동서간호학연구지 (Journal of East-West Nursing Research)

  • 제26권2호
  • /
  • Pages.176-184
  • /
  • 2020
  • /
  • 1226-4938(pISSN)
  • /
  • 2671-8448(eISSN)
경희대학교 동서간호학연구소 (East-west Nursing Research Institute, Kyung Hee University)
권호 표지
DOI QR코드

DOI QR Code

간호대학생의 자기성찰 및 통찰력, 학업적 자기효능감이 임상추론역량에 미치는 영향

Influence of Self-reflection and Insight, and Academic Self-efficacy on Clinical Reasoning Competence among Nursing Students

  • 투고 : 2020.09.23
  • 심사 : 2020.11.27
  • 발행 : 2020.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to investigate the influence of nursing students' self-reflection and insight, and academic selfefficacy on their clinical reasoning competence. Methods: Data were collected from 147 third- and fourth-year nursing students who had more than 6 months of clinical training experience. Clinical reasoning competence, self-reflection and insight, and academic self-efficacy were measured using self-reported questionnaires. Data analysis was conducted with IBM SPSS 25.0 using one-way ANOVA, independent t-test, Pearson correlation coefficient, and multiple regression analysis. Results: Clinical reasoning competence was positively correlated with self-reflection and insight (r=.24, p=.003) and academic self-efficacy (r=.30, p<.001). Academic self-efficacy (β=.23, p=.011), dissatisfaction with major (β=-.17, p=.034), and 5~8 case studies (β=-.39, p=.027) were identified as factors influencing clinical reasoning competence (adjusted R2=.15). Conclusion: To improve the clinical reasoning competence of nursing students, it is necessary to develop the academic self-efficacy of complex cases and provide critical inquiries, debriefing tailored to clinical reasoning, and sufficient reflection during clinical and simulation practice.

키워드

참고문헌

  1. Park EY. Clinical reasoning ability of oncology nurses. Asian Oncology Nursing. 2014;14(4):265-73. https://doi.org/10.5388/aon.2014.14.4.265
  2. Simmons B. Clinical reasoning: concept analysis. Journal of Advanced Nursing. 2010;66(5):1151-8. https://doi.org/10.1111/j.1365-2648.2010.05262.x
  3. Tanner CA. Thinking like a nurse: a research-based model of clinical judgment in nursing. Journal of Nursing Education. 2006;45(6):204-11. https://doi.org/10.3928/01484834-20060601-04
  4. Kim JA, Chu MS, Kwon KJ, Seo HK, Lee SN. Core competencies for new nurses. Journal of Korean Clinical Nursing Research. 2017;23(1):40-53. https://doi.org/10.22650/JKCNR.2017.23.1.40
  5. Huang HM, Huang CY, Lee-Hsieh J, Cheng SF. Establishing the competences of clinical reasoning for nursing students in Taiwan: from the nurse educators' perspectives. Nurse Education Today. 2018;66:110-6. https://doi.org/10.1016/j.nedt.2018.04.007
  6. Kim EJ. Nursing students' clinical judgment skills in simulation: using Tanner's clinical judgment model. The Journal of Korean Academic Society of Nursing Education. 2014;20(2):212-22. https://doi.org/10.5977/jkasne.2014.20.2.212
  7. Hur HK, Song HY. Effects of simulation-based clinical reasoning education and evaluation of perceived education practices and simulation design characteristics by students nurses. The Korea Contents Society. 2015;15(3):206-18. https://doi.org/10.5392/JKCA.2015.15.03.206
  8. Kim JY, Kim EJ. Effects of simulation on nursing students' knowledge, clinical reasoning, and self-confidence: a quasi-experimental study. Korean Journal of Adult Nursing. 2015;27(5):604-11. https://doi.org/10.7475/kjan.2015.27.5.604
  9. van Wyngaarden A, Leech R, Coetzee I. Challenges nurse educators experience with development of student nurses' clinical reasoning skills. Nurse Education in Practice. 2019;40:102623. https://doi.org/10.1016/j.nepr.2019.102623
  10. Kim JA, Ko JK. A study on clinical reasoning ability and academic achievements in nursing students. Journal of the Korea Academia-Industrial Cooperation Society. 2015;16(3):1874-83. https://doi.org/10.5762/KAIS.2015.16.3.1874
  11. Hong SM. Factors related to clinical reasoning competence of undergraduate nursing students [master's thesis]. Seoul: Yonsei University; 2018. p. 1-83.
  12. Kang MJ, Ko JH, Na MO. Converged influencing factors on the clinical reasoning competency of senior grade nursing students. Journal of Convergence for Information Technology. 2019;9(7):57-66. https://doi.org/10.22156/CS4SMB.2019.9.7.057
  13. Grant AM, Franklin J, Langford P. The self-reflection and insight scale: a new measure of private self-consciousness. Social Behavior and Personality: an International Journal. 2002;30(8):821-35. https://doi.org/10.2224/sbp.2002.30.8.821
  14. Song MO, Kim HY. Validity and reliability of the self-reflection and insight scale for Korean nursing students. The Korean Journal of Fundamentals of Nursing. 2018;25(1):11-21. https://doi.org/10.7739/jkafn.2018.25.1.11
  15. Chen FF, Chen SY, Pai HC. Self-reflection and critical thinking: the influence of professional qualifications on registered nurses. Contemporary Nurse. 2019;55(1):59-70. https://doi.org/10.1080/10376178.2019.1590154
  16. Kim AY, Park IY. Construction and validation of academic self-efficacy scale. Korean Journal of Educational Research. 2001;39:95-123.
  17. Kim MY, Byun EK. Academic self-efficacy, critical thinking disposition, and learning motivation on problem solving ability in nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2019;20(1):376-83. https://doi.org/10.5762/KAIS.2019.20.1.376
  18. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-60. https://doi.org/10.3758/BRM.41.4.1149
  19. Liou SR, Liu HC, Tsai HM, Tsai YH, Lin YC, Chang CH, et al. The development and psychometric testing of a theory‐based instrument to evaluate nurses' perception of clinical reasoning competence. Journal of Advanced Nursing. 2016;72(3):707-17. https://doi.org/10.1111/jan.12831
  20. Joung J, Han JW. Validity and reliability of a Korean version of nurse clinical reasoning competence scale. Journal of the Korea AcademiaIndustrial Cooperation Society. 2017;18(4):304-10. https://doi.org/10.5762/KAIS.2017.18.4.304
  21. Park HJ. Correlations among nursing professionalism, critical thinking disposition and self-leadership in nursing students. Journal of Korean Academic Society of Nursing Education. 2015;21(2):227-36. https://doi.org/10.5977/jkasne.2015.21.2.227
  22. Kim YS, Oh EJ. Relationship among emotional intelligence, critical thinking and major satisfaction in nursing students. Journal of the Korea AcademiaIndustrial Cooperation Society. 2016;17(7):103-11. https://doi.org/10.5762/KAIS.2016.17.7.103
  23. Seo HK. Development and Effect of a mobile education program for nursing students on high-risk infant. Journal of Korea Society for Simulation in Nursing. 2019;7(2):71-82. https://doi.org/10.17333/JKSSN.2019.7.2.71
  24. No SY. The relationships among communication competence, professional autonomy, and clinical reasoning competence of oncology nurses [master's thesis]. Seoul: Ewha University; 2020. p 1-77.
  25. Han MY, Kim YS, Jeon MK. The mediating effect of self reflection and insight in the relationship between emotional intelligence and critical thinking disposition among nursing students. Journal of Learner-Centered Curriculum and Instruction. 2019;19(24):1057-72.
  26. Yang KM. The relationship among professional self-concept, academic self-efficacy and major satisfaction in nursing students. Journal of Digital Convergence. 2017;15(12):445-53. https://doi.org/10.14400/JDC.2017.15.12.445
  27. Kim JY, Heo NR. Academic self-efficacy and clinical nursing competence of nursing students. Journal of Learner-Centered Curriculum and Instruction. 2017;17(2):611-23. https://doi.org/10.22251/jlcci.2017.17.2.611
  28. Pai HC. The effect of a self-reflection and insight program on the nursing competence of nursing students: a longitudinal study. Journal of Professional Nursing. 2015;31(5):424-31. https://doi.org/10.1016/j.profnurs.2015.03.003
  29. Jho MY. Effects of the type of writing reflective journals on academic self-efficacy and problem solving ability in nursing students taking a fundamental nursing skills course. Journal of the Korean Data Analysis Society. 2017;19(5):2825-39. https://doi.org/10.37727/jkdas.2017.19.5.2825
  30. Yang SH, Sim IO. Relationship between problem solving ability, critical thinking disposition, creativity, self efficacy and nursing process competence of nursing students. The Korea Contents Society. 2016;16(5):612-22. https://doi.org/10.5392/JKCA.2016.16.05.612