Kim Kyeong Hye, Shin Sujin
Department of Nursing, Ewha Womans University Medical Center, Seoul, Republic of Korea.
College of Nursing Science, Ewha Womans University, Seoul, Republic of Korea.
Nurse Educ Today. 2025 Mar;146:106555. doi: 10.1016/j.nedt.2024.106555. Epub 2024 Dec 20.
This study identified significant factors affecting clinical teaching behavior among South Korean preceptor nurses.
Preceptor nurses create a positive environment that helps new graduate nurses translate theoretical learning to clinical practice, facilitates their professional development, and increases their retention intention. However, few studies on preceptors' clinical teaching behavior, critical reflection competence, and clinical reasoning capabilities exist, and no studies have examined preceptor-preceptee work-ratios. We ascertained the critical reflection competence, clinical reasoning ability, and recognition of the importance of patient safety management of preceptor nurses, and analyzed the factors influencing their clinical teaching behavior.
The study used a cross-sectional design.
Participants included 216 preceptor nurses in Seoul, Republic of Korea, who responded to an online questionnaire based on the Critical Reflection Competency Scale, Nurse Clinical Reasoning Scale, Perception of Importance of Patient Safety Management Scale, and Clinical Teaching Behavior Inventory. Collected data were analyzed using descriptive statistics, an independent t-test, one-way ANOVA, Scheffé's test, Pearson's correlation coefficient, and hierarchical multiple regression using IBM SPSS Statistics 29.0.
Factors influencing clinical teaching behavior included the perception of importance of patient safety management (β = 0.35, p < .001), clinical reasoning (β = 0.34, p < .001), critical reflection (β = 0.17, p = .007), preceptor nurses' workload reduction (β = 0.12, p = .005), and the preceptor-preceptee work-match ratio of schedule alignment in shift rotations (β = 0.09, p = .042). These factors accounted for 66.7 % of the variance in preceptors' clinical teaching behavior (F = 48.81, p < .001).
We identified the perceptions of the importance of patient safety management, clinical reasoning competence, critical reflection competence, preceptor nurses' workload reduction, and the preceptor-preceptee work-match ratio as significant factors influencing preceptors' clinical teaching behavior. Our findings have implications for the development of training programs for nurses preparing for preceptorship to enhance their critical reflection capacity, competence in clinical reasoning, and perception of the importance of patient safety management. We recommend creating an organizational plan to alleviate the burden on preceptor nurses and establishing standardized protocols for preceptorship programs.
Our cross-sectional study identified significant factors affecting the clinical teaching behavior of Korean preceptor nurses in hospitals.
本研究确定了影响韩国带教护士临床教学行为的重要因素。
带教护士营造积极环境，帮助新毕业护士将理论学习转化为临床实践，促进其职业发展，并提高其留职意愿。然而，关于带教护士的临床教学行为、批判性反思能力和临床推理能力的研究较少，且尚无研究考察带教-学员工作比例。我们确定了带教护士的批判性反思能力、临床推理能力以及对患者安全管理重要性的认识，并分析了影响其临床教学行为的因素。
本研究采用横断面设计。
参与者包括韩国首尔的216名带教护士，他们根据批判性反思能力量表、护士临床推理量表、患者安全管理重要性感知量表和临床教学行为量表对在线问卷进行了回复。使用IBM SPSS Statistics 29.0对收集的数据进行描述性统计、独立t检验、单因素方差分析、谢弗检验、皮尔逊相关系数和分层多元回归分析。
影响临床教学行为的因素包括对患者安全管理重要性的感知（β = 0.35，p <.001）、临床推理（β = 0.34，p <.001）、批判性反思（β = 0.17，p =.007）、带教护士工作量的减少（β = 0.12，p =.005）以及轮班时带教-学员工作安排的匹配比例（β = 0.09，p =.042）。这些因素占带教护士临床教学行为方差的66.7%（F = 48.81，p <.001）。
我们确定了对患者安全管理重要性的感知、临床推理能力、批判性反思能力、带教护士工作量的减少以及带教-学员工作匹配比例是影响带教护士临床教学行为的重要因素。我们的研究结果对为带教工作做准备的护士培训项目的发展具有启示意义，以提高他们的批判性反思能力、临床推理能力以及对患者安全管理重要性的认识。我们建议制定一项减轻带教护士负担的组织计划，并为带教项目建立标准化协议。
我们的横断面研究确定了影响韩国医院带教护士临床教学行为的重要因素。
