Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Comparison of Effects of Nursing Process Reeducation according to Academic Credit Bank System Student Nurses' Clinical Experience - Expertise, Critical Thinking Disposition, Clinical Decision Making -

학점은행제 교육과정 간호사들의 임상경력에 따른 간호과정 재교육의 효과 비교 - 숙련성, 비판적사고 성향, 임상의사결정 능력을 중심으로 -

  • Yi, Yeo-Jin (Department of Nursing, Gachon University of Medicine and Science)
  • 이여진 (가천의과학대학교 간호학과)
  • Published : 2009.06.30
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Abstract

Purpose: This study investigated the effects of reeducation of nursing process on nurses' expertise, critical thinking disposition, and clinical decision making. Methods: Data were collected from March to June, 2007. The subjects were 47 Academic Credit Bank System Student Nurses. They were taught 'nursing process' during 1 semester(15weeks). 47 nurses were divided into three groups according to clinical experience(under 3 years, 3 to under 5 years, 5 years or more). After 15 weeks, the effects of education were compared using a paired t-test between pre-test and post-test. Results: There was a significant difference in the 3 to under 5 years experienced nurses's expertise(t=-3.659, p=.004) between the pre-test and post-test. There was a significant difference in the 5 years or more experienced nurses's expertise(t=-5.781, p<.001) and critical thinking disposition(t=-3.345, p=.003) between the pre-test and post-test. There were no significant differences in clinical decision making(accuracy, proficiency, and confidence) of 3 groups. Conclusion: Reeducation of nursing process is a valuable teaching and an evaluation strategy for 5 years or more experienced nurses to improve expertise and critical thinking disposition. We need to develop continuing education program for improving nurses' clinical decision making.

Keywords

References

  1. Alfaro-LeFevre, R. (2006). Applying nursing process: A tool for critical thinking. 6th. ed. Philadelphia: Lippincott Williams & Wilkins.
  2. Benner, P., & Tanner, C. (1987). Clinical judgement: How expert nurses use intuition. American Journal of Nursing, 87(1), 23-31. https://doi.org/10.2307/3470396
  3. Facione, P. A., & Facione, N. C. (1994). The california critical thinking skills test manual. 3rd. ed. California : The California Academic Press/Insight Assessment.
  4. Facione, P. A., Facione, N. C., & Giancarlo, C. F. (1996). The california critical thinking disposition inventory test manual. 1st. ed, Rev. California: The California Academic Press/Insight Assessment.
  5. Henry, S. B., LeBreck, D. B., & Holzemer, W. L. (1989). The effects of verbalization of cognitive processes on clinical decision making. Research in Nursing & Health, 12(3), 187-193. https://doi.org/10.1002/nur.4770120309
  6. Hicks, F. D., Merritt, S. L., & Elstein, A. S. (2003). Critical thinking and clinical decision making in critical care nursing: A pilot study. Heart Lung, 32(3), 169-180. https://doi.org/10.1016/S0147-9563(03)00038-4
  7. Hong, K. P., Kang, H. S., Oh, S. Y., Lim, N. Y., Kim, J. I., Yoo, M. S., Na, D. M., Kim, J. A., Suh, G. H. (2000). The fundamental nursing I. Seoul: Soo Moon Sa.
  8. Huges, K. K., & Young, W. B. (1990). The relationship between task complexity and decision-making consistency. Research in Nursing & Health, 13(3), 189-197. https://doi.org/10.1002/nur.4770130308
  9. Kataoka-Yahiro, M., & Saylor, C. (1994). A critical thinking model for nursing judgment. Journal of Nursing Education, 33(8), 351-356.
  10. Kim, C. J., Kim, Y. S., & Park, J. W. (1999). Approach to nursing process for improving of critical thinking ability. Seoul: HyunMoonSa Publishing.
  11. Kim, C. J., & Lee, J. K. (1997). A study on nursing intervention classification linked to nursing diagnoses. The Journal of Korean Academic Society of Adult Nursing, 9(3), 353-365.
  12. Kim, M. W. (2003). Development of objectives of nursing clinical education, based on the nursing core competency. Unpublished doctoral dissertation, Yonsei University, Seoul.
  13. Kwon, I. S., Lee, G. E., Kim, G. D., Kim, Y. H., Park, K .M., Park. H. S., Sohn, S. K., Lee, W. S., Jang, K. S., Chung, B. Y. (2006). Development of a critical thinking disposition scale for nursing students. Journal of Korean Academy Nursing, 36(6), 950-958. https://doi.org/10.4040/jkan.2006.36.6.950
  14. Lim, E. J. (2006). A study on the relationships between critical thinking disposition and critical thinking skill in clinical nurses. Journal of Korean Academic Society of Adult Nursing, 18(1), 31-40.
  15. Lim, N. Y., & Yi, Y. J. (2004). Factors on decision-making participation related to clinical experience difference. Journal of Korean Academy of Nursing, 34(2), 270-277. https://doi.org/10.4040/jkan.2004.34.2.270
  16. Pardue, S. F. (1987). Decision-making skills and critical thinking ability among associate degree, diploma, baccalaureate, and master's-prepared nurses. Journal of Nursing Education, 26(9), 354-361.
  17. Park, S. M., & Kwon, I. G. (2007). Factors influencing nurse's clinical decision making-focusing on critical thinking disposition. Journal of Korean Academy of Nursing, 37(6), 863-871. https://doi.org/10.4040/jkan.2007.37.6.863
  18. Problem solving through 'Nursing Process'. (2009, May 7). The nursenews, p. 3.
  19. Robinson, D. L. (2002). Clinical decision making: A case study approach. 2nd. ed. Philadelphia: Lippincott Williams & Wilkins.
  20. Sung, M. H., & Eum, O. B. (2009). Relationships between critical thinking disposition, professional nursing competence and job satisfaction in clinical nurses. Journal of Korean Academy of Nursing Administration, 15(1), 26-36.
  21. Sung, Y. H., & Jeong, J. H. (2006). Defining the core competencies of the nurses in a tertiary hospital and comparing different units based on their respective characteristics. Journal of Korean Academy of Nursing Administration, 12(1), 76-93.
  22. Uys, B. Y., & Meyer, S. M. (2005). Critical thinking of students nurses during clinical accompaniment. Curationis, 28(3), 11-19.
  23. Yang, S. A., & Jung, D. Y. (2004). A study on the critical thinking disposition about student nurse. Journal of Korean Academic Society of Adult Nursing, 16(1), 156-165.
  24. Yi, M. S., Lee. E. O., Choi. M. A., Kim. K. S., Ko, M. H., Kim, M. J., Kim, H. S., Son, J. T., Eom, M. R., Oh, S. E., Lee, K. S., Jang, E. H., Cho, G. J., Choe, J. S. (2000). Expertise in ICU nursing: a qualitative approach. Journal of Korean Academy of Nursing, 30(5), 1230-1241 https://doi.org/10.4040/jkan.2000.30.5.1230
  25. Yi, M. S., Oh. S. E., Eom, M. R., Kim, H. S., Cho, K. J., Choi, J. S., Lee, K. S. (2002). Characteristics of nursing performance based on the expertise among ICU nurses. Journal of Korean Academic Society of Adult Nursing, 14(2), 296-305.
  26. Yi, Y. J. (2002). The causal relationships of the variables to decision-making of clinical nurses. Unpublished doctoral dissertation, Hanyang University, Seoul.