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Professional Self-Concept, Critical Thinking Disposition and Clinical Competence in Nursing Students

간호대학생의 전문직 자아개념, 비판적 사고성향과 임상수행능력에 관한 연구

  • Shin, Kyung-Ah (Department of Nursing, Chonnam Techno College) ;
  • Cho, Bok-Hee (College of Nursing, Chonnam National University, Chonnam Research Institude of Nursing Science)
  • 신경아 (전남과학대학) ;
  • 조복희 (전남대학교 간호대학, 전남대학교 간호과학연구소)
  • Received : 2011.08.15
  • Accepted : 2012.01.06
  • Published : 2012.02.28

Abstract

Purpose: The purpose of this study was to identify the relationships among professional self-concept, critical thinking disposition and clinical competence in nursing students. Method: The participants in the study were 505 nursing students, 262 associate degree nursing students and 243 baccalaureate nursing students, all in schools in Gwangju or South Jeonla Province. A questionnaire survey was conducted from April 25 to May 27, 2011. Statistical processing was performed with SPSS 18.0 Version and the data were analyzed using t-test, ANOVA, Scheff$\acute{e}$ test, Pearson correlation coefficients, and multiple stepwise regression. Results: There was a positive correlation among clinical competence and professional self-concept, critical thinking disposition. The most effective factor for clinical competence was professional practice in professional self-concept, followed by prudence and objectivity in critical thinking disposition. The total explanation of clinical competence was 46.2%. Conclusion: The results of this study indicate confirm that professional self-concept and critical thinking disposition have an effect on clinical competence in nursing students. Accordingly in order to improve clinical competence, it is necessary to provide practice environment and educational curriculum that enhance the professional self-concept and critical thinking disposition of nursing students.

Keywords

References

  1. Arthur, D. (1990). The development of an instrument for measuring the professional self-concept of nurses. Master of Educational Thesis, University of Newcastle, Newcastle.
  2. Barret, C., & Myrick, F. (1998). Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee. Journal of Advanced Nursing, 27, 364-371. https://doi.org/10.1046/j.1365-2648.1998.00511.x
  3. Chaung, S. K. (2011). Critical thinking disposition, problem solving ability and clinical competence in nursing students. Journal of Korean Academy of Fundamentals of Nursing, 18, 71-78.
  4. Cho, H. S. (2005). A study on the critical thinking disposition and clinical competency of nursing students. Journal of Korean Academic Society of Nursing Education, 11, 222-231.
  5. Choi, M. S. (2005). A study on the relationship between teaching effectiveness of clinical nursing education and clinical competency in nursing students. Unpublished master's thesis, Ewha Womans University, Seoul.
  6. Facione, N. C., & Facione, P. A. (2008). Critical thinking and clinical judgment. Retrieved July 17, 2011, from http://www. insightassessment.com/articles.html.
  7. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146
  8. Feng, R. C., Chen, M. J., Chen, M. C., & Pai, Y. C. (2010). Critical thinking competence and disposition of clinical nurses in a medical center. The Journal of Nursing Research, 18, 77-87. https://doi.org/10.1097/JNR.0b013e3181dda6f6
  9. International Council of Nurses. (2010). About ICN: Our vision. Retrieved October 25, 2011, from http;//www.icn.ch/about-icn/icns-vision-for-the-future-of-nursing.
  10. Jung, S. M., & Lee, K. O. (2003). Relationship between the professional self-concept and role performance of the psychiatric mental health nurse practitioners. Journal of Korean Academy of Psychatric and Mental Health Nursing, 12, 402-414.
  11. Kang, H. O. (2010). A study on the clinical performance ability, self concept of professional nursing and satisfaction with clinical practice of nursing students. Unpublished master's thesis, Keimyung University, Daegu.
  12. Kim, M. S. (2011). Moderating effects of self-esteem and self-efficacy in the relationship between professional self-concept and satisfaction in their major among nursing students. The Journal of Korean Academic Society of Nursing Education. 17, 159-167. https://doi.org/10.5977/JKASNE.2011.17.2.159
  13. Kim, M. W. (2006). Development of objectives of nursing clinical education based on the nursing core competency. Journal of Korean Academy of Nursing, 36, 389-402.
  14. Korean Accreditation Board of Nursing. (2005). Advanced practice nurse. Retrieved September 24, 2011, from http;//Kabon.or.kr
  15. Ko, K. J. (2003). A study on the critical thinking disposition and clinical competency of nursing students. Unpublished master's thesis, Kwandong University, Gangneung.
  16. Lee, S. H. (2008). A study on the relationship between professional self-concept, self-efficacy and job satisfaction in clinical nurses. Korean Journal of Adult Nursing, 20, 10-20.
  17. Livsey, K. R. (2009). Structural empowerment and professional nursing practice behaviors of baccalaureate nursing students in clinical learning environments. International Journal of Nursing Education Scholarship, 6, 1-16
  18. Lee, W. H., Kim, C. J., Yoo, J. S., Hur, H. K., Kim, K. S., & Lim, S. M. (1990). Development of a clinical competency measurement tool for student. Yeonsei Nursing, 13, 17-29
  19. Park, J. A., & Kim, B. J. (2009). Critical thinking disposition and clinical competence in general hospital nurses. Journal of Korean Academy of Nursing, 39, 840-850. https://doi.org/10.4040/jkan.2009.39.6.840
  20. Park, S. H. (1999). The effects of the program for the improvements of college students critical thinking ability. Unpublished doctoral dissertation. Sookmyung Women's University, Seoul.
  21. Seo, W. H. (2007). Nursing college students nursing profession self-concept and their satisfaction with clinical nursing practicum. Unpublished master's thesis, Kyungpook National University, Daegu.
  22. Shin, S. J., Ha, J. Y., Shin, K. R., & Davis, M. K. (2006). Critical thinking ability of associate, baccalaureate, and RN-to-BSN student in Korea. Nursing Outlook, 54, 328-333. https://doi.org/10.1016/j.outlook.2006.09.008
  23. Shin, Y. W., Lee, H. J., & Lim, Y. J. (2010). Predictors of clinical competence in new graduate nurses. Journal of Korean Academy of Nursing Administration, 16, 37-47. https://doi.org/10.11111/jkana.2010.16.1.37
  24. Sohng, K. Y., & Noh, C. H. (1996). An analytical study of the professional self-concept of hospital nurses in Korea. Journal of Korean Academy of Nursing, 26, 94-106.
  25. Son, H. M., Koh, M. H., Kim, C. M., Moon, J. H., & Yi, M. S. (2003). The male nurse's experiences of adaptation in clinical setting. Journal of Korean Academy of Nursing, 33, 17-25.
  26. Song, H. R. (2010). Comparative study of professional self-concept and caring perception in nurses and nursing students. Unpublished master's thesis, Eulji University, Daejeon.
  27. Sung, M. H. (2010). Correlations between motivation to achieve, clinical competency and satisfaction in clinical practice for diploma and baccalaureate nursing students. Journal of Korean Academy of Fundamentals of Nursing, 17, 90-98.
  28. Yang, J. J. (2009). The Influencing factors on clinical competence of nursing students. Journal of Korean Academic Society of Nursing Education, 15, 159-165. https://doi.org/10.5977/JKASNE.2009.15.2.159
  29. Yang, S. H., Lee, O. C., Lee, W. S., Yoon, J., Park, C. S., & Lee, S. J. (2009). Critical disposition and clinical competency in 3 nursing colleges with different education methods. Journal of Korean Academic Society of Nursing Education, 15, 149-158. https://doi.org/10.5977/JKASNE.2009.15.2.149
  30. Yang, S. Y., & Jung, D. Y. (2004). A study on the critical thinking disposition about student nurse. Korean Journal of Adult Nursing 16, 156-165.
  31. Zori, S., Nosek, L. J., & Musil, C. M. (2010). Critical thinking of nurse managers related to staff RNs' perceptions of the practice environment. Journal of Nursing scholarship, 42, 305-313. https://doi.org/10.1111/j.1547-5069.2010.01354.x

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