earticle

영어

This study was attempted to identify the difference between nursing competencies and major satisfaction before and after the first clinical practice of nursing college students and use it as basic data for efficient clinical practice education. Data collection by single group pre- and post-design was conducted from February 18 to April 23, 2019 for 201 nursing college students before and after clinical practice for 8 weeks. The collected data were analyzed by frequency, paried t-test, and Pearson's Correlation, Multiple Regression using SPSS/Win 23.0. As a result of the study, Nursing competency increased after the first clinical practice than before, but it was not significant(t=-1.73, p =.084). Among the sub-factors of nursing competency, educational ability(t=-1.97, p =.050) and ethical practical ability(t=-209, p =.038) was found to increase significantly. Major satisfaction was significantly increased after clinical practice than before(t=-2.45, p =.015). After clinical practice, it was found that general satisfaction, relationship satisfaction, and recognition satisfaction which are sub-factors of major satisfaction, had a positive correlation with nursing competency. As a result of analyzing the impact on nursing competency, it was found that recognition satisfaction explains nursing competency as 9.9%. Therefore, it is necessary to reorganize the clinical practice curriculum that can improve nursing competency, develop a program that can improve major satisfaction, and verify the effectiveness.

한국어

본 연구는 간호대학생의 첫 임상실습 전·후 간호역량과 전공만족도의 차이를 파악하여 효율적인 임상실습 교육 운영을 위한 기초자료로 활용하고자 시도되었다. 단일군 사전·사후 설계로 자료수집은 2019년 2월 18일부터 4월 23일 까지 간호대학생 201명을 대상으로 8주간 임상실습 전 ‧후 이루어졌다. 수집된 자료는 SPSS/Win 23.0을 이용하여 빈 도, paried t-test, 피어슨 상관관계, 회귀분석으로 분석하였다. 연구결과 첫 임상실습 후 간호역량은 실습 전보다 증가 하였으나 유의하지 않았고(t=-1.73, p =.084), 간호역량의 하위요인 중 교육능력(t=-1.97, p =.050)과 윤리적 실무능력 (t=-209, p =.038)은 유의하게 증가한 것으로 나타났으며, 전공만족도는 유의하게 증가한 것으로 나타났다(t=-2.45, p =.015). 임상실습 후 전공만족도의 하위요인인 일반만족, 관계만족 및 인식만족이 간호역량과 정의 상관관계가 있는 것으로 나타났으며 간호역량에 미치는 영향을 분석한 결과 인식만족이 간호역량을 9.9%로 설명하는 것으로 나타났다. 그러므로 간호역량을 향상 시킬 수 있는 임상실습 교육과정 개편 및 전공만족도 중 인식만족을 향상 시킬 수 있는 프로 그램 개발 및 효과검증이 필요하다.