ScholarWorks@중앙대학교

초록

OBJECTIVE: Clinical reasoning (CR) is an essential competency that enables nurses to make effective decisions. However, limited research has explored the factors influencing the CR competence of oncology nurses. Therefore, this study aimed to examine the effect of emotional intelligence (EI) and organizational culture (OC) on CR competence among oncology nurses, providing empirical evidence to guide the development of educational interventions designed to strengthen CR competence in oncology nursing. METHODS: A cross-sectional, correlational design was employed in this study. A total of 168 nurses caring for patients with cancer at Seoul National University Hospital completed a structured online questionnaire. Data were collected from September 1 to 30, 2024 and analyzed using IBM SPSS Statistics for Windows, version 30.0. Descriptive statistics, t-tests, analysis of variance, Scheffé's test, Pearson's correlations, and hierarchical regression were performed. Post hoc mediation and moderation analyses were conducted using the SPSS PROCESS macro. RESULTS: Participants demonstrated moderate levels of EI, OC, and CR, with all three variables showing positive correlations. EI showed significant variation according to age, educational level, religion, total clinical experience, and department transfer, while CR differed based on educational level. In the final regression model, higher education and EI levels emerged as significant predictors of CR. CONCLUSIONS: EI significantly influences CR among oncology nurses. These findings underscore the need for structured educational interventions aimed at enhancing EI, supported by a positive OC. Such efforts may contribute to improved CR competency and reduce inconsistencies in patient outcomes by bridging current gaps in formal training within oncology nursing practice. Copyright © 2025 Elsevier Ltd. All rights reserved.

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