Department of Nursing, University of Ulsan, Ulsan 44610, Korea.
Department of Nursing, Daejeon University, Daejeon 34520, Korea.
Int J Environ Res Public Health. 2021 Feb 11;18(4):1738. doi: 10.3390/ijerph18041738.
Problem-solving ability is necessary for the clinical reasoning and decision-making of nurses to solve patients' health problems. This study aims to investigate the association between self-directed learning and problem-solving ability using the multiple mediation model to identify strategies to enhance problem-solving ability in nursing students. This is a descriptive survey study of 193 nursing students from two universities in South Korea. Data about self-directed learning, self-regulated learning, academic self-efficacy, and problem-solving ability were collected using structured questionnaires between 5 March and 17 June 2018, and were analyzed using serial multiple mediation analysis. The direct effect of self-directed learning on problem-solving ability was statistically significant. The serial multiple mediation technique predicting problem-solving ability from self-directed learning, academic self-efficacy, and self-regulated learning was significant, explaining 40% of the variance in problem-solving ability. The relationship between self-directed learning and problem-solving ability was partially mediated by academic self-efficacy and self-regulated learning. This study suggests the suitability of considering academic self-efficacy and self-regulated learning together when conducting self-directed learning to improve nursing students' problem-solving ability.
解决问题的能力是护士进行临床推理和决策以解决患者健康问题的必要条件。本研究旨在使用多重中介模型探讨自我导向学习与解决问题能力之间的关联，以确定增强护理学生解决问题能力的策略。这是一项描述性调查研究，涉及韩国两所大学的 193 名护理专业学生。2018 年 3 月 5 日至 6 月 17 日期间，使用结构化问卷收集了有关自我导向学习、自我调节学习、学业自我效能感和解决问题能力的数据，并使用序列多重中介分析进行了分析。自我导向学习对解决问题能力的直接影响具有统计学意义。从自我导向学习、学业自我效能感和自我调节学习预测解决问题能力的序列多重中介技术具有统计学意义，解释了 40%的解决问题能力的变异性。自我导向学习与解决问题能力之间的关系部分通过学业自我效能感和自我调节学习来介导。本研究表明，在进行自我导向学习以提高护理学生解决问题能力时，考虑学业自我效能感和自我调节学习的结合是合适的。
