Abstract
This study was carried out to provide basic data for prevention of burnout by measuring levels of self-efficacy, social support and burnout that nursing students experienced during clinical practice and identifying factors influencing burnout. This is a descriptive research targeting 173 junior- and senior-year nursing students in Y area, and data were collected from October 15th to November 4th 2019. For data analysis, frequencies and percentages were calculated, and t-test and ANOVA were conducted along with the Scheffé test as a post-test. In addition, Pearson's correlation coefficients and multiple regression analysis were employed. The study results are as follows. There were significant differences in self-efficacy, social support and burnout depending on grades(t= -2.20, p=.029) and major satisfaction(F=3.62, p=.029) among general characteristics of nursing students. When analyzing correlations among self-efficacy, social support and burnout of nursing students, there was a positive correlation between self-efficacy and social support(r=.214, p=.005), a negative correlation between burnout and self-efficacy(r=-.253, p<.001) and a negative correlation between burnout and social support(r=-.175, p=.021). Major satisfaction(β= -.21, p=.006) had the biggest influence on burnout, and it was followed by self-efficacy(β= -.16, p=.032) and social support(β= -.15, p=.047). The explanatory power of the model was 13.8 percent. In conclusion, it is required to improve university life satisfaction and clinical practice satisfaction and develop programs, which enhance social support and self-efficacy, for preventing burnout of nursing students during clinical practice.
본 연구는 임상실습에서 간호대학생이 경험하는 자기효능감, 사회적지지, 소진의 정도를 파악하고, 소진에 영향을 미치는 요인을 확인하여 소진을 예방하는데 기초자료를 제공하고자 시도되었다. 연구방법은 서술적 조사연구로서 Y지역 간호대학생 3, 4학년 173명을 대상으로 2019년 10월 15일부터 11월 4일까지 자료수집하였다. 자료분석 방법은 빈도와 백분율, t-test, ANOVA, 사후검증은 Scheffé 검정, Pearson's correlation coefficients, 다중회귀분석을 사용하였다. 간호대학생의 일반적 특성에 따른 자기효능감, 사회적지지, 소진의 차이는 학년(t= -2.20, p=.029), 전공만족도(F=3.62, p=.029)에서 유의한 차이를 보였다. 간호대학생의 자기효능감, 사회적지지, 소진 간의 상관관계를 분석한 결과, 자기효능감과 사회적지지((r=.214, p=.005)는 양의 상관관계, 소진과 자기효능감(r=-.253, p<.001)은 음의 상관관계, 소진과 사회적지지(r=-.175, p=.021)도 음의 상관관계가 있었다. 소진에 영향을 미치는 요인으로 전공만족도(β= -.21, p=.006), 자기효능감(β= -.16, p=.032), 사회적지지(β= -.15, p=.047) 순으로 모형의 설명력은 13.8%이었다. 결론적으로 임상실습에서 간호대학생이 경험하는 소진을 예방하기 위해서 대학생활 만족과 임상실습 만족을 향상시키고, 사회적 지지와 자기효능감을 높이는 중재 프로그램 개발이 필요하다.