임상간호사의 공감능력과 간호조직문화인지가 임상의사결정능력에 미치는 영향

황혜정 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.18

Objectives This study investigates the influence of clinical nurses' empathy ability and Cognition of nursing organizational culture on clinical decision-making ability. Methods Data collection was conducted on 198 clinical nurses at two general hospitals at P City from February10 to February 28th, 2023. The data responded to the survey were analyzed using descriptive analysis, t-test, One-way ANOVA, Pearson's correlation coefficient, and Hierarchical Multiple Regression Analysis. Results As results of this study, empathy ability scored 5.01 out of 7, Cognition of nursing organizational culture 3.47 out of 5, decision-making ability score was 3.56 out of 5. Empathy ability was significantly higher when the woker higher departmental experience (F=2.567, p<.05), the higher position (F=3.662, p<.05). Cognition of nursing organizational culture increased woker higher departmental experience (F=2.753, p<.05) and higher the position (F=3.234, p<.05). Clinical nurses' of clinical decision-making ability was correlated with empathy ability(r=.568, p<.001) and there was a correlation with Cognition of nursing organizational culture (r=.467, p<.001), there was a correlation with also correlated with empathy ability(r=.370, p<.001). Empathy ability(β=.457, p<.001) and Cognition of nursing organizational culture (β=.298, p<.001) had an effect on clinical decision-making ability, explaining 39.9% of the variance. In other words, it was results show that higher levels of empathy ability and Cognition of nursing organizational culture were associated with enhanced clinical decision-making ability. Conclusions Based on the results of this study, there is a need of the development and application of programs to clinical decision-making ability improvement program to strengthen clinical competency of Clincal nurses.

플로팅 간호사와 일반 간호사의 간호역량, 자아존중감, 직무 스트레스 비교 연구

주원진,김미영 병원간호사회 2017 임상간호연구 Vol.23 No.2

목적: 본 연구는 플로팅 간호사와 일반 간호사의 간호역량, 자아존중감, 직무스트레스를 비교하기 위해 시행된 서술적 조사 연구이다. 방법: 본 연구의 자료 수집 기간은 2015년 10월 1일부터 12월 31일이었고, 서울시 소재 3차 종합병원에서 근무하는 43명의 플로팅 간호사와 57명의 일반 간호사를 대상으로 하였다. 수집된 자료는 SPSS WIN 23.0 프로그램을 이용하여 서술통계 및 t-test, chi-square test, Ancova, Anova, Scheff-test, Pearson’s correlation coefficient, Stepwise multiple regression으로 분석하였다. 결과: 일반 간호사의 간호역량은 플로팅 간호사의 간호역량보다 유의하게 높았다(F=4.370, p=.039). 플로팅 간호사와 일반 간호사 모두 간호역량은 자아존중감과 유의한 정적 상관관계가 있었다(플로팅 간호사, β=0.45, p=.001; 일반 간호사, β=0.60, p<.001). 결론: 플로팅 시스템과 간호 업무 환경의 개선 및 지속적인 교육을 통해 플로팅 간호사의 간호 역량을 증대시키기 위한 노력이 필요하다. 또한, 자아존중감이 간호역량의 가장 주요한 예측 요인으로 나타남에 따라 플로팅 간호사의 자아존중감을 향상시키기 위한 간호중재가 필요하다. Purpose: This study was aimed to compare nursing competency, self-esteem, and job stress between floating nurses and clinical nurses. Methods: The data were collected between October 1st and December 31st, 2015, from 43 floating nurses and 57 clinical nurses working at a tertiary care hospital in Seoul. The collected data were analyzed with SPSS/WIN 23.0, using descriptive statistics and the t-test, x2 test, ANCOVA, ANOVA, Scheff é test, Pearson correlation coefficients, and Stepwise multiple regression. Results: The nursing competency of clinical nurses was significantly higher than that of floating nurses (F=4.370, p=.039). For both floating and clinical nurses, nursing competency was positively correlated with self-esteem(floating nurses, r=.47, p=.002; clinical nurses, r=.62, p<.001). Also, For both floating and clinical nurses, the most significant predictor of nursi ng competency was self-esteem(floating nurses, β=0.45, p=.001; clinical nurses, β=0.60, p<.001). Conclusi on: Efforts are needed to increase the nursing competency of the floating nurse through the improvement of the floating system, the nursing work environment, and continuous education. Also, as self- esteem is the most effective predictor of nursing competence, nursing intervention is needed to improve self-esteem of the floating nurse.

임상과 임상시험을 경험한 간호사의 직무만족에 관한 연구

강천국 한국산학기술학회 2020 한국산학기술학회논문지 Vol.21 No.1

This study was undertaken is to improve the working conditions by improving the job satisfaction of clinical research nurses and clinical nurses involved in and conducting clinical trials. The survey was conducted from November 6 to December 6, 2017 for 100 nurses working in Seoul and Gyeonggi-do. The accumulated data were analyzed by frequency analysis, reliability verification, and t-test using the SPSS program. Our results reveal that job satisfaction was higher for clinical nurses (2.94 ± 0.609 points) as compared to clinical research nurses (2.89 ± 0.620 points). Also, the satisfaction level of salary received was higher amongst the clinical nurses than the clinical research nurses. Furthermore, although career decision was relatively lower for the clinical nurse than the clinical research nurse, the importance of job performance and job stability ranked high. Considering importance of the role of clinical research nurses in clinical trials, it is necessary to enhance their job satisfaction by improving the clinical trial environment such as appropriate treatment and professional role, and the working environment including remuneration, professional status, and administrative work to establish their jobs. 본 연구는 임상간호사를 경험하고 임상시험 연구간호사 직무를 수행하고 있는 임상시험 연구간호사의 직무만족을 통하여 근무여건을 개선하기 위하여 서울, 경기지역에 근무하는 간호사 100명을 대상으로 2017년 11월 6일부터 12월 6일까지 설문조사를 실시하였다. 수집된 자료는 SPSS 프로그램을 이용하여 빈도분석, 신뢰도검증, t-test를 실시하였다. 분석결과 다음과 같다. 첫째, 직무만족도는 임상간호사는 2.94±.609점으로 임상시험 연구간호사 2.89±.620점보다 직무만족도가 높게 나타났다. 둘째, 보수 만족도에 있어 임상간호사가 임상시험 연구간호사에 비해 상대적으로 높게 나타났고, 행정업무, 자율성 만족도는 임상간호사가 임상시험 연구간호사에 비해 낮게 나타났다. 셋째, 진로결정에서는 임상간호사는 임상시험 연구간호사에 비해 상대적으로 낮게 나타났지만, 수행업무의 중요성, 직업의 안정성은 임상간호사가 임상시험 연구간호사에 비해 상대적으로 높게 나타났다. 국내외 임상시험에 대한 수요가 증가하고 있고 이에 따라 임상시험 연구간호사에 대한 수요도 꾸준히 증가할 것이다. 임상시험에 있어 임상시험 연구간호사의 역할이 중요하기 때문에 임상시험 연구간호사의 직무만족을 높이기 위해서는 보수, 전문직 지위, 행정업무 등 경력에 맞는 적절한 처우, 전문적 역할 및 근무환경조성 등 임상시험 환경에 맞는 직무가 확립되도록 개선 방안이 마련되어야 할 것이다.

간호대학생의 실무역량 강화를 위한 현장실습 개선방안: 포커스 그룹 인터뷰 연구

신수진,탁영란,송라윤,권소희,송준아,김진선 질적연구학회 2022 질적연구 Vol.23 No.2

Purpose: To determine the current status and demand for innovation of clinical nursing practicum and to suggest strategies to improve clinical nursing education to strengthen clinical nursing competencies. Methods: Focus group interviews were conducted with 21 participants who could provide sufficient information on nursing practice education. Collected data were analyzed using content analysis. Results: The following four main themes were identified: ‘revision of nursing curriculum to demonstrate competencies as a nurse after graduation’, ‘activating clinical nurses’ participation in undergraduate education’, ‘strengthening education and training after obtaining a license to demonstrate clinical competencies of new nurses’, and ‘institutional support for the introduction of various clinical practice systems’. Conclusion: Results of this study showed that curriculum revision to improve clinical nursing competencies should be based on integrated clinical practice model. Securing sufficient clinical nurse educators belonging to the practice institution is most important. In addition, political and financial support should be provided to strengthen academic-practice partnership.

국내 간호학사 임상실습교육 개선을 위한 탐색적 연구 -미국 3개 대학 간호학사 임상실습교육 중심으로-

양경희(Kyung Hee, Yang),최귀윤(Gui Yun, Choi),조은희(Eun Hee, Jo),Park Suna 한국간호연구학회 2019 한국간호연구학회지 Vol.3 No.2

Purpose : This study was conducted to investigate clinical nursing practice hours and framework of three universities programs in the United States in order to provide basic data to improve nursing clinical practice education in Korea. Methods : Three BSN programs were selected by convenience and the data were collected for the comparison analysis. Data collection was conducted based on the website of the designated BSN programs and interviews with nurse practitioners, nurses and students at the nursing field in a university hospital from November 2018 to March 2019. Results : Clinical practice hours were between 660 and 990 hours in the three US nursing programs. In comparison to the Korean standard(1,000 hours), clinical hours in the US nursing programs were up to 340 hours less. Clinical practice instructors were university faculties, nurse practitioners or field nurses. The clinical instructors taught and guided the students in small groups of 6 to 7 students. Senior students experienced the role of a professional nurse by following a clinical nurse like a shadow and receiving one-on-one guidance during clinical practice. Conclusion : In Korea, more comprehensive and effective standards for BSN clinical practice are required and systems should be established in which competent and experienced nurses in nursing fields guide students as clinical instructors.

임상간호사의 간호전문직관이 임상의사결정능력에 미치는 영향: 비판적 사고성향과 핵심간호술 수행자신감의 이중매개효과

정미현,서요한,이관수,최병란 한국응용과학기술학회 2024 한국응용과학기술학회지 Vol.41 No.4

본 연구는 임상간호사의 간호전문직관과 임상의사결정능력 간의 관계에서 비판적 사고성향과핵심간호술 수행자신감의 이중매개효과를 검증하여 임상의사결정능력 향상을 위한 기초자료로 활용하기위해 실시한 서술적 조사연구이다. 연구대상자는 일 지역의 종합병원 임상간호사 173명이며, 2023년 9월15일~10월 13일까지 자료수집을 하였다. 자료분석은 SPSS/AMOS 23.0 프로그램을 이용하여 연구변인들간의 인과적 관계 분석과 부트스트래핑 추정방식으로 매개효과를 검증하였으며, t-test, ANOVA, Scheffe’s test, Pearson's correlation coefficient, hierarchical regression을 실시하였다. 연구결과, 첫째, 임상간호사의 간호전문직관, 임상의사결정능력, 비판적 사고성향과 핵심간호술 수행자신감 간의 인과모형의적합성은 타당하게 성립하였다. 둘째, 간호전문직관에서 임상의사결정능력에 대한 영향관계에서 비판적 사고성향은 부분매개효과를 나타냈다. 셋째, 이중매개효과를 검증한 결과, 비판적 사고성향의 간접효과가 비판적 사고성향과 핵심간호술 수행자신감의 간접효과보다 크게 나타나 이중매개효과보다는 단일매개 효과가 큰 것으로 나타났다. 따라서 임상간호사들의 높은 간호전문직관의 함양은 임상의사결정능력을 향상시킬수 있으며, 특히, 비판적 사고성향을 강화시키는 것이 더 효율적임을 검증하였다 This study is a descriptive research study conducted to verify the dual mediating effect of critical thinking disposition and core nursing skill performance confidence in the relationship between clinical nurses' nursing professionalism and clinical decision-making ability and to use it as basic data for improving clinical decision-making ability. The study subjects were 173 clinical nurses at a general hospital in a region, and data were collected from September 15 to October 13, 2023. Data were analyzed using the SPSS/AMOS 23.0 program to verify the mediating effect by analyzing the causal relationship between the research variables and the bootstrapping estimation method, and t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and hierarchical regression were performed. The results of the study include: First, the appropriateness of the causal model between clinical nurses' nursing professionalism, clinical decision-making ability, critical thinking disposition, and core nursing skill performance confidence was valid. Second, critical thinking disposition showed a partial mediating effect in the relationship between nursing professionalism and clinical decision-making ability. Third, as a result of verifying the dual mediating effect, the indirect effect of critical thinking disposition was greater than the indirect effect of critical thinking disposition and core nursing skill performance confidence, indicating that the single mediating effect was greater than the dual mediating effect. Therefore, it was verified that fostering high nursing professionalism in clinical nurses can improve clinical decision-making ability, and in particular, strengthening critical thinking disposition is more effective.

신규간호사의 감성지능과 업무수행능력이 조직사회화에 미치는 영향

정혜련,박정윤 병원간호사회 2024 임상간호연구 Vol.30 No.2

Purpose: This study is descriptive research to investigate the influence of emotional intelligence and clinical competency on organizational socialization of new graduate nurses. Methods: The subjects were 202 new graduate nurses in a tertiary general hospital in Seoul. The data were collected from February 18 to April 1, 2021, using a self-reported structured questionnaire. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and multiple regression analysis. Results: There were significant positive correlations between emotional intelligence and clinical competency (r=.50, p<.001), emotional intelligence and organizational socialization (r=.45, p<.001), and clinical competency and organizational socialization (r=.36, p<.001) in new graduate nurses. The factors affecting the organizational socialization of new graduate nurses were emotional intelligence (β=.35, p<.001), clinical competency (β=.15, p=.034), desired department (β=.13, p=.031), and nursing value and vocational aptitude among motivation for selecting the nursing (β=.17, p=.014), and explained 25.0% of the variance in organizational socialization of new graduate nurses. Conclusion: The results of this study indicated the relationship between emotional intelligence, clinical competency, and organizational socialization, and the factors affecting organizational socialization of new graduate nurses. To improve nurses’ clinical competency in the medical field, a systematic education and support system is essential for new graduate nurses entering the profession. Therefore, nursing organizations should help new graduate nurses develop their work capabilities and adapt to the organization.

임상간호사의 간호전문직관과 임상의사결정능력

신경숙(Shin, Kyoung Sook),김혜영(Kim, Hye Young) 계명대학교 간호과학연구소 2017 계명간호과학 Vol.20 No.3

Purpose: The purpose of this study was to compare the nursing professionalism and clinical decision-making among pediatric nurses and adult nurses. This study is a descriptive comparative survey that aimed to identify the level of improvement of clinical decision-making for practical nurses. Methods: The subjects of the study were 179 practical nurses, 89 nurses working at pediatric wards and 90 nurses working at adult wards. The collected data were analyzed by t-test, ANOVA, Pearson correlation Coefficient and Stepwise multiple regression. Results: There was no difference on the nursing professionalism and clinical decision-making among pediatric nurses and adult nurses. However, there was a significant correlation between nursing professionalism and clinical decision-making. Nursing professionalism was affected by clinical decision-making in both pediatric nurses (37.4%) and adult nurses (25.8%). Conclusion: Based on these findings, future studies related to development of programs that will improve the clinical decision-making of clinical nurses are recommended.

The Effect of a Scenario-Based Spiritual Care Course on Spiritual Care Competence among Clinical Nurses

Suh-Ing Hsieh,Li-Ling Hsu,Hui-Ling Lin,Chen-Yi Kao,Yi-Ping Tseng,Li-Yun Szu,Ching-Yun Lee,Lun-Hui Ho,Shu-Ling Yeh,Shu-Hua Kao,Yen-Fang Chou,Tzu-Hsin Huang 한국성인간호학회 2021 성인간호학회 학술대회 Vol.2021 No.8

Aim(s): Clinical nurses are facing patients’ biopsychosocial and spiritual problems at diverse clinical settings, but they are lack of knowledge, skills, and confidence on providing spiritual care. However, no studies adopted simulated educational program and objective structure clinical examination (OSCE) to educate nurses and to assess the outcomes. Therefore, this study was to validate the effect of a scenario-based spiritual care course on spiritual care competence in clinical nurses. Methods: This non-equivalent quasi-experimental study with a pre-test and two post-tests (end of the intervention and three months later) was conducted between August 2019 and February 2021 (11 sessions). The recruitment posters with a QR code were distributed to different units at three branches of a large medical institute for recruiting clinical nurses, who provided direct patient care. The attendees of one-day scenario-based spiritual care course are the experimental group (n=53) and the control group (n=85) was matched with the experimental group (1:1-3 ratio) by similar units, ages, working experience, and clinical ladder. Instruments include basic information, self-evaluated and head nurses evaluated spiritual care competence scale (SCCS), spiritual perspective scale (SPS), and spiritual care perspective scale-revised (SCPSR) for both groups and reflective log, course satisfaction scale, OSCE checklist, and standardized patient feedback scale for the experimental group. The data were analyzed using descriptive statistics, repeated measures ANOVA, linear regression, and paired t test. Results: After controlling for pre-test scores and interest in attending spirituality/spiritual care, the experimental group showed significant higher SPS (p=0.012) and self-evaluated SCCS (p=0.002) and lower SCPSR (p=0.015) than the control group at the 2nd post-test. Repeated measure ANOVA also showed significant within-subject effects across three time points of the experimental group on SPS (p<0.001), SCPSR (p<0.001), and self-evaluated SCCS (p<0.001), but paired t test showed non-significant differences on SPS, SCPSR, and self-evaluated SCCS between pre-test and post-test with an exception of head nurse evaluated SCCS (p=0.035). The mean overall course satisfaction of the experimental group was 4.34±0.62. The mean global performance of OSCE was 3.40±0.91 and the majority of experimental group was pass (43.4%) and good (35.8%). 64.5% and 26.1% of standardized patients were partial and strongly agreed with examinees’ performance in spiritual care assessment respectively. Conclusions: The scenario-based spiritual care course is effectively to enhance clinical nurses’ spiritual care competence. It may cultivate clinical preceptors with better spiritual care pedagogy through simulation and OSCE for bedside teaching of nurse post-graduate year.

Trends in research on clinical reasoning in nursing over the past 20 years: a bibliometric analysis

유영미,한숙원 한국과학학술지편집인협의회 2022 Science Editing Vol.9 No.2

Purpose: Clinical reasoning is an essential component of nursing education. This study aimed to identify the trends in research on clinical reasoning in nursing over a 22-year period.Methods: The Web of Science Core Collection was used as the target database, with the search terms “clinical reasoning,” “clinical judgement,” and “clinical decision.” The scope of the search included the subject, abstract, author’s keywords, and Keywords Plus for each article. Our literature search included journal articles from 2000 to 2021, with the subject area restricted to nursing. A total of 4,675 articles met the inclusion criteria after the removal of duplicates using digital object identifier. We used bibliometric analyses to conduct quantitative and statistical analyses of publication trends, the journals and countries with the most publications, the most productive authors, the most globally cited documents, and the most frequent keywords.Results: In nursing, studies related to clinical reasoning have increased significantly since 2000. The most prolific country has been the United States. The journal with the most publications was the Journal of Clinical Nursing. The most productive author was Considine J, with 23 publications. The most widely cited author was Tanner CA, with 614 citations. The most frequent keywords in the literature related to clinical reasoning were “care,” “nurses,” and “decision-making,” in that order.Conclusion: This study examined the quantitative analysis and statistics of publications related to clinical reasoning in nursing in the past 20 years using bibliographic information. This study can help guide future research on clinical reasoning for nurse educators.