Korean Medical Education Review (의학교육논단)

Yonsei university college of medicine (연세대학교 의과대학)
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Development of Competencies for New Nurses and Verification of Content Validity through a Delphi Survey

델파이조사를 통한 신규간호사 역량 도출 및 내용타당도 검증

  • Hanna Jung (Department of Medical Education, Yonsei University College of Medicine) ;
  • Yoonjung Lee (Nursing Department, Severance Hospital) ;
  • Jung Yeon Kim (Nursing Department, Severance Hospital) ;
  • Minjin Lee (Nursing Department, Severance Hospital) ;
  • Soo Young Han (Nursing Department, Severance Hospital) ;
  • Yumie Rhee (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Shinki An (Department of Medical Education, Yonsei University College of Medicine) ;
  • Phill Ja Kim (Nursing Department, Severance Hospital)
  • 정한나 (연세대학교 의과대학 의학교육학교실) ;
  • 이윤정 (세브란스병원 간호국) ;
  • 김정연 (세브란스병원 간호국) ;
  • 이민진 (세브란스병원 간호국) ;
  • 한수영 (세브란스병원 간호국) ;
  • 이유미 (연세대학교 의과대학 내과학교실) ;
  • 안신기 (연세대학교 의과대학 의학교육학교실) ;
  • 김필자 (세브란스병원 간호국)
  • Received : 2022.10.31
  • Accepted : 2023.02.23
  • Published : 2023.06.30
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Abstract

The purpose of this study was to develop and validate a competency tool for new nurses and to pilot-test it with new nurses. A Delphi survey was conducted to develop a competency tool, and a self-evaluation was conducted among new nurses who pilot-tested the finally derived competencies. The Delphi survey panel consisted of 18 people, including adjunct professors at the College of Nursing, nursing managers, and nurses with master's degrees. The Delphi survey asked about the validity of the competencies constructed in two rounds. After analyzing the Delphi results with mean, standard deviation, content validity ratio, degrees of convergence, and degrees of consensus, 12 core competencies and 36 enabling competencies were finally derived. The competencies consisted of clinical judgment and management (nine items), task competence (four items), patient orientation (five items), moral value orientation (three items), cooperation (two items), supply management (two items), professional development (three items), confidence (one item), self-control (two items), flexibility (two items), influence (one item), and nurturing others (two items). The finally derived competencies were pilot-tested with 229 new nurses who had worked for 2-12 months. The self-evaluation scores of new nurses were distributed differently according to their working period. In this study, the competencies required for new nurses were identified and the corresponding enabling competencies were identified. In the future, it is expected that a competency-based education program will be prepared based on these findings, and furthermore, it will be possible to provide high-quality medical and nursing services that meet patients' needs by improving the competency of new nurses and lowering the turnover rate.

Keywords

Acknowledgement

이 연구는 세브란스병원의 2021년도 "델파이조사를 통한 신규 간호사 역량도구의 개발 및 타당화 연구"(과제번호: C-2021-0025)의 연구비 지원으로 이루어졌다.

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