Earticle

본 연구는 상처장루실금 간호사의 그릿과 간호근무환경이 근거기반실무역량에 미치는 영향을 규명하기 위한 서술적 조사연구이다. 자료수집은 2025년 11월 6일부터 11월 26일까지 이루어졌으며, 상처장루실금 간호사 135명을 대상으로 하였다. 연구 결과, 대상자의 근거기반실무역량은 그릿(r=.64, p<.001), 간호근무환경(r=.37, p<.001)과 유의한 양의 상관관계를 보였다. 위계적 다중회귀분석 결과, 근거기반실무역량에 가장 큰 영향을 미치는 요인은 그릿(=.40, p<.001)이었으며, 간호근무환경(=.26, p<.001), 임상 경력(5년 이상～10년 미만, p=.26, p=.042), 전문교육 경험(=.16, p=.021) 순으로 나타났다. 회귀모형은 통계적으로 유의하였으며(F=9.71, p<.001), 설명력은 52.5%였다. 본 연구 결과는 상처장루실금 간호사의 근거기반실무역량 향상을 위해 개인적 특성인 그릿과 조직적 차원의 간호근무환경을 통합적으로 고려한 지원 전략이 필요함을 시사한다.

This study was a descriptive survey study conducted to identify the effects of grit and nursing work environment on Evidence-Based Practice Competency(EBPC) among Wound, Ostomy, and Continence Nurses (WOCN). Data were collected from 135 WOCN from November 6 to 26, 2025. EBPC was positively correlated with grit(r=.64, p<.001) and nursing work environment(r=.37, p<.001). Hierarchical multiple regression analysis revealed that grit(=.40, p<.001) was the strongest predictor of EBPC, followed by nursing work environment(=.26, p<.001), clinical experience of 5 to less than 10 years(=.26, p=.042), and completion of professional education program(β=.16, p=.021). The regression model was statistically significant(F=9.71, p<.001), and the explanatory power of the model was 52.5%. These findings suggest that both individual and organizational factors should be considered to enhance EBPC among WOCN.

Purpose: The purpose of this study was to understand clinical nurses' level of information retrieval skill and its influence on evidence based practice (EBP). Methods: A cross-sectional design was used. Data were collected from a convenient sample of 492 nurses working at 5 university hospitals in Korea. The Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and hierarchical multiple linear regression. Results: The mean score for information retrieval skill and EBP competency were respectively 2.81±0.64 and 3.98±0.86. Two step hierarchical regression analysis showed that attendance at academic conference (p = .036) and information retrieval skill (p<.001) were significant factors of EBP competency, information retrieval skill explained about 19%of total variance of EBP competency. Conclusion: Nurse need to increased fundamental information retrieval skill for EBP competency. Therefore, it is important to increase nurses’ information retrieval skills by tailoring continuing EBP education modules. It would be also advisable to develop centralized systems for the internal dissemination of research findings for the use of nursing staff.

목적: 본 연구는 임상간호사의 그릿, 사회적 지지, 잡 크래프팅, 근거기반 실무역량이 직무만족도에 미치는 영향을 알아보기 위한 서술적 조사연구이다. 방법: 본 연구대상자는 총 임상경력이 6개월 이상인 211명의 임상간호사로, 2023년 2월 1일부터 2월 17일까지 온라인 설문 조사를 통해 자료를 수집하였다. 연구도구는 일반적 특성, 그릿, 사회적 지지, 잡 크래프팅, 근거기반 실무역량 및 직무만족도로 구성하였다. 자료분석은 SPSS WIN 28.0 프로그램을 이용하여 빈도, 백분율, 평균, 표준편차, t-test, ANOVA, Pearson 상관계수, 다중회귀분석으로 분석하였다. 결과: 연구대상자의 그릿은 4점 만점에 평균 3.08±0.44점, 사회적 지지는 5점 만점에 평균 3.67±0.52점, 잡 크래프팅은 5점 만점에 평균 4.20±0.64점, 근거기반 실무역량은 7점 만점에 평균 4.84±0.71점, 직무만족도는 5점 만점에 평균 3.72±0.55점이었다. 직무만족도에 영향을 미치는 요인을 분석한 결과 회귀 모형은 유의한 것으로 나타났고(F=87.06, p<.001), 직무만족도에 있어 가장 큰 영향을 미치는 요인은 그릿(β=.66, p<.001), 사회적 지지(β=.11, p=.046) 순으로 나타났으며, 이들 요인의 설명력은 78.7%였다. 즉, 그릿이 높을수록, 사회적 지지가 높을수록 간호사의 직무만족도가 높았다. 연구대상자의 잡 크래프팅과 근거기반 실무역량은 직무만족도와 상관관계는 확인되었으나 통계적으로 유의한 영향은 나타나지 않았다. 결론: 본 연구결과를 통해 간호사의 직무만족도에 그릿과 사회적 지지가 가장 큰 영향을 미치는 것으로 나타났다. 이에 그릿을 향상시킬 수 있는 역량 강화 및 개발을 위한 방안 마련이 필요하다. 또한 지지적인 간호업무환경을 조성할 수 있도록 적극적인 지원이 필요하며, 이는 직무만족도를 향상시키는 데 도움이 될 것이다.

Purpose: This descriptive survey study aimed to examine the effects of grit, social support, job crafting, andevidence-based practice competency on job satisfaction among nurses. Methods: The participants of this studywere 211 clinical nurses with experience of more than six months. Data were collected using through an onlinesurvey from February 1 to February 17, 2023. The questionnaires was consisted of general characteristics, grit,social support, job crafting, evidence-based practice competency, and job satisfaction. Data were analyzedusing descriptive statistics(frequency, percentage, mean, and standard deviation), t-test, ANOVA, Pearsoncorrelation coefficient, and multiple regression analysis with the SPSS/WIN 28.0 program. Results: The averagescores of the main variables were 3.08±0.44 out of four for grits, 3.67±0.52 out of five for social support,4.20±0.64 out of five for job crafting, 4.84±0.71 out of seven for evidence-based practice competency, and3.72±0.55 out of five for job satisfaction. In the regression model, the factors affecting the nurses’ jobsatisfaction were grit (β=0.66, p<.001) and social support (β=0.11, p=.046), which explained 78.7% of thevariance in job satisfaction. Job crafting and evidence-based practice competency were correlated with jobsatisfaction; however, there was no statistically significant effects of these variables on job satisfaction. Conclusion: Based on the findings of this study, grit and social support showed the most significant effects onthe job satisfaction of nurses. Therefore, active support is needed to develop a strategy to improve nurses’ gritand to create a supportive work environment, which would be helpful to increase their job satisfaction.

Purpose: This study examined the associations of grit, self-leadership, and followership with nurses’ competency in evidence-based practice in South Korea. Methods: This descriptive correlational study included 203 nurses from a general hospital. Data collection was conducted from May 8 to June 21, 2024. Results: The mean score for competency in evidence-based practice was 4.16 of 7. Competency in evidence-based practice correlated positively with grit (r = .62, p < .001), self-leadership (r = .54, p < .001), and followership (r = .72, p < .001). Followership (β = 0.53, p < .001), grit (β = 0.24, p < .001) and research experience (β = 0.11, p = .024) significantly influenced competency in evidence-based practice. The model’s explanatory power was calculated to be 55.1%. Conclusion: Followership and grit are key factors in developing strategies to enhance nurses’ competency in evidence-based practice. Additionally, providing support for research experience in clinical settings may further strengthen competency in evidence-based practice.

The purpose of this study was to explore nurses' access and use of information resources and to identify the barriers and competency to evidence based practice (EBP). This study used descriptive method to identify baseline data for the purpose of developing strategies for establishing EBP in clinical nursing practice. Methods:Participants in this study were 278 nurses from five hospitals in Daegu and Kyungsangbukdo. The data were collected by self administered questionnaires and SPSS/WIN 15.0 program was used to analyze the data with descriptive statistics, t-test, Pearson's correlation coefficients, and ANOVA. Results: Nurses reported *most frequently using paper and human resources. The mean score of barriers was 3.02±0.41, and competency was 2.70±0.50. The reported competency was correlated with nurse factors (r=-.31, p<.001) organization factors (r=-.20, p<.001) and research factors (r=-.12, p<.040) as the barriers to evidence based practice. Conclusion:To promote competency in EBP and to decrease the barriers, it would be necessary to develop the organizational culture that encourages nurses to be involved in research activities. In addition, the development of systemic methods to introduce and establish an education program for facilitating EBP in the clinical settings is needed

Purpose: This study examined the influence of nursing students’ competencies in assessment, communication, clinical judgment, and patient safety on evidence-based practice (EBP) competency through simulation training. Methods: Data were collected from in December 11 in 2023 to January 30 in 2024, using a self-report questionnaire. The final participants were 230 nursing students in two universities. Multiple regression, t-test, ANOVA were used for data analysis. Results: The competencies of nursing students who participated in simulation training significantly influenced their EBP competency. The most influential factor on nursing students’ competency of EBP was Clinical Judgment, followed by Communication. Assessment and Patient safety competencies did not have a statistically significant impact on EBP competency. Conclusion: It is crucial for nurses to implement EBP to provide high-quality nursing and advance nursing as a science. However, since EBP competency is difficult to acquire in a short period, education on EBP is necessary from nursing school. Simulation training is considered an effective means to enhance nursing students' competency in EBP. Our study suggests incorporating elements that strengthen competencies in clinical judgment and communication when establishing a simulation- based training program to enhance the EBP competency of nursing students.

목적: 본 연구에서는 간호사의 근거기반간호역량, 비판적 사고성향, 디지털 리터러시, 간호정보학 역량을 알아보고, 근거기반실천역량에 영향을 미치는 요인을 파악하고자 한다. 방법: 본 연구의 참여자는 J시 소재 대학병원 간호사 196명이었다. 자료는 2023년 12월 1일부터 12월 30일까지 수집되었다. 수집된 자료는 기술통계, t-검정, 분산분석, Scheffé 사후검정, Pearson 상관분석 및 회귀분석을 사용하여 분석하였다. 결과: 연구결과, 근거기반간호역량에 영향을 미치는 요인으로는 간호정보역량, 비판적 사고성향, 디지털 리터러시, 석사학위 이상인 경우 순으로 나타났다. 석사학위 이상인 간호사는 3년제, 4년제 졸업자인 경우에 비해 근거기반간호역량이 높았으며 전체 설명력은 53.1%로 나타났다. 결론: 본 연구에서는 비판적 사고성향, 디지털 리터러시, 간호정보역량이 근거기반간호 역량에 영향을 미치는 요인으로 나타났다. 따라서 근거 기반 간호역량에 영향을 미치는 요인을 영향을 향상 시키기 위해 다양한 중재 프로그램이 개발되어야 한다.

Purpose: This study aimed to investigate the competency in evidence-based practice, critical thinkingdisposition, digital literacy, and nursing informatics competence, and to identify the factors influencing thecompetency in evidence-based practice among nurses. Methods: The participants in this study were 196 nursesfrom a university hospital in J-city. Data were collected from December 1 to December 30, 2023. The collecteddata were analyzed with the SPSS 26.0 program using descriptive statistics, independent t-test, one-wayanalysis of variance, Scheffe?? test, Pearson's correlation coefficients, and multiple regression analysis. Results:The results showed that the factors influencing the competency in evidence-based practice included nursinginformatics competence, critical thinking disposition, digital literacy, and having a master's degree. Theparticipants with a master's degree demonstrated higher competency in evidence-based practice comparedto those with a three-year degree or a four-year degree, and a total explanatory power was 53.1%. Conclusion:In this study, critical thinking disposition, digital literacy, and nursing informatics competence were influentialfactors in competency of evidence-based practice. Therefore, a variety of intervention programs should bedeveloped to enhance the impact of these factors on nurses’ competency in evidence-based practice.

본 연구는 간호대학생을 대상으로 간호정보활용역량 강화프로그램을 개발하여 적용한 후 이 프로그램이 근 거기반실무 역량(근거기반실무 지식, 태도, 기술)과 문제해결능력에 미치는 효과를 검증하고자 시도되었다. 간호대학 2학년 학생 72명을 대상으로 한 단일군 전후설계 연구이다. 실험중재는 간호대학생에게 6회(총 8시간)의 간호정보활 용역량 강화프로그램이 제공되었다. 간호정보활용역량 강화프로그램을 실시한 결과 간호대학생들의 근거기반실무 역 량(근거기반실무 지식, 태도, 기술)과 문제해결능력이 실험전보다 유의하게 향상되었다. 따라서 본 연구결과를 바탕으 로 향후 간호대학에서 간호정보활용역량 강화프로그램을 활용하여 이들의 근거기반실무 역량 및 문제해결능력을 증 진시킬 수 있는 기초자료를 마련하고자 한다.

The purpose of this study was to develop and examine the effectiveness (knowledge, attitude, skills of Evidence-Based Practice, and problem solving skills) of nursing information literacy competency enhancement program for nursing students. It is a pre-post design study carried out with a single group of 72 sophomores in a nursing college. Nursing information literacy competency enhancement program of 6 times (8 hours) was provided to nursing students. Our results have demonstrated that knowledge, attitude, skills of evidence-based practice, and problem solving skills were significantly higher in nursing students. In conclusion, the nursing information literacy competency enhancement program was effective in promoting knowledge, attitude, skills of evidence-based practice and problem solving skills. Based on our results, the nursing information literacy competency enhancement program can provide a basis for enhancing evidence-based nursing practice competencies and problem solving skills of nursing students.

Purpose: The study was done to verify evidence-based practice (EBP) readiness and factors contributing to EBP competency in general hospital nurses. Methods: Participants were 219 nurses working in 7 general hospitals in G-city and J Province. Data were collected from May 12 to May 28, 2015 and analyzed using one-way ANOVA, Pearson's correlation and stepwise multiple regression. Results: Mean score for EBP competency was $3.89{\pm}0.83$, for critical thinking disposition, $3.35{\pm}0.36$, for EBP attitude, $3.53{\pm}0.66$, for beliefs about value of EBP, $3.42{\pm}0.56$, for ability in research performance, $2.86{\pm}0.57$, for time to devote to EBP, $2.57{\pm}0.69$ and for organization support for EBP, $3.36{\pm}0.46$. EBP competency was significantly correlated with critical thinking disposition (r=.37, p<.001), beliefs about value of EBP (r=.43, p<.001), ability in research performance (r=.44, p<.001), and time to devote to EBP(r=.33, p<.001). Factors influencing EBP competency in general hospital nurses were research performance (${\beta}=.29$, p<.001), beliefs about value of EBP (${\beta}=.24$, p<.001), critical thinking disposition (${\beta}=.15$, p=.014), recognition of EBP (${\beta}=-.18$, p=.002), which together explained 35% of total variance. Conclusion: Findings indicate that introduction and activation of EBP in general hospitals is essential and development of systematic training programs to strengthen critical thinking disposition and EBP competency are needed.

본 연구의 목적은 400병상 이상 종합병원에 근무하는 간호사들의 비판적 사고성향, 간호과정 수행능력과 근거기반실무역량 수준을 파악하고, 비판적 사고성향, 간호과정 수행능력과 근거기반실무역량과의 관계를 파악하여 근거기반실무역량 향상을 위한 기초 자료를 제공하고자 시도되었다. 본 연구는 서술적 상관관계 연구로 종합병원에 근무하는 262명의 간호사를 대상으로 자기기입식 설문지를 통해 조사하였다. 수집된 자료는 SPSS 21.0을 사용하여 통계 분석하였다. 본 연구의 결과 간호사의 비판적 사고성향과 간호과정 수행능력과 근거기반실무역량은 중정도 이상의 수준이었고 간호사의 근거기반실무역량은 비판적 사고성향 (r=.42, p <.001), 간호과정 수행능력 (r=.58, p <.001)과 정적인 상관관계를 나타냈다. 위계적 회귀분석 결과 비판적 사고성향 (${\beta}=.34$, p <.001)과 간호과정 수행능력 (${\beta}=.57$, p <.001)은 근거기반실무역량에 유의한 영향요인으로 나타났다. 이러한 연구결과를 통해서 간호사의 근거기반실무역량 향상을 위해서 간호사의 비판적 사고성향과 간호과정 수행능력의 향상을 위한 전략이 요구되어진다.

The purpose of this study was to identify relationship among critical thinking, nursing process competency and evidence based practice competency of nurses working in middle sized hospitals. A descriptive correlational study design was used. The data were collected from 262 nurses working in the three hospitals located in G and P city using self-administered questionnaires. Data were analyzed using descriptive statistic, independent t-test, one-way ANOVA with scheffe, Pearson's correlation coefficient, and hierarchical multiple linear regression using SPSS Statistics 21.0 program. Nurses' evidence-based practice competency had positive correlation with critical thinking disposition (r=.42, p <.001) and nursing process competency (r=.58, p <.001). Full model accounted for 65.1% of evidence-based practice competency by nursing process competency (${\beta}=.57$, p <.001), critical thinking disposition (${\beta}=.34$, p <.001), critical thinking educational experience (${\beta}=.11$, p=.004), Master's degree (${\beta}=.09$, p=.032). Conclusion: o increase evidence-based practice competency of nurses, it is required to develop critical thinking disposition and nursing process competency of nurses.

목적 본 연구는 ‘간호정보와 디지털융합’ 다학제간 팀티칭교육을 통해 교육 전후의 간호대학생의 간호정보활용능력과 근거기반실 무역량 및 문제해결능력을 파악하고 분석하기 위해 시도되었다. 방법 본 연구는 일 대학 간호학과 2학년 학생을 편의표집하였으며, 자료수집 기간은 2023년 3월 17일부터 5월 30일까지였다. 수집된 자료는 R 4.2.2 version을 활용하였으며, 변수의 특성에 따른 기술통계, Paired t-test로 분석하였다. 변수 간의 관계는 Pearson’s Correlation, 사전과 사후에서의 간호정보 활용능력과 문제해결능력에 미치는 영향에 있어서 근거 기반 실무역량이 매 개하는 효과를 파악하기 위하여 경로분석 후 sobel test로 분석하였으며, 경로분석을 위하여 lavaan package의 sem function 및 sobel test를 위하여 multilevel package의 sobel function을 활용하였다. 결과 첫째, ‘다학제간 팀티칭’ 교육 전과 후의 간호정보활용능력과 근거기반실무역량 및 문제해결능력 모두 유의한 증가를 나타내 었다(p<.05). 둘째, ‘다학제간 팀티칭’ 교육 전과 후의 간호정보활용능력과 근거기반실무역량, 간호정보활용능력과 문제해결능력, 근거기반실무역량과 문제해결능력은 양의 상관성유의하게 높아졌다(p<.001). 셋째, ‘다학제간 팀티칭’ 교육 전과 후의 근거기반 실무역량과 문제해결능력에 미치는 간호정보활용능력의 매개효과는 교육 전에는 유의한 영향을 나타내지 않았으며, 매개효과도 없었으나, 교육 후에는 간호정보활용능력이 문제해결능력에 미치는 영향이 B=.431로서 p<.001 수준에서 유의한 양의 영향력을 주었고, sobel test 결과 p<.001 수준에서 부분 매개효과가 있는 것으로 나타났다. 결론 본 연구를 통하여 ‘간호정보와 디지털융합’ 다학제간 팀티칭교육을 통해 교육 전후의 간호대학생의 간호정보활용능력과 근거 기반실무역량 및 문제해결능력을 파악할 수 있었으며, 이를 토대로 간호대학생의 간호정보활용능력과 근거기반실무역량 및 문제해 결능력 향상을 위하여 간호정보 관련 교과목 운영 시 다양한 전공과의 융합을 통한 다학제간 팀티칭 교육을 위한 교육설계가 필요함 을 알 수 있었다.

Objectives This study was conducted to confirm the nursing information literacy, evidence-based practice competency, and problem-solving ability of nursing students before and after education through ‘Nursing Information and Digital Convergence’ multidisciplinary team teaching education. Methods This study conducted a convenience sample of second-year nursing students at a university, and the data collection period was from March 17 to May 30, 2023. The collected data was used in R 4.2.2 version and analyzed using descriptive statistics and paired t-test according to the characteristics of the variables. The relationship between variables was analyzed using Pearson's Correlation and the sobel test after path analysis to determine the mediating effect of evidence-based practical competency in the influence on nursing information literacy and problem-solving ability in the pre and post test. For the sem function and sobel test of the lavaan package, the sobel function of the multilevel package was used. Results First, nursing information literacy, evidence-based practical competency, and problem-solving ability all showed significant increases before and after multidisciplinary team teaching. Second, the positive correlation between nursing information literacy and evidence-based practical competency, nursing information literacy and problem-solving ability, and evidence-based practical competency and problem-solving ability before and after multidisciplinary team teaching increased significantly. Third, the impact of information literacy on problem-solving ability was B=.431, which gave a significant positive influence at the p<.001 level, and the Sobel test results showed that there was a partial mediation effect at the p<.001 level. Conclusions Through this study, we were able to identify the nursing information literacy, evidence-based practical competency, and problem-solving ability of nursing students before and after teaching through the ‘Nursing Information and Digital Convergence’ multidisciplinary team teaching education. It was found that educational design for multidisciplinary team teaching education through convergence with various majors was necessary when administering nursing information-related courses.

Purpose: This study investigated the effects of evidence-based practice competency, self-leadership, and organizational commitment on professional self-concept of nurses in regional trauma centers. Methods: The 98 research participants were nurses with clinical experience of a year or more. Descriptive statistics, t-tests, Mann-Whitney U test, ANOVA, and Pearson's correlation coefficients were computed, and multiple regression analysis was conducted. Results: Professional self-concept showed statistically significant differences according to marital status, religion, and educational background, and was positively correlated with and affected by evidence-based practice competency, self-leadership, and organizational commitment. Conclusion: Trauma nursing education programs should include evidence-based practice competency and self-leadership and organizational support should be provided to improve the professional self-concept of nurses in regional trauma centers.

본 연구의 목적은 간호대학생의 근거기반실무 역량에 영향을 미치는 요인을 규명하기 위한 서술적 관계 조사연구이다. G광역시와 C도에 소재한 5개 4년제 간호학과에 재학 중인 간호학생 430명을 대상으로 질문지를 이용하여 비판적 사고성향, 정보활용능력, 근거기반실무 역량에 대해 자료수집 하였고, 수집된 자료는 SPSS WIN 21.0 program을 이용하여 기술통계, t-test, ANOVA, Pearson 상관계수(correlation coefficients), 단계별 다중회귀분석(stepwise multiple regression)으로 분석하였다. 분석결과 근거기반실무 역량은 정보활용능력(r=.725, p<.001), 비판적 사고성향(r=.551, p<.001)과 양의 상관관계를 갖는 것으로 나타났다. 정보활용능력, 비판적 사고성향, 연구방법론 수업 이수는 간호대학생의 근거기반실무 역량을 60.5% 설명하는 것으로 검증되었다. 본 연구를 통해 비판적 사고성향과 정보활용능력 및 연구방법론 수업 이수가 근거기반실무 역량에 영향을 미치는 요인으로 확인되었기 때문에, 학부과정에서 충분히 학습될 수 있도록 교수학습법을 개발하여 다양한 교과목에 접목하는 것이 필요하다. 이를 바탕으로 간호대학생은 졸업 후 임상현장에서 근거기반실무 역량을 발휘하게 되고, 임상간호문제를 해결하기 위하여 최적의 근거를 사용함으로써 실무의 향상을 이끌 수 있을 것이다.

The purpose of this study was to verify the relationships among critical thinking disposition, information literacy and evidence-based practice (EBP) competency, and especially to identify the factors influencing of EBP competency in nursing students. A cross-sectional design was used, with a convenience sample of 430 nursing students at 5 nursing colleges in G city and C province. Data were collected through self-evaluation questionnaires from May to June, 2011. The data were analyzed using the Pearson correlation coefficient, t-test, one-way ANOVA, and stepwise multiple linear regression with SPSS/WIN 21.0 program. The mean score of nursing student competency for EBP was 3.42±0.39 points. EBP competency was significantly correlated with information literacy (r=.725, p<.001) and critical thinking disposition (r=.551, p<.001). Factors influencing of EBP competency in nursing students were identified as information literacy (β=.606, p<.001), critical thinking disposition (β=.210, p<.001), and completion of research methodology (β=.132, p<.001), and these factors explained 60.5% of the total variability. The results of this study were to identify factors that influence EBP competency in nursing students. Therefore, it supports the implementation of the educational method as an integral aspect of improving EBP competency.

본 연구는 간호사 직무교육이 고도화됨에 따라 일터학습이 학습전이를 거쳐 성과로 이어지는 과정에서, 간호조직이 중요하게 여기는 근거기반실무역량이 미치는 영향을 실증하고자 했다. 상급종합병원 간호사 342명을 대상으로 수집된 자료는 구조방정식 모형에 근거하여 SPSS 26.0과 PROCESS macro tool(모델 14), AMOS 26.0을 활용하여 분석했다. 일터학습 중 무형식학습이 과업성과와 맥락성과 모두다. 학습전이는 일터학습과 성과에서 부분매개효과를 보였다. 다만, 근거기반실무역량은 학습전이와 과업성과 사이에서만 강화 효과가 있었고 맥락성과에서는 존재하지 않았다. 일터학습과 과업성과의 관계에서 학습전이의 매개효과와 근거기반실무역량의 조절효과는 유의했다. 연구결과는 임상 실무 교육과정에서 학습전이와 근거기반실무역량의 향상이 개인과 조직성과에 긍정적으로 작용할 것을 의미하며, 임상 실무에서 근무하는 간호사의 성과향상을 위해 학습전이의 메커니즘을 고려하고 근거기반실무역량 향상을 위한 인적자원개발 전략이 필요성을 강조하는 점에서 의의가 있다.

This research aimed to empirically examine the relationship between the workplace learning of nurses and its impact on performance, focusing on the mediating role of learning transfer and evidence-based practice competency as nurse job training becomes more advanced. Data collected from 342 nurses working in a tertiary general hospital were analyzed using structural equation modeling with SPSS 26.0 with PROCESS macro tool(model 14) and AMOS 26.0. Informal workplace learning during the job showed significant results for both task performance and contextual performance. Static correlations between workplace learning and learning transfer were also confirmed. Learning transfer partially mediated the relationship between workplace learning and performance. However, evidence-based practice competency only had a strengthening effect on learning transfer and task performance, not in contextual performance. The mediation effects of learning transfer and the moderation effects of evidence-based practice competency in the relationship between workplace learning and task performance were significant. The research results imply that enhancing learning transfer and evidence-based practice competency in clinical practice learning programs can positively impact the individual and organizational performance of nurses. This underscores the importance of considering the mechanisms of learning transfer and the need for human resource development strategies to enhance evidence-based practice competency for the performance improvement of nurses working in clinical practice.

Purpose: The aim of this study was to describe competency in evidence-based practice (EBP) among clinical nurses and to explore critical thinking disposition (CTD) and organizational culture (OC) as possible predictors for competency in EBP. Also this study was conducted to identify baseline data for purpose of developing evidence-based OC to ensure safety of patients and to improve quality of nursing services in clinical setting. Methods: With a descriptive correlation study design, a competency in EBP questionnaire was administered to a convenience sample of nurses (N=393) from a single general hospital in Gyeonggi Province. Results: The overall mean score for competency in EBP was $3.03{\pm}0.53$. Factors influencing competency in EBP were education (${\beta}=0.23$, p<.001), attendance at lectures on EBP (${\beta}=0.18$, p<.001), intellectual eagerness & healthy skepticism (${\beta}=0.27$, p<.001) among CTD, and hierarchy-oriented OC (${\beta}=0.14$, p=.005), which explained about 35% of the total variance. Conclusion: Critical thinking and competency in EBP should be part of nursing education especially for undergraduate students as well as strengthening clinical practice by activation of EBP. The results of this study that hierarchy-oriented OC, is a significant predictor for competency in EBP is difficult to accept. Its seemed to require further exploration.

목적 본 연구는 300병상 미만 종합병원 간호사의 근거기반실무(EBP) 역량에 영향을 미치는 요인을 파악하기 위해 시도되었다. 방법 G시 소재 300병상 미만 종합병원 간호사 178명을 대상으로 구조화된 설문지를 사용하여 EBP 신념, EBP 지식/기술, EBP 조직준비도, EBP 역량을 측정하였다. SPSS 27.0 프로그램을 활용하여 기술통계, Independent t-test, ANOVA로 분석 후Scheffé test로 사후 검정을 실시하였고, Pearson’s correlation coefficient, Hierarchical multiple regression analysis로분석하였다. 결과 대상자의 일반적 특성 및 EBP 관련 특성에 따른 EBP 역량에 유의한 차이를 보이는 것은 연령, 직급, 총 임상경력, EBP 교육경험 유무였다. EBP 역량은 EBP 신념, EBP 지식/기술, EBP 조직준비도와 유의한 정적 상관관계가 있는 것으로 나타났다. 통제변수와 독립변수를 투입하여 위계적 회귀분석 시행 결과, EBP 역량에 영향을 미치는 요인은 EBP 조직준비도, EBP 지식/기술, EBP 신념, 수간호사 이상의 직급, EBP 교육경험 순으로 나타났고, 최종모형의 설명력은 55.9%였다. 결론 300병상 미만 종합병원 간호사의 EBP 역량 향상을 위해서는 EBP 긍정 신념을 통해 지식/기술을 높일 수 있는 간호중재 개발및 교육이 필요하며, 조직차원에서 간호부와 병원에서의 적극적인 지원 노력이 요구된다.

Objectives The purposes of this study was to identify factors influencing the evidence-based practice(EBP) competency of nurses in general hospitals with fewer than 300 beds. Methods For this purpose, EBP beliefs, EBP knowledge/skills, EBP organizational readiness, and EBP competency were measured using a structured questionnaire targeting 178 nurses at a general hospital with less than 300 beds in G City. After analysis using descriptive statistics, independent t-test, and ANOVA using the SPSS 27.0 program, post-hoc testing was performed using the Scheffe test, and analysis was conducted using Pearson’s correlation coefficient and hierarchical multiple regression analysis. Results As a result of the study, significant differences in EBP competency according to the subjects' general and EBP-related characteristics were age, rank, total clinical experience, and presence of EBP training experience. EBP competency was found to have a significant positive correlation with EBP beliefs, EBP knowledge/skills, and EBP organizational readiness. As a result of performing a hierarchical regression analysis by inputting control variables and independent variables, the factors affecting EBP competency appeared in the following order: EBP organizational readiness, EBP knowledge/skills, EBP beliefs, rank of head nurse or higher, and EBP training experience, and the final model The explanatory power was 55.9%. Conclusions In order to improve the EBP competency of nurses in general hospitals with less than 300 beds, the development and education of nursing interventions that can increase knowledge/skills through positive EBP beliefs are necessary, and active support efforts are required from the nursing department and hospitals at the organizational level.

본 연구의 목적은 간호사의 간호관리역량을 높이기 위한 방안을 모색하고자 간호사의 적응유연성이 간호관리역량에 미치는 영향에서 근거기반실무 역량의 매개효과를 규명하기 위해 시행되었다. 자료수집 기간은 2024년 11월 4일부터 2024년 12월 6일까지였다. 자료수집 방법은 G광역시 소재 종합병원에 근무하는 간호사의 동의하에 설문조사로수집하였다. 수집된 자료는 총 177부이며, 인과관계분석의 기법인 다중회귀분석과 매개효과 분석을 적용하여 실증 분석하였다. 가설 검증결과, 간호사의 적응유연성은 실무역량보다는 행정역량에 더 큰 영향을 미치고 있었으나 근거기반실무 역량이 매개변수로 작용할때, 대처적응유연성은 행정역량과 실무역량 모두에 정(+)의 방향으로 영향을 미치는 것을알 수 있었다. 따라서 간호사의 간호관리역량을 강화시키기 위한 프로그램을 개발할 때는적응유연성과 근거기반실무 역량을 함께 상승시킬 수 있는 콘텐츠를 제공할 것을 제안한다.

The purpose of this study was to explore ways to enhance nurses'nursing management capabilities by identifying the mediating effect ofevidence-based practice competence on the impact of nurses' adaptive flexibility on nursing management capabilities. The data collection period was from 4thNovember 2024 to 6th December 2024. The data collection method involved asurvey conducted with the consent of nurses working at a general hospital in Gmetropolitan city. A total of 177 responses were collected, and empirical analysiswas conducted using multiple regression analysis and mediation effect analysis,which are techniques for causal relationship analysis. The hypothesis verificationresults indicated that nurses' adaptive flexibility had a greater impact onadministrative competence than on practical competence; however, whenevidence-based practice competence acted as a mediating variable, it was foundthat coping adaptive flexibility positively influenced both administrative and practicalcompetence. Therefore, it is suggested that when developing programs tostrengthen nurses' nursing management capabilities, content that can simultaneouslyenhance adaptive flexibility and evidence-based practice competence should beprovided.

목적 본 연구는 간호대학생을 대상으로 비판적 사고성향과 근거기반실무역량과의 관계에서 간호정보활용역량의 매개효과를 확인하고자 수행하였다. 방법 G광역시와 J도 소재 4년제 대학의 간호학과에 재학 중인 간호학과 3학년~4학년 학생 209명을 대상으로 구조화된 설문지를이용하여 편의표집을 통해 자료를 수집하였다. SPSS PROCESS Macro model 4를 적용하여 매개효과를 검토하였으며, 매개효과의 통계적 유의성은 95% 신뢰구간을 적용한 부트스트래핑을 실시하여 검증하였다. 결과 연구결과 비판적 사고성향은 간호정보활용역량(r=0.877, p<.001) 및 근거기반 실무역량(r=0.751, p<.001) 과 통계적으로유의한 양의 상관관계를 나타내었고, 간호정보활용역량과 근거기반 실무역량(r=0.722, p<.001)도 통계적으로 유의한 양의 상관관계를 나타내었다. 매개효과 검증결과 간호정보활용역량은 비판적사고성향과 근거기반실무역량과의 관계에서 부분 매개효과가있음을 확인하였다(B=0.775, p=<.001, 95%CI=0.159-0.520). 결론 본 연구결과를 고려할 때 간호대학생의 근거기반실무역량을 향상시키기 위한 교육 및 프로그램 개발 시 간호정보활용역량의증진을 위한 노력이 함께 고려되어야 할 것이다.

Objectives This study aimed to examine the mediating effect of nursing information literacy competency in the relationship between critical thinking disposition and evidence-based practice competence among nursing students. Methods A structured questionnaire was used to collect data from 209 nursing students enrolled in a four-year nursing program at universities located in G- Metropolitan City and J-do, using a convenience sampling method. The mediating effect was analyzed using SPSS PROCESS Macro model 4, and its statistical significance was veri fied through bootstrapping with a 95% confidence interval. Results Critical thinking disposition showed a statistically significant positive correlation with both nursing in formation utilization competency (r=0.877, p<.001) and EBP competency (r=0.751, p<.001). Additionally, nursing information utilization competency was significantly positively correlated with EBP competency (r=0.722, p<.001). Mediation analysis confirmed that nursing information literacy competency partially mediated the relationship be tween critical thinking disposition and EBP competency (B=0.775, p<.001, 95% CI=0.159-0.520). Conclusions Based on these findings, efforts to enhance nursing information literacy competency should be con sidered when developing educational programs to improve the EBP competency of nursing students.