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COVID-19 이후 간호대학생의 학업소진과 임상실습 스트레스 간의 관계에서 우울의 매개효과

Mediating Effect of Depression on the Relationship between Academic Burnout and Clinical Practice Stress among Nursing Students in the Post-COVID-19 Era

  • 정진희 (백석문화대학교 간호학과) ;
  • 박미현 (백석문화대학교 교수학습개발원)
  • Jin-Hee Jeong (Baekseok Culture University Department of Nursing) ;
  • Mi- Hyeon Park (Baekseok Culture University Department of Center for Teaching and Learning)
  • 투고 : 2024.09.21
  • 심사 : 2024.10.09
  • 발행 : 2024.10.31

초록

본 연구는 COVID-19 이후 간호대학생의 학업소진과 임상실습 스트레스 간의 관계에서 우울의 매개효과를 설명하는 가설적 모델을 검증하기 위해 시행되었다. 연구기간은 2023년 12월 1일부터 12월 9일까지이었고, 연구대상자는 C도에 위치한 2곳의 4학년 간호대학생 200명을 대상으로 하였으며 수집된 자료는 SPSS/WIN 26.0, AMOS 26.0을 사용하여 기술적 통계, Pearson correlation, 구조방정식모델분석을 실시하였다. 학업소진과 임상실습 스트레스 간의 관계에서 우울의 매개효과를 확인한 결과 우울(β=.06, p=.160)는 학업소진(β=.77, p=.004)과 임상실습 스트레스(β=.23, p=.005) 간의 관계에서 매개효과가 없는 것으로 확인 되었으나 학업소진, 우울은 임상실습 스트레스에 직접적인 영향을 미쳤다. 가설모델은 간호대학생의 임상실습 스트레스에 대한 설명력은 75.6%로 나타났다. 본 연구결과, COVID-19 이후 간호대학생의 임상실습 스트레스에 학업소진이 주요한 영향을 미치는 것으로 확인되었으며 우울은 매개효과를 보이지 않았지만 임상실습 스트레스에 직접적인 영향을 미치는 것으로 나타났다. 따라서 간호대학생의 임상실습 스트레스를 경감시키기 위해서는 학업소진 완화를 위한 멘토링프로그램 및 스트레스 관리 중재와 함께 우울에 대한 중재가 필요함을 시사한다. 향후 간호교육 과정에서 임상실습 후 학생들의 학업 부담 관리와 정신 건강 지원에 대한 통합적 접근이 요구된다.

This study aimed to test a hypothetical model explaining the mediating effect of depression on the relationship between academic burnout and clinical practice stress among nursing students in the post-COVID-19 era. A cross-sectional survey was conducted with 200 senior nursing students from two universities in C province, South Korea, from December 1 to 9, 2023. Data were analyzed using descriptive statistics, Pearson's correlation, and structural equation modeling with SPSS/WIN 26.0 and AMOS 26.0. The hypothesized model explained 75.6% of the variance in clinical practice stress among nursing students. Depression did not mediate the relationship between academic burnout and clinical practice stress (β=.06, p=.160). However, both academic burnout (β=.77, p=.004) and depression (β=.23, p=.005) directly affected clinical practice stress. In the post-COVID-19 era, academic burnout significantly influences nursing students' clinical practice stress. While depression does not mediate this relationship, it directly affects clinical practice stress. These findings suggest the need for interventions focusing on reducing academic burnout through mentoring programs and stress management strategies, alongside depression management, to alleviate clinical practice stress among nursing students. Future nursing education should implement an integrated approach to manage students' academic burden and support mental health following clinical practice.

키워드

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