한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제16권8호
  • /
  • Pages.5325-5335
  • /
  • 2015
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

임상실습 중 간호대학생의 폭력 경험과 대처 행동

Exposure to Violence and Coping Behavior during the Clinical Practice of Nursing Students

  • 오진환 (수원과학대학교 간호학과) ;
  • 김옥선 (상지대학교 간호학과) ;
  • 이기령 (수원과학대학교 간호학과)
  • Oh, Jin-Hwan (Department of Nursing, Suwon Science College) ;
  • Kim, Og Son (Department of Nursing Science, Sangji University) ;
  • Lee, Kee-Lyong (Department of Nursing, Suwon Science College)
  • 투고 : 2015.05.15
  • 심사 : 2015.08.06
  • 발행 : 2015.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 임상실습 중 간호대학생이 경험하는 폭력과 폭력 경험 후 대처 행동을 파악하고자 시행된 서술적 조사연구이다. 2014년 11월 10일부터 12월 10일까지 250명의 간호대학생을 대상으로 설문지를 이용하여 자료수집 하였다. 설문지에 응답한 231명의 자료를 서술적 분석, t-test, one-way ANOVA를 이용하여 분석하였다. 연구결과, 대상자의 98.7%가 임상실습 중 폭력 경험을 했고, 폭력 발생 장소로 정신과 병동, 폭력 가해자로 환자가 가장 많았다. 폭력의 유형 중 언어폭력이 가장 많았고(97.4%), 다음으로 신체적 위협(76.2%)이었다. 폭력 경험 후 대처행동으로 '반응하지 않고 임상실습을 지속함'이 87.8%로 가장 높았고, '대처 없이 묵인하고 가해자로부터 피함'이 83.2%로 그 다음 순으로 높았다. 본 연구에서 대부분의 학생들이 임상실습 동안 폭력을 경험하였다. 이에 임상실습 중 발생할 수 있는 폭력으로부터 학생들을 보호하기 위해 교육기관과 실습기관의 대책 마련이 시급하며, 또한 폭력 예방과 대처 능력을 향상할 수 있는 다양한 프로그램이 강구되어야 한다.

This study was conducted to investigate violence experiences and coping behaviors of nursing students when they were doing clinical practice. Data were collected from 250 nursing students from 10th of November to 10th of December in 2014 using questionnaires. 231 questionnaires were analyzed by descriptive statistics, t-test, and one-way ANOVA. 98.7% of the subject have experienced violence. Most frequently mentioned setting where violences were experienced was psychiatric unit, abusers were patient. Most frequent violence type was verbal abuse(97.4%) followed by physical threatening(76.2%). Most frequent coping behavior was enduring(87.8%) followed by avoiding(83.2%). In this study, most of nursing students experienced violence during the clinical practice. They need to be better protected from violence during the clinical practice. It is needed various active effort and programs to prevent violence and to help students cope more against violence in their practice.

키워드

참고문헌

  1. National Institute for Occupational Safety and Health(NIOSH), "Violence: Occupational hazards in hospitals", 2002, Retrieved at 22, March,2015,from http://www.cdc.gov/niosh/docs2002-101.
  2. P. A. Hinchberger, "Violence against female student nurses in the workplace", Nursing Forum, Vol.44, N0.1, pp.37-45, 2009. DOI: http://dx.doi.org/10.1111/j.1744-6198.2009.00125.x
  3. J. W. Park, N. S. Ha. "Nursing students' clinical experience", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol.12, No.1, pp.27-35, 2013.
  4. 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 setting", Journal of Social Science Research Institute, Vol.10, pp. 249-266, 2011.
  5. M. J. Hong, "A Study on nurses' experiences of violence", Unpublished master's thesis, Eulji University, Deajeon, 2009.
  6. Korea Health & Medical Workers' Union, "Survey on emotional labor, verbal abuse, physical violence", 2010, Retrieved at 27, November, 2014, from http://bogun.nodong.org.
  7. S. Kisa, "Turkish nurses' experiences of verbal abuse work", Archives of Psychiatric Nursing, Vol.22, No.4, pp.200-207, 2008. DOI: http://dx.doi.org/10.1016/j.apnu.2007.06.013
  8. The Korea Occupational Safety and Health Agency, "Occupational health guideline in nurses", 2012, Retrieved at 22, march, 2015. from http://www.kosha.or.kr/www/boardView.do?contentId=35 0739&MenuId=5405&boardType=A.
  9. T. Ferns, L. Meerebeau, "Verbal abuse experienced by nursing students", Journal of Advanced Nursing, Vol.61, No.4, pp.436-444, 2007. DOI: http://dx.doi.org/10.1111/j.1365-2648.2007.04504.x
  10. C. M. Thomas, "Teaching nursing students and newly registered nurses strategies to deal with violent behaviors in the professional practice environment", The Journal of Continuity Education in Nursing, Vol.41, No.7, pp.299-308, 2010. DOI: http://dx.doi.org/10.3928/00220124-20100401-09
  11. J. E. Park, "Nursing student's experience, their response and coping method of violence in clinical setting", Unpublished master's thesis, Pusan National University, Pusan, 2013.
  12. H. J. Park, H. S. Kang, K. H. Kim, H. J. Kwon, "Exposure to workplace violence and coping in intensive care unit nurses", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol.20, No.3, pp. 291-301, 2011. DOI: http://dx.doi.org/10.12934/jkpmhn.2011.20.3.291
  13. H. J. Kwon, H. S. Kim, K. S. Choe, K. S. Lee, Y. H. Sung, "A study on verbal abuse experienced at medical centers", Clinical Nursing Research, Vol.13, No.2, pp.113-124, 2007.
  14. Y. H. Cho, Y. R. Hong, A. M. Lee, M. K. Kim, H. J. 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
  15. K. G. Speroni, T. Fitch, E. Dawson, L. Dugan, M. Atherton, "Incidence and cost of nurse workplace violence perpetrated by hospital patients or patient visitors", Journal of Emergency Nursing, Vol.40, No.3, pp.218-222, 2014. DOI: http://dx.doi.org/10.1016/j_jen.2013.05.014
  16. E. Park, J. H. Kim, "The experiences of workplace violence toward nurses in hospitals in Jeju province, South Korea", Korean Journal of Occupational Health Nursing, Vol.20, No.2, pp.212-220, 2011. DOI: http://dx.doi.org/10.5807/kjohn.2011.20.2.212
  17. H. J. Jung, H. I. Chung, K. C. Choi, A. Y. Cho, Y. M. Chae, K. H. Choi, J. H. Jo, "Experience, emotional reaction and coping behavior of verbal abuse during the clinical practice of nursing students", Journal of the Korean Academy on Communication in Healthcare, Vol.8, No.2, pp.99-108, 2013. https://doi.org/10.15715/kjhcom.2013.8.2.99
  18. H. J. Moon, "A study on nursing students experience in verbal abuse", Unpublished master's thesis, Catholic University, Seoul, 2013.
  19. S. S. Celik, N. Bayraktar. "A study of nursing student abuse in Turkey", Journal of Nursing Education, Vol.43, No.7, pp.330-336, 2004.
  20. 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: http://dx.doi.org/10.1111/j.1547-5069.2011.01392.x
  21. A. Celebioglu, R.B. Akpinar, S.O. Kucukoglu, R. Engin, "Violence experienced by Turkish nursing students in clinical settings: Their emotions and behaviors", Nurse Education Today, Vol.30, No.7, pp.687-691, 2010. DOI: http://dx.doi.org/10.1016/j.nedt.2010.01.006
  22. M. Sohn, "Violence in the emergency department: A study on the experiences of ED nurses", Unpublished master's thesis, Hanyang University, Seoul, 1997.
  23. J. S. Yun, "A study of violence experiences from patients and their families and job satisfaction of emergency department nurses", Unpublished master's thesis, University of Ulsan, Seoul, 2004.
  24. P. Serap, "Turkish nursing students' perceptions and experiences of bullying behavior in nursing education", Journal of Nursing Education and Practice, Vol.3, No.1, pp.23-29, 2013.
  25. E. J. Song, "The effects of a communication training program on communication and interpersonal relationship for student nurses in clinical practice", The Korean Journal of Fundamentals of Nursing, Vol.13, No.3, pp. 467-473, 2006.
  26. W. J. Choi, S. H. Cho, N. S. Cho, G. S. Kim, "Effect of an education program on violence in the emergency department", Journal of Korean Society Emergency Medicine, Vol.16, No.2, pp.221-228, 2005.