상급종합병원 간호사의 공감과 핵심역량이 임상추론에 미치는 영향
Influence of Empathy and Core Competence on Clinical Reasoning Among Tertiary Hospital Nurses
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Purpose: This study examined the relationships between empathy, core competence, and clinical reasoning in nurses at a tertiary general hospital and identified factors influencing clinical reasoning. Methods: A descriptive correlational design was employed. The participants were 187 nurses each with at least two years of clinical experience. Data were collected via structured questionnaires and analyzed using t-tests, analysis of variance (ANOVA), Pearson correlation, and multiple regression using SPSS 27.0. Results: Empathy (β=.28, p<.001) and core competence (β=.39, p<.001) significantly predicted clinical reasoning, with empathy demonstrating a marginally stronger effect. Empathy and core competencies explained 42%of clinical reasoning. Age, marital status, educational level, and total clinical experience were not significant predictors in theregression analysis. Conclusion: Empathy and core competence are key contributors to clinical reasoning. This suggests that practical abilities rather than demographic factors play a central role in clinical reasoning. Educational programs should incorporate empathy and core competency training to enhance nurses’clinical reasoning and patient-centered care. Further studies are required to validate these findings.
Abstract
Purpose: This study examined the relationships between empathy, core competence, and clinical reasoning in nurses at a tertiary general hospital and identified factors influencing clinical reasoning. Methods: A descriptive correlational design was employed. The participants were 187 nurses each with at least two years of clinical experience. Data were collected via structured questionnaires and analyzed using t-tests, analysis of variance (ANOVA), Pearson correlation, and multiple regression using SPSS 27.0. Results: Empathy (β=.28, p<.001) and core competence (β=.39, p<.001) significantly predicted clinical reasoning, with empathy demonstrating a marginally stronger effect. Empathy and core competencies explained 42%of clinical reasoning. Age, marital status, educational level, and total clinical experience were not significant predictors in theregression analysis. Conclusion: Empathy and core competence are key contributors to clinical reasoning. This suggests that practical abilities rather than demographic factors play a central role in clinical reasoning. Educational programs should incorporate empathy and core competency training to enhance nurses’clinical reasoning and patient-centered care. Further studies are required to validate these findings.