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KMID : 0614820090150020275
Journal of Korean Academy of Nursing Administration
2009 Volume.15 No. 2 p.275 ~ p.283
Comparison of Effects of Nursing Process Reeducation according to Academic Credit Bank System Student Nurses¡¯ Clinical Experience - Expertise, Critical Thinking Disposition, Clinical Decision Making -
Yi Yeo-Jin

Abstract
Purpose: This study investigated the effects of reeducation of nursing process on nurses¡¯ expertise, critical thinking disposition, and clinical decision making.

Methods: Data were collected from March to June, 2007. The subjects were 47 Academic Credit Bank System Student Nurses. They were taught ¡®nursing process¡¯ during 1 semester(15weeks). 47 nurses were divided into three groups according to clinical experience(under 3 years, 3 to under 5 years, 5 years or more). After 15 weeks, the effects of education were compared using a paired t-test between pre-test and post-test.

Results: There was a significant difference in the 3 to under 5 years experienced nurses¡¯s expertise(t=-3.659, p=.004) between the pre-test and post-test. There was a significant difference in the 5 years or more experienced nurses¡¯s expertise(t=-5.781, p<.001) and critical thinking disposition(t=-3.345, p=.003) between the pre-test and post-test. There were no significant differences in clinical decision making(accuracy, proficiency, and confidence) of 3 groups.

Conslusion:Reeducation of nursing process is a valuable teaching and an evaluation strategy for 5 years or more experienced nurses to improve expertise and critical thinking disposition. We need to develop continuing education program for improving nurses¡¯ clinical decision making.
KEYWORD
Nursing process, Education, Expertise, Thinking, Decision making
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