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Convergence Factors Influencing Clinical Reasoning Competency of Nursing Students

간호대학생의 임상적 추론 역량에 미치는 융합적 영향요인

  • Hahn, Suk-Won (Division of Nursing, Baekseok Culture University) ;
  • Chun, Yeoleo (Division of Nursing, Baekseok Culture University)
  • 한숙원 (백석문화대학교 간호학과) ;
  • 전열어 (백석문화대학교 간호학과)
  • Received : 2020.08.24
  • Accepted : 2020.10.20
  • Published : 2020.10.28

Abstract

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 3rd and 4rd 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.

본 연구에서는 간호대학생을 대상으로 임상적 추론 역량에 대하여 조사하고 이에 영향을 미치는 요인을 파악하고자 시도되었다. 본 연구는 GPower 3.1.9.4를 이용하여 간호대학생 3, 4학년 297명을 대상으로 간호핵심역량과 관련된 학습능력을 파악하고자 임상적 추론, 문제해결능력, 비판적 사고성향, 임상적 의사결정, 자기주도학습, 임상수행능력을 측정하고 임상적 추론 역량에 영향을 미치는 변수를 검정하는 서술연구이다. 연구결과를 살펴보면, 학년별로 임상적 추론역량을 비교한 결과 유의한 차이를 보였으며(p=0.001), 또한 임상적 추론역량에 대한 영향변수를 확인한 결과 문제해결능력, 임상적 의사결정 능력, 임상수행능력, 임상실습경험(학년)이 유의한 변수로 나타났다.(p,.001). 본 연구결과는 간호대학생의 임상적 추론 역량을 높이기 위한 다양한 교육과정개발의 근거로 활용될 수 있을 것으로 보이며, 향후 임상적 추론 역량을 높일 수 있는 교육 개발을 위한 연구가 필요할 것으로 사료된다.

Keywords

References

  1. S. M. Hong. (2018). Factors related to clinical reasoning competence of undergraduate nursing students. Master dissertation. Yonsei University, Seoul. http://www.riss.kr/link?id=T14859068
  2. R. Alfaro-Lefevre. (2012). Nursing process and clinical reasoning. The Journal of Nursing Education Perspect. 33(1), 7. https://doi.org/10.5480/1536-5026-33.1.7
  3. B. Simmons. (2010). Clinical reasoning: concept analysis. J Adv Nurs.. 66(5), 1151-1158. DOI : 10.1111/j.1365-2648.2010.05262.
  4. R. A. Kuiper & D. J. Pesut. (2004). Promoting cognitive and metacognitive reflective reasoning skills in nursing practice: self-regulated learning theory. J Adv Nurs, 45(4), 381-391. DOI : 10.1046/j.1365-2648.2003.02921.x.
  5. Korea Institute of Nursing Education Evaluation. http://www.kabone.or.kr/HyAdmin/upload/goodFile/1 20121127132143.pdf
  6. E. Y. Park. (2014). Clinical Reasoning Ability of Oncology Nurses. Asian Oncology Nursing, 14(4), 265-273. DOI : 10.5388/aon.2014.14.4.265
  7. M. K. Baek. (2005). Relationship between level of autonomy and clincal decision-making in nursing scale of E.T nurse. Master dissertation. Yonsei University, Seoul. http://www.riss.kr/link?id=T9730202
  8. S. J. Lee & Y. K. Jang. (2003). (A)Study on the development of life-skills : communication, problem solving, and self-directed learning. Korea Education Development Institute. http://www.riss.kr/link?id=M9438989
  9. S. H. Lee. (2018). The Relationships between Campus Life Adaptation and Clinical Competence in Nursing students: The mediating effect of Social Support and Resilience. Department of Nursing. Master dissertation. Kunsan National University, Kunsan
  10. K. H. Lee. (2019). Convergence between Ego- Resilience, Major Satisfaction and Clinical Competency of Nursing Student. Journal of the Korea Convergence Society, 10(3), 297-306. DOI : 10.15207/JKCS.2019.10.3.297
  11. Y. J. Kim, H. B. Song & Y. H. Na. (2020). Comparisons of Nursing Skills, Self-Directed Learning Ability, and Problem Solving Competency, and Satisfaction by Learner-led vs. Faculty-led Fundamental Nursing Practice. Journal of the Korea Convergence Society, 11(8), 391-400. DOI : 10.15207/JKCS.2020.11.8.391
  12. M. J. Shin & Y. E. Chun. (2018). Convergence among Resilience, Clinical Performance ability, Stress in Clinical Practice of Nursing Students. Journal of the Korea Convergence Society, 9(2), 19-32. DOI : 10.15207/JKCS.2018.9.2.019
  13. S. R. Liou et al. (2016). Cheng, The development and psychometric testing of a theory-based instrument to evaluate nurses' perception of clinical reasoning competence, Journal of advanced nursing, 72(3), 707-717. DOI: 10.1111/jan.12831
  14. J. W. Jung & J. W. Han. (2017). Validity and Reliability of a Korean Version of Nurse Clinical Reasoning Competence Scale. Korea Academia-Industrial cooperation Society, 18(4), 304-310. DOI : 10.5762/KAIS.2017.18.4.304
  15. J. Yoon. (2004). Development of an instrument for the measurement of critical thinking disposition : in Nursing. Doctoral dissertation. Catholic University, Seoul. http://www.riss.kr/link?id=T11531717
  16. H. M. Jenkins. (1985). A research tool for measuring perceptions of clinical decision making, Journal of Professional Nursing, 1(4), 221-229. https://doi.org/10.1016/S8755-7223(85)80159-9
  17. M. S. Choi. (2005). A study on the relationship between teaching effectiveness of clinical nursing education and clinical competency in nursing students. Master dissertation. Ewha Womans University, Seoul. http://www.riss.kr/link?id=T9862768
  18. Kuiper, R. A., Heinrich, C., Matthias, A., Graham, M. J. & Bell-Kotwall, L. (2008). Debriefing with the OPT model of clinical reasoning during high fidelity patient simulation. International Journal of Nursing Education Scholarship, 5(1), 1-14.
  19. Y. H. Kim & Y. M. Lee. (2012). Relationship oflearning motivations,self-directed learning ability and problem solving process ofnursing students after practice evaluation of fundamentals ofnursing course using role play. Journal of the Korea Academia - Industrial Cooperation Society, 13(1), 147-155. DOI: 10.5762/KAIS.2012.13.1.147
  20. S. K. Kim. (2014). Effects of a Simulation - based Education focused on Stroke Patients on Self-directed Learning Ability and Clinical Performance Abilityin Nursing Student. Master dissertation. Catholic University of Daegu, Daegu.
  21. H. S. Kang, Y. Y. Kim & H. S. Lee. (2018). Predictive Factors Influencing Clinical Competence in Nursing Students. Korea Academia-Industrial cooperation Society, 19(3), 389-398. DOI : 10.5762/KAIS.2018.19.3.389