본 연구는 간호대학생의 임상추론 능력을 확인하고 학업성취도와의 관련성을 파악하고자 시도되었다. 졸업반 4학년 학생 87명을 30팀으로 나누어 2-3명이 한 조가 되어 시뮬레이션을 활용하여 수행한 성인 환자의 수술 후 간호를 녹화하여 분석하였다. 연구자 2명이 개발한 임상추론 루브릭을 사용하여 평가 및 분석한 대학생의 임상추론 능력은 가장 낮은 초보자 수준이 70.1%(61명), 그 다음 양호한 수준이 23%(20명), 우수한 수준이 6.9%(6명)이었으며, 가장 높은 탁월한 수준에 해당하는 학생은 없었다. 또한 간호대학생들의 임상추론 능력은 학업성취도인 총평점평균과 유의한 상관관계가 없었으며, 성인간호학 및 성인간호학 실습 교과목의 평점과는 낮은 유의한 상관관계가 있었다. 따라서 4학년 졸업반 간호대학생들은 졸업 후 신규 간호사가 갖추어야 할 임상추론 능력이 매우 부족하고, 임상추론 능력과 학업성취도 간에 상관성이 확인되지 않았으므로 교육과정 개선이 시급한 것으로 판단된다.
The purpose of this study was to verify clinical reasoning of nursing students as well as clarify the relevance between clinical reasoning and academic achievement. 87 students broke into 30 groups of two or three. The students performed post operative care for adult patients in the simulation practicum course of their final semester. Data were collected by evaluating the video-recorded nursing practicum using the clinical reasoning rubric. Clinical reasoning of 61(70.1%) students was limited to the beginning level and that of 6(6.9%) students of the highest scoring was at the third level among the four levels of ability. There was no significant correlation between clinical reasoning and the final cumulative GPA, while there was low level of significant correlation between clinical reasoning and GPA of adult health nursing course or adult health nursing practicum course. Therefore, it is necessary to improve the nursing curriculum to enhance nursing students' clinical reasoning.
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