간호근무환경과 직무요구가 병원 간호사의 임상실습지도역량에 미치는 영향 : 직무요구-자원 모형을 기반으로 = The Influence of Nursing Work Environment and Job Demands on Hospital Nurses’Clinical Practice Teaching Competence: Based on the Job Demands-Resourses (JD-R) Model

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to identify factors influencing hospital nurses’ teaching competence by examining their perceptions of the nursing work environment and job demands based on the framework of the Job Demands–Resources (JD-R) model.


Methods: A descriptive cross-sectional study was conducted with 249 hospital nurses working in secondary and tertiary hospitals in South Korea. Data were collected from September 29 to October 20, 2025, using structured self-reported questionnaires. The instruments included the Korean version of the Practice Environment Scale of the Nursing Work Index (PES-NWI) to assess the nursing work environment, the Copenhagen Psychosocial Questionnaire III (COPSOQ III) Demands at Work subscale to measure job demands, and the Preceptor Self-Assessment Tool (PSAT-40) to evaluate clinical practice teaching competence. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, the Scheffé test, the Kruskal–Wallis test, the Mann–Whitney U test, Pearson’s correlation coefficients, and hierarchical multiple regression analysis with the SPSS WIN 27.0 program.


Results: The mean scores for the nursing work environment (2.23±0.47 on a 4-point scale), job demands (63.20±16.42 on a 100-point scale), and clinical practice teaching competence (3.49±0.52 on a 5-point scale) were reported. Clinical practice teaching competence differed significantly according to age and perceived importance of the teaching role (p=.003 and p<.001, respectively). The nursing work environment was positively correlated with clinical practice teaching competence, whereas job demands were negatively correlated with teaching competence (r=.51, p<.001; r=–.37, p<.001). In hierarchical multiple regression analysis, being in one’s thirties, perception of teaching role importance, high-quality nursing, collaboration with physicians, and quantitative demands emerged as significant predictors of clinical practice teaching competence (β=.15, p=.005; β=.17, p=.002; β=.31, p<.001; β=.14, p=.049; β=–.22, p<.001). General characteristics accounted for 7% of the variance, nursing work environment variables explained an additional 25%, and job demands explained a further 4%, with the final model accounting for 36% of the variance in clinical practice teachcing competence (adjusted. R²=.36, p<.001).

Conclusion: These findings suggest that hospital nurses’ teaching competence for nursing students is influenced by both the nursing work environment and job demands. A more supportive and collaborative work environment, together with an appropriate level of job demands, appears to enhance nurses’ capacity to teach and guide nursing students effectively. These results underscore the need for organizational strategies aimed at improving working conditions, securing adequate time and resources for teaching, and reducing unnecessary workload in order to strengthen the educational role of hospital nurses in clinical practice settings.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 4
• 3. 용어의 정의 5
• Ⅱ. 문헌고찰 7
• 1. 병원 간호사의 간호근무환경 7
• 2. 병원 간호사의 직무요구 11
• 3. 병원 간호사의 임상실습지도역량 15
• 4. 개념적 틀 19
• Ⅲ. 연구방법 21
• 1. 연구 설계 21
• 2. 연구 대상 21
• 3. 연구 도구 24
• 4. 자료수집 방법 및 절차 28
• 5. 윤리적 고려 29
• 6. 자료 분석 방법 30
• Ⅳ. 연구결과 31
• 1. 일반적 특성 31
• 2. 간호근무환경, 업무요구, 임상실습지도역량의 정도 37
• 3. 일반적 특성에 따른 간호근무환경, 업무요구, 임상실습지도역량의 차이 39
• 4. 간호근무환경, 업무요구, 임상실습지도역량 간의 관계 45
• 5. 간호근무환경과 업무요구가 임상실습지도역량에 미치는 영향 46
• Ⅴ. 논의 49
• Ⅵ. 결론 및 제언 58
• 1. 결론 58
• 2. 제언 60
• 참 고 문 헌 62
• 부 록 74