핵심기본간호술 경험양상에 따른 수행자신감과 임상실습만족도 = Performance confidence and clinical practice satisfaction according to the core basic nursing skills experiences|RISS 상세보기

다국어 초록 (Multilingual Abstract)

A descriptive study was carried out to determine the correlation between the performance confidence and clinical practice satisfaction according to the core basic nursing skills experiences of nursing students in clinical nursing practice education.
The subjects of this study were 288 4th year students that experienced at least 2 semesters of clinical nursing practice education in 3 nursing colleges located in D city. Data was collected from June 11, 2019, to August 23, 2019. The research tool of Jeon(2018) was used with regard to the core basic nursing skills experiences and performance confidence with each having 23 items. For the clinical practice satisfaction, the 5-point Likert tool of Lee et al. (2004) was used with a total of 31 items. Data analysis was conducted using SPSS WIN 25.0 employing t-tests, ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression.
The following are the results obtained in this study.
There were 5 core basic nursing skills that more than 50% of the nursing student subjects have direct experiences: vital signs measurement(100%), blood glucose measurement(94.8%), peripheral oxygen saturation measurement(89.2%), oral administration(57.6%), and oxygen therapy by nasal cannula(52.5%). On a 5-point scale, the performance confidence for the core basic nursing skills was an average of 3.68±0.55 and the average for the clinical practice satisfaction was 3.43±0.43.
The investigation of the effect of the core basic nursing skills experiences of the subjects on their performance confidence showed that 21 of the 23 items were statistically significant and the transfusion therapy and vital signs measurement were not included. Post analysis revealed that the performance confidence of the “performance experience” group was higher than the “observation experience” and “no experience” groups.
For the effect of the core basic nursing skills experiences on the clinical practice satisfaction, the clinical practice satisfaction of the “performance experience” group was higher than the “observation experience” and “no experience” groups only for the intermittent gavage tube feeding, IV PCA management, and urinary catheterization.
There was a statistically significant positive correlation between the core basic nursing skills experience and performance confidence of the nursing students(r=.245, p<.001), and the core basic nursing skills performance confidence had a statistically significant positive correlation with the clinical practice satisfaction(r=.274, p<.001).
In order to study the effect of the core basic nursing skills experience and performance confidence on the clinical practice satisfaction of the subjects, general characteristics were inputted in step 1 and the general characteristics of the subjects were restricted in step 2 to analyze the effect of the core basic nursing skills experience and performance confidence of the subjects on the clinical practice satisfaction. The regression equation of the step 1 model was statistically significant(F=5.93, p<.001), and the 13.4% clinical practice satisfaction was obtained. In step 2 where the general characteristics were restricted and the core basic nursing skills experience and performance confidence were inputted as independent variables, the validity of the model increased to 19.3% and the step 2 model was also statistically significant(F=7.25, p<.001).
In the results of this study, the performance confidence of the ‘performed experience’ group was higher than that of the ‘observation experience’ group and the ‘no experience’ group. In the case of invasive core basic nursing care such as intramuscular injection, subcutaneous injection, and urine care, the ‘performed experience’ group and ‘observation experience’ group had higher confidence in performing than the ‘no experience’ group. In other words, the experience of directly performing or observing core basic nursing skills affects the performance confidence. Therefore, it is necessary to create a clinical practice education environment that can be performed or observed in teaching method of core basic nursing skills, and to prepare the education plan that the nursing students can directly experience. In addition, since the confidence in performing core basic nursing care shows a significant positive correlation with the satisfaction of clinical practice, it is necessary to find ways to increase the satisfaction of clinical practice by providing a plan to expand the experience and experience of core basic nursing care.

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국문 초록 (Abstract)

본 연구는 간호대학생의 임상실습 교육현장에서 핵심기본간호술 경험양상에 따른 수행자신감, 임상실습만족도의 상관관계를 파악하기 위한 서술적 조사연구이다.
연구의 대상자는 D시에 소재한 3개의 간호대학에서 두 학기 이상 임상실습 교육을 경험한 4학년 학생 288명이었다. 자료수집은 2019년 6월 11일부터 8월 23일까지 시행되었다. 연구도구로 핵심기본간호술 경험양상도구와 수행자신감 도구(Jeon, 2018)를 사용하였으며 각각 23가지 항목이었다. 임상실습만족도 도구(Lee et al., 2004)는 31문항의 5점 likert 척도를 사용하였다. 자료분석은 SPSS WIN 25.0을 사용하였으며, t-test와 ANOVA, Pearson’s correlation coefficient, hierarchical multiple regression을 이용하였다.
본 연구결과는 다음과 같다.
대상자들의 핵심기본간호술 경험양상에서 간호대학생의 50%이상이 직접 수행해 본 핵심기본간호술은 5가지였다. 그 내용은 활력징후 측정(100%), 간이혈당측정(94.8%), 말초 산소포화도 측정(89.2%), 경구투약(57.6%), 비강캐뉼라를 이용한 산소요법(52.5%)순이었다. 핵심기본간호술 수행자신감은 5점 척도로 평균 3.68±0.55을 보였으며, 임상실습만족도도 5점 척도로 평균 3.43±0.43이었다.
대상자들의 핵심기본간호술 경험양상에 따른 핵심기본간호술 수행 자신감의 차이는 23가지 항목 중 수혈요법과 활력징후 측정을 제외한 21가지가 통계적으로 유의하였다. 사후분석 결과 ‘수행경험’ 집단이 ‘관찰경험’ 집단이나 ‘경험없음’ 집단보다 수행자신감이 높았다.
핵심기본간호술 경험양상에 따른 임상실습만족도의 차이는 간헐적 위관 영양, IV PCA관리, 도뇨 간호의 3가지 항목만 ‘수행경험’ 집단이 ‘관찰경험’ 집단이나 ‘경험없음’ 집단보다 임상실습만족도가 높았다.
간호대학생의 핵심기본간호술 경험양상과 핵심기본간호술 수행자신감 간에는 유의한 양의 상관이 있었고(r=.245, p<.001), 핵심기본간호술 수행자신감은 임상실습만족도와 유의한 양의 상관이 있었다(r=.274, p<.001).
대상자의 핵심기본간호술 경험양상과 핵심기본간호술 수행자신감이 임상실습만족도에 미치는 영향을 알아보기 위해 1단계에는 일반적 특성을 투입하고, 2단계에서는 대상자의 일반적 특성을 통제한 상태에서 핵심기본간호술 경험양상과 핵심기본간호술 수행자신감이 대상자의 임상실습만족도에 미치는 영향을 분석하였다. 1단계 모델의 회귀식은 통계적으로 유의하였으며(F=5.93, p<.001), 임상실습만족도를 13.4%로 설명하였다. 2단계 모델에서 일반적 특성을 통제한 상태에서 핵심기본 간호술 경험양상과 핵심기본간호술 수행자신감을 독립변수로 투입하였을 때 모델의 설명력은 19.3%로 증가하였으며, 2단계 모델 역시 통계적으로 유의하였다(F=7.25, p<.001).
본 연구결과에서 간호대학생의 핵심기본간호술 경험양상에 따른 수행자신감에서 난이도 상의 항목에서 ‘수행경험’ 집단의 수행자신감은 ‘관찰경험’집단과 ‘경험없음’의 집단보다 높았다. 근육주사, 피하주사, 도뇨 간호 같은 침습적인 핵심기본간호술의 경우에는 ‘수행경험’ 집단과 ‘관찰경험’ 집단이 ‘경험없음’ 집단보다 수행자신감이 높았다. 즉 핵심기본간호술을 직접 수행하거나 관찰한 경험이 수행 자신감을 향상시키는데 영향을 준다고 볼 수 있다. 그러므로 핵심 기본간호술의 교육방법에 있어서 수행하거나 관찰할 수 있는 임상실습 교육환경을 만들어 간호대학생들이 직접 경험할 수 있는 교육방안을 마련해야 할 것이다. 또한 핵심기본간호술 수행자신감은 임상실습 만족도에 유의한 양의 상관을 나타내므로 핵심기본간호술의 수행경험 및 관찰경험의 기회를 확대방안을 마련하여 더불어 임상실습 만족도를 높이는 방안을 모색해야 할 것이다.

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본 연구는 간호대학생의 임상실습 교육현장에서 핵심기본간호술 경험양상에 따른 수행자신감, 임상실습만족도의 상관관계를 파악하기 위한 서술적 조사연구이다. 연구의 대상자는 D시에 ...

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