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Effect of Verbal Abuse Experience, Coping Style and Resilience on Emotional Response and Stress During Clinical Practicum among Nursing Students

간호대학생의 폭력경험, 대처양식 및 회복탄력성이 정서반응과 임상실습스트레스에 미치는 효과

  • Received : 2016.01.07
  • Accepted : 2016.03.20
  • Published : 2016.03.28

Abstract

This study aimed to investigate the effect of verbal abuse experience, coping style and resilience on emotional response and practical stress. 261 nursing students participated in this study. The Data were collected using self-report questionnaires from Dec. 1 to Dec. 20, 2014. We found a positive correlation among verbal abuse experience, emotional coping style and stress during clinical practicum; a positive correlation among problem coping style, emotional coping style and resilience; a positive correlation among emotional coping style, emotional response and stress; a negative correlation among resilience and emotional response; a positive correlation among emotional response and stress during clinical practicum. The highest impact factors affecting the emotional response was emotional coping style(${\beta}=.422$). The highest impact factors affecting stress during clinical practicum was verbal abuse experience(${\beta}=.283$). Future efforts should be focused to provide interpersonal relation training and communication skills training for a safe environment of nursing students.

본 연구는 간호대학생의 임상실습 시 폭력경험, 대처양식 및 회복탄력성이 정서반응과 임상실습스트레스에 미치는 효과를 알아보고자 실시하였다. 대상자는 간호대학생 261명이 참여하였고 2014년 12월 1일부터 12월 20일까지 자가보고식 질문지를 사용하여 조사하였다. 상관관계 분석 결과 폭력경험은 정서중심대처, 임상실습스트레스와 유의한 정적 상관관계가 있었으며, 문제중심대처는 정서중심대처, 회복탄력성과 유의한 정적 상관관계가 있었다. 정서 중심대처는 정서반응, 임상실습스트레스와 유의한 정적 상관관계가 있었으며, 회복탄력성은 정서반응과 유의한 부적상관관계가 있었고, 정서반응은 임상실습스트레스와 유의한 정적 상관관계가 있었다. 정서반응에 영향을 미치는 가장 높은 영향요인은 정서중심대처(${\beta}=.422$)였다. 임상실습스트레스에 영향을 미치는 가장 높은 영향요인은 폭력경험(${\beta}=.283$)이였다. 간호대학생의 안전한 실습환경을 위해 대인관계훈련 프로그램과 효율적인 의사소통훈련 프로그램을 개발하는 것이 필요할 것으로 제언한다.

Keywords

References

  1. I. Galian-Munoz, B. Llor-Esteban, J. A. Ruiz-Hernandez, "User violence towards nursing staff in public hospitals", Rev Esp Salud Publica, Vol. 86, pp. 279-291, 2012. https://doi.org/10.1590/S1135-57272012000300007
  2. Mi-Jin Kim, Gyun-Young Kang, "The Convergence Study on the Relationship between the Job Stress and Mental Health of Nurses", Journal of the Korea Convergence Society, Vol. 6, No. 5, pp. 39-47, 2015. https://doi.org/10.15207/JKCS.2015.6.5.039
  3. N. Magnavita, T. Heponiemi, "Workplace violence against nursing students and nurses: an Italian experience", J Nursing Scholarship, Vol. 43, No. 2, pp. 203-210, 2011. https://doi.org/10.1111/j.1547-5069.2011.01392.x
  4. N. Magnavita, T. Heponiemi, "Violence towards health care workers in a Public Health Care Facility in Italy", a repeated cross-sectional study, BMC Health Serv Res, Vol. 12, pp. 108, 2012. https://doi.org/10.1186/1472-6963-12-108
  5. H. J. Park, H. S. Kang, K. H. Kim, H.J. Kwon, "Exposure to workplace violence and coping in Intensive Care Unit Nurses", The Korean Academy of Psychiatric and Mental Health Nursing, Vol. 20, No. 3, pp. 291-301, 2011. https://doi.org/10.12934/jkpmhn.2011.20.3.291
  6. Young-Hee Jeong, "Convergent approach of phenomenological methodology about Emergency Nurses' experience of hospital violence", Journal of the Korea Convergence Society, Vol. 6, No. 5, pp. 63-75, 2015. https://doi.org/10.15207/JKCS.2015.6.5.063
  7. A. Aghajanloo, K. Nirumand-Zandi, Z. Safavi-Bayat, H. Alavi-Majd, "Clinical violence in nursing students" , Iran J Nurs Midwifery Res. Vol. 16, No. 4, pp. 284-287, 2011.
  8. A1. Celebioglu, R. B. Akpinar, S. Kucukoglu, R. Engin, "Violence experienced by Turkish nursing students in clinical settings: their emotions and behaviors", Nurse Educ Today, Vol. 30, No. 7, pp. 687-691, 2010. https://doi.org/10.1016/j.nedt.2010.01.006
  9. M. M. Rowe, H. J. Sherlock, "Stress and verbal abuse in nursing: do burned out nurses eat their young?", Journal of Nursing Management, Vol. 13, No. 3, pp. 242-248, 2005. https://doi.org/10.1111/j.1365-2834.2004.00533.x
  10. 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 Nurses", Nursing Administration Journal, Vol. 11, No. 2, pp. 159-171. 2005.
  11. D. A. Infante, T. C. Sabourin, J.E. Rudd and E. A. Shannon, "Verbal Aggression in Violent and Nonviolent Marital Disputes", Communication Quarterly, Vol. 38, No. 4, pp. 361-371, 1990. https://doi.org/10.1080/01463379009369773
  12. A. R. Bae, "The relationships among verbal abuse experience, emotional response, coping and emotional intelligence in hospital nurses". Kyungsang University, master's thesis, 2012.
  13. S. Y. Han, Y. M. Lee, "The Relationship between Anxiety, Anger and Fatigue among Stress factor of Nursing Students in Clinical Practice", Journal of the Korea Academia-Industrial cooperation Society, Vol. 13, No. 2, pp. 554-561, 2012. https://doi.org/10.5762/KAIS.2012.13.2.554
  14. J. K. Goh, "The differences of stressors at grade and ways of coping in nursing students", Health Communication. Vol. 5, No. 2, pp. 79-86, 2010.
  15. T. M, Stephens. "Nursing student resilience: a concept clarification. Nursing Forum", Vol. 48, No. 2, pp. 125-133, 2015.
  16. J. A. Park, E. K. Lee, "Influence of ego-resilience and stress coping styles on college adaptation in nursing students", The Journal of Korean Nursing Administration Academic Society. Vol. 17, No. 3, pp. 267-276, 2011.
  17. Y.H. Joe, Y. L. Hong, A. M. Lee, M. K. Kim, H. J. Lee, A. K. Han, E. J. 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. https://doi.org/10.5807/kjohn.2011.20.3.270
  18. Y. J. Lee, "Future Environment: Environmental Technology Development Institute Proceedings", pp. 317-338, 2010.
  19. 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.
  20. M. Dumont, M. A. Provost, "Resilience in adolescents: protective role of social support, coping strategies, self-esteem, social activities on experience of stress and depression", J Youth Adolesc, Vol. 28, pp. 343-363, 1999. https://doi.org/10.1023/A:1021637011732
  21. H. N. Lee, H. J. Jeong, K. H. Lee. H. J. Lee, "The Relationship among Stress Perception, Stress Coping, Ego-resilience and Happiness of University Students", The Korea Journal of Counseling, Vol. 7, No. 3, pp. 701-713, 2006.
  22. R. Lazarus, R. Folkman, "Stress, Appraisal and Coping", NY: Behavioral Science Books, 1984.
  23. S, J. Jang, "Relationship between experience of patients' violent behaviors and burnout of psychiatric nurses", Seoul National University, Master's Thesis, 2004.
  24. J. K Ku, "The effect of verbal abuses on casino dealers' burnout, job satisfaction, and employee turn over-Focusing on the moderating effect of anger control mechanism", Kyonggi University, Doctoral thesis, 2007.
  25. Report on women and men workers' consciousness about sex Female, Korea Womenlink, 1998. labor center.
  26. J. Block, A. M. Kremen, "IQ and ego-resiliency: Conceptual and empirical connections separateness", Journal of Personality and Social Psychology, Vol. 70, pp. 349-361, 1996. https://doi.org/10.1037/0022-3514.70.2.349
  27. S, K. Yu, H. W. Sim, "Psychological protective factors in resilient adolescents in Korea", Journal of Educational Psychology, Vol. 16, No. 4, pp. 189-206. 2002.
  28. M. L. Lanza, "The reactios of nursing step to physical assault patients", Hospital Community Psychiatry, Vol. 34, No. 1, pp. 44-47, 1988.
  29. J. S. Yun, "A study on job satisfaction and violence experience by ED Nurses", Industrial Technology University of Ulsan, Master's Thesis, 2004.
  30. D. L. Beck, R. Srivastsva, "Perceived level and sources of stress in baccalaureate Nursing Students", Journal of Nursing education, Vol. 30, No. 3, pp. 127-133, 1991.
  31. S. L. Kim, J. E. Lee, "Relationship among stress coping strategies, and self - esteem in nursing students taking clinical experience", The Journal of Korean Academic Society of Nursing Education, Vol. 11, No. 1, pp 98-106, 2005.

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