pISSN : 2383-6415   eISSN : 2383-6423

The Mediating Effect of Drug Calculation Confidence in the Relationship between Interest in Medication and Drug Calculation Competency


PDF   


AUTHOR :
 

INFORMATION : page. 155~163 / 2013 Vol.15 No.4


ABSTRACT

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.

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.

Keyword :

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


CONTENT

Journal Archive

21 Volumes, 3 Issues, 489 Articles










show all


Tag Cloud

Quality of life Physiological reactions 아로마요법 research Competency-based education Obesity

Korean Society of Biological Nursing Science (Stay Connected)
Department of Nursing, Chungbuk National University, 1 Chungdae-ro, Seowon-Gu, Cheongju, Chungbuk, 28644, Republic of Korea
Tel : +82-43-249-1860 (Contact JKBNS Customer care: bionursing@naver.com) http://www.bionursing.or.kr/
Copyright JKBNS. All Rights Reserved.
Design by Hakjisa Pub.