Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Nursing Professionalism in Nursing Students: Clinical Learning Environment and Attitude toward Nurse-Physician Collaboration

간호대학생의 전문직관에 영향을 미치는 요인: 임상실습교육환경과 의사-간호사 협력에 대한 태도를 중심으로

  • Lee, Eun Kyung (The research Institute of Nursing Science, Catholic university of Daegu) ;
  • Ji, Eun Joo (Department of Nursing, College of Medicine, Catholic Kwandong University)
  • 이은경 (대구가톨릭대학교 간호대학, 간호과학연구소) ;
  • 지은주 (가톨릭관동대학교 의과대학 간호학과)
  • Received : 2016.02.06
  • Accepted : 2016.05.25
  • Published : 2016.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was done to identify the influence of clinical learning environment and attitude toward physician-nurse collaboration on professionalism in nursing students. Method: The sample consisted of 317 nursing students. Data were collected from October 10 to December 20, 2014 and were analyzed using t-test, ANOVA, Pearson correlation and multiple linear regression with IBM SPSS statistics version 19. Results: The mean score for clinical learning environment was 3.15 out of 5. The mean score on the Jefferson scale attitude toward physician-nurse collaboration (JSAPNC) was 3.31 out of 4. The mean score for professionalism was 3.70 out of 5. The predictors of professionalism were major satisfaction, 'care vs cure' for the JSAPNC and 'patient relationship', 'student satisfaction' for clinical learning environment. Conclusions: Based on these results, educational programs to improve attitude toward physician-nurse collaboration and clinical learning environment should be developed.

Keywords

References

  1. World Health Organization. Framework for action on interprofessional education & collaborative practice [Internet]. Geneva: World Health Organization; 2010 [cited 2015 December 2]. Available from: http://www.who.int/hrh/resources/framework_action/en/.
  2. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. An evaluation of outcome from intensive care in major medical centers. Annals of Internal Medicine. 1986;104(3):410-418. http://dx.doi.org/10.7326/0003-4819-104-3-410
  3. Boev C, Xia Y. Nurse-physician collaboration and hospital-acquired infections in critical care. Critical Care Nurse. 2015;35(2):66-72. http://dx.doi.org/10.4037/ccn2015809
  4. Ward J, Schaal M, Sullivan J, Bowen ME, Erdmann JB, Hojat M. The Jefferson scale of attitudes toward physician-nurse collaboration: A study with undergraduate nursing students. Journal of Interprofessional Care. 2008;22(4): 375-386. http://dx.doi.org/10.1080/13561820802190533
  5. Veloski J, Hojat M. Measuring specific elements of professionalism: empathy, teamwork, and lifelong learning. In: Stern DT, editors. Measuring medical professionalism. New york: Oxford University Press, 2006. p. 117-123.
  6. Korea Accreditation Board of Nursing Education. Core competency and program outcome of nursing education [Internet]. Seoul: Korea Accreditation Board of Nursing Education; 2012 [cited 2015 December 12]. Available from: http://kabone.or.kr/HyAdmin/upload/goodFile/120121127132143.pdf.
  7. Keeling J, Templeman J. An exploratory study: Student nurses' perceptions of professionalism. Nurse Education in Practice. 2013;13(1):18-22. http://dx.doi.org/10.1016/j.nepr.2012.05.008
  8. Chan DS. The relationship between student learning outcomes from their clinical placement and their perceptions of the social climate of the clinical learning environment. Contemporary Nurse. 2004;17(1-2):149-158. http://dx.doi.org/10.5172/conu.17.1-2.149
  9. Brown SS, Lindell DF, Dolansky MA, Garber JS. Nurses' professional values and attitudes toward collaboration with physicians. Nursing Ethics. 2015;22(2):205-216. http://dx.doi.org/10.1177/0969733014533233.
  10. Dunn SV, Burnett P. The development of a clinical learning environment scale. Journal of Advanced Nursing. 1995; 22(6):1166-1173. http://dx.doi.org/10.1111/j.1365-2648.1995.tb03119.x
  11. Ozturk H, Cilingir T, Senel P. Communication problems experienced by nursing students in clinic. Procedia - Social and Behavioral Sciences. 2013;93:2227-2232. http://dx.doi.org/10.1016/j.sbspro.2013.10.194
  12. Bunkenborg G. Samuelson K, Akeson J, Poulsen I. Impact of professionalism in nursing on in-hospital bedside monitoring practice. Journal of Advanced Nursing. 2013;69(7):1466-1477. http://dx.doi.org/10.1111/jan.12003
  13. Ham YS, Kim HS, Cho IS, Lim JY. Affecting factors of nursing professionalism perceived by senior nursing students. Journal of Korean Academic Society of Nursing Education. 2011;17(3):536-544. http://dx.doi.org/10.5977/JKASNE.2011.17.3.536
  14. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis power analysis program for the social, behavior, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-191. https://doi.org/10.3758/BF03193146
  15. Yoon EJ, Kwon YM, Ahn OH. Development of a nursing professional value scale. Journal of Korean Academic Nursing. 2005;35(6):1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091
  16. Hojat M, Fields S, Veloski J, Griffiths M, Cohen M, Plumb J. Psychometric properties of an attitude scale measuring physician nurse collaboration. Evaluation & the Health Professions. 1999;22(2):208-220. http://dx.doi.org/10.1177/01632789922034275
  17. Han J. Nursing students' perceptions of clinical learning environment (CLE). Journal of the Korean Data Analysis Society. 2010;12(5):2595-2607.
  18. Ko YJ, Kim IK. The relationship between professional nursing values and career preparation behaviors of nursing students. Journal of Korean Academic Society of Nursing Education. 2011;17(1):62-71. http://dx.doi.org/10.5977/JKASNE.2011.17.1.062
  19. Ji EJ. Influence of nursing professionalism, empathic ability on communication ability in senior nursing student. Journal of the Korean Data Analysis Society. 2014;16(3): 1685-1697.
  20. Kwon YM, Yeun EJ. A correlation study on nursing professional values, department satisfaction, sociality, self-esteem among nursing student. Journal of Korean Academy of Nursing Administration. 2007;13(3):285-292.
  21. Papastavrou E, Lambrinou E, Tsangari H, Saarikoski M, Leino-Kilpi H. Student nurses experience of learning in the clinical environment. Nurse Education in Practice. 2010; 10(3):176-182. http://dx.doi.org/10.1016/j.nepr.2009.07.003
  22. Zakerimoghadam M, Ghiyasvandian S, Kazemnejad Leili A. Nurse-physician collaboration: The attitudes of baccalaureate nursing students at Tehran University of Medical Sciences. Iranian Red Crescent Medical Journal. 2015;17(4):e23247. http://dx.doi.org/10.5812/ircmj.17(4)2015.23247
  23. Lee S, Sohn S. Relationship between assertiveness and attitudes toward nurse-physician collaboration in general hospital nurses. Journal of East-West Nursing Research. 2015;21(2):156-164. http://dx.doi.org/10.14370/jewnr.2015.21.2.156
  24. Choi J, Ha NS. The relationship among image of nurses, self esteem and professional socialization in nursing students. Journal of Korean Academy of Nursing Administration. 2009;15(1):54-63.
  25. Edwards H, Smith S, Courtney M, Finlayson K, Chapman H. The impact of clinical placement location on nursing students competence and preparedness for practice. Nurse Education Today. 2004;24(4):248-255. http://dx.doi.org/10.1016/j.nedt.2004.01.003
  26. Ham YS, Kim, H, Cho, IS, Lim, JY. Affecting factors of nursing professionalism perceived by senior nursing students. Journal of Korean Academic Society of Nursing Education 17(3), 2011;17(3);536-544. https://doi.org/10.5977/JKASNE.2011.17.3.536
  27. Liaw SY, Siau C, Zhou WT, Lau TC. Interprofessional simulation-based education program: A promising approach for changing stereotypes and improving attitudes toward nurse-physician collaboration. Applied Nursing Research. 2014;27(4):258-260. http://dx.doi.org/10.1016/j.apnr.2014.03.005
  28. Severson MA, Maxson PM, Wrobleski DS, Dozois EJ. Simulation-based team training and debriefing to enhance nursing and physician collaboration. Journal of Continuing Education in Nursing. 2014;45(7):297-303. http://dx.doi.org/10.3928/00220124-20140620-03
  29. Lovecchio CP, DiMattio MJ, Hudacek S. Predictors of undergraduate nursing student satisfaction with clinical learning environment: A secondary analysis. Nursing Education Perspectives. 2015;36(4):252-254. http://dx.doi.org/10.5480/13-1266
  30. Chuan OL, Barnett T. Student, tutor and staff nurse perceptions of the clinical learning environment. Nursing Education in Practice. 2012;12(4):192-197 http://dx.doi.org/10.1016/j.nepr.2012.01.003

Cited by

  1. 간호사의 윤리적의사결정 자신감 영향요인에 대한 융합적연구 vol.8, pp.6, 2016, https://doi.org/10.15207/jkcs.2017.8.6.075
  2. 간호대학생의 임상실습교육환경과 교수신뢰가 학업참여에 미치는 영향 vol.19, pp.5, 2016, https://doi.org/10.5762/kais.2018.19.5.357
  3. 간호대학생의 자기주장이 간호사와 의사의 협업에 대한 태도에 미치는 영향 vol.24, pp.4, 2016, https://doi.org/10.5977/jkasne.2018.24.4.326
  4. 간호대학생의 임상실습교육환경, 셀프리더십, 실습소속감이 간호전문직관에 미치는 영향 vol.25, pp.1, 2016, https://doi.org/10.5977/jkasne.2019.25.1.5
  5. 간호대학생들의 간호전문직관 관련요인에서 진로준비행동의 매개효과 vol.20, pp.5, 2016, https://doi.org/10.5762/kais.2019.20.5.93
  6. 간호대학생의 아동간호학 실습 후 아동간호사와 간호직전망 인식에 대한 융합적 연구 vol.9, pp.6, 2016, https://doi.org/10.22156/cs4smb.2019.9.6.026
  7. 간호대학 임상실습 교육자의 역할 경험 vol.25, pp.4, 2019, https://doi.org/10.5977/jkasne.2019.25.4.484
  8. 시뮬레이션 기반 실습 교육을 통한 간호학생의 간호전문직관 인식 경험: 포커스 그룹 인터뷰를 중심으로 vol.21, pp.2, 2020, https://doi.org/10.5762/kais.2020.21.2.268
  9. 간호대학생의 간호전문직관 영향요인 vol.10, pp.5, 2020, https://doi.org/10.22156/cs4smb.2020.10.05.051
  10. 융합 시대의 임상실습 교육환경, 임상실습관련 무력감, 현장실습적응, 간호전문직관이 돌봄효능감에 미치는 영향 vol.18, pp.12, 2016, https://doi.org/10.14400/jdc.2020.18.12.469
  11. 임상실습 중 태움관찰 경험과 간호전문직관이 간호대학생의 전공몰입에 미치는 영향 vol.10, pp.12, 2016, https://doi.org/10.22156/cs4smb.2020.10.12.049
  12. 간호대학생의 Virtual 시뮬레이션 실습 및 High fidelity 시뮬레이션 실습교육 경험 분석: 혼합연구방법 적용 vol.27, pp.3, 2016, https://doi.org/10.5977/jkasne.2021.27.3.227