응급실 간호사의 재난간호 지식과 학습민첩성이 재난간호 수행에 미치는 영향 : 재난대응 인지적 준비도의 매개효과

다국어 초록 (Multilingual Abstract)

Purpose: This study examined the mediating effect of disaster cognitive readiness on the relationship between disaster nursing knowledge, learning agility, and disaster nursing performance among emergency department (ED) nurses. Methods: A cross-sectional study was conducted with 199 ED nurses from 14 hospitals in South Korea. Data were collected using structured questionnaires and analyzed using descriptive statistics, Pearson's correlation, multiple regression, and SPSS PROCESS macro (Model 4) with 5,000 bootstrap samples. Results: Mean scores were 6.61±1.55 for disaster nursing knowledge (out of 10), 3.38±0.35 for learning agility, 3.35±0.32 for disaster cognitive readiness, and 3.41±0.37 for disaster nursing performance. Disaster nursing performance correlated significantly with disaster cognitive readiness (r=.28, p<.001), learning agility (r=.26, p<.001), and disaster nursing knowledge (r=.15, p=.035). Multiple regression revealed that learning agility(β=.18, p<.05) and disaster cognitive readiness (β=.19, p<.05) significantly predicted disaster nursing performance, while disaster nursing knowledge did not (β=.12, p=.059). Mediation analysis showed that disaster cognitive readiness partially mediated the relationship between learning agility and disaster nursing performance (indirect effect 95% CI [.022, .165]), but did not mediate the relationship between disaster nursing knowledge and performance (95% CI [−.002, .016]). Conclusion: Learning agility enhances disaster nursing performance by strengthening cognitive readiness, while factual knowledge alone does not translate into psychological preparedness. Educational interventions should focus on developing learning agility and cognitive preparedness rather than knowledge-based approaches alone. Future research should explore longitudinal designs and develop comprehensive training programs targeting learning agility enhancement.

목차 (Table of Contents)

• 서론 1
• 연구의 필요성 1
• 연구의 목적 4
• 용어의 정의 5
• 문헌고찰 7
• 응급실 간호사의 재난간호 수행에 미치는 영향 7
• 간호사의 재난간호 지식 9
• 간호사의 학습민첩성 11
• 간호사의 재난대응 인지적 준비도 13
• 연구 방법 15
• 연구 설계 15
• 연구 대상 15
• 연구대상자의 일반적 특성 16
• 연구 도구 16
• 자료 수집 방법 및 윤리적 고려 18
• 자료 분석 방법 19
• 연구 결과 20
• 대상자의 일반적 특성 20
• 주요 변수의 수준 22
• 대상자의 일반적 특성에 따른 재난간호 수행 차이 24
• 주요 변수 간 상관관계 26
• 대상자의 재난간호 수행에 미치는 영향 28
• 재난대응 인지적 준비도의 매개효과 분석 30
• 논의 32
• 결론 및 제언 37
• 참고문헌 38
• Abstract 44
• 부록 45
• 설문지 46
• 생명윤리 승인신청 심의결과 통지서 55
• 도구 사용 승인 메일 56