The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
권호 표지
DOI QR코드

DOI QR Code

Clinical Practice Stress and Burnout in Nursing Students: The Mediating Effect of Empathy

간호대학생의 임상실습스트레스와 소진과의 관계에서 공감의 매개효과

  • Received : 2018.06.01
  • Accepted : 2018.10.31
  • Published : 2018.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this paper was to examine the relationships between clinical practice stress and burnout, and the mediating role of empathy in nursing students. Methods: A cross-sectional research design was employed. One hundred seventeen nursing students completed questionnaires on clinical practice stress, empathy (perspective-taking, fantasy, empathic concern and personal distress) and burnout in December 2017. IBM SPSS Statistics 23 was used and descriptive statistics, frequency, Pearson correlation coefficient and multiple regression were conducted. Baron & Kenny method and Sobel test were adopted for analysis of the mediation effect (personal distress of empathy). Results: The mean scores of clinical practice stress and burnout were 3.45 and 43.09, and perspective-taking, fantasy, empathic concern and personal distress of empathy were 2.67, 2.42, 2.64 and 2.19, respectively. The highest relationship between clinical practice stress and empathy was personal distress of empathy (r=.32, p<.001). Burnout was positively associated with clinical practice stress and personal distress of empathy (r=.22, p=.015; r=.51, p<.001). Personal distress of empathy demonstrated a complete mediating effect on the relationship between clinical practice stress and burnout (Z=3.22, p=.001). Conclusion: These results showed that decreasing personal distress of empathy is important for nursing students, and may help in reducing clinical practice stress and burnout.

Keywords

References

  1. Alzayyat, A., & Al-Gamal, E. (2014). A review of the literature regarding stress among nursing students during their clinical education. International Nursing Review, 61(3), 406-415. http://dx.doi.org/10.1111/inr.12114
  2. Beddoe, A. E., & Murphy, S. O. (2004). Does mindfulness decrease stress and foster empathy among nursing students?. Journal of Nursing Education, 43(7), 305-312.
  3. Choi, S. H. (2016). An impact of empathy on the job satisfaction and turnover intention: Focused on the mediating effect of job stress. Management & Information Systems Review, 35(4), 229-250. https://doi.org/10.29214/damis.2016.35.4.013
  4. Cunico, L., Sartori, R., Marognolli, O., & Meneghini, A. M. (2012). Developing empathy in nursing students: A cohort longitudinal study. Journal of Clinical Nursing, 21(13-14), 2016-2025. http://dx.doi.org/10.1111/j.1365-2702.2012.04105.x
  5. Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85.
  6. Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality & Social Psychology, 44, 113-126. https://doi.org/10.1037/0022-3514.44.1.113
  7. Ferri, P, Guerra, E., Marcheselli, L., Cunico, L., & Di Lorenzo, R. (2015). Empathy and burnout: An analytic cross-sectional study among nurses and nursing students. Acta Bio-Medica, 86(suppl 2), 104-115.
  8. Hong, M., & Kim, Y. (2016). Effects of job stress and empathy on burnout in nurses who take care of cancer patients. Journal of the Korean Data Analysis Society, 18(1), 461-474.
  9. Jang, H. E., & Kim, C. K. (2017). The mediating effects of mother's emotional intelligence and ability between parenting stress and children's prosocial behavior. Journal of Emotional Disorders, 33(2), 65-81.
  10. Jang, H. S. (2010). The differences of the college student' stress coping strategies according to the family communication pattern and social-communication style. Social Science Research Review, 26(2), 1-19.
  11. Jang, H. S. (2013). The effects of self-disclosure and empathy on stress perception and stress coping strategy of university students. Korean Journal of Communication Studies, 21(3), 5-28.
  12. Jang, S. Y. (2017). The effect of empathy on resilience of nursing students. Korean Journal of Health Communication, 12(2), 211-221. http://dx.doi.org/10.15715/kjhcom.2017.12.2.211
  13. Jeong, H. S. (2015). The effect of empathy on the job stress among nurses. Journal of Korea Academia-Industrial Cooperation Society, 16(6), 3911-3918. http://dx.doi.org/10.5762/KAIS.2015.16.6.3911
  14. Jeong, H. S., & Lee, K. L. (2015). Empathy and clinical practice stress in nursing student. Journal of Korea Academia-Industrial Cooperation Society, 16(9), 6044-6052. http://dx.doi.org/10.5762/KAIS.2015.16.9.6044
  15. Ji, E. J. (2014). Influence of nursing professionalism, empathic ability on communication ability in senior nursing student. Journal of the Korean Data Analysis, 16(3), 1685-1697.
  16. Jo, H., & Kim, S. (2017). Moral sensitivity, empathy and perceived ethical climate of psychiatric nurses working in the National Mental Hospitals. Journal of Korean Academy of Psychiatric & Mental Health Nursing, 26(2), 204-215. http://dx.doi.org/10.12934/jkpmhn.2017.26.2.204
  17. Lee, D. Y., Park, J. K., & Choi, M. Y. (2017). The relation between stress of clinical practice and burnout among nursing students: The mediation effect off spiritual well-being. The Journal of Korean Academic Society of Nursing Education, 23(3), 300-308. http://dx.doi.org/10.5977/jkasne.2017.23.3.300
  18. Lim, Y. J. (2017). The impact of nursing students' emotional labor and clinical practice stress on burnout. Journal of Learner-Centered Curriculum & Instruction, 17(6), 461-474. http://dx.doi.org/10.22251/jlcci.2017.17.6.461
  19. Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach burnout inventory manual (3rd ed.). Palo Alto, CA: Consulting Psychologists Press.
  20. Michalec, B., Diefenbeck, C., & Mahoney, M. (2013). The calm before the storm? Burnout and compassion fatigue among undergraduate nursing students. Nurse Education Today, 33(4), 314-320. https://doi.org/10.1016/j.nedt.2013.01.026
  21. Park, S. (1997). Empathy and prosocial behavior. Gyeonggi: Moonumsa.
  22. Rudman, A., & Gustavsson, J. P. (2012). Burnout during nursing education predicts lower occupational preparedness and future clinical performance: A longitudinal study. International Journal of Nursing Studies, 49(8), 988-1001. http://dx.doi.org/ 10.1016/j.ijnurstu.2012.03.010
  23. Schaufeli, W. B., Martinez, I. M., Pinto, A. M., Salanova, M., & Bakker, A. B. (2002). Burnout and engagement in university students. Journal of Cross-Cultural Psychology, 33(5), 464-481. https://doi.org/10.1177/0022022102033005003
  24. Shin, H., Puig, A., Lee, J., Lee, J. H., & Lee, S. M. (2011). Cultural validation of the Maslach Burnout Inventory for Korean students. Asia Pacific Education Review, 12, 633-639. https://doi.org/10.1007/s12564-011-9164-y
  25. Song, Y. (2012). Stressful life events and quality of life in nursing students. The Journal of Korean Academy Society of Nursing Education, 18(1), 71-80. http://dx.doi.org/10.5977/jkasne.2012.18.1.071
  26. Stillwell, S. B., Vermeesch, A. L., & Scott, J. G. (2017). Interventions to reduce perceived stress among graduate students: A systematic review with implications for evidence-based practice. Worldviews on Evidence-Based Nursing, 14(6), 507-513. https://doi.org/10.1111/wvn.12250
  27. Watson, R., Deary, I., Thompson, D., & Li, G. (2008). A study of stress and burnout in nursing students in Hong Kong: A questionnaire survey. International Journal of Nursing Studies, 45, 1534-1542. http://dx.doi.org/10.1016/j.ijnurstu.2007.11.003
  28. Whang, S. J. (2002). Development and verification of a tool for the nursing students' clinical stress. Journal of the Margaret Pritchard College of Nursing, 14(1), 35-53.
  29. Whang, S. J. (2006). The relationship between clinical stress, self-efficacy, and self-esteem of nursing college students. Journal of Korean Academic Society of Nursing Education, 12(2), 205-213.
  30. Yu, H. S. (2015). Relationship among stress of clinical practice, practice satisfaction and clinical competence in nursing students. Journal of the Korean Data Analysis, 17(2), 1129-1144.

Cited by

  1. 간호대학생의 임상실습스트레스와 도덕적 민감성이 임상수행능력에 미치는 영향 vol.26, pp.2, 2018, https://doi.org/10.5977/jkasne.2020.26.2.157
  2. 간호대학생의 게임중독, 자기효능감이 대학생활적응에 미치는 영향 vol.22, pp.3, 2021, https://doi.org/10.5762/kais.2021.22.3.101