전담간호사의 임상의사결정능력에 영향을 미치는 요인 = Factors influencing the clinical decision-making ability of physician assistant nurses

다국어 초록 (Multilingual Abstract)

The purpose of this study was to identify the factors that influence the clinical decision-making ability of physician assistant nurses, using Hansen and Thomas's (1968) decision-making model as the theoretical framework. It also aimed to provide foundational evidence to inform educational, clinical, and institutional support to enhance the professional role performance of physician assistant nurses.
A total of 178 physician assistant nurses, each with at least three years of clinical experience, working in general hospitals with 300 or more beds located in D Metropolitan City and C Province participated in the study. Data were collected from July 29 to September 9, 2025, using a structured, self-administered questionnaire.
Results showed that the participants' clinical decision-making ability differed significantly based on their highest level of education (H=6.64, p=0.036). Significant positive correlations were also observed with critical thinking disposition (r=.66, p<0.001), nursing informatics competency (r=0.48, p<0.001), nursing work environment (r=0.48, p<0.001), and task complexity (r=0.28, p<0.001). Multiple regression analysis identified critical thinking disposition (β=0.44, p<0.001), nursing informatics competency (β=0.25, p<0.001), nursing work environment (β=0.22, p<0.001), and highest level of education (associate vs. bachelor's degree, β=−0.11, p=0.049) as significant predictors of clinical decision-making ability. The regression model was statistically significant (F=28.72, p<0.001) with an explanatory power of 52% (Adjusted R²=0.52).
These findings indicate that the clinical decision-making ability of physician assistant nurses is influenced by a combination of individual cognitive capacity, clinical information utilization competency, and the presence of a supportive organizational work environment. Therefore, strengthening the clinical decision-making ability requires implementing educational strategies that foster critical thinking and nursing informatics competency, along with organizational support systems that enhance the nursing work environment.

목차 (Table of Contents)

• 목 차 ⅰ
• 표 목 차 ⅲ
• 그림목차 ⅳ
• Ⅰ. 서 론 01
• 1. 연구 필요성 01
• 2. 연구 목적 04
• 3. 용어 정의 05
• Ⅱ. 문헌고찰 08
• 1. 진료지원 업무를 담당하는 전담간호사 08
• 2. 간호사의 임상의사결정능력에 영향을 미치는 요인 10
• 1) 비판적사고성향 11
• 2) 간호정보역량 12
• 3) 간호근무환경 14
• 4) 업무복잡성 15
• 3. 이론적 기틀 17
• 1) Hansen과 Thomas(1968)의 의사결정 모델 17
• 2) 연구의 개념적 기틀 19
• Ⅲ. 연구 방법 21
• 1. 연구설계 21
• 2. 연구대상 21
• 3. 연구도구 22
• 4. 자료 수집 방법 25
• 5. 자료 분석 방법 25
• 6 윤리적 고려 26
• Ⅳ. 연구 결과 27
• 1. 전담간호사의 일반적 특성 및 업무적 특성 27
• 2. 전담간호사의 비판적사고성향, 간호정보역량, 간호근무환경, 업무복잡성과 임상의사결정능력 30
• 3. 전담간호사의 일반적 특성에 따른 비판적사고성향, 간호정보역량, 간호근무환경, 업무복잡성 및 임상의사결정능력의 차이 32
• 4. 전담간호사의 비판적사고성향, 간호정보역량, 간호근무환경, 업무복잡성과 임상의사결정능력 간의 상관관계 40
• 5. 전담간호사의 임상의사결정능력에 영향을 미치는 요인 42
• Ⅴ. 논 의 44
• Ⅵ. 결론 및 제언 49
• 참 고 문 헌 51
• 영 문 초 록 67
• 부 록 69