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간호사의 비판적 사고성향, 디지털리터러시, 간호정보역량이 근거기반실무역량에 미치는 영향

Effects of Critical Thinking Disposition, Digital Literacy, and Nursing Informatics Competence on the Competency in Evidence-Based Practice among Clinical Nurses

  • 박상언 (경상국립대학교병원 간호부) ;
  • 최소영 (경상국립대학교 간호대학)
  • Park, Sang Un (Department of Nursing, Gyeongsang National University Hospital) ;
  • Choi, So Young (College of Nusing, Gyeongsang National University)
  • 투고 : 2024.01.31
  • 심사 : 2024.02.27
  • 발행 : 2024.04.30

초록

Purpose: This study aimed to investigate the competency in evidence-based practice, critical thinking disposition, digital literacy, and nursing informatics competence, and to identify the factors influencing the competency in evidence-based practice among nurses. Methods: The participants in this study were 196 nurses from a university hospital in J-city. Data were collected from December 1 to December 30, 2023. The collected data were analyzed with the SPSS 26.0 program using descriptive statistics, independent t-test, one-way analysis of variance, Scheffé test, Pearson's correlation coefficients, and multiple regression analysis. Results: The results showed that the factors influencing the competency in evidence-based practice included nursing informatics competence, critical thinking disposition, digital literacy, and having a master's degree. The participants with a master's degree demonstrated higher competency in evidence-based practice compared to those with a three-year degree or a four-year degree, and a total explanatory power was 53.1%. Conclusion: In this study, critical thinking disposition, digital literacy, and nursing informatics competence were influential factors in competency of evidence-based practice. Therefore, a variety of intervention programs should be developed to enhance the impact of these factors on nurses' competency in evidence-based practice.

키워드

참고문헌

  1. Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence based medicine: How to practice and teach EBM. 2nd ed..-New York: Churchill Livingstone; 2000. p. 1.
  2. Melnyk BM, Fineou-Overholt E. Evidence-based practice in nursing & healthcare: A guide to best practice. 4th ed. Philadelphia (PA): Lippincott Williams & Wilkins; 2019. p. 10-933.
  3. Jung MR, Jeong E. Influences of job crafting, and grit on evidence based practice competency of nurses: For small and medium hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2021;22(10):575-584. https://doi.org/10.5762/KAIS.2021.22.10.575
  4. Lee GA, Shin SH, Ko SJ. Influences of critical thinking disposition, nurse managers' transformation and transactional leadership style on nurses' competency with evidence based practice. Journal of Korean Academy of Nursing Administration. 2020;26(4):305-315. https://doi.org/10.11111/jkana.2020.26.4.305
  5. Sung MH, Um OB. Relationships between critical thinking disposition, professional nursing competence and job satisfaction in clinical nurses. Journal of Korean Academy of Nursing Administration. 2009;15(1):26-36.
  6. Kim NY, Kim EA. Factors influencing of evidence-based practice competency in nursing students. Journal of the Korean Data Analysis Society. 2014;16(5):2855-2868.
  7. Nelson K, Courier M, Joseph GW. An investigation of digital literacy needs of students. Journal of Information Systems Education. 2011;22(2):95-110.
  8. Eshet-Alkali Y, Amichai-Hamburger Y. Experiments in digital literacy. Cyberpsychology & Behavior. 2004;7(4):421-429. https://doi.org/10.1089/cpb.2004.7.421
  9. Reid L, Button D, Brommeyer M. Challenging the myth of the digital native: A narrative review. Nursing Reports. 2023;13(2):573-600. https://doi.org/10.3390/nursrep13020052
  10. Hannah KJ, Hussey P, Kennedy MA, Ball MJ. editors. Introduction to nursing informatics. 4th ed. London: Springer; 2015. p. 7-8.
  11. Macalindin BV, Ahmed HF, Granaghan RM, Goodfellow D. Improving nurses' digital literacy and engagement with digital workflows through a data-driven education model. Nursing Management (Harrow). 2023 Nov 28. https://doi.org/10.7748/nm.2023.e2113
  12. Nursing informatics: Entry to practice competencies for registered nurses [Internet]. Ottawa: Canadian Association of Schools of Nursing; c2012 [cited 2024 Apr 1]. Available from: https://www.casn.ca/wp-content/uploads/2014/12/Infoway-ETP-comp-FINAL-APPROVED-fixed-SB-copyright-year-added.pdf.
  13. Leng CH, Lim SY, Siew WF. Are nurses ready for evidencebased practice? A descriptive study of information literacy competency among clinical practicing registered nurses in a private hospital in Malaysia. International e-Journal of Science, Medicine and Education. 2016;10(1):10-16. https://doi.org/10.56026/imu.10.1.10
  14. Jang SM, Kim JE. A study on nursing informatics competence of clinical nurses: Applying focus group interview. Journal of Korean Academic Society of Nursing Education. 2020;26(3): 299-310. https://doi.org/10.5977/jkasne.2020.26.3.299
  15. Chung SY, Staggers N. Measuring nursing informatics competencies of practicing nurses in Korea: Nursing informatics competencies questionnaire. Computers, Informatics, Nursing. 2014;32(12):596-605. https://doi.org/10.1097/cin.0000000000000114
  16. Khezri H, Abdekhoda M. Assessing nurses' informatics competency and identifying its related factors. Journal of Research in Nursing. 2019;24(7):529-538. https://doi.org/10.1177/1744987119839453
  17. Jang SM. Data analysis on the factors influencing nursing informatics competence. Journal of the Korea Academia-Industrial cooperation Society. 2022;23(11):535-543. https://doi.org/10.5762/KAIS.2022.23.11.535
  18. Kim KY, Lee EJ. The relationship among critical thinking disposition, nursing process competency and evidence-based practice competency in nurses working in hospitals. Journal of the Korean Data and Information Science Society. 2016; 27(2):451-461. https://doi.org/10.7465/jkdi.2016.27.2.451
  19. Ryu SA, Kim YS, Kim YH. Factors influencing of evidence based practice competency and evidence based practice readiness in general hospital nurses. Journal of Korean Academy of Nursing Administration. 2016;22(5):448-460. https://doi.org/10.11111/jkana.2016.22.5.448
  20. Upton D, Upton P. Knowledge and use of evidence-based practice by allied health and health science professionals in the United Kingdom. Journal of Allied Health. 2006;35(3): 127-133.
  21. Lim KC, Park KO, Kwon JS, Jeong JS, Choe MA, Kim JH, et al. Registered nurses' knowledge, attitudes and practice about evidence-based practice at general hospitals in Korea. Journal of Korean Clinical Nursing Research. 2011;17(3):375-387.
  22. Kwon IS, Lee GE, Kim GD, Kim YH, Park KM, Park HS, et al. Development of a critical thinking disposition scale for nursing students. Journal of Korean Academy of Nursing. 2006;36(6):950-958. https://doi.org/10.4040/jkan.2006.36.6.950
  23. Korea Education and Research Information Service. Development of tools to evaluate the effectiveness of smart education and digital textbooks: Focused on pilot schools. Daegu: Korea Education and Research Information Service; 2014. Report No.: KR 2014-2.
  24. Lee SJ, Jang KS. The effects of action learning on nurses' problem solving, communication, emotional creativity and innovation behavior. Korean Journal of Health Service Management. 2014;8(2):73-87. https://doi.org/10.12811/kshsm.2014.8.2.073
  25. Kim HW. The digital literacy, awareness, and educational needs of virtual reality among nursing students. Journal of Korean Academic Society of Nursing Education. 2023;29(1): 17-26. https://doi.org/10.5977/jkasne.2023.29.1.17
  26. Terry J, Davies A, Williams C, Tait S, Condon L. Improving the digital literacy competence of nursing and midwifery students: A qualitative study of the experiences of NICE student champions. Nurse Education in Practice. 2019;34:192-198. https://doi.org/10.1016/j.nepr.2018.11.016
  27. Kim JE, Eun Y. Factors influencing competency of evidence-based practice (EBP) among general hospital nurses. Journal of Learner-Centered Curriculum and Instruction. 2023;23(21): 907-917. https://doi.org/10.22251/jlcci.2023.23.21.907
  28. Kwak SY, Kim YS, Lee KJ, Kim MY. Influence of nursing informatics competencies and problem-solving ability on nursing performance ability among clinical nurses. Journal of Korean Academic Society of Nursing Education. 2017;23(2):164-155. https://doi.org/10.5977/jkasne.2017.23.2.146
  29. Bergren MD, Maughan ED. Data and information literacy: A fundamental nursing competency. NASN School Nurse. 2020;35(3):140-142. https://doi.org/10.1177/1942602X20913249
  30. Kim MJ. Effect of critical thinking disposition and nursing work environment on nursing performance in clinical nurses: The mediating effect of communication competence. Journal of Learner-Centered Curriculum and Instruction. 2022;22(15): 841-854. https://doi.org/10.22251/jlcci.2022.22.15.841