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비판적 성찰 탐구 훈련이 신입간호사의 임상 의사결정에 미치는 효과

Effects of Critical Reflective Inquiry on New Graduate Nurses' Clinical Decision-Making

박승미|권인각
병원간호사회 (Hospital Nurses Association)|2007.08|임상간호연구 (Journal of Korean Clinical Nursing Research)|제13권 제2호|pp. 39-50

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참고문헌

키워드

Decision-making임상 의사결정비판적 성찰 탐구신입간호사Critical reflective inquiry
주제분류간호학

초록

Abstract

Purpose: The purpose of this study was to examine effects of critical reflective inquiry(CRI) on new graduate nurses' clinical decision making in an urban tertiary medical institution in Seoul. Methods: The study was done with nonequivalent control group pretest-posttest design. A convenience sample of 63 novice nurses was obtained. The data were collected using a self-reporting questionnaire, the Clinical Decision Making in Nursing Scale(CDMNS), from May, 2005 to December, 2006. Experimental group(n=35) was given the CRI training which consisted of 2-hour lecture, 3-hour practice and biweekly meetings with preceptor & head nurse for 4 weeks. Afterward, experimental group was instructed to submit personal CRI report biweekly and had monthly group discussion and feedback during 3-month consecutive clinical experience. Control group(n=28) was given routine skill and field training except CRI. Results: The CDMNS scores of the experimental group were less decreased significantly after CRI training than control group, although both were not statistically homogeneous at the pretest. Therefore, the new nurses who obtained the CRI training demonstrated better decision-making skills. Conclusion: The CRI training would be a structured training program for the new nurses in order to improve their clinical decision making.

참고문헌 (30)

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