Journal of the Korean Applied Science and Technology (한국응용과학기술학회지)

The Korean Society of Applied Science and Technology (한국응용과학기술학회)
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Influence of Nursing Students' Communication and Leadership on Ethical Nursing Competency

간호대학생의 의사소통, 리더십이 윤리적 간호역량에 미치는 영향

  • Received : 2023.08.27
  • Accepted : 2023.10.24
  • Published : 2023.10.31
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Abstract

The purpose of this study was to identify the relationship between communication, leadership, and ethical nursing competency for nursing students and to identify factors that affect the ethical nursing competency of nursing students. The subjects who participated in this study were 328 people, and data were collected using questionnaires after obtaining research consent. The collected data was statistically analyzed using the SPSS/WIN 28.0 program. As a result of this study, ethical nursing competency and communication (r=.67, p<.001) and leadership (r=.56, p<.001) showed a significant positive correlation. The factors that affect the ethical nursing competency of nursing students are communication (𝛽=.52, p<.001) and leadership (𝛽=.23, p<.001) has been identified. The regression model of this study was significant (F=155.74, p<.001). The explanatory power of the model was 48%. Therefore, it should include improving communication skills and leadership when developing a program to inhance the ethical nursing competency of nursing students.

본 연구 목적은 간호대학생을 대상으로 의사소통, 리더십, 윤리적 간호역량 간에 어떠한 관계가 있는지 확인하고, 간호대학생의 의사소통과 리더십이 윤리적 간호역량에 미치는 영향을 확인하기 위해 시도되었다. 본 연구에 참여한 대상자는 간호학과에 재학 중인 328명이었으며, 연구대상자에게는 연구 동의를 구한 후 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 SPSS/WIN 28.0 프로그램을 활용하여 변수의 특성에 따라 통계분석을 하였다. 본 연구결과, 간호대학생의 윤리적 간호역량은 의사소통(r=.67, p<.001), 리더십(r=.56, p<.001)과 유의한 양의 상관관계를 보였으며, 간호대학생의 윤리적 간호역량에 영향을 주는 요인은 의사소통(𝛽=.52, p<.001)과 리더십(𝛽=.23, p<.001)으로 확인되었다. 본 연구의 회귀모형은 유의하였으며(F=155.74, p<.001) 모형의 설명력은 48%였다. 따라서 간호대학생이 학부에서부터 윤리적 간호역량을 함양하기 위해서는 의사소통 능력을 기르고 리더십을 경험할 수 있는 다양한 교육프로그램이 개발될 필요가 있다.

Keywords

References

  1. M. Y. Moon, A. H. Jaung, "Correlation between the Nursing Practice and Consciousness of Biomedical Ethics of Nursing Students", Journal of Korean Biomethics Association, Vol.13, No.2 pp. 49-56, (2012).
  2. H. E. Seo, "Concept Analysis of Nursing Student's Ethical Competence", Journal of the Korea Academia-Industrial cooperation Society, Vol.19, No.1 pp. 398-407, (2018) https://doi.org/10.5762/KAIS.2018.19.1.398
  3. B. Kang, H. Oh, "Development of Ethical Nursing Competence Self-rating Scale for Clinical Nurses", Korean Journal of Adult Nursing, Vol.32, No.5 pp. 482-493, (2020) https://doi.org/10.7475/kjan.2020.32.5.482
  4. T. Poikkeus, R. Suhonen, J. Katajisto, H. Leino-Kilpi, "Organizational and Individual Support for Nurses' Ethical Competence: A Cross-sectional Survey", Nursing Ethics, Vol.25, No.3 pp. 376-92, (2018). https://doi.org/10.1177/0969733016642627
  5. K. Lechasseur, C. Caux, S. Dolle, A. Legault, "Ethical Competence: An Integrative Review", Nursing Ethics, Vol.25, No.6 pp. 694-706, (2018). https://doi.org/10.1177/0969733016667773
  6. K. Kulju, M. Stolt, R. Suhonen, H. Leino-Kilpi, "Ethical Competence: A Concept Analysis", Nursing Ethics, Vol.23, No.4 pp. 401-412, (2016). https://doi.org/10.1177/0969733014567025
  7. J. Koskenvuori, M. Stolt, R. Suhonen, H. Leino-Kilpi, "Healthcare Professionals' Ethical Competence: A Scoping Review", Nursing Open, Vol.6, No.1 pp. 5-17, (2019). https://doi.org/10.1002/nop2.173
  8. V. Tschudin, "Two Decades of Nursing Ethics: Some Thoughts on the Changes", Nursing Ethic, Vol.20, No.2 pp. 123-125, (2013). https://doi.org/10.1177/0969733012473013
  9. International Council of Nurses. The ICN Code of Ethics for Nurses. Place Jean-Marteau, Geneve: International Council of Nurses, (2012).
  10. A. Dehghani, L. Mosalanejad, N. Dehghan-Nayeri, "Factors Affecting Professional Ethics in Nursing Practice in Iran: A Qualitative Study", BMC Medical Ethics, Vol.16, No.1 pp. 61, (2015).
  11. K. Lee, M. Lee, K. Kim, "The Effects of Soccer Leaders' Self-leadership and Empowerment on Innovative Behavior", The Korea Journal of Sports Science. Vol.18, No.3 pp. 109-119, (2009).
  12. C. G. Slatore, L. Hansen, L. Ganzini, N. Press, M. L. Osborne, M. S. Chesnutt, R. A. Mularski, "Communication by Nurses in the Intensive Care Unit: Qualitative Analysis of Domains of Patient-Centered Care", American Journal of Critical Care, Vol.21, No.6 pp. 410-418, (2012). https://doi.org/10.4037/ajcc2012124
  13. H. W. Lee, W. A. Shin, "Analysis of the Relationship between Glocal Civic Competence on Communications and Ethical Behavioral Competence of University Student", Journal of Lifelong Education, Vol.25, No.1 pp. 1-21, (2019). https://doi.org/10.52758/kjle.2019.25.1.1
  14. B. K. A. Josephine, S. R. Marcelo, "Ethical Competences for the Development of Nursing Care", Revista Brasileira de Enfermagem, Vol.71, pp. 1810-1814, (2018). https://doi.org/10.1590/0034-7167-2017-0539
  15. J. H. Choi, Study on Factors Affecting Self-leadership of Nursing Students. Unpublished Doctoral Dissertation, Eulji University, (2016).
  16. C. Kim, H. Choi, "The Experience of Nursing Students' Moral Distress in Clinical Practice", The Journal of Korean Academic Society of Nursing Education, Vol.22, No.3 pp. 355-365, (2016) https://doi.org/10.5977/jkasne.2016.22.3.355
  17. S. Vryonides, A. Merkouris, A. Charalambous, H. Tsangari, E. Papastavrou, To What Extend Does the Type of Ethical Climate may Predict Missed Nursing Care in Hospitals. 1st Rancare Conference, (2017).
  18. S. Kim, M. Seo, D. R. Kim, "Factors Affecting Ethical Competence in Nurses", Korean Journal of Medical Ethics, Vol.26, No.2 pp. 151-167, (2023). https://doi.org/10.35301/ksme.2023.26.2.151
  19. E. Jin, H. Kang, "Trends of the researches related to ethical topic in Korean nursing students", The Journal of Korean Academic Society of Nursing Education, Vol.26, No.4 pp. 402-411, (2020). https://doi.org/10.5977/jkasne.2020.26.4.402
  20. K. Asahara, W. Ono, M. Kobayashi, J. Omori, "Development and Psychometric Evaluation of the Moral Competence Scale for Home Care Nurses in Japan", Journal of Nursing Measurement, Vol.21, No.1 pp. 43-54, (2013). https://doi.org/10.1891/1061-3749.21.1.43
  21. R. Schaefer, J. R. Junges, "The Construction of Ethical Competence in the Perception of Primary Care Nurses", Revista da Escola de Enfermagem da USP, Vol.48, No.2 pp. 329-334, (2014). https://doi.org/10.1590/S0080-6234201400002000019
  22. Korean Accreditation Board of Nursing Education. Nursing Core Competencies and Nursing Program Learning Outcome. Korean Accreditation Board of Nursing Education, (2012).
  23. K. S. Jang, E. A. Kim, N. Y. Kim, "The Mediating Effect of Information Literacy in the Relationship between Critical Thinking Disposition and Self-Directed Learning Ability among Senior Nursing Students", Journal of The Korean Data Analysis Society, Vol.17, No.5 pp. 2823-2835, (2015).
  24. S. H. Bae, J. S. Park, "The Recognition of Achievement and Importance of Nursing Program Outcome among Nursing Students", The Journal of Korean Academic Society of Nursing Education, Vol.19, No.2 pp. 203-214, (2013). https://doi.org/10.5977/jkasne.2013.19.2.203
  25. G. Yukl, Leadership in Organizations (5th ed.). UpperSaddle River, (2001).
  26. D. F. Polit, C. T. Beck, "The Content Validity Index: Are You Sure You Know What's Being Reported? Critique and Recommendations", Research in Nursing & Health, Vol.29, No.5 pp. 489-497, (2006). https://doi.org/10.1002/nur.20147
  27. E. A. Kim, N. Y. Kim, "Mediation Effect of Biomedical Ethics Awareness between Moral Sensitivity and Perceived Ethical Confidence among Nursing Students", Journal of Korean Academy of Nursing Administration, Vol.26, No.5 pp. 511-520, (2020). https://doi.org/10.11111/jkana.2020.26.5.511
  28. J. You, An Investigation of Ethical Conflict, Ethical Competency and Educational Needs for the Organ Transplant Coordinators. Unpublished Master's Thesis, Yonsei University, (2021).
  29. S. M. Lee, The Effect of Ethical Nursing Competence and Social Intelligence on Attitudes towards Brain Death Organ Donation : Focused on the Intensive Care Unit Nurses Graduate School of Advanced Practice Nursing. Unpublished Master's Thesis, Eulji University, (2023)
  30. M. Seo, Y. K. Kim, "Core Competencies for Clinical Ethics Support Services", Korean Journal of Medical Ethics, Vol.22, No.4 pp. 309-320, (2019). https://doi.org/10.35301/KSME.2019.22.4.309
  31. C. A. Wong, G. G. Cummings, "The Relationship between Nursing Leadership and Patient Outcomes:A Systematic Review", Journal of Nursing Management, Vol.15, No.5 pp. 508-521, (2007).
  32. J. H. Lee, H. J. Noh, Analysis of Nursing and Health Statistics Using SPSS/Amos. Soomoonsa, (2013).
  33. M. Silen, M. Ramklint, M. G. Hansson, K. Haglund, "Ethics Rounds: An Appreciated Form of Ethics Support", Nursing Ethics, Vol.23, No.2 pp. 203-213, (2016). https://doi.org/10.1177/0969733014560930
  34. American Society for Bioethics and Humanities' Core Competencies Update Task Force. Core Competencies for Health Care Ethics Consultation: The Report of the American Society for Bioethics and Humanities (2nd ed.). Glenview, (2011)
  35. D. K. Sokol, "Four Quadrants Approach to Clinical Ethics Case Analysis; An Application and Review", Journal of Medical Ethics, Vol.34, No.7 pp. 513-516, (2008). https://doi.org/10.1136/jme.2007.021212