Effects of a Neonatal Nursing Practice Program on Students' Stress, Self-efficacy, and Confidence

  • Kim, Yunsoo (Department of Nursing, Catholic Kwandong University) ;
  • Park, Horan (College of Nursing, The Catholic University of Korea) ;
  • Hong, Sung Sil (Department of Nursing, Kangwon National University) ;
  • Chung, Hee Jin (College of Nursing, The Catholic University of Korea)
  • Received : 2018.06.14
  • Accepted : 2018.06.25
  • Published : 2018.07.31


Purpose: The purpose of this study was to examine the effects of a neonatal nursing practice program for nursing students on students' stress, self-efficacy, and confidence. Methods: A 1-group pre- and post- study design was used. The participants consisted of 64 nursing students who were in a pediatric nursing clinical practicum at a nursing college in Seoul from September 2015 to May 2016. The program consisted of 3 stages-orientation, practice, and debriefing-and was conducted for 3 hours during a 2-week period of the pediatric nursing clinical practicum. The dependent variables were neonatal nursing practice stress, self-efficacy, and confidence. Data were analyzed using the paired t-test, the Pearson correlation coefficient, the $x^2$ test, and descriptive statistics with SPSS for Windows version 22.0. Results: The neonatal nursing practice program was effective at decreasing clinical practice-related stress and increasing confidence and self-efficacy regarding neonatal nursing practice. Conclusion: The neonatal nursing practice program may effectively promote the integration of theoretical knowledge and practice. In the future, we propose to develop various educational programs that reinforce basic nursing skills for neonates as part of an effective pediatric nursing clinical practicum.


  1. KABoN. Nurses' core competencies and nursing education learning outcomes 2012 [Internet]. Seoul: KABoN; 2012 [cited 2018 June 15]. Available from:
  2. Song KA, Park HJ, Yeom HA, Lee JE, Joo GE, Kim HJ. The development and evaluation of a new educational program, introduction to clinical nursing, for third year nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2012;19(3):322-333.
  3. Yoo SY, Kim SH, Lee JH. Educational needs in the development of a simulation based program on neonatal emergency care for nursing students. Journal of Korean Academy of Child Health Nursing. 2012;18(4):170-176.
  4. Parker RA, McNeill JA, Pelayo LW, Goei KA, Howard J, Gunter MD. Pediatric clinical simulation: A pilot project. Journal of Nursing Education. 2011;50(2):105-111.
  5. Kim SG. Effects of a simulation-based high-risk neonatal care education on learning satisfaction, class participation, learning motivation and clinical competency in nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2015;16(10):6807-6815.
  6. Park SN, Kim YS. Stress and satisfaction from simulation-based practice and clinical practice on high-risk newborn nursing. The Journal of Korean Academic Society of Nursing Education. 2015; 21(1):86-94.
  7. Park S, Ji ES. Clinical competence according to experiences on the neonatal nursing care in nursing students and educational needs of the nursing simulation. The Journal of Learner-Centered Curriculum and Instruction. 2016;16(7):97-112.
  8. Park SH, Ryu SA. Effects of direct practice of newborn health assessment on students' nursing clinical competence and self-efficacy. Child Health Nursing Research. 2016;22(2):117-125.
  9. Choi GY. The relationship between perceptions of nursing college students regarding clinical practice environment and related variables. Korean Journal of Adult Nursing. 2009;21(1):129-139.
  10. Lee AK, You HS, Park IH. Affecting factors on stress of clinical practice in nursing students. Journal of Korean Academy of Nursing Administration. 2015;21(2):154-163.
  11. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1977;84(2):191-215.
  12. Kendall S, Bloomfield L. Developing and validating a tool to measure parenting self-efficacy. Journal of Advanced Nursing. 2005; 51(2):174-181.
  13. Jeffries PR. A framework for designing, implementing, and evaluating: Simulations used as teaching strategies in nursing. Nursing Education Perspectives. 2005;26(2):96-103.
  14. World Health Organization. WHO recommendations on postnatal care of the mother and newborn [Internet]. Geneva: World Health Oganizaion; 2014 [cited 2018 June 15]. Available from:;jsessionid=525343D1B10251B4B031381D3C6B4235?sequence=1.
  15. Judge TA, Locke EA, Durham CC, Kluger AN. Dispositional effects on job and life satisfaction: The role of core evaluations. The Journal of Applied Psychology. 1998;83(1):17-34.
  16. Kim AY. A study on the academic failure - tolerance and its correlates. Journal of Educational Psychology. 1997;11(2):1-19.
  17. Kim AY, Park IY. Study on the construct of academic self-efficacy and its measurement. The Journal of Educational Research. 2001;39(1):95-123.
  18. Kwon EM, Shin MS, Kim EJ. The influence of covert narcissism on social phobia- The mediating effects of social self-efficacy. Korean Journal of Psychology. 2009;28(3):627-642.
  19. Kang HA, Kim A. Development and validation of a social self-efficacy scale for college students. Korean Journal of Educational Psychology. 2013;27(2):263-283.
  20. Park HJ, Jang IS. Stress, depression, coping styles and satisfaction of clinical practice in nursing students. The Journal of Korean Academic Society of Nursing Education. 2010;16(1):14-23.
  21. Kim KE, Lee BY. The relationship between satisfaction with clinical practice and clinical performance ability for nursing students. The Journal of the Korea Contents Association. 2014;14(10):885-896.
  22. Whang SJ. The relationship between clinical stress, self-efficacy, and self-esteem of nursing college students. The Journal of Korean Academic Society of Nursing Education. 2006;12(2):205-213.
  23. Lee M, Ahn Y, Cho I, Sohn M. Effectiveness of simulation integrated with problem based learning on clinical competency and self-efficacy in nursing students. Child Health Nursing Research. 2014; 20(2):123-131.
  24. Kim JY, An MS, Park HJ. Effectiveness of infant care competence according to pediatric nursing practice at school. Korean Parent-Child Health Journal. 2012;15(1):14-19.
  25. Han JJ. Satisfaction of clinical practice and self-efficacy of clinical practice in nursing students [master's thesis]. Seoul: Ewha Womans University; 2012. p. 1-58.
  26. Kim SO, Kang BH. The influence of nursing students' learning experience, recognition of importance and learning self-efficacy for core fundamental nursing skills on their self-confidence. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(8):172-182.
  27. Park YM, Ju HJ. Personality types of nurses and the relation between self-efficacy and clinical performance ability. Journal of Digital Convergence. 2016;14(11):333-345.