DOI QR코드

DOI QR Code

The Effects of Stress and Spirituality on Quality of Life of Nursing Students

간호대학생의 스트레스, 영성이 삶의 질에 미치는 영향

  • Received : 2021.04.03
  • Accepted : 2021.05.03
  • Published : 2021.05.31

Abstract

Purpose: The purposes of this study were to investigate the relationship between stress, spirituality and quality of life and verify the effect of mediating spirituality in the relationship between stress and quality of life among nursing students. Methods: A total of 173 fourth-year nursing students who have experienced clinical practice participated in this study. Data were collected using structured questionnaires to measure the stress, spirituality and quality of life in nursing students from November 9 to December 9 in 2020. Data analysis was conducted using independent t-test, ANOVA, Pearson's correlation coefficient, and mediated regression analysis of Baron and Kenny. Results: The results show that stress were negatively correlated with quality of life (r=-.49, p<.001) and spirituality (r=-.40, p<.001). In addition, spirituality was positively correlated with quality of life (r=.56, p<.001) and had a partial mediation effect on the relationship between stress and quality of life. Conclusion: The results of this study indicate that in order to reduce stress and improve the quality of life of nursing students, it is necessary to actively apply a spirituality promotion program recognizing and developing nursing student's spirituality.

Keywords

References

  1. World Health Organization. Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research. 1993;2(2):153-9. https://doi.org/10.1007/BF00435734
  2. Costa DS. Reflective, causal, and composite indicators of quality of life: A conceptual or an empirical distinction?. Quality of Life Research. 2015;24(9):2057-65. https://doi.org/10.1007/s11136-015-0954-2
  3. Kim YK, Kwon S, Son HG. The influence of perceived stress, depression, and positive psychological capital on quality of life among nursing students. Journal of the Data Analysis Society. 2018;20(3):1579-93. https://doi.org/10.37727/jkdas.2018.20.3.1579
  4. Park BY, Shim OS. Predictors of quality of life in nursing students and general college students. Journal of Learner-Centered Curriculum and Instruction. 2016;16(11):811-30. https://doi.org/10.22251/jlcci.2016.16.11.811
  5. Kim SA, Lee HJ, Lee SH, Hong EH. Types of stress for the improvement of quality of life for nursing students. Journal of the Korea Entertainment Industry Association. 2020;14(2):237-47. https://doi.org/10.21184/jkeia.2020.2.14.2.237
  6. Sheroun D, Wankhar D, Devrani A, PV L, Gita S, Chatterjee K. A study to assess the perceived stress and coping strategies among B.Sc. nursing students of selected colleges in Pune during COVID-19 pandemic lockdown. International Journal of Science and Healthcare Research. 2020;5(2):280-8. https://doi.org/10.52403/ijshr
  7. Jimenez C, Navia-Osorio P, Vacas Diaz C. Stress and health in novice and experienced nursing students. Journal of Advanced Nursing. 2010; 66(2):442-55. https://doi.org/10.1111/j.1365-2648.2009.05183.x
  8. Nam JH, Park HS. The impacts of perceived stress and self-compassion on quality of life of nursing students. The Journal of Korean Academic Society of Nursing Education. 2020;26(1):67-77. https://doi.org/10.5977/jkasne.2020.26.1.67
  9. Kim MS, Noh GO, Kim SH. A study on the mediating effects of self-esteem between perceived stress and QOL in nursing students. Journal of the Korean Data Analysis Society. 2017;19(4):2233-45. https://doi.org/10.37727/jkdas.2017.19.4.2233
  10. Panzini RG, Mosqueiro BP, Zimpel RR, Bandeira DR, Rocha NS, Fleck MP. Quality-of-life and spirituality. International Review of Psychiatry. 2017;29(3):263-82. https://doi.org/10.1080/09540261.2017.1285553
  11. Puchalski CM, Vitillo R, Hull SK, Reller N. Improving the spiritual dimension of whole person care: reaching national and international consensus. Journal of Palliative Medicine. 2014;17(6):642-56. https://doi.org/10.1089/jpm.2014.9427
  12. Smith AR. Nursing and spirituality: What happened to religion?. Journal of Christian Nursing. 2009;26(4):216-22. https://doi.org/10.1097/01.CNJ.0000361243.35944.69
  13. Lim J. The mediating effects of self-acceptance and life stress on the relationship between spirituality and life satisfaction among college students. Korean Journal of Youth Studies. 2017;24(4):179-210. https://doi.org/10.21509/KJYS.2017.04.24.4.179
  14. Hong SS, Hong JA, Jun WH. Spirituality and stress of clinical practice among nursing students. Journal of the Korea Contents Association. 2013;13(6):361-9. https://doi.org/10.5392/JKCA.2013.13.06.361
  15. Hsiao YC, Chiang HY, Lee HC, Chen SH. The effects of a spiritual learning program on improving spiritual health and clinical practice stress among nursing students. Journal of Nursing Research. 2012;20(4):281-90. https://doi.org/10.1097/jnr.0b013e318273642f
  16. Lee Y. The relationship of spiritual well-being and involvement with depression and perceived stress in Korean nursing students. Global Journal of Health Science. 2014;6(4):169-76. https://doi.org/10.5539/gjhs.v6n4p169
  17. Jin JH, Lee EJ. The mediating effect of workplace spirituality on the relation between job stress and job satisfaction of cancer survivors returning to work. International Journal of Environment Research and Public Health. 2019;16(19):1-13. https://doi.org/10.3390/ijerph16193510
  18. Lin YK, Lin CD, Lin BY, Chen DY. Medical students' resilience: a protective role on stress and quality of life in clerkship. BMC Medical Education. 2019;19(1):473. https://doi.org/10.1186/s12909-019-1912-4
  19. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-60. https://doi.org/10.3758/BRM.41.4.1149
  20. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior. 1983;24(4):385-96. https://doi.org/10.2307/2136404
  21. Park JH, Seo YS. Validation of the perceived stress scale (PSS) on samples of Korean university students. Korean Journal of Psychology: General. 2010;29(3):611-29.
  22. Howden J. Development and psychometric characteristics of the Spirituality Assessment Scale [dissertation]. Texas: Texas Woman's University; 1992. p. 1-310.
  23. Oh PJ, Chun HS, So WS. Spiritual Assessment Scale; psychometric evaluation of the Korean Version. Asian Oncology Nursing. 2001;1(2): 168-79.
  24. Min SK, Lee CI, Kim K, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). Journal of Korean Neuropsychiatric Association. 2000;39(3):571-9.
  25. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986;51(6): 1173-82. https://doi.org/10.1037//0022-3514.51.6.1173
  26. Cobb MR, Puchalski CM, Rumbold B. Oxford textbook of spirituality in healthcare. New York: Oxford University Press; 2012. p. 276-7.