한국형 임상실습 교육환경 평가척도 타당화
Validation of the Korean Version of the Undergraduate Clinical Education Environment Measure
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In light of the need for a tool to evaluate the clinical practice education environment as perceived by medical and nursing students, this study is was conducted to develop and validate the Korean version of the Undergraduate Clinical Education Environment Measure (K-UCEEM) as a measurement tool for managing the clinical practice education climate and quality of education. For validation, the UCEEM consisting of 25 items developed by Pia Strand in 2013 was adapted according to standard translation procedures. The K-UCEEM questionnaire was administered to 73 medical students and 135 nursing students who participated in clinical practice at one medical institution. Exploratory factor analysis and confirmatory factor analysis were conducted to confirm the validity of the instrument’s structure. In order to determine referential validity, the relationships among stresses in clinical practice were examined, and differences in factor scores were compared by gender and college. It was confirmed that the scale of 24 items and five factors showed a moderate model fitness index. The reliability of the factors ranged from 0.786 to 0.867. In addition, all five factors were found to have negative correlations with the clinical practice stress sub-factor, and there were statistically significant differences by gender and college. Through this study, the validity and reliability of the K-UCEEM were verified. In the future, it is expected that further verification of the scale, as well as evaluation and improvement of the clinical practice education environment based on this scale, will occur.
Abstract
In light of the need for a tool to evaluate the clinical practice education environment as perceived by medical and nursing students, this study is was conducted to develop and validate the Korean version of the Undergraduate Clinical Education Environment Measure (K-UCEEM) as a measurement tool for managing the clinical practice education climate and quality of education. For validation, the UCEEM consisting of 25 items developed by Pia Strand in 2013 was adapted according to standard translation procedures. The K-UCEEM questionnaire was administered to 73 medical students and 135 nursing students who participated in clinical practice at one medical institution. Exploratory factor analysis and confirmatory factor analysis were conducted to confirm the validity of the instrument’s structure. In order to determine referential validity, the relationships among stresses in clinical practice were examined, and differences in factor scores were compared by gender and college. It was confirmed that the scale of 24 items and five factors showed a moderate model fitness index. The reliability of the factors ranged from 0.786 to 0.867. In addition, all five factors were found to have negative correlations with the clinical practice stress sub-factor, and there were statistically significant differences by gender and college. Through this study, the validity and reliability of the K-UCEEM were verified. In the future, it is expected that further verification of the scale, as well as evaluation and improvement of the clinical practice education environment based on this scale, will occur.
참고문헌 (22)
- 천경희, "의과대학에서의 교육풍토, 자기주도 학습, 그리고 창의적 사고에 대한 고찰 - 타 대학 유사전공 학생들과의 비교를 기반으로 -", 사고개발, 6(1), pp.179~200 (2010), 대한사고개발학회
- Irby DM, "Improving environment for learning in the health professions" (2018), Josiah Macy Jr. Foundation
- Roff S, "Development and validation of the Dundee Ready Education Environment Measure(DREEM)", Med Teach, 19(4), pp.295~299 (1997)
- 박귀화, "한국 의과대학생들의 의학교육환경에 대한 인식", Korean Journal of Medical Education, 27(2), pp.117~130 (2015), 한국의학교육학회[DOI]
- Strand P, "Development and psychometric evaluation of the Undergraduate Clinical Education Environment Measure(UCEEM)", Med Teach, 35(12), pp.1014~1026 (2013)
- Stalmeijer RE, "The Maastricht Clinical Teaching Questionnaire(MCTQ)as a valid and reliable instrument for the evaluation of clinical teachers", Acad Med, 85(11), pp.1732~1738 (2010)
- Dornan T, "Manchester Clinical Placement Index(MCPI) : conditions for medical students’ learning in hospital and community placements", Adv Health Sci Educ Theory Pract, 17(5), pp.703~716 (2012)
- Ohman E, "Adaptation and validation of the instrument Clinical Learning Environment and Supervision for medical students in primary health care", BMC Med Educ, 16(1), pp.308~ (2016)
- Abbasi Z, "Psychometric properties of Undergraduate Clinical Education Environment Measure(UCEEM)in nursing and midwifery students in iran", J Urmia Nurs Midwifery Fac, 14(2), pp.145~150 (2016)
- Fouad S, "Using item response theory(IRT)to assess psychometric properties of Undergraduate Clinical Education Environment Measure(UCEEM)among medical students at the Faculty of Medicine, Suez Canal University", Educ Med J, 12(1), pp.15~27 (2020)
- "Process of translation and adaptation of instruments" (2018)[URL]
- Beck DL, "Perceived level and sources of stress in baccalaureate nursing students", J Nurs Educ, 30(3), pp.127~133 (1991)
- Lee JE, "Relationship among stress, coping strategies, and self-esteem in nursing students taking clinical experience", J Korean Acad Soc Nurs Educ, 11(1), pp.98~106 (2005)
- Browne MW, "Testing structural equation models" (1993), Sage
- Bentler PM, "Comparative fit indexes in structural models", Psychol Bull, 107(2), pp.238~246 (1990)
- Tucker LR, "A reliability coefficient for maximum likelihood factor analysis", Psychometrika, 38, pp.1~10 (1973)
- Roberts R, "Medical students’ views of clinical environments", Clin Teach, 15(4), pp.325~330 (2018)
- Abasi Z, "Psychometric properties of the Undergraduate Clinical Educational Environment Measure UCEEM in Iranian nursing and midwifery students", Eurasia Proc Educ Soc Sci, 3, pp.38~41 (2015)
- 김은영, "임상실습교육환경이 간호학생의 임상실습 스트레스 및 불안에 미치는 영향", 간호행정학회지, 21(4), pp.417~425 (2015), 간호행정학회[DOI]
- 한지영, "임상실습 교수효율성과 임상실습교육환경이 간호학생의 임상실습수행능력에 미치는 영향", 기본간호학회지, 18(3), pp.365~372 (2011), 기본간호학회
- 장영미, "간호대학생의 비판적 사고성향, 임상실습 스트레스 및 핵심기본간호술 자신감이 임상실습 적응에 미치는 영향", 산업융합연구, 18(4), pp.77~86 (2020), 대한산업경영학회[DOI]
- Chun YE, "A study on the influence of caring character on satisfaction of clinical practice and self-efficacy of clinical practice in nursing students", Asia Pac J Multimed Serv Converg Art Humanit Sociol, 10(1), pp.43~54 (2020)
