clinical learning environment on nursing students' powerlessness and self-efficacy related to clinical practice. Journal of East-West Nursing Research, 24(1), 36-43. DOI : 10.14370/jewnr.2018.24.1.36
  4. D. Chan. (2001). Development of an innovative tool to assess hospital learning environments. Nurse Education Today, 21(8), 624-631. https://doi.org/10.1054/nedt.2001.0595
  5. J. E. Lee, & S. L. Kim. (2005). Relationship among stress, coping strategies, and self-esteem in nursing students taking clinical experience. The Journal of Korean Academic Society of Nursing Education, 11(1), 98-106.
  6. S. J. Whang. (2006). The relationship between clinical stress, self-efficacy, and self-esteem of nursing college students. The Journal of Korean Academic Society of Nursing Education, 12(2), 205-213.
  7. K. H. Lee. (2010). Mediation effect of clinical practice satisfaction in the relationship between nursing students' powerlessness and nursing image. Journal of East-West Nursing Research, 16(1), 26-34.
  8. M. Y. Park, & S. Y. Kim. (2000). A study on the first clinical practice experience of college nursing students. The Journal of Korean Academic Society of Nursing Education, 6(1), 23-35.
  9. J. W. Park, & N. S. Ha. (2003). Nursing students' clinical experiences. Journal of Korean Academy of Psychiatric Mental Nursing, 12(1), 27-35
  10. J. J. Yang, & M. Y. Park. (2004). The relationship of clinical competency and self-directed learning in nursing students. The Journal of Korean Academic Society of Nursing Education, 10(2), 271-277.
  11. Y. K. OH. (2016). Effects of Clinical Learning Environment on Clinical Practice Powerlessness and Self-efficacy in Nursing students. Master's Thesis, Dong-A University, Busan.
  12. C. H. Kim, & J. Y. Kim. (2019). Influence of nursing students' clinical practice learning environment, self-leadership, and clinical practice belonging on nursing professionalism. The Journal of Korean Academic Society of Nursing Education, 25(1), 5-16. DOI : 10.5977/jkasne.2019.25.1.5
  13. K. M. Lim, & E. J. Jo. (2016). Influence of satisfaction with clinical practice and image of nurses on nursing professionalism of nursing students. Journal of the Korea Academia -Industrial Cooperation Society, 17(4), 556-566. DOI : 10.5762/KAIS.2016.17.4.556
  14. S. Y. Kang. (2016). The social adjustment process of nursing students in the clinical practice. Journal of Korean Association for Qualitative Research, 1(0), 9-19. https://doi.org/10.48000/KAQRKR.2016.1.9
  15. S. Y. Kim, & Y. S. Shin. (2018). Factors influencing adaptation on clinical practice in nursing students. Journal of the Korea Academia-Industrial cooperation Society, 19(9), 234-242. DOI : 10.5762/KAIS.2018.19.9.234
  16. C. H. Kim, & J. Y. Kim. (2019). Influence of nursing students' clinical practice learning environment, self-leadership, and clinical practice belonging on nursing professionalism. The Journal of Korean Academic Society of Nursing Education, 25(1), 5-16. DOI : 10.5977/jkasne.2019.25.1.5
  17. S. A. Lee, & H. J. Park. (2018). Validity and reliability of a korean version of the nursing students' perception of instructor caring (K-NSPIC). Journal of the Korea Academia- Industrial cooperation Society, 19(12). 218-226. DOI: 10.5762/KAIS.2018.19.12.218
  18. S. Y. Park. (2018). Impact self-reflection, ego state, transformational leadership on caring ability in nursing students. Journal of Digital Convergence, 16(10), 379-387. DOI : 10.14400/JDC.2018.16.10.379
  19. S. Y. Park. (2019). Impact self-leadership, caring ability, self-efficacy on social problem solving ability in nursing students. Journal of Digital Convergence, 17(10), 395-403. DOI : 10.14400/JDC.2019.17.10.395
  20. C. Reid, M. Courtney, D. Anderson, & C. Hurst. (2014). The caring experience: testing the psychometric properties of the caring efficacy scale. International Journal of Nursing Practice, 21(6), 904-912. DOI : 10.1111/ijn.12327
  21. S. G. Kim, & E. S. Do. (2019). Affect of emotional intelligence caring efficacy and resilience on satisfaction on clinical practice in nursing students. Journal of the Korea Academia-Industrial cooperation Society, 20(8), 231-239. DOI : 10.5762/KAIS.2019.20.8.231
  22. S. Y. Pak. (2015). Development of a Program for Improving Caring Abilities in Clinical Practice and the Effects of the Program's Application. Doctor's Dissertation, Kangwon National University.
  23. S. G. Kim, & E. S. Do. (2019). Affect of emotional intelligence caring efficacy and resilience on satisfaction on clinical practice in nursing students. Journal of the Korea Academia- Industrial cooperation Society, 20(8), 231-239. DOI : 10.5762/KAIS.2019.20.8.231
  24. S. Y. Kang. (2019). The impact of nursing students' communication competence, resilience and clinical learning environment on emotional labor. Korean Association for Learner-Centered Curriculum and Instruction, 19(8), 181-198. https://doi.org/10.22251/jlcci.2019.19.8.181
  25. J. A. Hong. (2019). The effect of nursing students' incivility perceived, clinical learning environment on professional self concept. Korean Association for Learner-Centered Curriculum and Instruction, 19(5), 167-183. DOI : 10.22251/jlcci.2019.19.5.167
  26. M. K. Jeon, & M. Y. Han. (2019). The relationship among clinical learning environment, incivility, emotional intelligence, nursing professionalism in nursing students. Korean Association for Learner-Centered Curriculum and Instruction, 19(19), 949-964. DOI : 10.22251/jlcci.2019.19.19.949
  27. S. O. Shin. (2017). Relation among clinical learning environment, clinical practice course satisfaction and major satisfaction in nursing students. Journal of Convergence for Information Technology, 7(6), 19-24. DOI : 10.22156/CS4SMB.2017.7.6.019
  28. J. Y. Han. (2010). Nursing students' perceptions of clinical learning environment(CLE). Journal of the Korean Data Analysis, 12(5), 2595-2607.
  29. J. Y. Han, & H. S. Park. (2011). Effects of teaching effectiveness and clinical learning environment on clinical practice competency in nursing students. Journal of Korean Academy of Fundamentals of Nursing, 18(3), 365-372.
  30. E. Y Kim, & S. H. Yang. (2015). Effects of clinical learning environment on clinical practice stress and anxiety in nursing students. Journal of Korean Academy of Nursing Administration, 21(4), 417-425. DOI : 10.11111/jkana.2015.21.4.417
  31. S. S. Hong, & M. J. Park. (2014). The effects of clinical practice stress and helplessness on nursing professionalism among nursing students. The Journal of the Korea Contents Association, 14(2), 369-377. DOI : 10.5392/JKCA.2014.14.12.369
  32. S. Y. Park. (2019). Impact self-leadership, caring ability, self-efficacy on social problem solving ability in nursing students. Journal of digital convergence, 17(10), 395-403. DOI : 10.14400/JDC.2019.17.10.395
  33. E. J. Park, & S. J. Shin. (2018). Relationship between emotional intelligence, interpersonal competence, and caring efficacy in nursing students. Journal of Korean Society for Simulation in Nursing, 6(2), 15-25. DOI : 10.17333/JKSSN.2018.6.2.15
  34. F. Faul, E. Erdfelder, A. Buchner, & A. G. Lang. (2009). Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behavior research methods, 41(4), 1149-1160. DOI : 10.3758/BRM.41.4.1149
  35. S. Y. Park. (2017). Development and Validation of the College Life Adjustment Instrument for Nursing Students. Doctor's Dissertation, Dankook University.
  36. Dunn, S. V, & Burnett, P. (1995). The Development of a Clinical Learning Environment Scale. Journal of Advanced Nursing, 22(6), 1166-1173. https://doi.org/10.1111/j.1365-2648.1995.tb03119.x
  37. K. H. Lee. (2010). Mediation effect of clinical practice satisfaction in the relationship between nursing students' powerlessness and nursing image. Journal of East-West nursing research, 16(1), 26-34.
  38. Yeun, E. J, Kwon, Y. M, & Ahn, O. H. (2005). Development of a nursing professional value scale. Journal of Korean Academy of Nursing, 35(6), 1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091
  39. J. O. Jeong. (2016). The Effect of an Empathy Education Program on Nursing Students' Empathy, Interpersonal ability, and Caring. Doctor's Dissertation, Yonsei University.
  40. N. J. Je, & M. R. Park. (2018). Impact on department adaptation of field practice adaptation, college adaptation, and awareness of death of nursing students. Journal of the Korea Academia-Industrial cooperation Society, 19(10), 300-312. DOI : 10.5762/KAIS.2018.19.10.300
  41. G. O. Noh, & M. S. Kim. (2018). The influence of nursing professionalism and academic emotional regulation on college life adjustment in nursing college students. The Journal of Korean Academic Society of Nursing Education, 24(4), 424-432. DOI : 10.5977/jkasne.2018.24.4.424
  42. H. J. Park. (2015). Correlations among nursing professionalism, critical thinking disposition and self-leadership in nursing students. Journal of Korean Academic Society of Nursing Education, 21(2), 227-236. DOI: 10.5977/jkasne.2015.21.2.227
  43. H. N. Lee, & J. H. Kim. (2016). The influencing factors of ego-resilience and empowerment on nursing professionalism among nursing students. Journal of the Korea Academia-Industrial Cooperation Society, 17(8), 292-300. DOI : 10.5762/KAIS.2016.17.8.292
  44. E. K. Lee, & E. J. Ji. (2016). Factors influencing nursing professionalism in nursing students: clinical learning environment and attitude toward nurse-physician collaboration. Journal of the Korean Academy of Fundamentals of Nursing, 23(2), 126-135. DOI : 10.7739/jkafn.2016.23.2.126
  45. H. S. Kang, Y. S. Kang, & Y. M. Kim. (2016). The relationship between critical thinking, ego resilience and nursing professionalism among senior nursing students. Asia-Pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 6(4), 219-229.
  46. J. W. Park. (2020). The Effects of Emotional Intelligence, Caring Efficacy and Social Support on Clinical Competency in Nursing Students. Master's Thesis, Kaya University Majored in Nursing.
  47. S. G. Kim, & E. S. Do. (2019). Affect of emotional intelligence caring efficacy and resilience on satisfaction on clinical practice in nursing students. Journal of the Korea Academia-Industrial cooperation Society, 20(8), 231-239. DOI : 10.5762/KAIS.2019.20.8.231