DOI QR코드

DOI QR Code

Self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency of nursing students

간호학생의 셀프리더십, 비판적 사고성향, 임상실습만족도 및 임상수행능력

  • Received : 2015.03.07
  • Accepted : 2015.04.13
  • Published : 2015.05.31

Abstract

The purpose of this study was to examine the relationship among self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency of nursing students. Participants were 199 baccalaureate nursing students (3rd and 4th grades) in 2 cities. The data was collected by questionnaires and were analyzed with the SPSS/Win 21.0 program, using descriptive statistics, Pearson's correlation coefficient and multiple regression. Significant positive correlations were among self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency. The regression model explained 30.4% of satisfaction of clinical practice. The significant predictors of satisfaction of clinical practice were clinical experience, satisfaction of major, self-leadership and critical thinking disposition. The regression model explained 23.7% of clinical practice competency. Health status, self-leadership and critical thinking disposition were factors influencing clinical practice competency. It should strengthen self-leadership and encourage critical thinking disposition to improve nursing students' satisfaction of clinical practice and clinical practice competency.

본 연구는 간호대학생을 대상으로 셀프리더십, 비판적 사고성향, 임상실습만족도 및 임상수행능력의 관계를 확인하고 임상실습만족도와 임상수행능력에 영향을 미치는 요인을 알아보고자 시행되었다. 두 개의 광역시에 소재하는 2개의 4년제 간호학과 3, 4학년에 재학 중인 199명을 대상으로 설문지로 측정하였다. 연구결과 간호대학생이 인지하는 셀프리더십, 비판적 사고 성향, 임상실습만족도 및 임상수행능력은 중간 이상으로 나타났으며, 이들 간에는 모두 유의한 순 상관관계가 있는 것으로 나타났다. 임상실습만족도에 영향을 주는 예측요인은 실습학기 (${\beta}=.223$, t=3.534, p=.001), 전공만족 (${\beta}=.257$, t=3.962, p <.001), 비판적 사고성향 (${\beta}=.217$, t=3.118, p=.002), 셀프리더십(${\beta}=.169$, t=2.260, p=.025)이었으며 30.4%의 설명력을 나타냈다 (F=19.145, p <.001). 임상수행능력에 영향을 주는 예측요인은 건강상태 (${\beta}=-.133$, t=-1.937, p=.054), 비판적 사고성향 (${\beta}=.316$, t=2.551, p=.012), 셀프리더십 (${\beta}=.323$, t=4.181, p <.001)이었으며 23.7%의 설명력을 나타냈다(F=10.948, p <.001). 따라서 간호대학생의 임상실습만족도와 임상수행능력을 높이기 위해서는 간호대학생의 비판적 사고와 셀프리더십을 높일 수 있는 교육과정 프로그램의 개발 및 적용이 필요하다.

Keywords

References

  1. Barrett, C. and 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
  2. 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.
  3. Cho, G. J. and Kang, H. S. (1984). The correlation between self-concept and the degree of satisfaction on clinical practice. Journal of Korean Academy of Nursing, 14, 63-74.
  4. Choi, H. S., Kim, S. G. and Ha, J. (2013). The effect of university students' knowledge sharing on the educational performance. Journal of the Korean Data & Information Science Society, 24, 1177-1188. https://doi.org/10.7465/jkdi.2013.24.6.1177
  5. Choi, M. S. (2005). A study on the relationship between teaching effectiveness of clinical nursing education and clinical competency in nursing students, Master Thesis, Ewha Womans University, Seoul.
  6. Do, E. S. and Seo, Y. S. (2014). Factors influencing clinical competence in nursing students. Journal of Korean Academy of Fundamentals of Nursing, 21, 283-291. https://doi.org/10.7739/jkafn.2014.21.3.283
  7. Facione, N. C., Facione, P. A. and Sanchez, C. A. (1994). Critical thinking disposition as a measure of competent clinical judgement: the development of the california critical thinking disposition inventory. The Journal of Nursing Education, 33, 345-350.
  8. Han, S. J. (2000). A study on relationship between empowerment and satisfaction of clinical practice in nursing students. Journal of Korean Academic Society of Nursing Education, 6, 132-146.
  9. Jung, J. S. (2012). Relationship of self-directedness and practice satisfaction to clinnical practice in nursing students: The mediation effect of clinical competence. Journal of Korean Academic Society of Nursing Education, 18, 53-61. https://doi.org/10.5977/jkasne.2012.18.1.053
  10. Kang, Y. S., Choi, Y. J., Park, D. L. and Kim, I. J. (2010). A study on nurses' self-leadership self-esteem, and organizational effectiveness. Journal of Korean Academy of Nursing Administration, 16, 143-151. https://doi.org/10.11111/jkana.2010.16.2.143
  11. Kim, H. S. (2002). The relationship between teacher's self-leadership and the job satisfaction at secondary schools, Master Thesis, Soongsil University, Seoul.
  12. Kim, I. S., Jang, Y. K., Park, S. H. and Song, S. H. (2011). Critical thinking disposition, stress of clinical practice and clinical competence of nursing students. Journal of Korean Academic Society of Nursing Education, 17, 339-347.
  13. Koo, H. Y. and Im, H. S. (2013). Comparison of factors influencing satisfaction of clinical practice between associate and bachelor nursing students. Journal of Korea Contents Association, 13, 311-321.
  14. Kwon, I. S., Lee, G. E., Kim, G. D., Kim, Y. H., Park, K. M., Park, H. S., Sohn, S. K., Lee, W. S. Jang, K. S. and Chung, B. Y.(2006). Development of a critical thinking disposition scale. Journal of Korean Academy of Nursing, 36, 950-958. https://doi.org/10.4040/jkan.2006.36.6.950
  15. Kwon, M. S. (2011). The influence of self-directed learning & critical thinking, disposition on clinical competence in nursing students. Journal of Korean Academic Society of Nursing Education, 17, 389-396.
  16. Kwon, Y. H. and Kwag, O. G. (2012). Validation of a path model on clinical practice competency of the nursing students. Journal of Korean Academia-Industrial cooperation Society, 13, 4572-4581. https://doi.org/10.5762/KAIS.2012.13.10.4572
  17. Lee, J. D. and Lee, C. S. (2006). The effect of preceptorship on nursing students' critical thinking propensity, Clinical competency and satisfaction of clinical practice. Journal of Korean Academy of Nursing Administration, 12, 434-443.
  18. Lee, J. Y. and Cho, M. H. (2012). Correlations between self-leadership, critical thinking disposition and problem solving process in a diploma nursing students. Journal of Korea High Vocational Education Association, 10, 241-253.
  19. Lee, S. H., Kim, S. Y. and Kim, J. A. (2004). Nursing students image of nurse and satisfaction with clinical practice. Journal of Korean Academy of Nursing Administration, 10, 219-231.
  20. Lee, W. H., Kim, C. J., Yoo, J. S., Hur, H. K., Kim, K. S. and Lim, S. M. (1990). Development of a clinical competency measurement tool for students. Yonsei Journal of Nursing Science, 13, 17-29.
  21. Manz, C. C. (1983). The art of self-leadership: Strategies for personal effectiveness in your life and work, Prentice Hall, New Jersey.
  22. Manz, C. C. and Smis, H. P. (1991). Superleadership: beyond the myth of heroic leadership. Organizational Dynamics, 19, 18-35. https://doi.org/10.1016/0090-2616(91)90051-A
  23. Nam, H. S., Son, K. A., Kim, S. H., Song, Y. S., Kwon, S. H. and Oh, E. H. (2014). The effects of online nursing education contents on self efficacy, knowledge, and performance of nursing skills. Journal of the Korean Data & Information Science Society, 25, 1353-1360. https://doi.org/10.7465/jkdi.2014.25.6.1353
  24. Neck, C. P., Stewart, G. W. and Manz, C. C. (1995). Thought self-leadership as a framework for enhancing the performance of performance appraisers. Journal of Applied Behavioral Science, 13, 278-302.
  25. Park, J. H. (2011). Study of abilities required to develop for student in nursing education. Journal of Korean Academy of Nursing Administration, 17, 74-87. https://doi.org/10.11111/jkana.2011.17.1.74
  26. Park, J. W., Kim, C. J., Kim, Y. S., Yoo, M. S., Yoo, H., Chae, S. M. and Ahn, J. A. (2012). Impact of critical thinking disposition, general self-efficacy, and leadership on clinical competence in nursing students. Korean Journal of Medical Education, 24, 223-231. https://doi.org/10.3946/kjme.2012.24.3.223
  27. Park, S. H. (1999). The effects of the program for the improvement of college students' critical thinking ability. Journal of Educational Psychology, 13, 93-112.
  28. Park, I. S. and Kim, R. (2013). Critical thinking disposition, professional self-concept and clinical competence in nursing students. The Korean Journal of Health Service Management, 7, 105-117. https://doi.org/10.12811/kshsm.2013.7.4.105
  29. Shin, K. R., Ha, J. Y. and Kim, K. H. (2005). A longitudinal study of critical thinking dispositions & critical thinking skills in baccalaureate nursing students. Journal of Korean Academic Society of Nursing, 35, 382-389. https://doi.org/10.4040/jkan.2005.35.2.382
  30. Shin, K. A. and Cho, B. H. (2012). Professionnal self-concept, critical thinking disposition and clinical competence in nursing students. Journal of Korean Academy of Fundamentals of Nursing, 19, 46-56. https://doi.org/10.7739/jkafn.2012.19.1.046
  31. 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.
  32. Yang, N. Y. and 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, 216-225. https://doi.org/10.11111/jkana.2011.17.2.216
  33. Yang, N. Y. and Moon, S. Y. (2013). The impact of health status, health promoting behaviors, and social problem ability on college adjustment among nursing students. Journal of Korean Academic Society of Nursing Education, 19, 33-42. https://doi.org/10.5977/jkasne.2013.19.1.33

Cited by

  1. Essential Basic Nursing Skills and Clinical Practice Satisfaction of Nursing Students vol.21, pp.12, 2016, https://doi.org/10.9708/jksci.2016.21.12.147
  2. Convergence Factors Influencing Clinical Practice Satisfaction of Nursing Students vol.7, pp.6, 2016, https://doi.org/10.15207/JKCS.2016.7.6.055
  3. Critical Thinking Disposition, Professional Self-Concept and Satisfaction of Clinical Practice in Nursing Students vol.16, pp.12, 2015, https://doi.org/10.5762/KAIS.2015.16.12.8738
  4. The Effect of High-Fidelity Simulation Practice Related with Classical Education of Medical Surgical Nursing vol.16, pp.12, 2015, https://doi.org/10.5762/KAIS.2015.16.12.8176
  5. Factors Affecting Clinical Competency of Dental Hygiene Students vol.6, pp.6, 2015, https://doi.org/10.15207/JKCS.2015.6.6.035
  6. The relationship among critical thinking disposition, nursing process competency and evidence-based practice competency in nurses working in hospitals vol.27, pp.2, 2016, https://doi.org/10.7465/jkdi.2016.27.2.451
  7. The Mediating Effect of Self-leadership in the Relationship between Career Decision Level and Career Preparation Behavior of Nursing Students vol.42, pp.2, 2017, https://doi.org/10.21032/jhis.2017.42.2.162
  8. Study on Self-efficacy, Communication competency, Critical thinking disposition and Clinical performance ability of nursing students vol.17, pp.6, 2016, https://doi.org/10.5762/KAIS.2016.17.6.609
  9. A Study on The Influence between Self-directed Learning and Nursing Student's Satisfaction of Clinical Practice vol.4, pp.2, 2016, https://doi.org/10.15205/kschs.2016.6.30.571
  10. Mediation Effect of a Positive Stress Coping Strategy in the Relationship between Clinical Practice Stress and Clinical Practice Satisfaction vol.10, pp.2, 2016, https://doi.org/10.12811/kshsm.2016.10.2.193
  11. Predictors of subjectives happiness for male nursing students vol.27, pp.2, 2016, https://doi.org/10.7465/jkdi.2016.27.2.511
  12. Influence of Ego-Resilience, Critical Thinking Disposition, and Self Leadership on Career Decision-Making Self-Efficacy in Nursing Students vol.17, pp.2, 2016, https://doi.org/10.5762/KAIS.2016.17.2.436
  13. Influence of Professional Self-concept and Self-leadership on Clinical Competence in Nursing Students vol.23, pp.4, 2016, https://doi.org/10.7739/jkafn.2016.23.4.373
  14. Development of Clinical Performance Examination(CPX) using Flipped Learning vol.29, pp.4, 2017, https://doi.org/10.13000/JFMSE.2017.29.4.987
  15. Korean Nursing Students' Acquisition of Evidence-Based Practice and Critical Thinking Skills vol.57, pp.1, 2018, https://doi.org/10.3928/01484834-20180102-05
  16. Critical Thinking, Stress of Clinical Practice and Competence of Clinical Practice of the Nursing Students vol.30, pp.4, 2018, https://doi.org/10.13000/JFMSE.2018.08.30.4.1223
  17. A Structure Model of Clinical Nurses’ Silence on Patient Safety vol.25, pp.1, 2018, https://doi.org/10.7739/jkafn.2018.25.1.68
  18. Effects of Leadership, Critical Thinking Disposition, Professional Self-conception of Nurse on Happiness in Nursing Students vol.25, pp.1, 2018, https://doi.org/10.7739/jkafn.2018.25.1.1
  19. 간호대학생의 자기주도적 학습유형에 따른 임상실습만족도와 임상수행능력 vol.23, pp.1, 2015, https://doi.org/10.5977/jkasne.2017.23.1.118
  20. 간호대학생의 셀프리더십 정도에 따른 시뮬레이션 교육 전·후 문제해결능력, 수행자신감 및 비판적 사고능력의 차이 vol.23, pp.1, 2015, https://doi.org/10.5977/jkasne.2017.23.1.66
  21. 간호대학생의 임상실습스트레스와 스트레스 대처방식이 셀프리더십에 미치는 영향 vol.18, pp.3, 2017, https://doi.org/10.5762/kais.2017.18.3.94
  22. 간호대학생의 자기효능감과 비판적 사고성향이 셀프리더십에 미치는 영향 vol.18, pp.5, 2015, https://doi.org/10.5762/kais.2017.18.5.617
  23. 실무중심 교육프로그램이 신규 간호사의 임상수행능력, 비판적 사고와 이직율에 미치는 영향 vol.15, pp.7, 2015, https://doi.org/10.14400/jdc.2017.15.7.191
  24. 방사선학과 대학생의 비판적 사고성향과 임상실습 만족도와의 관련성 vol.12, pp.3, 2018, https://doi.org/10.7742/jksr.2018.12.3.359
  25. 간호대학생의 셀프리더십과 공동체의식이 조직사회화에 미치는 영향 vol.12, pp.3, 2015, https://doi.org/10.12811/kshsm.2018.12.3.169
  26. 간호대학생의 자아탄력성, 비판적 사고성향, 학업적 자기효능감이 셀프리더십에 미치는 융합적 영향 vol.9, pp.10, 2015, https://doi.org/10.15207/jkcs.2018.9.10.561
  27. 간호학생의 성과기반교육 달성도에 미치는 영향 vol.5, pp.2, 2019, https://doi.org/10.17703/jcct.2019.5.2.329
  28. 치위생(학)과 학생의 비판적 사고성향, 임상실습만족도, 임상수행능력에 관한 연구 vol.19, pp.6, 2015, https://doi.org/10.13065/jksdh.20190089
  29. 간호대학생의 비판적사고와 문제해결 능력과의 관계에서 셀프리더십의 매개효과 vol.21, pp.7, 2015, https://doi.org/10.5762/kais.2020.21.7.100
  30. 학습자 주도와 교수자 주도 기본간호학실습에 따른 술기수행능력과 자기주도 학습능력, 문제해결능력, 실습만족도 비교 vol.11, pp.8, 2015, https://doi.org/10.15207/jkcs.2020.11.8.391
  31. 간호대학생의 비판적 사고성향, 임상실습 스트레스 및 핵심기본간호술 자신감이 임상실습 적응에 미치는 영향 vol.18, pp.4, 2015, https://doi.org/10.22678/jic.2020.18.4.077
  32. 국내 간호대학생의 셀프리더십 관련변인에 대한 체계적 문헌고찰 및 메타분석 vol.26, pp.3, 2020, https://doi.org/10.5977/jkasne.2020.26.3.213
  33. 간호대학생의 셀프리더십에 미치는 영향요인 vol.37, pp.6, 2015, https://doi.org/10.12925/jkocs.2020.37.6.1718