Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Validity and Reliability of a Korean Version of Nurse Clinical Reasoning Competence Scale

한국어판 간호사 임상적 추론 역량 척도의 타당도와 신뢰도

  • Received : 2017.01.19
  • Accepted : 2017.04.07
  • Published : 2017.04.30
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Abstract

This study is a methodological research study that tests the validity and reliability of the NCRC (Nurse Clinical Reasoning Competence scale), an instrument developed by Liou and his colleagues as the basic data for enhancing the clinical reasoning competence of nurses, by translating it into Korean and checking the similarity of the sentence structure and meaning (between the two versions?). This study verified its validity and reliability by examining 166 nurses working in four tertiary hospitals located in Seoul and Busan. An analysis of the content validity by experts showed that all of the items have a content validity higher than CVI 0.8. From the exploratory and confirmatory factor analysis, it was found that the instrument includes a total of 15 items consisting of one factor. In addition, the correlation with the Korean version of the Nurse Clinical Reasoning Competence scale is confirmed to test the concurrent validity, by using a measurement tool of nurses' critical thinking dispositions and clinical decision-making abilities (correlation coefficient =.55-.64(p<.001) and Cronbach's ${\alpha}=.93$). Thus, the Korean version of the NCRC may be a useful instrument for evaluating the clinical reasoning competence of Korean nurses and providing the basic data for assessing their clinical reasoning competence and developing their promotion strategies.

본 연구는 간호사의 임상적 추론 역량을 강화하기 위한 기초자료로 Liou와 그의 동료들이 개발한 NCRC (Nurse Clinical Reasoning Competence) 도구를 한국어로 번역하고 번역된 항목들에 대해서는 문장구조와 의미의 유사성을 검토하는 절차를 거쳐 도구의 타당도와 신뢰도를 검증하는 방법론적 연구이다. 본 연구는 서울과 부산 소재의 4개의 상급병원에서 근무하는 간호사 166명을 대상으로 하여 타당도 및 신뢰도 검증을 실시하였다. 전문가들을 통한 내용타당도 검증은 전체문항이 모두 CVI 0.8이상으로 확인되었고, 탐색적 요인 분석과 확인적 요인 분석을 통해 최종적으로 1요인으로 구성된 총 15개 문항으로 분석되었다. 또한 동시타당도 검증을 위해 간호사의 비판적 사고성향과 임상 의사결정 능력 측정도구를 활용하여 본 연구의 한국어판 간호사 임상적 추론 척도와의 상관관계를 확인한 결과, 측정도구간의 상관계수는 .55-.64(p<.001)로 나타났고, 도구의 신뢰도는 Cronbach's ${\alpha}=.93$으로 나타났다. 따라서 한국판 NCRC 도구는 한국 간호사들의 임상적 추론 역량을 객관적으로 평가하기에 유용한 도구라고 할 수 있으며, 국내 간호사들의 임상적 추론 역량 사정 및 증진전략 개발에 기초자료를 제공했다는데 의의가 있다. 그러나 한국의 간호 환경과 문화를 고려한 임상적 추론 역량 문항들이 있는지에 대한 추가적인 연구가 필요하다고 생각한다.

Keywords

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