The Effects of Attribution Disposition, Self-efficacy and Clinical Competency and Satisfaction for Clinical Practice of Nursing College Students

간호대학생의 귀인성향, 자기효능감, 임상수행능력, 임상실습만족도의 관계

  • Received : 2014.07.20
  • Accepted : 2014.11.04
  • Published : 2014.12.31

Abstract

This study was conducted to identify the relationships among attribution disposition, self-efficacy and clinical competency and satisfaction for clinical practice in nursing college students. The participants consisted of 261 nursing college students who were enrolled in 2 undergraduate nursing schools. Collected data were analyzed with mean, standard deviation, correlation analysis, stepwise multiple regression analysis based on the SPSS 18.0 program. This study reported internal attribution had a significant positive correlation to self-efficacy (r=.363, p<0.001) and clinical competency (r=.388, p<0.001) and satisfaction for clinical practice (r=.231, p<0.001). Self-efficacy had a significant positive correlation to clinical competency (r=.423, p<0.001) and satisfaction for clinical practice (r=.131, p<0.005). Respectively showing explanatory power internal attribution disposition, self-efficacy score serving as the major predictor variable for clinical competency to internal 15.1% and self-efficacy 17.9% and satisfaction of clinical practice to self-efficacy 4.1% and internal 7.3%. This study showed internal attribution disposition, self-efficacy and improve the clinical competency and satisfaction of clinical practice of nursing students through effective education programs.

본 연구는 간호대학생을 대상으로 귀인성향, 자기효능감, 임상수행능력과 임상실습만족도와의 관련성에 대해 살펴보고자 하였다. 연구대상은 M시, A시에 소재하는 2개 간호대학 재학생으로 실습을 마친 3, 4학년 간호대학생 261명이었으며, 연구도구는 귀인성향, 자기효능감, 임상수행능력, 임상실습만족도를 사용하였다. 분석은 상관분석 및 단계적 다중회귀분석을 이용하였다. 본 연구의 결과 대학생의 귀인성향 중 내적성향은 자기효능감(r=.363, p<0.001), 임상수행능력(r=.388, p<0.001), 임상실습만족도(r=.231, p<0.001)와 정적상관이 있는 것으로 나타났다. 또한 자기효능감은 임상수행능력(r=.423, p<0.001), 임상실습만족도(r=.131, p<0.005)와 정적상관이 있는 것으로 나타났다. 임상수행능력과 임상실습만족에 영향을 미치는 변인은 귀인성향 중 내적요인, 자기효능감이었으며, 두 변인이 임상수행능력에 대해 내적요인 15.1%, 자기효능감 17.9%와 임상실습만족도에 대해 자기효능감 4.1%, 내적요인 7.3%의 설명력을 보이는 것으로 나타났다. 따라서 간호대학생의 귀인성향과 자기효능감은 임상수행능력 및 임상실습만족도에 영향을 미치므로 귀인성향중 내적요인과 자기효능감 향상을 위한 중재프로그램 개발이 필요하겠다.

Keywords

References

  1. Baek, M. J., Kim, W. J., Ryu, H. S. (2013). Influencing factors of professional self-concept, satisfaction for clinical practice, and critical thinking disposition on clinical competency in nursing students, Journal of the Korean Data Analysis Society, 15(6), 3353-3365. (in Korean).
  2. 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(1), 71-78. (in Korean).
  3. Cho, M. H., Kwon, I. S. (2007). A study on the clinical practice experiences on nursing activities of nursing students, The Journal of Korean Academy Society of Nursing Education, 13(2), 143-154. (in Korean).
  4. Choi, E. H. (2009). A study on the relationship between career identity and clinical competence in nursing students, The Journal of Korean Academy Society of Nursing Education, 15, 15-21. (in Korean). https://doi.org/10.5977/JKASNE.2009.15.1.015
  5. Choi, E. Y., Kim, G. H. (2000). A study on the professional self concept, self efficacy and job satisfaction of nephrology nurses, The Journal of Korean Academy Society of Adult Nursing, 12(3), 345-355. (in Korean).
  6. Heider, F. (1958). The Psychology of International Relation, New York Wiley.
  7. Hsieh, P. H., Kang, H. S. (2010). Attribution and self-efficacy and their interrelationship in Korean EFL context, Language Learning, 60(3), 606-627. (in Korean). https://doi.org/10.1111/j.1467-9922.2010.00570.x
  8. Hsieh, P. H., Schallert, D. L. (2008). Implications from self-efficacy and attribution theories for an understanding of undergraduates' motivation in foreign language course, Contemporary Educational Psychology, 33, 513-532. https://doi.org/10.1016/j.cedpsych.2008.01.003
  9. Im, S. I., Bak, B. G. (2013). Meta-analysis study of test anxiety on a domestic and international level, Korean Education Psychology Association, 24(4), 875-894. (in Korean).
  10. Jeong, S. H., Park, S. H. (2013). Relationship among stress, depression, and satisfaction to clinical practice among nursing students, The Korean Journal of Rehabilitation Nursing, 16(1), 47-54. (in Korean). https://doi.org/10.7587/kjrehn.2013.47
  11. Ji, E. M., Lee, J. H. (2014). Influencing factors of satisfaction for clinical practice in nursing students, Journal of the Korean Data Analysis Society, 16(2), 1125-1140. (in Korean).
  12. Jung, J. S. (2012). Relationship of self-directedness and practice satisfaction to clinical practice in nursing students: the mediating effect of clinical competence, The Journal of Korean Academy Society of Nursing Education, 18(1), 53-61. (in Korean). https://doi.org/10.5977/jkasne.2012.18.1.053
  13. Jung, S. Y. (2013). The structural model of clinical performance ability for nursing students, Journal of the Korean Data Analysis Society, 15(6B), 3333-3352. (in Korean).
  14. Kendall, S., Bloomfield, L. (2005). Developing and validating a tool to measure parenting self-efficacy, Journal of Advanced Nursing, 51(2), 174-181. https://doi.org/10.1111/j.1365-2648.2005.03479.x
  15. Kim, M. S. (2011). Original articles : 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 Academy Society of Nursing Education, 17(2), 159-167. (in Korean). https://doi.org/10.5977/JKASNE.2011.17.2.159
  16. Kim, H. R., Choi, E. Y., Kang, H. Y., Kim, S. M. (2011). The relationship among learning satisfaction, learning attitude, self-efficacy and nursing students' academic achievement after simulation-based education on emergency nursing care, The Journal of Korean Academy Society of Nursing Education, 17(1), 5-13. (in Korean). https://doi.org/10.5977/JKASNE.2011.17.1.005
  17. Kim, G. S., Han, M. R., Lee, J. U., Bak, B. G. (2013). Reconfiguration and testing of Weiner's attribution model, Korean Education Psychology Association, 27(2), 479-508. (in Korean).
  18. Kim, I. S., Jang, Y. K., Park, S. H., Song, S. H. (2011). Critical thinking disposition, stress of clinical practice and clinical competence of nursing students, The Journal of Korean Academy Society of Nursing Education, 17(3), 337-345. (in Korean). https://doi.org/10.5977/JKASNE.2011.17.3.337
  19. Koo, Y. K., Im, H. S. (2013). Comparison of factors influencing satisfaction of clinical practice between associate and bachelor nursing students, The Korea Contents Society, 13(1), 311-321. (in Korean).
  20. Lee, K. H. (2014). The effect of learning orientation on self-efficacy and job satisfaction of nurses, Journal of the Korean Data Analysis Society, 16(3), 1669-1683. (in Korean).
  21. Lim, S. R., Cho, Y. S., Bae, H. S. (2011). Effect of attribution disposition and self-efficacy on test anxiety in selected dental hygiene students, The Journal of Korean Society of Dental Hygiene, 11(3), 313-323. (in Korean).
  22. Nath, C., Schmidt, R., Gunel, E. (2006). Perceptions of professionalism vary most with educational rank and age, Journal of Dental Education, 70(8), 825-834.
  23. Nelwati, S., McKenna, L., Plummer, V. (2013). Indonesian student nurses' perceptions of stress in clinical learning: A phenomenological study, Journal of Nursing Education and Practice, 3(5), 56-65.
  24. Peter, G., Setsuko, M. (2007). Sucess and failure in the EFL classroom: exploring students' attributional beliefs in language learning, EUROSLA Yearbook, Amsterdam: John Benjamins Publishing Company, 7, 149-170.
  25. Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement, Psychological Monographs, 80(1), 1-28.
  26. Shin, E. J. (2008). Satisfaction of practice and clinical skill in participation learning and observation learning, The Korean Society of Oriental Neuropsychiatry, 17(2), 195-207. (in Korean).
  27. Shin, K. A., Cho, B. H. (2012). Professional self-concept, critical thinking disposition and clinical competence in nursing students, The Korean Journal of Fundamentals of Nursing, 19(1), 45-56. (in Korean).
  28. Shon, S. H., Jeon, N. Y. (2012). A study of the attribution tendency, self-efficacy, and college adaptation among Korean language learners with different linguistics, The Korean Language and Culture Education Society, 8(3), 173-192. (in Korean).
  29. Sung, M. H. (2010). Correlations between motivation to achieve, clinical competency and satisfaction in clinical practice for diploma and baccalaureate nursing students, The Korean Journal of Fundamentals of Nursing, 17(1), 90-98. (in Korean).
  30. Yang, J. J. (2009). The influencing factors on clinical competence of nursing students, The Journal of Korean Academy Society of Nursing Education, 15(2), 159-165. (in Korean). https://doi.org/10.5977/JKASNE.2009.15.2.159
  31. Yang, N. Y., Moon, S. Y. (2011). Relationship of self-leadership, stress and satisfaction in clinical practice of nursing students, Journal of Korean Academy of Nursing Administration, 17(2), 216-225. (in Korean). https://doi.org/10.11111/jkana.2011.17.2.216
  32. Yoo, M. S., Son, Y. J., Yoo, I. Y., Hong, S. K. (2006). Relationship between self-efficacy and clinical skill competence of nursing students, The Korean Journal of Fundamentals of Nursing, 13(3), 343-350. (in Korean).
  33. Yoon, K. H., Bae, J. H. (2008). The relationships among attributional style, self-efficacy, and academic achievement by the school levels, The Korean Journal of Educational Psychology, 22(1), 235-257. (in Korean).
  34. Yune, S. J., Park, K. H., Chung, W. J., Lee, S. Y. (2011). Original article : the effects of attribution tendencies, academic stress, and coping efficacy on academic adjustment of medical students, The Korean Journal of Medical Education, 23(3), 167-174. (in Korean). https://doi.org/10.3946/kjme.2011.23.3.167