간호대학생이 임상실습 시 경험한 무례함과 진로정체감의 관계: 자아존중감과 간호전문직관의 이중 매개효과

다국어 초록 (Multilingual Abstract)

Our study aimed to examine the mediating effects of self-esteem and nursing professionalism on the relationship between incivility experienced in clinical practice and career identity among nursing students.
A total of 200 nursing students from 6 universities, located in C province, South Korea, participated in our study. We collected data from September 1 to September 30, 2025. Data analysis was conducted using mean difference analysis, correlation analysis, and mediation analysis with Hayes’ PROCESS macro (Model 6).
Our results indicate that high levels of incivility experienced in clinical practice are associated with low levels of career identity (r=−.25, p<.001), self-esteem (r=−.18, p=.013), and nursing professionalism (r=−.38, p<.001). In contrast, high levels of self-esteem (r=.41, p<.001) and nursing professionalism (r=.43, p<.001) are associated with high levels of career identity. In addition, high levels of self-esteem are associated with high levels of nursing professionalism (r=.39, p<.001). Incivility experienced during clinical practice showed a significant total negative effect on career identity (B=−.18, 95% CI [−.301, −.062]). However, this direct effect became non-significant after controlling for self-esteem and nursing professionalism (B=−.06, 95% CI [−.181, .055]). Furthermore, significant indirect effects were observed through self-esteem (B=−.04, 95% CI [−.086, −.004]) and nursing professionalism (B=−.07, 95% CI [−.122, −.023]), as well as a significant sequential indirect effect through self-esteem and nursing professionalism (B=−.01, 95% CI [−.031, −.001]).
Our findings suggest that incivility experienced in clinical practice does not directly affect but may indirectly affect the career identity of nursing students through sequential deteriorations in self-esteem and nursing professionalism. Therefore, it may be pivotal to improve clinical practice environments and implement educational programs that enhance self-esteem and strengthen professional values, to positively reinforce career identity among nursing students.

Key words: Nursing students, Clinical practice, Incivility, Career identity, Self-esteem, Nursing professionalism

목차 (Table of Contents)

• 목 차 ⅰ
• 표 목 차 ⅲ
• 그림목차 ⅳ
• Ⅰ. 서 론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 5
• 3. 용어의 정의 5
• Ⅱ. 문헌고찰 8
• 1. 임상실습 시 경험한 무례함 8
• 2. 진로정체감 11
• 3. 자아존중감 13
• 4. 간호전문직관 16
• 5. 변수 간 관계 및 매개효과 18
• Ⅲ. 연구 방법 21
• 1. 연구 설계 21
• 2. 연구 대상 21
• 3. 연구 도구 22
• 4. 자료 수집 방법 24
• 5. 윤리적 고려 24
• 6. 자료 분석 방법 25
• Ⅳ. 연구 결과 27
• 1. 간호대학생의 일반적 특성 27
• 2. 간호대학생이 임상실습 시 경험한 무례함, 진로정체감, 자아존중감, 간호전문직관 29
• 3. 간호대학생의 일반적 특성에 따른 임상실습 시 경험한 무례함, 진로정체감, 자아존중감, 간호전문직관 차이 30
• 4. 간호대학생이 임상실습 시 경험한 무례함, 진로정체감, 자아존중감, 간호전문직관 간 상관관계 38
• 5. 간호대학생이 임상실습 시 경험한 무례함과 진로정체감 관계에서 자아존중감, 간호전문직관의 매개효과 39
• Ⅴ. 논 의 43
• 1. 주요 변수 수준 및 일반적 특성에 따른 차이 43
• 2. 주요 변수 간 관계 46
• 3. 이중 매개효과 48
• 4. 연구의 제한점 50
• 5. 연구의 의의 50
• Ⅵ. 결론 및 제언 53
• 참 고 문 헌 55
• 영 문 초 록 75
• 부 록 77
• 감 사 의 글 93