DOI QR코드

DOI QR Code

The Effects of Verbal Violence in Clinical Practice, Academic Stress Coping, and Depression on Professional Self-concepts among Korean Nursing Students

간호대학생의 임상실습 시 경험한 언어폭력, 학업스트레스 대처 및 우울이 전문직 자아개념에 미치는 영향

  • Received : 2018.05.23
  • Accepted : 2018.08.03
  • Published : 2018.08.31

Abstract

The aims of this study were to investigate the effects of verbal violence experienced during clinical practice, emotional responses, academic stress coping, and depression on professional self-concepts of nursing students. Data were collected through a self-reported structured questionnaire form given to nursing students in grades 3-4 using convenient sampling methods from October 25 to November 1, 2017. As a result, 41.9% of the subjects experienced verbal violence during clinical practice. The frequency of experiences for verbal violence was '1 time' at 16.9%, '2 times' at 15.5%, and '3 times' at 4.7%. The verbal violence attackers were patients (42.9%), nurses (37.7%), and protector (15.5%). Emotional response was positively correlated with depression and frequency of verbal violence. Academic stress coping had a negative correlation with depression and a positive correlation with professional self-concept. Depression was negatively correlated with professional self-concept. Multiple regression analysis showed that academic stress coping and depression were statistically significant variables in the professional self-concept, and these variables had a 28% explanatory power. Therefore, in order to improve the professional self-concept of nursing students, it is necessary to develop a strategy to raise the level of academic stress coping and to reduce depression.

Keywords

Depression;Nursing student;Psychological stress;Self-concept;Violence

Acknowledgement

Supported by : 청주대학교

References

  1. P. E. Spector, Z. E. Zhou, X. X. Che, "Nurse Exposure to Physical and Nonphysical Violence, Bullying, and Sexual Harassment: A Quantitative Review," International Journal of Nursing Studies, vol. 51, no. 1, pp. 72-84, 2014. DOI: https://doi.org/10.1016/j.ijnurstu.2013.01.010 https://doi.org/10.1016/j.ijnurstu.2013.01.010
  2. N. Magnavita T. Heponiemi, "Workplace Violence Against Nursing Students and Nurses: An Italian Experience," Journal of Nursing Scholarship, vol. 43, no. 2, pp. 203-210, 2011. DOI: https://doi.org/10.1111/j.1547-5069.2011.01392.x https://doi.org/10.1111/j.1547-5069.2011.01392.x
  3. Korean Nurses Association. "Report on the Improvement of Working Condition of Hospital Nurse," The Korean Nurse, vol. 263, 2017.
  4. Y. Son, H. Gong, M. You, S. Kong, "Relationships between Workplace Violence Experience and Post Traumatic Stress Symptoms, Resilience in Clinical Nurses," Journal of the Korean Data Analysis Society, vol. 17, no. 1, pp. 515-530, 2015.
  5. D. A. Infante, C. J. Wigley, "Verbal Aggressiveness: an Interpersonal Model and Measure," Communication Monographs, vol. 53, no. 1, pp. 61-69, 1986. DOI: https://doi.org/10.1080/03637758609376126 https://doi.org/10.1080/03637758609376126
  6. H. Yi, H. Moon, M. Shin, "The Influence of Workplace Violence on Anger and Post Traumatic Stress Disorder among Nurses," Korean Journal of Occupational Health Nursing vol. 22, no. 3, pp. 240-248, 2013. DOI: http://dx.doi.org/10.5807/kjohn.2013.22.3.240 https://doi.org/10.5807/kjohn.2013.22.3.240
  7. Y. H. Cho, Y. Hong, A. Lee, M. Kim, H. Lee, A. K. Han, E. Kim, "Experience of Verbal Abuse, Emotional Response, and Ways to Deal with Verbal Abuse against Nurses in Hospital," Korean Journal of Occupational Health Nursing, vol. 20, no. 3, pp. 270-278, 2011. DOI: http://dx.doi.org/10.5807/kjohn.2011.20.3.270 https://doi.org/10.5807/kjohn.2011.20.3.270
  8. H. O. Jeon, "A Grounded Theory Approach on Nursing Students' Experience with Overcoming Psychological Crisis by Clinical Practice", Journal of Health and Medical Science, Cheongju University, vol. 6, no. 2, pp. 21-31, 2017
  9. Y. Jeong, K. Lee, "Effect of Verbal Abuse Experience, Coping Style and Resilience on Emotional Response and Stress During Clinical Practicum among Nursing Students", Journal of Digital Convergence, vol. 14, no. 3, pp. 391-399, 2016. DOI: https://doi.org/10.14400/JDC.2016.14.3.391 https://doi.org/10.14400/JDC.2016.14.3.391
  10. J. Oh, O. S. Kim, K. Lee, "Exposure to Violence and Coping Behavior during the Clinical Practice of Nursing Students," Journal of the Korea Academia-Industrial Cooperation Society, vol. 16, no. 8, pp. 5325-5335, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.8.5325 https://doi.org/10.5762/KAIS.2015.16.8.5325
  11. H. An, "The Relationship between Stress of Clinical Practice and Mental Health in Nursing Students", Journal of the Korean Data Analysis Society, vol. 8, no. 6, pp. 2249-2263, 2006.
  12. J. Choi, M. Park, "Methodological Triangulation Method to Evaluate Adjustment to College Life in Associate Nursing College Students", Journal of the Korea Contents Association, vol. 13, no. 7, pp. 339-349, 2013. DOI: https://doi.org/10.5392/JKCA.2013.13.07.339 https://doi.org/10.5392/JKCA.2013.13.07.339
  13. J. Yi, H. Kwak, "Relation of Interpersonal Relationship Harmony, Stress Coping and Adjustment to College Life among Nursing students," Journal of Digital Convergence, vol. 14, no. 11, pp. 527-537, 2016. DOI: http://dx.doi.org/10.14400/JDC.2016.14.11.527 https://doi.org/10.14400/JDC.2016.14.11.527
  14. Y. Lim, "The Impact of Nursing Students' Emotional Labor and Clinical Practice Stress on Burnout," Journal of Learner-Centered Curriculum and Instruction, vol. 17, no. 6. pp. 461-474, 2017. DOI: http://dx.doi.org/10.22251/jlcci.2017.17.6.461 https://doi.org/10.22251/jlcci.2017.17.6.461
  15. I. Jang, "The Effects of Emotional Regulation between Clinical Practice Stress and Nursing Professionalism in Nursing Students," Journal of the Korean Data & Information Science Society, vol. 27, no. 3, pp. 749-761, 2016. DOI: https://doi.org/10.7465/jkdi.2016.27.3.749 https://doi.org/10.7465/jkdi.2016.27.3.749
  16. K. Lim, E. Jo, "Influence of Satisfaction with Clinical Practice and Image of Nurses on Nursing Professionalism of Nursing Students," Journal of the Korea Academia-Industrial Cooperation Society, vol. 17, no. 4, pp. 556-566, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.4.556 https://doi.org/10.5762/KAIS.2016.17.4.556
  17. M, Baek, W. Kim, H. Ryu, "Influencing Factors of Professional Self-Concept, Satisfaction for Clinical Practice, and Critical Thinking Disposition on Clinical Competency in Nursing Students," Journal of the Korean Data Analysis Society, vol. 15, no. 6, pp. 3353-3365, 2013.
  18. E. J. Oh, Y. S. Kim, "A Study on the Relationship between Upper-scale General Hospital Nurses' Experience of Verbal Abuse and Job Stress," Korean Journal of Occupational Health Nursing, vol. 24, no. 3, pp. 173-182, 2015. DOI: http://dx.doi.org/10.5807/kjohn.2015.24.3.173 https://doi.org/10.5807/kjohn.2015.24.3.173
  19. S. Joung, K. Park, "Influence of Experiencing Verbal Abuse, Job Stress and Burnout on Nurses" Turnover Intention in Hemodialysis Units," Journal of Korean Academy of Nursing Administration, vol. 22, no. 2, pp. 189-198, 2016. DOI: https://doi.org/10.11111/jkana.2016.22.2.189 https://doi.org/10.11111/jkana.2016.22.2.189
  20. J. H. Noh, Y. K. Na, "Effects of Violence Experience, Emotional Labor, and Job Stress on Clinical Nurses' Depression," Korean Journal of Occupational Health Nursing, vol. 24, no. 3, pp. 153-161, 2015. DOI: http://dx.doi.org/10.5807/kjohn.2015.24.3.153 https://doi.org/10.5807/kjohn.2015.24.3.153
  21. S. Lee, J. Kim, "Convergence Study on Relationship among Verbal violence experience, Verbal violence impact and Burnout in Operating Room Nurses," Journal of the Korea Convergence Society, vol. 8, no. 6, pp. 85-96, 2017. DOI: https://doi.org/10.15207/JKCS.2017.8.6.085 https://doi.org/10.15207/JKCS.2017.8.6.085
  22. M. Nam, H. Kim, "Relations between Clinical practice Emotional labor, Self esteem and Major Satisfaction of among Nursing Students," Journal of Digital Convergence, vol. 14, no. 1, pp. 263-273, 2016. DOI: http://dx.doi.org/10.14400/JDC.2016.14.1.263 https://doi.org/10.14400/JDC.2016.14.1.263
  23. F. Faul, E. Erdfelder, A. G. Lang, A. Buchner, "G*POWER 3: A Flexible Statistical Power Analysis Program for the Social, Behavioral, and Biomedical Sciences", Behavior Research Methods, vol. 39, pp. 175-191. 2007. DOI: http://dx.doi.org/10.3758/BF03193146 https://doi.org/10.3758/BF03193146
  24. K. D. Nam, G. S. Yun, H. S. Jeong, S. A. Park, B. Y. Jang, H. R. Kim, H. S. Eum, Y. H. Sung, "A study on the Development of verbal abuse scale for operating room nurse," Nursing Administration Journal, vol. 11, no. 2, pp. 159-171, 2005.
  25. A. R. Bae. The Relationships among Verbal Abuse Experiences, Emotional Response, Coping and Emotional Intelligence in Hospital Nurses. Unpublished master's thesis, Kyungsang University, Jinju, 2012.
  26. M. L. Lanza. "Assault response questionnaire," Journal of Issues in Mental Health Nursing, vol. 9, no. 1, pp. 17-29, 1988. DOI: https://doi.org/10.3109/01612848809140907 https://doi.org/10.3109/01612848809140907
  27. S. J, Jang. Relationship between Experience of Patients's Violent Behaviors and Burnout of Psychiatric Nurses. Unpublished master's thesis, Seoul National University, Seoul, 2004.
  28. S. H. Kim, H. J. Cho, J. H. Dong, J. M. An, B. R. Yun, G. Y. Lee, J. Y. Lee, H. M. Lee, H. I. Jang, "Verbal Abuse, Verbal Abuse Response, and Stress on Verbal Abuse of Nursing Student in Clinical Training," Social Science Research Institute, Catholic University of Daegu, vol. 10, pp. 249-266, 2011.
  29. C. H. Kim, "Relationship of the Daily Hassles , Stress Appraisal and Coping Strategies with Emotional Experiences", The Korean Journal of Counseling and Psychotherapy, vol. 7, no. 1, pp. 44-69, 1995.
  30. L. S. Radloff, "The CES-D Scale: A Self-report Depression Scale for Research in the General Population", Applied Psychological Measurement, vol. 1, pp. 385-401, 1977. DOI: http://dx.doi.org/10.1177/014662167700100306 https://doi.org/10.1177/014662167700100306
  31. M. J. Cho, K. H. Kim, "Diagnostic Validity of the CES-D(Korean Version) in the Assessment of DSM-III-R Major Depression", Journal of the Korean Neuropsychiatric Association, vol. 32, pp. 381-399, 1993.
  32. D. Arthur. The development of an instrument for measuring the professional self concept of nurses. Unpublished masters thesis. University of Newcastle, Australia. 1990.
  33. C. H. Noh, K. Y. Sohng, "Survey on the Relationship Self-esteem and Professional Self-concept of Nurses", The Korean Journal of Fundamentals of Nursing, vol. 4, no. 1, pp. 61-71, 1997.
  34. Hong, Y. Kim, Y. Son, H. "Effect of Nurses' Incivility Experienced by Nursing Student, Coping on Burnout in Clinical Practice," Journal of Korean Academy of Nursing Administration, vol. 22, no. 4, pp. 323-331. 2016. DOI: https://doi.org/10.11111/jkana.2016.22.4.323 https://doi.org/10.11111/jkana.2016.22.4.323