본문 바로가기
KERD
논문KCI 등재

일 종합병원 간호사의 비판적 사고성향과 지식공유 활동 및 전문직 업무환경이 임상적 의사결정능력에 미치는 영향

Effects of Critical Thinking Disposition, Knowledge Sharing Activity and Professional Work Environment on Clinical Decision-making Ability at General Hospital Nurses

최은희|김미영
대한근관절건강학회 (Korean Society of Muscle and Joint Health)|2023.04|근관절건강학회지 (Journal of Muscle and Joint Health)|제30권 제1호|pp. 48-57|DOI 10.5953/JMJH.2023.30.1.48

0

조회

0

다운로드

2

인용

0

참고문헌

키워드

Knowledge간호사Environment비판적 사고ThinkingNurseDecision-making지식공유 활동전문직 업무환경임상적 의사결정
주제분류간호학

초록

Purpose: The purpose of this study was to examine nurses' critical thinking disposition and knowledge sharing activityand professional work environment on clinical decision-making ability. Methods: The data collection period for this studywas from May 24 to May 31, 2021. The data were collected from 167 nurses who consented to participate in this studyand have worked for more than one year at general hospital in Seoul. The data were analyzed using the SPSS/WIN 25.0program. Results: A significant positive correlation was found between clinical decision-making ability and critical thinkingdisposition, knowledge sharing activity, and a professional work environment. Critical thinking disposition (β=.32,p<.001), knowledge sharing activitiy (β=.24, p=.002) and professional work environment (β=.20, p=.006) had a significanteffect on clinical decision-making ability. These factors explained 35.5% of clinical decision-making ability (F=24.22,p<.001). Conclusion: Therefore, in order to develop the critical thinking disposition of nurses, development of systematiceducational programs and strategies for practical application are needed. Through this, nurses can improve theprofessional decision-making ability and clinical performance ability.

Abstract

Purpose: The purpose of this study was to examine nurses' critical thinking disposition and knowledge sharing activityand professional work environment on clinical decision-making ability. Methods: The data collection period for this studywas from May 24 to May 31, 2021. The data were collected from 167 nurses who consented to participate in this studyand have worked for more than one year at general hospital in Seoul. The data were analyzed using the SPSS/WIN 25.0program. Results: A significant positive correlation was found between clinical decision-making ability and critical thinkingdisposition, knowledge sharing activity, and a professional work environment. Critical thinking disposition (β=.32,p<.001), knowledge sharing activitiy (β=.24, p=.002) and professional work environment (β=.20, p=.006) had a significanteffect on clinical decision-making ability. These factors explained 35.5% of clinical decision-making ability (F=24.22,p<.001). Conclusion: Therefore, in order to develop the critical thinking disposition of nurses, development of systematiceducational programs and strategies for practical application are needed. Through this, nurses can improve theprofessional decision-making ability and clinical performance ability.

참고문헌 (30)

  1. Baek, M. K., "Relationship between level of autonomy and clincal decision-making in nursing scale of E.T nurse", master, pp.2005
  2. Ida Torunn Bjørk, "Clinical Decision Making of Nurses Working in Hospital Settings", Nursing Research and Practice, 2011, pp.1~8 (2011), Hindawi Limited[DOI]
  3. Byeon, Y. S., "Clinical nursing competency for new graduate nurses; A grounded theory approach", Journal of Korean Academy of Fundamentals of Nursing, 10(1), pp.47~56 (2003)
  4. 조은희, "한국어판 간호근무환경 측정도구의 타당도와 신뢰도", Journal of Korean Academy of Nursing, 41(3), pp.325~332 (2011), 한국간호과학회
  5. Laura J. Fero, "Critical thinking ability of new graduate and experienced nurses", Journal of Advanced Nursing, 65(1), pp.139~148 (2008), Wiley[DOI]
  6. 장인실, "비판적 사고와 간호근무환경이 간호사의 임상적 의사결정에 미치는 영향", 디지털융복합연구, 17(2), pp.255~264 (2019), 한국디지털정책학회[DOI]
  7. Jang, M. R., "Self-leadership, critical thinking disposition, and clinical decision making in emergency nurse", master, pp.2019
  8. Helen M Jenkins, "Improving Clinical Decision Making in Nursing", Journal of Nursing Education, 24(6), pp.242~243 (1985), SLACK, Inc.[DOI]
  9. Kim, D. J., "The Relationship between self-leadership, knowledge sharing activity, and innovative behavior of employees in general hospital", master, pp.2018
  10. Kim, M. J., "The Effect of professional work environments and the moderating effect of growth needs and positive psychology capital on job satisfaction among nurses", master, pp.2016
  11. 김미정, "임상간호사의 간호근무환경과 의사결정능력 간의 관계에서 간호전문직관과 의사소통능력의 매개효과", 한국엔터테인먼트산업학회논문지, 16(8), pp.327~339 (2022), 한국엔터테인먼트산업학회
  12. 김세영, "가정전문간호사의 임상적 의사결정 참여도에 관한 연구", Journal of Korean Academy of Nursing, 40(6), pp.892~902 (2010), 한국간호과학회
  13. 김영희, "간호업무성과의 예측인자로서의 임상적 의사결정능력과 자기효능감", Journal of The Korean Data Analysis Society, 17(5), pp.2767~2778 (2015), 한국자료분석학회
  14. 김영임, "보건관리자와 임상간호사의 직무특성, 지식공유 및 조직문화가 조직몰입에 미치는 영향", 한국직업건강간호학회지, 26(4), pp.236~246 (2017), 한국직업건강간호학회[DOI]
  15. Eileen T. Lake, "Development of the practice environment scale of the nursing work index†‡", Research in Nursing &amp; Health, 25(3), pp.176~188 (2002), Wiley[DOI]
  16. 이송은, "상급종합병원 간호사의 비판적 사고성향과 임상의사결정능력이 투약안전역량에 미치는 영향", 한국웰니스학회지, 17(2), pp.73~80 (2022), 한국웰니스학회[DOI]
  17. 이용순, "임상간호사의 전문직 자율성과 간호업무환경이 임상적 의사결정능력에 미치는 영향", 한국직업건강간호학회지, 22(4), pp.285~294 (2013), 한국직업건강간호학회
  18. 오인숙, "간호사의 비판적 사고성향과 간호업무환경이 임상적 의사결정 능력에 미치는 영향", 한국간호교육학회지, 22(3), pp.304~315 (2016), 한국간호교육학회[DOI]
  19. 박민경, "간호사의 임상의사결정능력 구조모형", Journal of Korean Academy of Nursing, 49(5), pp.601~612 (2019), 한국간호과학회[DOI]
  20. Iris Reychav, "Bridging intention and behavior of knowledge sharing", Journal of Knowledge Management, 14(2), pp.285~300 (2010), Emerald[DOI]
  21. Sonya M. Rogal, "Exploring Critical Thinking in Critical Care Nursing Education: A Pilot Study", The Journal of Continuing Education in Nursing, 39(1), pp.28~33 (2008), SLACK, Inc.[DOI]
  22. 서미란, "혈액투석실 간호사의 비판적 사고성향과 임상의사결정능력이 환자안전역량에 미치는 영향", 예술인문사회 융합 멀티미디어 논문지, 8(8), pp.51~61 (2018), 사단법인 인문사회과학기술융합학회[DOI]
  23. 신양미, "일개 상급종합병원 간호사의 간호근무환경, 직무스트레스, 지식공유가 간호업무성과에 미치는 영향", 동서간호학연구지, 27(1), pp.32~42 (2021), 동서간호학연구소[DOI]
  24. 손유림, "간호간병통합병동 간호사의 전문직 자율성, 역할갈등이 임상적 의사결정능력에 미치는 영향", 한국산학기술학회논문지, 19(7), pp.463~473 (2018), 한국산학기술학회[DOI]
  25. Westerman, J. W., "The effects of work environment on the personality-performance relationship : An exploratory study", Journal of Managerial Issues, 19(2), pp.288~305 (2007)
  26. 위다혜, "간호 ‧ 간병통합서비스 병동 간호사와 일반 병동 간호사의 위임 준비성, 비판적 사고성향, 의사소통 능력이 직무만족에 미치는 영향", 임상간호연구, 28(3), pp.211~222 (2022), 병원간호사회[DOI]
  27. 유제복, "회복마취 간호사의 셀프리더십, 간호 전문직관, 비판적 사고성향이 임상수행능력에 미치는 영향", Journal of The Korean Data Analysis Society, 19(6), pp.3345~3359 (2017), 한국자료분석학회[DOI]
  28. Yoo, K. H., "Factors affecting a nurse's knowledge sharing behavior and clinical decision makingin nursing scale", master, pp.2012
  29. K.H. Yoo, "Registered Nurses (RNs)’ knowledge sharing and decision‐making: the mediating role of organizational trust", International Nursing Review, 66(2), pp.234~241 (2019), Wiley[DOI]
  30. Yoon, J., "Development of an instrument for the measurement of critical thinking disposition : In nursing", doctor, pp.2004

관련 논문AI추천

비판적 사고와 간호근무환경이 간호사의 임상적 의사결정에 미치는 영향이경숙, 장인실한국디지털정책학회 · 디지털융복합연구2019 · 제17권 제2호요양병원 간호사의 임상의사결정능력에 미치는 영향요인노지영한국디지털정책학회 · 디지털융복합연구2022 · 제20권 제4호임상간호사의 전문직 자율성과 간호업무환경이 임상적 의사결정능력에 미치는 영향강문희, 이용순, 정미숙한국직업건강간호학회 · 한국직업건강간호학회지2013 · 제22권 제4호가정전문간호사의 비판적 사고성향과 임상의사결정능력과의 관계이미경, 최성미한국가정·방문간호학회 · 가정·방문간호학회지2014 · 제21권 제2호간호대학생의 비판적 사고 성향, 임상 의사결정능력이임상 추론 역량에 미치는 영향박서진, 조관웅인문사회 21 · 인문사회 212022 · 제13권 제6호간호사의 임상적 의사결정능력 관련 요인구민경, 석소현, 오선영동서간호학연구소 · 동서간호학연구지2024 · 제30권 제2호

이 간행물의 다른 논문 (4건)

간호대학생을 위한 휴머니튜드 케어 교육 프로그램의 개발 및 효과최희정, 정하림pp. 1-14병원간호사의 세대 간 전문직 자부심과 조직몰입: 개인주의-집단주의 성향의 매개효과를 중심으로조경원, 김은주pp. 15-24혈액투석 환자의 동정맥루 천자 시 에틸클로라이드 스프레이 적용이 통증, 우울 및 치료 지시 불이행에 미치는 효과이민주, 신창민pp. 25-35상급종합병원 간호사의 마음챙김, 회복탄력성, 조직몰입이 간호업무성과에 미치는 영향김민정, 은영pp. 36-47
원문 보기