• 문화기술의 융합
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• 제9권6호
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• pp.595-604
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• 2023

본 연구는 간호대학생의 임상실습 스트레스와 사회심리적 건강의 관계에서 회복탄력성의 매개효과를 파악하여 간호대학생의 사회심리적 건강을 향상시킬 수 있는 방안 마련에 필요한 기초자료를 제공하고자 시도되었다. 연구대상은 J도와 G시의 2개 대학의 임상실습 경험이 있는 간호학과 3, 4년 175명으로 수집된 자료는 SPSS 23.0을 이용하여 기술통계, independent t-test, ANOVA, Pearson's correlation coefficient을 하였고, Process macro 4.0 프로그램을 통해 매개효과를 검증하였다. 간호대학생의 사회심리적 건강은 임상실습 스트레스(r=.472, p=<.001)와 양의 상관관계, 회복탄력성과(r=-.860, p=<.001)는 음의 상관관계로 나타났다. 임상실습 스트레스와 사회심리적 건강의 관계에서 회복탄력성의 매개효과를 나타내었다. 본 연구결과를 바탕으로 간호대학생의 사회심리적 안녕감 수준을 높이기 위해서는 임상실습 스트레스를 낮추고, 회복탄력성을 높이기 위한 체계적인 프로그램의 개발과 적용이 필요하다.

• 한국치위생학회지
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• 제14권3호
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• pp.407-415
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• 2014

Objectives : The purpose of this study is to investigate the influencing factors on attitude, satisfaction and stress in clinical practice in dental hygiene students. Methods : The subjects were 304 dental hygiene students living in Suwon. The data were collected from 2012 to 2013 by a self-reported questionnaire. The data were analyzed using SPSS. Results : Clinical practice showed good results in attitude, satisfaction and stress than that in the classroom. Satisfaction in the classroom practice was proportional to clinical practice. The contents, learning management system, and the assessment tool in the classroom influenced on the dental clinical practice. As the dental clinic practice became stressful, the students tended to have negative feelings for the practice. Conclusions : In order to provide the best clinical practice contents to the dental hygiene students, it is important to prepare the best combination of the contents, learning management system, and the assessment tool in the classroom.

• 한국간호교육학회지
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• 제26권4호
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• pp.337-347
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• 2020

Purpose: The purpose of this study was to figure out the association of nursing activity participation and clinical practice stress with career maturity during clinical practice among nursing college students. Methods: Participants of the study were 201 nursing college students located in nationwide regions. Data collection was performed between July 18 and August 8, 2019. Data analyses were performed through an independent t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis using SPSS WIN 25.0. Results: The results of this study were as follows. We ran multiple regression analyses to see which critical factors influenced career maturity. The general characteristics significantly associated with career maturity were preference for clinical nursing, admission to nursing college due to belief, time off, and being satisfied with clinical practice. Regarding clinical practice stress, clinic environment, interpersonal relationship conflict, inappropriate role model and conflict with patients were significantly associated with career maturity. Conclusion: This study suggested that, to improve nursing students' career maturity, nursing colleges and training fields should collaboratively make an efforts to reduce students' stress by building educational clinic environments including managing conflicts in interpersonal relationships among patients, caregivers, and medical and non-medical personnel, and improving inappropriate role models in nursing.

• 한국치위생학회지
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• 제19권5호
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• pp.791-802
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• 2019

Objectives: The purpose of this study was to investigate the relevance of stress and stress amounts of physical environment factors and interpersonal factors of clinical practice institution of dental hygiene department students. It is in order to create condition to focus on clinical practice institution. Methods: The participants in this study were 231 dental hygiene department students engaged in clinical practice; the survey was conducted from September 1 to 30, 2018, using a structured questionnaire (1040460-A-2018-036). The questionnaire consisted of items on participants' general characteristics (4 items), characteristics of the clinical practice institution (9 items), stress from environmental factors (8 items), stress from interpersonal factors (7 items), and stress amounts of BEPSI (5 items). The collected data were compared and analyzed using a t-test, ANOVA, and multiple regression. Results: The physical environment and interpersonal factors of stress according in clinical practice institutions were statistically significant. In case of a number of dentists (p<0.05), subjective practice atmosphere (p<0.001), practice satisfaction (p<0.001), and kindly teach (p<0.001). The factors affecting the amount of stress on the characteristics of the clinical practice institution were that the dental clinic, the relationship with the dental hygienist is common, the number of dentists is 4 or more, and there is no resting room. Conclusions: The selected clinical practice institutions should provide dental hygiene department students with places to relax and a systematic hands-on manual.

• 한국임상보건과학회지
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• 제5권3호
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• pp.907-914
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• 2017

Purpose : This study was conducted to provide basic data on the relationship between environmental factors causing stress in clinical practice institutions and stress levels of dental hygiene students. Methods : The research subjects totaled 207 and it was analyzed with structured questionnaires. The collected data were analyzed using an IBM SPSS ver. 20.0. Results : The environmental factors causing stress according to the status of clinical practice institutions was statistically and significantly different in the case of Busan practice areas (p<0.01), dental university hospitals (p<0.001), attendance times prior to 8am (p<0.001), quitting times that surpassed 8pm (p<0.01), and the number of dentists exceeding 4 (p<0.01). It was found to affect the stress level of students when individuals had to stand for a long period of time(p<0.001, ${\beta}=0.254$) and with the use of unfamiliar tools and equipment(p<0.05, ${\beta}=0.178$). Conclusions : As a result of the research conducted, it should be concluded that dental clinics should provide rest areas for individuals to focus on clinical practice. In addition, it is necessary to develop a systematic program that enables students to communicate with students at any time during the training period.

• 치위생과학회지
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• 제7권2호
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• pp.89-96
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• 2007

The purpose of this study was to examine the relationship between the self-expression level of dental hygiene students related to communicative competence and their stress during clinical practice and what affected their stress. The subjects in this study were 125 dental hygiene students in W college, on whom a survey was conducted from September 18 through 30, 2006. After the collected data were analyzed with SPSS WIN 10.0 program, the following findings were acquired: 1. When a factor analysis was made to evaluate the self-expression of the students, there appeared three different categories of self-expression: voice/content, facial expression/attitude and sentiment. The three made a 58.1% prediction of their self-expression. As for overall reliability, they turned out highly reliable(Cronbach'a = .881). 2. The dental hygiene students got a mean of 3.58 out of possible five points in self-expression, which indicated that they expressed themselves relatively well. Concerning connections between their general characteristics and self-expression level, those who were inactive during clinical practice got a mean of 3.28, whereas the others who were active got a mean of 3.85. It implied that those who took a more active attitude to clinical practice expressed themselves better(p < .01). The person with whom they found it hard to get along made a statistically significant difference to their self-expression(p < .05). The students who didn't fare well with dental hygienists got the best score(3.70). The second best group(3.53) didn't get along with dentists, followed by assistant nurses(3.46) and patients/caregivers(3.31). As for the impact of the field of dream job, the students who hoped to work or study overseas(4.21) excelled in self-expression those who wanted to be hired in a general hospital, to go onto a school of higher grade and to work in a public dental clinic(p < .05). Among the general characteristics, satisfaction level with major, health status and motivation of choosing dental hygiene made no statistically significant differences to their self-expression. 3. Regarding relations between self-expression level and stress about clinical practice, those who didn't express themselves properly in terms of sentiment scored higher in stress level(3.65). Their stress was statistically significantly different according to self-expression level (p < .05). 4. As for the influence of self-expression and general characteristics on stress with clinical practice, sentiment was selected from among the self-expression categories as a decisive factor to affect stress. Their stress varied statistically significantly with that(p < .05). In contrast, their demographic variables made no statistically significant difference to that, which made a 79.2% prediction of it.

• 한국치위생학회지
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• 제13권2호
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• pp.181-191
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• 2013

Objectives : The research was performed to be used as basic data for dental hygienists' job satisfaction during clinical practice, and planning and operating effective clinical practice by analyzing stress factors in dental hygienists and the extent of stress caused by students in clinical practice. Methods : The research was aimed at dental hygienists working at college dental hospitals, dental clinic of general hospitals, dental hospitals and dental clinics located in Seoul and Gyeonggi province where clinical practices were conducted for dental hygiene students. For analysis, collected data was analyzed by using SPSS 20.0. Results : Results derived from analysis on characteristic difference by pattern of hospital were observed that there was a significant difference in job satisfaction by pattern of hospital. Results from analysis on correlation among stress factors were observed that there was correlation between behavior and attitude, interpersonal relationships, role and activity, ideal and value, and treatment fields. Results derived from analysis on the effect of stress factors on the job satisfaction were observed that role and activity (p=.002<.01), ideal and value (p=.019<.05), and treatment fields (p=.032<.05) affected the job satisfaction, while behavior and attitude (p=.386>.05), and interpersonal relationships ((p=.421>.05) did not affect the job satisfaction. A stress factor, role and activity (${\beta}$=.350) affected the job satisfaction the most, followed by ideal and value (${\beta}$=.242), and treatment fields (${\beta}$=-.185). For the explanation ability, the stress factors accounted for 20.5% of the job satisfaction. Conclusions : In conclusion, most of the dental hygienists are satisfied with students' clinical practice by pattern of hospital. Positive correlation was shown between stress factors. Behavior and attitude and ideal and value are high in stress in college dental hospitals, role and activity and treatment fields are high in stress in dental hospital, and interpersonal relationships are high in stress in dental clinics.

• 한국산업보건학회지
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• 제29권1호
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• pp.98-107
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• 2019

Objective: This study was carried out to examine factors influencing job stress and health promotion behavior of medical doctors, who play the important role for improving people's health. The data were collected from 340 medical doctors working in clinic and hospitals in Daegu using self-administered questionnaires over the period from July 1 to August 15, 2018. Methods: A multiple regression model was used to study the factors influencing job stress and health promotion behavior of medical doctors. Results: This study showed that average job stress level of the subjects was 3.06 out of 5 point. The medical doctors with carrying out surgery and longer working time tend to have higher job stress level compared to other groups without surgery and having short working time. And medical doctors generally do not have good health promotion behavior and average level of practice of health promotion behavior of the subjects was 2.30 out of 5. The groups with high rate of quitting job and working in hospital tend to have lower practice level of health promotion behavior compared to other groups. And it also showed that the groups with higher the job satisfaction rate and vocational aptitude tended to have the higher level of practice of health promotion behavior compared with other groups. Conclusions: Medical doctors tend to have higher job stress level, whereas they have relatively lower health promotion behavior compared with people with other jobs. Thus, strengthening of health education and counselling for medical doctors and improvement of work environment considering job's characteristics is needed. In particular, the education for job stress management and health promotion in regular continuing education program organized by medical doctors's association should be strengthened.

• 치위생과학회지
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• 제9권1호
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• pp.137-143
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• 2009

본 조사의 대상자 선정은 총 6주의 임상실습을 마친 경남, 울산지역의 일부 치위생과 학생을 대상으로 하였으며 보건(지)소 2주, 치과 병의원 4주로 자료수집 방법은 연구자가 직접연구의 목적과 취지를 설명하고 구조화된 총 200부의 설문지를 배부하여 회수된 198부를 분석에 이용하였다. 임상실습 시 경험할 수 있는 스트레스 요인 및 정도를 각 실습지 별로 파악하여 임상실습지도와 개선에 도움을 주며, 임상실습의 문제점을 파악하여 효율적인 임상실습 교육이 이루어 질 수 있도록 기초자료를 제공하고자 하였다. 1. 학년별 치위생과 지원동기는 졸업 후 "취업률이 높아서"가 2학년 64.8%, 3학년 62.2%로 나타났으며, 학년별 전공에 대한 만족도에서 "만족한다"가 2학년 29.6%, 3학년 73.3%로 나타났다. 2. 학년별 보건소, 병의원 실습에 대한 만족도에서 보건소 실습의 경우 "만족한다" 2학년 46.3% 3학년 46.7%로 나타났고, 병의원 실습의 경우 "만족한다" 2학년 50.9%, 3학년 66.7%로 나타났다. 3. 보건소 실습 시 느끼는 스트레스 요인 중 가치와 이상의 학교실습과 보건소실습과의 관계에서는 현장상황과 실습내용과의 차이에서 "느낀다"가 50.0%로 가장 높게 나타났다(p < 0.05). 4. 병, 의원 실습 시 느끼는 스트레스 요인 중 가치와 이상의 학교실습과 병원실습과의 관계에서 "느낀다"가 54.5%로 가장 높게 나타났고(p < 0.05), 이론과 지식의 실제적용 어려움에서는 "느낀다"가 62.1%로 가장 높게 나타났으며 (p < 0.05), 현장상황과 실습내용과의 차이에서는 "느낀다"가 58.1%로 가장 높게 나타났고(p < 0.05), 활동분야의 관련분야 지식부족에서는 "느낀다"가 50.5%로 가장 높게 나타났다(p < 0.05). 이상과 같은 결과에서 임상실습시 경험하는 스트레스요인을 최소화하기 위해서는 실습지에서 학교에서 배운 지식을 환자에게 직접 적용시킴으로써 학습에 대한 흥미유발과 실습에 대한 만족도를 높일 수 있도록 실습생에 대한 프로그램개발이 필요할 것으로 사료된다.

• 여성건강간호학회지
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• 제5권1호
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• pp.133-145
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• 1999

The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.