Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Predictive Factors Influencing Clinical Competence in Nursing Students

간호학생의 임상수행능력에 영향을 미치는 예측변인

  • Received : 2018.01.02
  • Accepted : 2018.03.09
  • Published : 2018.03.31
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Abstract

This study examined the influence of problem solving ability, communication skill and self-efficacy on clinical competence of nursing students. The research subjects were 184 grade 4 nursing students in D and G city. Data were collected from September 1 to September 10, 2016 and analyzed by independent t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression using the IBM SPSS/WIN 20.0 program. The results showed that the problem solving ability was 3.60, communication skill was 3.79, and self-efficacy was 3.45. The clinical competence was positively correlated with problem solving ability, communication skill and self-efficacy. Problem solving ability (${\beta}=0.283$, p<0.001), self-efficacy (${\beta}=0.249$, p<0.001), motivation for nursing (${\beta}=0.182$, p=0.002), communication skills (${\beta}=0.176$, p=0.016), and interpersonal relationships (${\beta}=0.101$, p=0.082) explained 42.8% of the total variance in clinical competence of nursing students. The most significant predictors of clinical competence were problem solving ability, followed by self-efficacy and communication skills. Therefore, it is necessary to develop an empowerment program to improve problem solving ability, self-efficacy and communication skills of nursing students.

본 연구는 간호학생의 문제해결능력, 의사소통능력, 자기효능감 및 임상수행능력의 관계를 파악하고 임상수행능력에 영향을 미치는 예측요인을 규명하여 간호학생의 임상수행능력을 증진할 수 있는 역량강화 프로그램 개발의 기초자료를 제공하고자 시도되었다. 본 연구대상은 D와 G시에 소재한 간호학과 6곳에 재학 중인 4학년 184명으로 구조화된 설문지로 조사하였으며, 자료수집 기간은 2016년 9월 1일부터 9월 10일까지이었다. 수집된 자료의 분석방법은 IBM SPSS/WIN 20.0 program을 이용하여 독립 t-검정, ANOVA, pearson's correlation coefficient, stepwise multiple regression으로 분석하였다. 연구결과 문제해결능력은 평균 3.60점, 의사소통능력은 평균 3.79점, 자기효능감은 평균 3.45점으로 나타났으며, 임상수행능력은 문제해결능력(r=.537, p<.001), 의사소통능력(r=.507, p<.001), 자기효능감(r=.541, p<.001)과는 양의 상관관계를 보였다. 임상수행 능력에 대해 문제해결능력(${\beta}=.283$, p<.001), 자기효능감(${\beta}=.249$, p<.001), 전공 지원동기(${\beta}=.182$, p=.002), 의사소통능력(${\beta}=.176$, p=.016), 대인관계(${\beta}=.101$, p=.082)의 순으로 총 42.8%의 설명력을 가진 것으로 분석되었다. 이중에서 문제해결능력이 가장 높은 설명력을 나타내었다. 본 연구 결과를 바탕으로 간호학생에게 문제해결능력, 자기효능감 및 의사소통능력을 증진시키는 역량강화 프로그램을 개발하여 적용하는 것이 필요하다.

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