초보간호사의 자기조절력, 대인관계능력, 내재적 동기가 임상현장 적응에 미치는 영향

초록

Purpose: This study aimed to identify the levels of self-regulation, interpersonal skills, intrinsic motivation, and clinical field adaptation among novice nurses, and to examine the correlations between these variables and their effects on clinical field adaptation. Methods: This study included 175 novice nurses who had between 3 and 36 months of clinical experience working from one tertiary hospital in J City and one general hospital in C City, G Province. Data were collected from November 28, 2024 to February 25, 2025. Data were analyzed using the IBM SPSS/WIN 27.0 program. Results: Clinical field adaptation showed statistically significant differences were observed by gender (t=2.07, p=.040), total clinical experience (F=3.61, p=.029), and current department (t=-2.50, p=.013). Clinical field adaptation was positively correlated with self-regulation (r=.56, p<.001), interpersonal skills (r=.33, p<.001), and intrinsic motivation (r=.61, p<.001); furthermore, these three variables were also positively correlated with each other. The factor with the greatest effect on clinical field adaptation was intrinsic motivation (β=.45, p<.001), followed by self-regulation (β=.28, p<.001), and current department (β=.14, p=.020). These factors accounted for 48.0% of the variance in clinical field adaptation. Conclusion: Intrinsic motivation, self-regulation, and the work department were significant factors affecting the clinical field adaptation of novice nurses. Therefore, these findings suggest that to facilitate the smooth clinical field adaptation of novice nurses, it is necessary to enhance their self-regulation and intrinsic motivation, while also considering the work department environment.

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