지방 종합병원 간호사의 근무환경과 비판적 사고성향 = Relationship between the Practice Environment of Nursing and Critical Thinking Disposition of Nurses in Local General Hospitals

국문 초록 (Abstract)

목적: 본 연구는 간호근무환경과 간호사의 비판적 사고성향의 관련성을 확인하기 위해 수행되었다. 방법: 지방의 500병상 미만의 종합병원 중 편의 추출한 3개 기관의 전체 간호사를 468명을 대상으로 2012년 11월 8일에서 23일까지 2주간 윤(2004)이 개발한 비판적 사고 성향과 조 등 (2011)이 우리나라 실정에 맞게 번안하여 검증한 한국어 버전 간호근무환경 도구를 사용하여 설문조사를 실시한 후 기술적 통계. 일원분산분석, 다중 회귀분석을 이용하여 자료를 분석하였다. 결과: 간호근무환경과 비판적 사고성향의 평균점수는 각 각 3.3 (±0.4), 2.3 (±0.4)였다. 단변량 분석에서 비판적 사고성향은 연령과, 교육수준, 경력, 현재 직위, 결혼상태에 따라 유의한 차이를 나타냈으나 다변량 분석 결과 비판적 사고 성향과 교육수준, 간호근무환경의 하위영역 중에 간호사-의사의 협력관계의 관련성 확인되었다. 결론: 간호사의 비판적 사고성향을 증가시키기 위해서는 교육을 포함한 개인적 접근뿐 아니라 간호근무환경을 증진시키기 위한 조직적 노력이 필요하다.

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to identify the relationship between the practice environment of nursing and the critical thinking disposition of clinical nurses in local general hospitals. Methods: A convenience sample of 468 registered nurses was obtained from three local general hospitals. Data were collected by a self-administered questionnaire during November, 2012. The survey tools were the K-PES-NWI verified by Cho et al (2011) and the critical thinking disposition instrument developed by Yoon (2004). Data were analyzed using descriptive statistics, one-way ANOVA with Scheffe test and multiple regression with SPSS Win 18.0. Results: The mean score for practice environment of nursing was 3.3 (±0.4) and for critical thinking disposition, 2.3 (±0.4). There were statistically significant differences in critical thinking disposition according to age, education, length of career, current position, and marital status. In multivariate analysis, factors related to critical thinking disposition were collegial nurse-physician relations and education level. Conclusion: The results of the study indicate that collegial nurse-physician relations in the nursing practice environment are related to nurses’ critical thinking disposition, and thus, it is important to improve the practice environment as well using individual approaches including on-the-job training to improve nurses’ critical thinking disposition.

참고문헌 (Reference)

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