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Relationship between Simulation Design Characteristics and Clinical Reasoning Competence: Multiple Additive Moderating Effects of Teaching Effectiveness and Students¡¯ Anxiety on Nursing Students

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KMID : 0367020210330040322
õ°æÀΠ( Cheon Kyung-In ) - Yonsei University Wonju College of Medicine Department of Nursing

ÇãÇý°æ ( Hur Hea-Kung ) - Yonsei University Wonju College of Medicine Department of Nursing

Abstract

Purpose: The purpose of this study was to identify the moderating effect of teaching effectiveness and students¡¯ anxiety in the relationship between simulation design characteristics and clinical reasoning competence among nursing students.
Methods: The participants were 123 nursing students who underwent simulation practice. Data were collected from September 1 to October 30, 2020 using self-report questionnaires. The collected data were analyzed using descriptive statistics, independent t-test, Pearson¡¯s correlation coefficient, and SPSS PROCESS Macro program (to study the multiple additive moderation effect).

Results: Significant positive correlations were observed between clinical reasoning competence and simulation design characteristics (r=.57, p<.001), clinical reasoning competence and teaching effectiveness (r=.49, p<.001), while negative correlations were observed between clinical reasoning competence and students¡¯ anxiety (r=-.33, p<.001). Teaching effectiveness and students¡¯ anxiety had a multiple additive moderating effect on the relationship between simulation design characteristics and clinical reasoning competence among the nursing students (F=15.10, p<.001).

Conclusion: The relationship between simulation design characteristics and clinical reasoning competence differed depending on the students¡¯ anxiety. To improve the clinical reasoning competence of nursing students in simulation practice, developing interventions and techniques to manage students¡¯ anxiety levels are important.
KeyWords
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Students, Nursing, Simulation training, Anxiety, Clinical competence
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