• 제목/요약/키워드: Clinical Stress

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한국 간호대학생의 스트레스 측정도구 개발 (Development of a Stress Scale for Korean Nursing Students)

  • 유지수;장순정;최은경;박지원
    • 대한간호학회지
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    • 제38권3호
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    • pp.410-419
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    • 2008
  • Purpose: The purpose of this study was to develop a stress measurement scale for Korean nursing students. Methods: Sixty preliminary items were selected by classifying 229 basic items extracted via literature review and Q-sorting method. In order to verify the reliability and validity of the preliminary instrument, data were collected from 617 nursing students in 2 colleges of nursing in Korea. Results: As a result of the item analysis, 58 items were selected. They consisted of 2 types of stress which were college-based stress (38 items) and clinical-based stress (20 items). Ten factors in college-based stress and four factors in clinical-based stress were extracted by factor analysis, and each had a total variance of 63.01%, and 64.93%. Cronbach's Alpha of those 58 items were .937 in college-based stress and .922 in clinical-based stress, which was high. Conclusion: This paper is meaningful in a way that it has developed a tool capable of measuring stress for nursing students, which reflects the characteristics of our country. It is recommended for further study to re-verify the relevance and stability of this measurement.

교내임상실습 및 현장임상실습의 참여태도, 만족도, 스트레스에 영향을 미치는 요인 (Influencing factors on attitude, stress and satisfaction in clinical practice)

  • 장미화;김주후
    • 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.

간호대학생의 감성지능, 자아탄력성, 임상실습스트레스 (Emotional Intelligence, Ego Resilience, Stress in Clinical Practice of Nursing Students)

  • 신은정;박영숙
    • 한국산학기술학회논문지
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    • 제14권11호
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    • pp.5636-5645
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    • 2013
  • 본 연구는 간호대학생의 감성지능, 자아탄력성, 임상실습 스트레스의 정도를 파악하고 이들 간의 관계를 규명하는 서술적 상관관계 연구이다. 자료 수집은 D시 소재 D의료원에 실습 경험이 있으며 한 학기 이상의 임상실습을 경험한 4년제 간호대학의 3학년 학생, 3년제 간호대학의 2학년 학생을 대상으로 전수조사를 실시하였다. 자료 분석은 실수와 백분율, 평균 및 표준편차, t-test, ANOVA, Pearson correlation coefficients로 분석 하였다.감성지능은 7점 만점에 평균 4.76(0.69)점, 자아탄력성 2.80(0.33)점, 임상실습 스트레스는 3.03(0.52)점 이었다. 일반적 특성에 따른 차이에서, 감성지능은 성별, 전공만족도, 실습만족도에 따라 유의한 차이가 있었으며, 자아탄력성은 전공만족도와 실습만족도, 그리고 임상실습 스트레스는 성별, 실습기간, 전공만족도, 실습만족도, 시뮬레이션 실습, 주 실습지도자에 따라 유의한 차이가 있었다. 감성지능과 자아탄력성(r=.527, p<.001)은 유의한 양의 상관관계, 감성지능과 임상실습 스트레스(r=-.131, p<.001), 자아탄력성과 임상실습 스트레스(r=-.134, p<.001)는 유의한 음의 상관관계가 있었다. 간호대학생의 임상실습 스트레스를 감소시키기 위해서 감성지능과 자아탄력성을 증진시킬 필요가 있다.

응급구조과 학생이 임상실습시 경험하는 스트레스요인에 관한 분석 (An Analysis Study on Stressor Experienced by Emergency Medical Technology Students during Clinical Practice)

  • 전화연;김걸;안홍기
    • 한국응급구조학회지
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    • 제3권1호
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    • pp.43-54
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    • 1999
  • This study is attempted for the purpose of clearly understanding the stressors which emergency medical technology students experience during clinical practice, giving guidance in desirable direction and improvement of clinical practice, and giving the basic materials so that emergency medical technology students may practice effectively. The design of this study was a descriptive survey. The subjects in this study were 59 emergency medical technology students who were 2nd grade in D college. The collection of questionnaires took 3 days from September 1, 1999 to September 3, 1999. This researcher explained the purpose of this study to students, after they agreed to this survey, the researcher gave the questionnaire to them, had them answer the questions and collected the questionnaire immediately. Data analysis included percentage, mean and standard deviation, t-test and ANOVA trough SPSS computer program. The results of this study are, briefly, as follows; 1. In 'satisfaction-degree to specializing in the science of emergency medical technology' 27.1% of the subjects is revealed as 'satisfied' and in 'satisfaction-degree of clinical practice', 8.5% of the subjects is revealed as 'satisfied'. 2. Viewed from each of the categories of stressors which emergency medical technology students experience during clinical practice, 'ideals and values' is the category in which emergency medical technology students experience most severe stress at a mean 3.25 and 'personal relations' is the category in which emergency medical technology students experience mildest stress at a mean 2.82. The total stress degree mean is 3.06, which emergency medical technology students experience during clinical practice is revealed as 'moderate' stress. 3. Considering the stressor involved in each category, the results are as follows; (1) In 'environment', 'orientation to the hospital before clinical practice' is revealed as the most severe stressor at a menu 3.44. (2) In 'personal relations', 'relations with doctor and nurse' is revealed as the most severe stressor at a mean 3.59. (3) In 'role', 'unilaterally when their role is seems to be obscure' is revealed as the most severe stressor at a mean 4.10. (4) In 'ideals and values', 'difference between college practice and hospital practice' is revealed as the most severe stressor at a mean 3.88. (5) In 'activity', 'repetition of simple and functional work during clinical practice' is revealed as the most severe stressor at a mean 3.98. (6) In 'total stress factors', 'unilaterally when their role is seems to be obscure' is revealed as the most severe stress factor at a mean 4.10 and 'relations with comrade students' is revealed as the stress factor causing mildest stress at a mean 2.20. 4. Considering the relationship between the categories of stressors and the general characteristics, the results are as follows; (1) 'Environment' is revealed as being positively correlated with 'satisfaction degree of clinical practice'(F=3.53, p= .0359). (2) 'Ideals and values' is revealed as being correlated with 'sex'(t=-2.31, p= .0240) and 'satisfaction degree of clinical practice'(F=3.31, p= .0438).

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간호대학생의 대면 및 비대면 임상실습스트레스와 스트레스 대처가 임상수행능력에 미치는 영향 (The Effect of Face-to-Face and non-Face-to-Face Clinical Practice Stress and Stress Coping on Clinical Competence in Nursing Students)

  • 김혜경;박지예;강은지;이성현;민성현;이지윤;정지현;정현서;이소영
    • 한국응용과학기술학회지
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    • 제40권3호
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    • pp.521-533
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    • 2023
  • 본 연구는 간호대학생의 대면 및 비대면 임상실습스트레스와 스트레스 대처가 임상수행능력에 미치는 영향을 알아보고 각 요인 간 영향을 파악함으로써 간호대학생이 임상실습스트레스에 효율적으로 대처하고 임상수행능력을 증진할 수 있는 임상실습교육 전략의 근거를 제시하고자 시행되었다. 연구대상자는 서울과 충청권 소재 간호대학생으로, 2021년 6월 10일부터 7월 10일까지 총 201부의 자료를 수집하였다. 통계프로그램 SPSS 21.0을 이용하여 Pearson's correlation coefficients로 대면 및 비대면 임상실습스트레스, 스트레스 대처, 임상수행능력 간의 상관관계를, 위계적 다중회귀분석을 사용하여 임상수행능력에 미치는 요인을 분석하였다. 연구결과, 1단계에서 간호대학생의 성적, 전공만족도, 대면실습만족도가 임상수행능력의 19.4%를 설명하였고, 2단계에서는 스트레스 대처를 추가하여 19.6%의 설명력이 증가되어 총 39.0%의 변량을 설명할 수 있었다. 따라서 간호대학생의 임상수행능력 향상을 위해서는 임상실습스트레스에 대한 원만한 스트레스 대처가 중요하며, 본 연구는 간호대학생의 스트레스 대처를 위한 상담 및 교육프로그램을 개발하는 기초자료를 제공할 것이다.

간호대학생의 자아탄력성, 스트레스 대처방식, 교수효율성, 가족지지가 임상실습만족도에 미치는 효과: 구조방정식 모형구축 (The Effect of Ego-resilience, Stress Coping Styles, Teaching, Effectiveness, and Family Support on Satisfaction of Clinical Practice in Nursing Students by AMOS Structural Equation Model)

  • 박완주;한지영
    • 한국간호교육학회지
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    • 제17권3호
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    • pp.365-375
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    • 2011
  • Purpose: This study aimedto develop a structural equation model on the relationship among ego-resilience, and teaching effectiveness on clinical education, stress coping style, perceived family support, and satisfaction of clinical practice in nursing students in order to increase the satisfaction of clinical practice. Methods: The subjects were 399 undergraduate nursing students enrolled in 7 universities and participating in 10 clinical practice setting areas in 5 cities in South Korea. The research was conducted from December 5th, 2009 to February 20th, 2010. The structural equation model was used to perform the analysis with the statistics program of SPSS win 17.0 and AMOS 5.0. Results: Teaching effectiveness and family support showed a direct effect on satisfaction of clinical practice, while ego-resilience and stress coping styles showed an indirect effect. The biggest total effect on satisfaction of clinical practice was teaching effectiveness followed by family support, ego-resilience, and stress coping styles respectively, which accounted for 50.9%. Conclusion: Based on outcomes of this study, the proposed model allows better understanding of the satisfaction of clinical practice. This result implies that strategies or intervention programs enhancing extrinsic protection factors, motivation factors, and intrinsic protection factors should be considered. In addition, a structural support system for increasing the satisfaction level of clinical practice in nursing students should also be considered.

간호대학생의 임상실습 스트레스 영향요인에 관한 경로분석: Lazarus와 Folkman의 스트레스-대처 모델 기반으로 (Factors Affecting Clinical Practicum Stress of Nursing Students: Using the Lazarus and Folkman's Stress-Coping Model)

  • 김성해;이주희;장미라
    • 대한간호학회지
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    • 제49권4호
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    • pp.437-448
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    • 2019
  • Purpose: This study was conducted to test a path model for the factors related to undergraduate nursing students' clinical practicum stress, based on Lazarus and Folkman's stress-coping model. Methods: This study utilized a path analysis design. A total of 235 undergraduate nursing students participated in this study. The variables in the hypothetical path model consisted of clinical practicum, emotional intelligence, self-efficacy, Nun-chi, and nursing professionalism. We tested the fit of the hypothetical path model using SPSS/WIN 23.0 and AMOS 22.0. Results: The final model fit demonstrated a satisfactory statistical acceptance level: goodness-of-fit-index=.98, adjusted goodness-of-fit-index=.91, comparative fit index=.98, normed fit index=.95, Tucker-Lewis index=.92, and root mean square error of approximation=.06. Self-efficacy (${\beta}=-.22$, p=.003) and Nun-chi behavior (${\beta}=-.17$, p=.024) were reported as significant factors affecting clinical practicum stress, explaining 10.2% of the variance. Nursing professionalism (${\beta}=.20$, p=.006) and self-efficacy (${\beta}=.45$, p<.001) had direct effects on emotional intelligence, explaining 45.9% of the variance. Self-efficacy had indirect effects on Nun-chi understanding (${\beta}=.20$, p<.001) and Nun-chi behavior (${\beta}=.09$, p=.005) through emotional intelligence. Nursing professionalism had indirect effects on Nun-chi understanding (${\beta}=.09$, p=.005) and Nun-chi behavior (${\beta}=.09$, p=.005) through emotional intelligence. The variables for self-efficacy and nursing professionalism explained 29.1% of the Nun-chi understanding and 18.2% of the Nun-chi behavior, respectively. Conclusion: In undergraduate nursing education, it is important to identify and manage factors that affect clinical practicum stress. The findings of this study emphasize the importance of Nun-chi, self-efficacy, emotional intelligence, and nursing professionalism in the development of an educational strategy for undergraduate nursing students.

향기 흡입법이 간호 대학생의 첫 임상 실습 전 불안과 스트레스 반응에 미치는 효과 (The Effects of Aroma Inhalation on Nursing Students' Stress Response and Anxiety before Their First Clinical Practice)

  • 이혜숙
    • 지역사회간호학회지
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    • 제19권1호
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    • pp.112-119
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    • 2008
  • Purpose: The purpose of this study was to verify the effect of aroma inhalation on nursing students stress responses and anxiety before their first clinical practice. Method: Data were collected during the period from March 5 to March 10, 2007 at K College in a province. There were seventy eight subjects, 35 for the experimental group and 38 for the control group. Aroma oils used were lavender, peppermint and rosemary. Before and after the treatment, the severity of stress and anxiety were evaluated by VAS and a questionnaire. Data were analyzed by descriptive statistics, t-test and $\chi^2$-test with the SPSS program. Result: The score of subjective stress (VAS) decreased significantly after aroma inhalation(p=.000), but status anxiety was not significantly different between the two groups (p=.649). Conclusion: Aroma inhalation can be a useful intervention to reduce nursing student's stress before their first clinical practice.

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간호대학생의 학년별 임상실습 스트레스 대처 및 실습만족도의 차이 비교 (The Comparison of Stress Coping and Satisfaction with Clinical Practice according to the Grade of Nursing College Student)

  • 이혜숙;김은주
    • 동서간호학연구지
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    • 제14권1호
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    • pp.5-13
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    • 2008
  • Purpose: The study was to identify the relationship among perceived stress, coping strategies and satisfaction f clinical experience in nursing students and to examine difference of grade. Methods: A total 238 nursing students (second grade: 141 students, third grade: 97 students) from K. Womens' College were provided with self reported questionnaires from July 26, 2006 to July. 30, 2006. Perceived stress was measured using Perceived Stress Scale. Coping was measured using Coping Responses Inventory-Adult form. Satisfaction of clinical experience was measured using Satisfaction Inventory. The data were analyzed by descriptive statistics, t-test, ANOVA and Pearson's Correlation Coefficient with SPSS 12.0 program. Result: Participants showed that a high level of perceived stress score $2.71{\pm}.47$ of total 4 (2nd grad) and $2.67{\pm}.35$ of total 4 (3rd grade). Approach Coping Scales score of coping strategies was $68.19{\pm}6.06$ (2nd grade), $63.38{\pm}6.69$ (3rd grade) of total 96, then coping mechanism's mean among 2nd grade nursing students was higher than 3rd grade nursing students. Satisfaction score of clinical experience in 2nd grade nursing students was $3.01{\pm}.32$ and higher than 3rd grade ($2.99{\pm}.38$). There was a negative correlation r=-.264 (p=.000) between perceived stress during clinical practice and satisfaction. It was statistically significant. There was a positive correlation r=.154 (p<.05) between satisfaction score of clinical experience in nursing students and approach coping scales score. Conclusion: With these findings, we found that the more approach coping level, the more satisfaction of clinical practice. It is needed to developing effective teaching method and coping strategies for nursing students to improve their coping ability and prepare qualified nursing profession.

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응급구조학과 학생의 취업스트레스에 미치는 영향요인 (The Factors Influencing Employment Stress of the Department of Emergency Medical Service Students)

  • 김덕원;주호현
    • 한국산학기술학회논문지
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    • 제18권12호
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    • pp.589-596
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    • 2017
  • 본 연구는 응급구조학과 학생들의 취업스트레스에 영향을 미치는 요인을 파악하고 응급구조학과 학생들의 취업스트레스를 감소시키기 위하여 조사하였다. 전라북도와 전라남도의 4년제 대학 1개와 3년제 대학 4개의 응급구조학과 학생들 중에 임상실습을 경험한 학생 276명을 대상으로 2017년 09월 10일부터 15일까지 5일간 설문조사를 실시하였다. 통계분석은 SPSS 18.0 프로그램을 사용하였으며, t-test, ANOVA, pearson correlation coefficient, 다중회귀분석으로 분석하였다. 임상실습 스트레스와 전공만족도는 유의한 음의 상관관계를 보였으며(r=-0.192, p=0.001), 취업스트레스와 임상실습 스트레스는 유의한 양의 상관관계를 보였고(r=0.222, p<0.001), 취업스트레스와 전공만족도는 유의한 음의 상관관계를 나타냈다(r=-0.245, p<0.001). 다중회귀분석 결과 임상실습 스트레스가 높을수록(${\beta}=0.157$, p=0.005), 전공만족도가 낮을수록(${\beta}=-0.211$, p<0.001) 취업스트레스가 높아지는 것으로 나타났고, 3학년(${\beta}=0.237$, p<0.001)과 4학년(${\beta}=0.288$, p<0.001)에서 취업스트레스가 높았고, 가정의 경제적 상태가 보통인 학생들에서 취업스트레스가 높은 것으로 나타났다(${\beta}=0.173$, p=0.012). 따라서 응급구조학과 학생들의 임상실습 스트레스를 감소시키기 위하여 학교의 지원이 필요하고, 취업스트레스의 감소를 위해 취업기관의 확대와 취업 관리 프로그램의 개발이 필요하다.