신규 간호사의 비판적 사고 성향, 안전 분위기가 투약안전 역량에 미치는 영향
Effects of New Nurses' Critical Thinking Disposition and Safety Climate on Medication Safety Competence
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목적: 본 연구는 신규 간호사의 비판적 사고 성향과 안전 분위기가 투약안전 역량에 미치는 영향을 파악하는 것을 목적으로 하였다. 방법: 연구 대상은 서울에 위치한 3차 종합병원에서 근무하는 141명의 신규 간호사였다. 자료는 2024년 5월 23일부터 6월 30일까지 자가 보고 설문지를 사용하여 수집되었으며, 자료분석은 SPSS Statistics/WIN 28.0을 사용하여 기술 통계, 독립 표본 t-검정, ANOVA, Scheffé 사후검정, Pearson’s 상관계수, 다중 선형 회귀분석을 통해 진행하였다. 결과: 투약안전 역량은 비판적 사고 성향(r=.53, p<.001) 및 안전 분위기(r=.46, p <.001)와 유의한 상관관계를 보였다. 비판적 사고 성향(β=.38, p<.001), 안전 분위기(β=.29, p <.001), 임상 경험(β=.28, p <.001)은 신규 간호사의 투약안전 역량의 37.0%를 설명하며(p <.001), 신규 간호사의 투약안전 역량에 영향을 미치는 것으로 나타났다. 결론: 비판적 사고 성향, 안전 분위기, 임상 경험은 신규 간호사의 투약안전 역량에 영향을 미치기 때문에 신규 간호사의 투약안전 역량을 향상시키기 위해서는 비판적 사고 성향을 증진하고 안전 분위기 향상을 위한 안전 중심의 조직 문화를 조성하는 것이 필요하다.
Abstract
Purpose: This study aimed to identify the effects of new nurses’ critical thinking disposition and safety climate on medication safety competence. Methods: The subjects of this study were 141 new nurses working in a tertiary general hospital in Seoul, Korea. Data were collected using self-administered questionnaires from May 23 to June 30, 2024 and were analyzed using SPSS Statistics/WIN 28.0, including descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient, and multiple linear regression analysis. Results: Medication safety competence was significantly related to critical thinking disposition (r=.53, p<.001) and safety climate (r=.46, p<.001). Critical thinking disposition (β=.38, p<.001), safety climate (β=.29, p<.001), and clinical experience (β=.28, p<.001) were factors influencing medication safety competence among new nurses and the explanatory power of the model was explained 37.0%. Conclusion: Critical thinking disposition, safety climate, and clinical experience affected new nurses’ medication safety competence. Therefore, enhancing critical thinking disposition and fostering a safety-oriented organizational culture can be essential for improving the medication safety competence of new nurses.
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