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간호대학생 관련 무례 행동의 연구동향 :텍스트네트워크분석 적용

Research Trends of Misbehavior Involving Nursing Students

박찬숙|박은준
교육연구소 (CNU Research Institute of Education)|2020.04|교육문화연구 (Journal of Education & Culture)|제26권 제2호|pp. 287-306|DOI 10.24159/joec.2020.26.2.287

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참고문헌

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Social network analysisBullying집단괴롭힘NursingStudentsReview무례간호학생텍스트네트워크분석Incivility학습윤리

초록

간호대학생의 무례 행동은 전문직관에 어긋날 뿐 아니라 미래에 간호 문화 및 환자 안전을 위협할 수 있으므로매우 심각하다. 따라서 본 연구는 텍스트네트워크분석을 적용하여 간호대학생 관련 무례 행동 연구의 동향을 살펴보았다. 연구과정은 문헌 수집, 단어 정제, 자료 분석 순이었다. 2015년 1월부터 2019년 10월까지 국제학술지에 출판된 관련논문 139편을 선정하여 논문 초록을 분석하였다. NetMiner 프로그램을 이용해 키워드 간 동시출현 행렬을 생성한후, 네트워크 특성 분석, 노드의 중심성 분석, 자아연결망 분석을 실시하였다. 연결중심성, 근접중심성, 매개중심성에서상위 30위 이내에 포함된 핵심주제어는 “간호학생(nursing student)”, “무례함(incivility)”, “간호학교수(nursing faculty)”, “지각(perception)”, “괴롭힘(bullying)”, “폭력(violence)”, “학습윤리(academic integrity)”, “공격(aggression)”, “사이버불링(cyberbullying)” 등이었다. 무례 행동에 해당하는 “무례함”, “괴롭힘”, “폭력”, “공격” 및 “학습윤리”에 대한 자아연결망분석을 실시한 결과, “무례함”의 에고넷 크기가 가장 컸고 이들 핵심주제어에 따라 관련 인물, 발생 장소 등에 차이가있었다. 본 연구를 통해 임상실습 현장에서 학생과 간호사, 보건의료인, 환자 사이에 발생하는 무례 행동 연구가활발함을 알 수 있었다. 학습윤리 역시 학교보다 임상실습 교육에서 더 자주 연구되고 있었는데 이에 대한 간호교육기관의 대응이 시급하다고 본다. 한편 무례 행동을 나타내는 용어가 연구자 간에 상이하게 사용되고 있으므로개념에 대한 합의가 선행되어야 하겠다.

Abstract

This study aimed to explore research trends of misbehaviors involving nursing students applying a text network analysis. 139 relevant studies, published in international journals from 2015 to 2019, were identified. Semantic morphemes of the abstracts were refined, and their co-occurrence matrix with 126 keywords was generated. Characteristics of the text network, node centrality, and ego-net analysis was performed using the NetMiner program. The most critical core-keywords were defined as the top 30 keywords in degree centrality, closeness centrality, or betweenness centrality. The core-keywords of “nursing student,” “incivility,” and “nursing faculty” were ranked highest regardless of a centrality type. Other core-keywords included “perception,” “bullying,” “violence,” “academic integrity,” “aggression,” “cyberbullying.” Ego-network analysis for five types of misbehaviors presented different participants or places for each while “incivility” had the largest egonet with various knowledge structure. This study concludes that a majority of misbehavior studies involving nursing students focused on students’ negative experience with nurses, health professionals, or patients at clinical settings. Academic integrity was often studied with a focus of clinical education in addition to in-class education. Research trends of misbehaviors involving nursing students demonstrate unique challenge to which nursing faculty and institutions have to immediately respond.

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