투약에 대한 흥미도와 약물계산역량 간의 관계에서 약물계산자신감의 매개효과: Kolb의 학습양식유형을 적용하여

박형숙; 조규영; 김동희; 김상희; 김명수

서지반출

국문초록

투약역량이란 환자에게 안전한 투약을 적용할 수 있는 능력으로 간호 대학생이 졸업하게 되면 즉시 갖추어 주기를 기대하는 역량 중 중요한 부분이다(Wright, 2007). 투약 전 환자에 대한 사정, 투약적용, 약물교육, 약물효과에 대한 관찰과 평가 등 투약과정 동안의 모든 업무와 관련된 역량을 말하는 것으로(Sulosaari, Kajander, Hupli, Huupponen, & Leino-Kilpi, 2012), 그 하위범주에는 이론적 역량, 의사결정역량, 실무적 역량으로 세분화될 수 있다(Sulosaari, Suhonen, & Leino-Kilpi, 2011). 즉, 투약역량은 해부, 생리, 약리학적 지식을 포함한 수학적(계산적) 역량과 같은 이론적 지식을 갖추고(King, 2004), 대상자에 대한 정보를 탐색하고 사정 및 평가를 하여 투약을 적용할 수 있는 의사결정역량(Manias & Bullock, 2002) 또한 겸비하며, 실제에서 의사소통과 협력을 이루어 정확한 투약을 시행하는 실무적 역량을 갖추는 것이라고 하였다(Sulosaari et al., 2011). 임상에서 발생하는 많은 투약 관련 오류 중에는 용량계산과 관련된 경우의 빈도가 높다고 보고되면서(Aspden, Wolcott, Bootman, & Cronenwett, 2007) 몇몇 연구자들은 간호사에게 약물계산역량이 가장 요구되는 능력이라 언급하기도 한다(Wright, 2007). 예컨대, 간호사나 간호대학생의 약물지식부족이나 정련화된 약물교육방법의 부재(Latter, Rycroft-Malone, Yerrell, & Shaw, 2001)에 대해서보다 약물계산역량의 부족(Grandell-Niemi, Hupli, Puukka, & Leino-Kilpi, 2006; McMullan, Jones, & Lea, 2011)과 관련된 연구가 오랫동안 계속되어 오는 것도 약물계산역량이 이론적, 실무적, 의사결정역량 모두에 기저하는 내용이 될 수 있기 때문이다.

영문초록

Purpose: The purpose of this study was to identify the mediating effect of confidence for drug calculation in the relationship between interest in medication and drug calculation competency using learning style. Methods: Participants in this study were 421 nursing students from Busan and Kyungnam province. The scales of learning style, interest in medication, importance of perception, confidence for drug calculation, and drug calculation competency for nursing students were used in this study. Descriptive statistics, χ2-test, t-test, Pearson correlation coefficient, and stepwise multiple regression were used for data analysis. Results: Learning styles of the participants were diverger 19.0%, accommodator 30.9%, converger 21.1%, and assimilator 29.0%. The drug dose calculation competency of participants was relatively low with a mean score 66.73. There were significant positive correlations among drug dose calculation competency, interest in medication (r=.31, p<.001), and confidence for drug calculation (r=.44, p<.001). Confidence for drug calculation was a moderator between interests in medication and drug calculation competency. Conclusion: Based on the result of this study, confidence for drug calculation promoting strategy such as medication reconciliation and various learning technology for improving drug calculation competency are needed.

키워드

Medication Learning Drug dosage calculations Competence Self-efficacy 투약 학습 약물계산 역량 자신감

참고문헌 (30건)

Aspden, P., Wolcott, J. A., Bootman, J. L., & Cronenwett, L. R. (2007). Preventing medication errors. Washington DC: National Academy of Sciences.
Bath, J. B., & Blais, K. (1993). Learning style as a predictor of drug dosage calculation ability. Nurse Educator, 18(1), 33-36.
Cho, S. O. (2008). The relationship among learning styles, the mathematical disposition, factors of mathematical anxiety and mathematical achievement of girls’ high school students. Unpublished master’s thesis, Wonkwang University, Iksan.
Chun, H. (2002). The relationship between learning styles and majors of college students. Unpublished master’s thesis, Yonsei University, Seoul.
El-Gilany, A. H., & Abusaad, F. E. (2012). Self-directed learning readiness and learning styles among Saudi undergraduate nursing students. Nurse Education Today, Retrieved May 27, 2012, from http://dx.doi.org/10.1016/j.nedt.2012. 05.003
Freiberger, V., Steinmayr, R., & Spinath, B. (2012). Competence beliefs and perceived ability evaluations: How do they contribute to intrinsic motivation and achievement? Learning and Individual Differences, 22, 518-522.
Grandell-Niemi, H., Hupli, M., Leino-kilpi, H., & Puukka, P. (2003). Medication calculation skills of nurses in Finland. Journal of Clinical Nursing, 12, 519-528.
Grandell-Niemi, H., Hupli, M., Puukka, P., & Leino-kilpi, H. (2006). Finnish nurses’ and nursing students’ mathematical skills. Nurse Education Today, 26, 151-161. http://dx.doi.org/10.1016/j.nedt.2005.08.007
Joy, S., & Kolb, D. A. (2009). Are there cultural differences in learning style? International Journal of Intercultural Relations, 33, 69-85.
Kang, Y. H., Cho, B. W., & Lim, K. H. (2003). A study for standardization of learning interest inventory. Journal of the Korean Educational Psychology Association, 17, 1-37.
Kim, M. S., Kim, Y. H., Kim, J. S., Park, K. Y., & Park, J. H. (2012). Actual clinical medicine. Seoul: Soomoonsa.
Kim, M. S., Park, J. H., & Park, K. Y. (2012). Development and effectiveness of a drug dosage calculation training program using cognitive loading theory based on smartphone application. Journal of Korean Academy of Nursing, 42(5), 689-698. http://dx.doi.o
Kim, T. H. (2010). Comprehensive strategies to improve students’ attitudes toward mathematics. Proceedings of Mathematical Education, 44, 21-28.
King, R. L. (2004). Nurses’ perceptions of their pharmacology educational needs. Journal of Advanced Nursing, 45, 392-400.
Kolb, D. A. (1984). Experiential learning: Experience as a source of learning and development. New Jersey: Prentice Hall.
Latter, S., Rycroft-Malone, J., Yerrell, P., & Shaw, D. (2001). Nurses’ educational preparation for a medication education role: Findings from a national survey. Nurse Education Today, 21, 143-154.
Lee, J. T., Son, J. H., Chandra, V., Lilo, E., & Dalman, R. L. (2011). Long-term impact of a preclinical endovascular skills course on medical student career choices. Journal of Vascular Surgery, 54, 1193-1200.
Manias, E., & Bullock, S. (2002). The educational preparation of undergraduate nursing students in pharmacology: Perceptions and experiences of lectures and students. International Journal of Nursing Studies, 39, 757-769.
Markowitz, E., Bernstam, E. V., Herskovic, J., Zhang, J., Shneiderman, B., Plaisant, C., et al. (2011). Medication reconciliation: Work domain ontology, prototype development, and a predictive model. AMIA Annual Symposium Process. 878-887. Retrieved Novemb
McMullan, M., Jones, R., & Lea, S. (2011). The effect of an interactive e-drug calculations package on nursing students drug calculation ability and self-efficacy. International Journal of Medical Informatics, 80, 421-430. http://dx.doi.org/10. 1016/j.ijm
Oh, S. C. (2000). The consequences of development and application of interest induced learning material on mathematics scholastic achievement-focused on vocational high school. Journal of the Korean School Mathematics Society, 3, 111-122.
Sulosaari, V., Kajander, S., Hupli, M., Huupponen, R., & Leino-Kilpi, H. (2012). Nurse students’ medication competence-An integrative review of the associated factors. Nurse Education Today, 32, 399-405. http://dx.doi.org/10.1016/j.nedt. 2011.05.016
Sulosaari, V., Suhonen, R., & Leino-Kilpi, H. (2011). An integrative review of the literature on registered nurses’ medication competence. Journal of Clinical Nursing, 20, 464-478. http://dx.doi.org/10.1111/j.1365-2702.2010.03228.x
Sweller, J., Van Merrienboer, J. J., & Pass, F. G. (1998). Cognitive architecture and Instructional design. Educational Psychology Review, 10, 251-296.
Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Needham heights, Boston, MA: Allyn & Bacon.
Wigfield, A., & Eccles, J. S. (2000). Expectancy-value theory of achievement motivation. Contemporary Educational Psychology, 25, 68-81.
Wilson, A. (2003). Student nurses need more than maths to improve their drug calculating skills. Nurse Education Today, 27, 278-285.
Wright, K. (2007). Unsupervised medication administration by nursing students. Nursing Standard, 19, 49-54.
Wright, K. (2008). Can effective teaching and learning strategies help student nurses to retain drug calculation skills? Nurse Education Today, 28, 856-864. http://dx.doi.org/10.1016/j.nedt.2008.01.002.
Wright, K. (2012). Student nurses’ perceptions of how they learn drug calculation skills. Nurse Education Today, 32, 721-726. http://dx.doi.org/10.1016/j.nedt.2011.09.014

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