임상간호사의 비판적 사고성향, 간호근무환경이 간호업무성과에 미치는 영향

Abstract

Objectives This study aims to explore the mediating effect of communication competence in the relationship between clinical thinking disposition and nursing work environment on the nursing performance of clinical nurses.
 Methods The data were collected from December 1st to December 20th, 2021, using questionnaires administered to 188 nurses working in a general hospital in J province and G city. Then, they were analyzed using the SPSS/23.0 program with descriptive statistics, an independent t-test, one-way ANOVA, Pearson’s correlation coefficient, multiple regression, and the Sobel test.
 Results The results of the study are as follows. First, there were significant positive relationships for clinical thinking disposition(r=.66, p<.001) and nursing work environment(r=.45, p<.001), and communication competence(r=.72, p<.001) with nursing performance. Second, communication competence mediated the relationship between clinical thinking disposition and nursing performance(z=6.584, p<.001). Third, communication competence mediated the relationship between the nursing work environment and nursing performance(z=5.822, p<.001).
 Conclusions The results suggest that to improve nursing performance, it is necessary to consider the critical thinking disposition, the creation of a nursing work environment that nurses can perceive positively, and the improvement of communication competence.