The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
권호 표지
DOI QR코드

DOI QR Code

The Influence of Self-directed Learning ＆ Critical Thinking Disposition on Clinical Competence in Nursing Students

간호학생의 자기주도적 학습, 비판적 사고성향이 임상수행능력에 미치는 영향

  • Kwon, Mal-Suk (Department of Nursing, Taegu Science University)
  • Received : 2011.07.05
  • Accepted : 2011.09.03
  • Published : 2011.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate self-directed learning and critical thinking disposition which influence clinical competence in nursing students. Method: As a descriptive study, a total of 271 third year students were recruited from a nursing college in Daegu. A structured questionnaire was self-administered from June 7, 2011 to June 10, 2011. The data were analyzed using SPSS/WIN version 12. Results: In self-directed learning, there were significant differences in gender (t=2.26, p=.025), satisfaction of major (F=7.77, p=.001), and satisfaction of clinical experience (F=10.39, p<.001). Critical thinking disposition differed in gender (t=2.82, p=.005). Moreover gender (t=4.00, p<.001), satisfaction of achievement (F=6.50, p=.002), satisfaction of major (F=4.24, p=.015), and satisfaction of clinical experience (F=9.54, p<.001) differed with clinical competence. Clinical competence was positively related to self-directed learning (r=.45, p<.001) and critical thinking disposition (r=.51, p<.001). According to the result of multiple regression, critical thinking disposition (t=5.80, p<.001), satisfaction of achievement (t=3.33, p=.001), gender (t=2.93, p=.004) and self-directed learning (t=2.35, p=.019) were significant factors of clinical competence explaining 33.0% of the variances. Conclusion: Critical thinking disposition, satisfaction of clinical experience, gender and self-directed learning had a positive effect on clinical competence in nursing students. To enhance clinical competence for nursing students, it is necessary to develop self-learning teaching strategy and curriculum.

Keywords

References

  1. 강현옥 (2009). 간호학생의 임상수행능력과 간호전문직 자아 개념 및 임상실습 만족도. 계명대학교 대학원 석사학위 논문, 대구.
  2. 고금자 (2003). 간호대학생의 비판적 사고성향과 임상수행능력에 관한 연구. 관동대학교 대학원 석사학위논문, 강원.
  3. 권인수, 이가언, 김경덕, 김영희, 박경민, 박현숙, 손수경, 이우숙, 장금성, 정복례 (2006). 간호대학생의 비판적 사고 성향 측정도구 개발. 대한간호학회지, 36(6), 950-958.
  4. 박승미, 권인각 (2007). 간호사의 임상 의사결정능력 영향 요인-비판적 사고성향을 중심으로-. 대한간호학회지, 37(6), 863-871.
  5. 배영숙, 이숙희, 김미희, 선광순 (2005). 문제중심학습이 자기 주도성과 비판적 사고성향에 미치는 효과. 한국간호교육학회지, 11(2), 184-190.
  6. 신경림, 하주영, 김건희 (2005). 간호대학생의 비판적 사고 성향과 비판적 사고 기술에 관한 종적 연구. 대한간호학회지, 35(2), 382-389.
  7. 양선희, 이옥철, 이우숙, 윤 진, 박창승, 이숙정 (2009). 교수 학습방법에 따른 3개 간호대학생의 비판적 사고성향과 임상수행능력. 한국간호교육학회지, 15(2), 149-158. https://doi.org/10.5977/JKASNE.2009.15.2.149
  8. 양진주 (2009). 간호학생의 임상수행능력에 영향을 미치는 요인. 한국간호교육학회지, 15(2), 159-165. https://doi.org/10.5977/JKASNE.2009.15.2.159
  9. 오원옥 (2002). 간호대학생의 학습에 대한 자기주도성 영향요인. 대한간호학회지, 32(5), 684-693.
  10. 유귀옥 (1997). 성인 학습자의 자기주도성과 인구학적 및 사회심리학적 변인 연구. 서울대학교 대학원 박사학위논문, 서울.
  11. 윤 진 (2004). 비판적 사고 성향 측정도구 개발: 간호학을 중심으로. 가톨릭대학교 대학원 박사학위논문, 서울.
  12. 이원희, 김조자, 유지수, 허혜경, 김경숙, 임성민 (1990). 간호 학생의 임상수행능력 측정도구 개발 연구. 연세대학교 간호학 논문집, 13, 17-29.
  13. 이점덕, 이정숙 (2006). 프리쉡터쉽 적용이 간호학생의 비판적 사고성향, 임상수행능력 및 임상실습 만족도에 미치는 효과. 간호행정학회지, 12(3). 434-443.
  14. 이정인 (2009). 대학생의 자아존중감, 자기효능감이 비판적 사고 성향에 미치는 영향. 한국간호교육학회지, 15(2), 166-174. https://doi.org/10.5977/JKASNE.2009.15.2.166
  15. 조미혜, 권인수 (2007). 간호학생의 임상실습 중 간호활동 경험 정도. 한국간호교육학회지, 13(2), 143-154.
  16. 조학순 (2007). 간호대학생의 비판적 사고성향과 자기주도적 학습 및 학업성취도에 관한 연구. 한국보건정보통계학회지, 32(2), 57-72.
  17. 최은영, 김지윤 (2007). 간호학생의 비판적 사고성향과 핵심 능력. 기본간호학회지, 14(4), 412-419.
  18. 최현영 (1992). 간호학생의 임상수행능력과 스트레스 요인과의 관계 연구. 조선대학교 대학원 석사학위논문, 광주.
  19. Barrett, C., & Myrick, F. (1998). Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee. Journal of Advanced Nursing, 27(2), 364-371. https://doi.org/10.1046/j.1365-2648.1998.00511.x
  20. Facion, N. C., Facion, P. A., & Sanchez, C. A. (1994). Critical thinking disposition as a measure of competent clinical judgement: the development of the California Critical Thinking Disposition Inventory. Journal of Nursing Education, 33(8), 345-350.
  21. Guglielmino, L. M (1977). Development of the self-directed learning readiness scale. Unpublished doctoral dissertation. University of Georgia.
  22. Haffer, A. G., & Raingruber, B. J. (1998). Discovering confidence in clinical reasoning and critical thinking development in baccalaureate nursing students. Journal of Nursing Education, 37(2), 61-70.
  23. Kessenich, C. R., Guyatt, G. H., & DiCenso, A. (1997). Teaching nursing students evidence-based nursing. Nurse Educator, 22(6), 25-29. https://doi.org/10.1097/00006223-199711000-00014
  24. Knowles, M. S. (1975). Self-directed learning: A guide to learners and teachers. Chicago Follett Pub Co.
  25. Lunyk-Child, O. I., Crooks, D., Ellis, P. J., Ofosu, C., O'Mara, L., & Rideout, E. (2001). Self-directed learning: faculty and student preceptions. Journal of Nursing Education, 40(3), 116-123.
  26. Ozturk, C., Muslu, G., K., & Dicle, A. (2008). A comparison of problem-based and traditional education on nursing students' critical thinking dispositions. Nurse Education Today, 28(5), 627-632. https://doi.org/10.1016/j.nedt.2007.10.001
  27. Riley-Doucet C. (2008). A self-directed learning tool for nurses who precept student nurses. Journal for Nurses Staff Development, 24(2), E7-E14. https://doi.org/10.1097/01.NND.0000300874.28610.a7
  28. Rubenfeld, M. G., & Scheffer, B. K. (1999). Critical thinking in nursing. -an interactive approach-. Philadelphia: Lippincott.
  29. Slusarski, S. B. (1994). Enhancing self-direction in the adult learner: Instructional techniques for teachers and trainers. New Directions for Adult and Continuing Education, 94(64), 71-79.
  30. Suliman, W. A., & Halabi J. (2007). Critical thinking, self-esteem, and state anxiety of nursing students. Nurse Education Today, 27(2), 162-168. https://doi.org/10.1016/j.nedt.2006.04.008

Cited by

  1. Impact of Self-Directed Learning Ability and Metacognition on Clinical Competence among Nursing Students vol.20, pp.4, 2014, https://doi.org/10.5977/jkasne.2014.20.4.513
  2. Relationship of Academic Stress, Sociality and Self-Directed Learning in Nursing Students vol.17, pp.5, 2016, https://doi.org/10.5762/KAIS.2016.17.5.498
  3. Effect of Critical Thinking Disposition on Emotional Regulation, Perceived Stress and Communication Competence among Nursing Students vol.19, pp.4, 2013, https://doi.org/10.5977/jkasne.2013.19.4.606
  4. Factors Affecting Clinical Competence among Nursing Students vol.8, pp.4, 2014, https://doi.org/10.12811/kshsm.2014.8.4.149
  5. Learning style, Time management behavior and Self-directed learning of Nursing student vol.16, pp.7, 2015, https://doi.org/10.5762/KAIS.2015.16.7.4621
  6. Effects of the Reeducation of Core Fundamental Nursing Skills on Clinical Stress, Critical Thinking Disposition and Self-Confidence in Nursing Skills of Senior Nursing Students vol.22, pp.3, 2016, https://doi.org/10.5977/jkasne.2016.22.3.283
  7. Affecting Factors on Clinical Competence of Nursing Students vol.16, pp.3, 2015, https://doi.org/10.5762/KAIS.2015.16.3.1884
  8. A Structural Equation Model on Core Competencies of Nursing Students vol.21, pp.2, 2015, https://doi.org/10.5977/jkasne.2015.21.2.256
  9. Factors Affecting Clinical Competency of Dental Hygiene Students vol.6, pp.6, 2015, https://doi.org/10.15207/JKCS.2015.6.6.035
  10. Analysis of Positioning in the Nursing Students' Narrative of the Experiences of Clinical Practice vol.20, pp.1, 2014, https://doi.org/10.5977/jkasne.2014.20.1.129
  11. Critical Thinking Disposition, Professional Self-Concept and Clinical Competence in Nursing Students vol.7, pp.4, 2013, https://doi.org/10.12811/kshsm.2013.7.4.105
  12. Factors Influencing Clinical Competence in Nursing Students vol.20, pp.4, 2013, https://doi.org/10.7739/jkafn.2013.20.4.438
  13. The Effects of Self-efficacy and Self-directed Learning Readiness to Self-leadership of Nursing Student vol.14, pp.3, 2016, https://doi.org/10.14400/JDC.2016.14.3.309
  14. Impacts of Critical Thinking Disposition and Nursing Work Environment on Nurses' Clinical Decision Making Abilities vol.22, pp.3, 2016, https://doi.org/10.5977/jkasne.2016.22.3.304
  15. An Action Research on Flipped Learning for Fundamental Nursing Practice Courses vol.24, pp.4, 2017, https://doi.org/10.7739/jkafn.2017.24.4.265