DOI QR코드

DOI QR Code

The Relationship among Self-esteem, Empathy, Communication Skill and Clinical Competency of Nursing Students

간호대학생의 자아존중감, 공감능력, 의사소통능력과 임상수행능력 간의 관계

  • 박정화 (건양대학교 간호대학 간호학과) ;
  • 정수경 (우송대학교 보건복지대학 간호학과)
  • Received : 2015.10.01
  • Accepted : 2015.11.06
  • Published : 2015.11.30

Abstract

The purpose of this study was to investigate self-esteem, empathy, communication skill and clinical competency, and to identify the influencing factors on clinical competency of nursing students. The data was collected using questionnaires from 212 nursing students who were 3rd and 4th years in 2 nursing universities in Daejeon, September 2014. Data was analyzed using Pearson correlation and stepwise multiple regression with IBM SPSS 21. Significant relationships were found among self-esteem, empathy, communication skill and clinical competency in nursing students. The result of stepwise multiple regression indicates that communication skill and self-esteem (F=37.010, p<.001) predicts 26.2% in clinical competency. The most powerful predictor was communication skill(${\beta}$=.384, p<.001), next one was self-esteem(${\beta}$=.283, p<.001). In conclusion, to enhance clinical competency for nursing students, it is necessary to develop and utilize a program that enhances communication skill and self-esteem.

본 연구는 간호대학생의 자아존중감, 공감능력 및 의사소통능력 간의 관계를 파악하고 임상수행능력에 영향을 미치는 요인을 파악하고자 시도되었다. D시에 있는 4년제 2개의 간호대학에 다니는 간호학과 3, 4학년을 대상으로 하여 2014면 9월부터 한 달간 조사하여 212부의 설문지가 분석에 사용되었으며, 기술통계, 상관분석 및 다중회귀분석을 통해 분석하였다. 그 결과, 임상수행능력은 자아존중감, 공감능력, 의사소통능력과 유의한 상관관계를 나타내었다(p<.01). 간호대학생의 임상수행능력에 영향을 미치는 요인은 의사소통능력과 자아존중감으로 나타났으며(F=37.010, p<.001) 이들의 설명력은 26.2%였다. 간호대학생의 의사소통능력이 좋을수록(${\beta}$=.384, p<.001), 자아존중감이 높을수록(${\beta}$=.283, p<.001) 임상수행능력이 높은 것으로 나타났다. 따라서 간호대학생의 임상수행능력을 향상시키기 위해서는 의사소통능력과 자아존중감을 향상시킬 수 있는 지원과 프로그램의 개발이 이루어져야 한다.

Keywords

References

  1. J. W. Distler, "Critical thinking and clinical competence: result of the implementation of student-centered teaching strategies in an advanced practice nurse curriculum", Nurse Education in Practice, Vol. 7, No.1, pp. 53-59, 2007. DOI: http://dx.doi.org/10.1016/j.nepr.2006.08.003
  2. T. Casey, E. Wilson-Evered, "Predicting uptake of technology innovations in online family dispute solution services: An application an extension of the UTAUT", Computers in Human Behavior, Vol. 28, No. 6, pp.2034-2045. 2012. DOI: http://dx.doi.org/10.1016/j.chb.2012.05.022
  3. C. Barrett, F. Myrick, "Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee", Journal of Advanced Nursing, Vol. 27, No. 2, pp. 364-371. 1998. DOI: http://dx.doi.org/10.1046/j.1365-2648.1998.00511.x
  4. W. H. Lee, J. G. Kim, J. S. Yoo, H. K. Hau, K. S. Kim, S. M. Yim, "A study on instrument development of clinical competence of nursing students", Yonsei Nursing, 13, pp. 17-29. 1990.
  5. M. T. Hickey, "Preceptor perceptions of new graduate nurse readiness for practice", Journal for Nurses in Staff Development, Vol. 25, No. 1, pp. 35-41. 2009. DOI: http://dx.doi.org/10.1097/NND.0b013e318194b5bb
  6. G. S. Jeong, K. A. Kim, J. A. Seong, "The Effect of Learning Style and Critical Thinking Disposition on Communication Skill in Nursing Students", The Journal of Korean Academic Society of Nursing Education, Vol. 19, No. 3, pp. 413-422. 2013. DOI: http://dx.doi.org/10.5977/jkasne.2013.19.3.413
  7. S. H. Lee, S. E. Chung, "Influencing factors of critical thinking disposition and self-esteem on communication competence among nursing students", The Korean Contents Society, Vol. 14, No. 12, pp. 340-348, 2014.
  8. M. S. Chung, "The relations of self-esteem, practical performance, and practical satisfaction in nursing students", Journal of Korean Academic Psychiatric Mental Health Nursing, Vol. 18, pp. 60-68. 2009.
  9. W. H. Kim, "Relationship between Job Stress and Nursing Task Performance of Clinical Nurses", Unpublished master's thesis, Chosun University, Gwangju, 2002.
  10. S. J. Lim, E. Y. Park, "Changes in communication and relationship pattern for undergraduate nursing students after 'Satir communication education", Journal of Korean Academic Society of Nursing Education, Vol. 19, No. 2, pp. 151-162, 2013. DOI: http://dx.doi.org/10.5977/jkasne.2013.19.2.151
  11. S. J. Lee, J. H. Yu, "The Mediation Effect of Self-Efficacy between Academic and Career Stress and Adjustment to College", Korean Educational Psychology Association, Vol. 22, No. 3, pp. 589-607, 2008.
  12. K. M. Kim, "The effects of an empathy education program on elementary school children's empathic ability and self-esteem. Major in elementary counseling education graduate school of education", Unpublished master's thesis, Seoul National University of Education, 2011.
  13. B. C. Park, "The methods of moral education for the development of empathy", Holistic Education Research, Vol. 13, pp. 127-144, 2009.
  14. M. S. Chung, "Relationship on Self-esteem, Empathy and Interpersonal Relationship for Reinforcing Competence in Communication of Nursing Students", The Journal of Korean Academic Society of Nursing Education, Vol. 20, No. 2, pp. 332-340, 2014. DOI: http://dx.doi.org/10.5977/jkasne.2014.20.2.332
  15. H. S. Kim, W. J. Park, T. H. Ha, "The influencing factors of interpersonal relationship in nursing students", Journal of Korean Academic Society of Nursing Education, Vol. 12, No. 2, pp. 229-237, 2006.
  16. M. S. Lee, K. M. Chae, "The mediating effects of emotion regulation strategies on the relationship between self-esteem and interpersonal relationship abilities", Cognitive Behavior Therapy in Korea, Vol. 12, No. 1, pp. 63-75. 2012.
  17. S. Kim, H. Nam, M. Kim, "Critical Thinking Disposition, Problem Solving Process, and Simulation-Based Assessment of Clinical Competence of Nursing Students in Pediatric Nursing", Child Health Nursing Research, Vol. 20, No. 4, pp. 294-303. 2014. DOI: http://dx.doi.org/10.4094/chnr.2014.20.4.294
  18. K. A. Shin, B. H. Cho, "Professional Self-Concept, Critical Thinking Disposition and Clinical Competence in Nursing Students", The Korean Journal of Fundamentals of Nursing, Vol. 19, No. 1. pp. 46-56. 2012. DOI: http://dx.doi.org/10.7739/jkafn.2012.19.1.046
  19. E. S. Do, Y. S. Seo, "Factors Influencing Clinical Competence in Nursing Students", The Korean Journal of Fundamentals of Nursing, Vol. 21, No. 3. pp. 283-291. 2014. DOI: http://dx.doi.org/10.7739/jkafn.2014.21.3.283
  20. H. J. Jang, Y. K. Kwag, "Affecting factors on clinical competence of nursing students", Journal of the Korea Academia-Industrial Cooperation Society, Vol. 14, No. 9. pp. 4380-4387, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.9.4380
  21. O. S. Lee, M. O. Gu, "The relationship between emotional intelligence and communication skill, clinical competence & clinical practice stress in nursing students", Journal of the Korea Academia-industrial Cooperation Society, Vol. 14, No. 6 pp. 2749-2759, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.6.2749
  22. S. Y. Yang, "The effect of emotional intelligence and self-efficacy on clinical competence of the nursing students", The Korea Contents Society, Vol. 15, No. 6, pp. 370-378, 2015.
  23. J. N. Kim, "Affecting factors on competence of clinical practice of nursing students", Korean Journal of Stress Research, Vol. 22, No. 2, pp. 55-65, 2014. DOI: http://dx.doi.org/10.17547/kjsr.2014.22.2.55
  24. E. J. Song, "The Effects of a Communication Training Program on Communication and Interpersonal Relationship for Student Nurses in Clinical Practice", The Korean Journal of Fundamentals of Nursing, Vol. 13, No. 3. pp. 467-473. 2006.
  25. Korean Accreditation Board of Nursing Education, Specify the college four-year term of study screening, retrieved April, 22, 2013, http://kabon.or.kr/kabon02/index04.php, 2013.
  26. M. Rosenberg, Society and the adolescent self-image, Princeton, New Jersey, Princeton, University Press, 1965.
  27. B. J. Jon, "Self-esteem: A test of its measurability" Yonsei a collection of treatises, Vol. 11. pp. 107-130. 1974.
  28. M. H. Davis, "A multidimensional approach to individual difference in empathy", The Bulletin of the Jamaican Society for Agricultural Sciences catalog of Selected documents in Psychology, Vol. 10, p85. 1980.
  29. B. S. Jeon, "The relationship between empathy and altruistic behavior", Unpublished master's thesis, Choongnam National University, Daejeon. 2003.
  30. E. H. Peek, "The effects of a multi-cultural education program on cultural competence, empathy and self efficacy of nursing students", Unpublished doctoral dissertation, catholic University of Korea, Seoul. 2012.
  31. S. J. Lee, Y. K. Chang, H. N. Lee, K. Y. Park. "A Study on the Development of Life-Skills: Communication, Problem Solving, and Self-Directed Learning RR2003-15-03", KEDI. pp.1-145. 2003.
  32. W. H. Lee, C. J. Kim, J. S. Yoo, et al. "Development of a clinical competency for nursing students", Journal of Nursing for Yonsei University, Vol. 13, pp. 17-27, 1991.
  33. M. S. Choi, "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. 2005.
  34. D. W. Choi, "Clinical competence according to experiences on the essential of fundamental nursing skills in nursing students", The Journal of Korean Academic Society of Nursing Education, Vol. 20, No. 2, pp. 184-191, 2014 https://doi.org/10.5977/jkasne.2014.20.2.184
  35. W. A. Suliman and J. Halabi, "Critical thinking self-esteem and anxiety of nursing students," Nursing Education Today, Vol. 27, pp. 162-168, 2007. DOI: http://dx.doi.org/10.5977/jkasne.2014.20.2.184
  36. A. S. Wafika, H. Jehad, "Critical thinking, self esteem, and state anxiety of nursing students" Nurse Education Today, Vol. 27, pp. 162-168, 2007. DOI: http://dx.doi.org/10.1016/j.nedt.2006.04.008
  37. S. Y. Yang, H. N. Lim, J. H. Lee, "The Study on Relationship between Cultural Competency and Empathy of Nursing Students", The Journal of Korean Academic Society of Nursing Education, Vol. 19, No.1 pp. 183-193, 2013. DOI: http://dx.doi.org/10.5977/jkasne.2013.19.2.183
  38. D. W. Choi, "Clinical competence according to experiences on the essential of fundamental nursing skills in nursing students", The Journal of Korean Academic Society of Nursing Education, Vol. 20, No. 2, pp. 184-191, 2014. DOI: http://dx.doi.org/10.5977/jkasne.2014.20.2.184
  39. J. H. Song, M. W. Kim, "Study on Clinical Education for Nursing in Hospitals in Korea", The Journal of Korean Academic Society of Nursing Education, Vol. 19, No.2, pp. 251-264, 2013. DOI: http://dx.doi.org/10.5977/jkasne.2013.19.2.251
  40. B. M. Seo, "Factors Affecting Clinical Competence among Nursing Students", Unpublished doctoral dissertation, Inje University, Pusan, 2010
  41. M. Song, E. Kim, S. Yu, "Analysis on the competency of nursing students' basic nursing skill", The Journal of the Korean Contents Association, Vol. 12, No. 6, pp. 391-401.
  42. G. I. Boschma, R. Einboden, M. Groening, C. Jackson, M. MacPhee, H. Marshall, K. O'Flynn Magee, P. Simpson, P. Tognazzini, C. Haney, H. Croxen, E. Roberts, "Strengthening communication education in an undergraduate nursing curriculum", International Journal of Nursing Education Scholarship, Vol. 7, No. 1, pp. 28-41. 2010. DOI: http://dx.doi.org/10.2202/1548-923X.2043
  43. M. H. Lee, H.K. Kim, S. H. Jeong, I. O. Moon, "Effects of Task Performance Style in Nursing Management Practicum on Problem-Solving and Nursing Competency according to Communication Ability of Nursing Students", The Journal of Korean Nursing Administration Academic Society, Vol. 17, No. 1, pp. 106-114, 2011. DOI: http://dx.doi.org/10.11111/jkana.2011.17.1.106
  44. H. M. Kim, "The effect of the solution-focused group counseling on the self-esteem and interpersonal relationship of the nursing", Journal of Korean Academic Psychiatric Mental Health Nursing, Vol. 11, No. 4, pp. 518-527. 2002.
  45. H. J. Pai & H. R. Ahn, "Factors influencing nursing students' psychiatric nursing practice evaluation scores", Journal of Korean Academy of Nursing, Vol. 23 No. 1, pp. 5-15, 1993