본 연구는 간호대학생의 공감 능력이 돌봄 효능감에 미치는 영향에서 사회적 지지와 대인관계 유능성의 매개효과를 확인하여 향후 간호대학생의 돌봄 효능감을 향상 시키는데 유용한 이론적 실천적 정보를 제공하기 위한 기초 자료를 제공하기위해 시도된 서술적 조사연구이다.
자료 수집은 전라북도, 충청북도에 소재한 간호학과에 재학 중인 학생 254 명을 대상으로 2019년 2월 5일부터 2월 12일까지 진행하였다.
자료 분석은 SPSS/WIN 21.0 프로그램을 이용하여 실수, 백분율, 평균, 표준편차, t-test, ANOVA, Scheffe''s 사후분석, Pearson 상관계수, 다중회귀분석을 이용하였다.

본 연구 결과를 요약하면 다음과 같다.
1. 공감 능력 정도는 5점 만점 중 3.44±0.32점이었으며, 돌봄 효능감은 6점 만점 중 4.20±0.56점이었다. 사회적 지지는 5점 만점 에 4.28±0.55점 이었으며, 대인관계 유능성은 5점 만점 중 3.33±0.51점 으로 확인되었다.
2. 대상자의 일반적 특성에 따른 돌봄 효능감 차이는 성별, 학년, 종 교, 성적 관련 만족도, 전공 관련 만족도, 임상실습 만족도, 간호학 과 지원 동기, 아동간호학 실습경험 부서에서 나타났으며, 남학생의 돌봄 효능감 점수가 높았고(t=2.14, p=.034), 4학년 학생의 돌봄 효 능감 점수가 더 높게 나타났다(t=-2.41, p=.017). 종교가 있는 경우 에 돌봄 효능감 점수가 높았고(t=2.12, p=.035), 본인 성적에 만족 한 학생의 돌봄 효능감 점수가 더 높게 나타났다(F=4.46, p=.012). 전공 관련 만족도에서는 불만족한 학생보다 만족한 학생의 돌봄 효 능감 점수가 높았고(F=12.55, p<.001), 임상실습 만족도는 매우 불 만족, 보통, 매우 만족 간의 돌봄 효능감 점수에 차이가 있었다 (F=8.16, p<.001). 임상실습에 매우 불만족한 학생보다 보통 인 학생의 돌봄 효능감 점수가 더 높았고, 보통인 학생보다 매우 만족한 학생의 돌봄 효능감 점수가 더 높게 나타났다. 간호학과 지 원 동기에서는 높은 취업률 때문에 간호학과를 지원한 학생보다 적성과 취미 때문에 지원한 학생의 돌봄 효능감 점수가 높았고 (F=4.57, p=.004), 아동간호학 실습경험 부서에서는 아동간호학 관 련 실습 부서 경험이 없는 학생보다 신생아실과 소아과 병동 2곳 모두를 실습한 학생의 돌봄 효능감 점수가 더 높게 나타났다 (F=3.68, p=.027).
3. 공감 능력, 사회적 지지, 대인관계 유능성, 돌봄 효능감 간에는 모 두 양의 상관관계가 나타났다. 공감 능력과 사회적 지지(r=.28, p<.001), 공감 능력과 대인관계 유능성(r=.19, p=.002), 공감능력과 돌봄 효능감(r=.50, p<.001), 사회적 지지와 돌봄 효능감(r=.32, p<.001), 대인관계 유능성과 돌봄 효능감(r=.46, p<.001) 간에 상관 관계가 나타났다.
4. 간호대학생의 공감 능력과 돌봄 효능감의 관계에서 사회적지지 의 매개효과를 확인한 결과, 사회적 지지가 두 변수 간 관계를 부 분 매개 하는 것으로 나타났고 Soble test를 통해 확인한 결과 매 개 효과는 통계적으로 유의 하였다(Z=1.68, p=.046).
5. 간호대학생의 공감 능력과 돌봄 효능감의 관계에서 대인관계 유 능성의 매개효과를 확인한 결과, 대인관계 유능성이 공감능력과 돌봄 효능감 간의 관계를 부분 매개 하는 것으로 나타났고 Soble test를 통하여 검증한 결과 매개효과는 통계적으로 유의하게 나타났다(Z=1.68, p=.046).

본 연구 결과를 통해 간호대학생의 공감능력과 돌봄 효능감 간의 관계에서 사회적 지지와 대인 관계유능성이 모두 부분 매개 하는 것으로 나타나 간호대학생의 돌봄 효능감 증진을 위해 공감 능력뿐만 아니라 사회적 지지와 대인관계 유능성을 함께 향상시킬 수 있는 프로그램 개발이 필요하다.

The purpose of this study is a descriptive survey study attempted to provide basic data to provide theoretical and practical information useful for improving the nursing student''s careful effectiveness in the future by confirming the mediating effect of social support and interpersonal competence in the influence of empathy ability of nursing college students on careful effectiveness.
Data collection was conducted from February 5, to February 12, 2019, for 254 students attending the nursing department in Jeollabuk-do and Chungcheongbuk - do.
Data were analyzed using SPSS / WIN 21.0 program, using real, percentage, mean, standard deviation, t-test, ANOVA, Scheffe''s post-analysis, Pearson correlation coefficient and multiple regression analysis.

The results of this research are summarized as follows:
1. The degree of empathy was of 3.44 ± 0.32 out of 5 points, careful effectiveness was 4.20 ± 0.56 out of 6 points, social support was 4.28 ± 0.55 out of 5 points, interpersonal competence was 3.33 ± 0.51 out of 5 point.
2. The difference in the effectiveness of care according to the general characteristics of the subjects was found in gender, grade, religion, satisfaction with academic performance, major related satisfaction, clinical practice satisfaction, nursing department support motivation, and hands-on experience department of child nursing, male students had high careful effectiveness score(t=2.14, p=.034), the fourth grader''s score was higher for efficacy in care (t=-2.41, p=.017). If there is a religion, the efficacy score for care was high (t=2.12, p=.035) a student who was satisfied with his or her grades had a higher score for the efficacy of care (F=4.46, p=.012). In the major-related satisfaction level, the satisfaction score of satisfied students was higher than that of unsatisfactory students (F=12.55, p<.001), clinical practice satisfaction differed in the scores of careful effectiveness between highly unsatisfactory, moderate, and highly satisfying (F=8.16, p<.001). The average student''s careful effectiveness score was higher than that of the student who was very dissatisfied with the clinical practice, and the care efficacy score of the student who was very satisfied was higher than that of the average student. In the nursing care support motive, the students who applied for nursing students'' aptitude and hobbies were higher than the students who supported nursing because of high employment rate (F=4.57, p=.004), in the child nursing practice department, students who have experienced both neonatal rooms and pediatric wards scored higher on the care effectiveness score than students who had no experience in the child nursing school''s training department (F=3.68, p=.027).
3. There was a positive correlation between empathy, social support, interpersonal competence, and caring efficacy. Empathy and social support (r=.28, p<.001), empathy ability and interpersonal competence (r=.19, p=.002) social support and care efficacy (r=.32, p<.001), interpersonal competence and caring efficacy (r=.46, p<.001).
4. The mediating effect of social support on the relationship between empathy ability and careful effectiveness of nursing college students showed that social support partially mediated the relationship between the two variables, and as a result of the Soble test, the mediating effect was statistically significant (Z= 1.68, p=.046).
5. In the relationship between nursing student''s empathy ability and careful effectiveness, interpersonal relationship, as a result of verifying the mediating effect of careful effectiveness, interpersonal competence was found to mediate the relationship between the two variables partly and it was verified through Soble test that mediating effect was statistically significant (Z= 1.68, p=.046).

The results of this study showed that both social support and interpersonal competence are partly mediated in the relationship between empathy ability and careful effectiveness of nursing college students. In order to improve the careful effectiveness of nursing college students, not only empathy but also social support and interpersonal competence we can confirm that we need to develop a program that can be improved together.