• Title/Summary/Keyword: Clinical stress

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Nursing Competency, Self-Esteem, and Job Stress between Floating Nurses and Clinical Nurses (플로팅 간호사와 일반 간호사의 간호역량, 자아존중감, 직무 스트레스 비교 연구)

  • Ju, Won Jin;Kim, Miyoung
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.2
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    • pp.248-257
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    • 2017
  • Purpose: This study was aimed to compare nursing competency, self-esteem, and job stress between floating nurses and clinical nurses. Methods: The data were collected between October $1^{st}$ and December $31^{st}$, 2015, from 43 floating nurses and 57 clinical nurses working at a tertiary care hospital in Seoul. The collected data were analyzed with SPSS/WIN 23.0, using descriptive statistics and the t-test, $x^2$ test, ANCOVA, ANOVA, $Scheffe{\acute{e}}$ test, Pearson correlation coefficients, and Stepwise multiple regression. Results: The nursing competency of clinical nurses was significantly higher than that of floating nurses (F=4.370, p=.039). For both floating and clinical nurses, nursing competency was positively correlated with self-esteem (floating nurses, r=.47, p=.002; clinical nurses, r=.62, p<.001). Also, For both floating and clinical nurses, the most significant predictor of nursi ng competency was self-esteem(floating nurses, ${\beta}=0.45$, p=.001; clinical nurses, ${\beta}=0.60$, p<.001). Conclusi on: Efforts are needed to increase the nursing competency of the floating nurse through the improvement of the floating system, the nursing work environment, and continuous education. Also, as self- esteem is the most effective predictor of nursing competence, nursing intervention is needed to improve self-esteem of the floating nurse.

An Analysis of Studies on Clinical Nurses' Job Stress (임상간호사의 직무스트레스에 관한 국내논문분석)

  • Choi, Seo Ran;Jung, Hye Sun
    • Korean Journal of Occupational Health Nursing
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    • v.13 no.1
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    • pp.40-47
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    • 2004
  • Purpose: To understand the recent trend of studies for nursing job stress, we collected Korean articles about job stress of clinical nurses. Method: Seventy two articles were selected from the database of "richis", Korean journals of related academic society, and dissertation papers, which are presented from 1981 to 2002. Result: The trend shows that the number of researches for the job stress of clinical nurses are increasing from the year of 1996. Most of the researches are for dissertation papers (75.0%), have done surveys (90.3%), and used questionnaires (94.4%). The nurses who were studied have their jobs in general wards of hospitals (50.6%). And 36.1% of the researches used the tool of Kim and Gu (1984) to measure job stress. These researches focused mainly on job satisfaction, burnout and coping successively. Conclusion: As only 6 out of 72 researches examined in this study have experimental design (8.3%), it can be said that more experimental studies are needed in this area. And we might also consider to use meta-analytic techniques for further studies, because these researches have used very similar tools for the same subject.

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Relationship among Essentials of Fundamental Nursing Skills Performance, Stress from Work and Work Capability of New Clinical Nurses (신규간호사의 핵심기본간호술 수행과 업무스트레스 및 업무수행능력과의 관계)

  • Bang, Soon Sik;Kim, Il-Ok
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.4
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    • pp.628-638
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    • 2014
  • Purpose: This study identifies the relation among the essentials of fundamental nursing skills performance (EFNSP), work capability and stress from work experienced by new clinical nurses. Method: This is a cross-sectional descriptive study with a self-reported questionnaire. The subjects were 224 new clinical nurses employed by general hospitals having more than 400 beds. The data, collected from February 10 to March 7, 2014, were analyzed using descriptive statistics, t-tests, ANCOVA, Pearson's correlation analysis and hierarchical linear regression. Results: The highest frequency of EFNSP of new clinical nurses was vital sign measurement (4.74, ${\pm}.89$) and the lowest frequency of performance was Basic CPR & defibrillator application (1.81, ${\pm}.94$). There were significant positive correlations between frequency and confidence of EFNSP (r=.64, p<.001), frequency and work capability (r=.34, p<.001), and confidence of EFNSP and work capability (r=.48, p<.001), but negative correlation stress from work and work capability (r=-.17, p=.009). General characteristics, stress from work, frequency and confidence in EFNSP and stress from work explain 25.1% of work capability. Conclusion: This result suggests the importance of EFNSP education in nursing schools and availability of opportunities to practice EFNSP during the post-graduation waiting period until assignment to a hospital.

Development and Effects of Dongsasub Training Program with Application of Aroma Necklace for Nursing Students taking Clinical Practicum (임상실습 중인 간호대학생을 위한 아로마목걸이를 병용한 동사섭 훈련의 개발과 효과)

  • Kim, Myoungsuk
    • Journal of muscle and joint health
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    • v.26 no.1
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    • pp.15-26
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    • 2019
  • Purpose: The purpose of this study was to develop a Dongsasub training applying aroma necklace for nursing students in clinical practicum, and to evaluate the training programs' effects on perceived stress, self-esteem, depression, and clinical competence of the participants. Methods: This study used a cluster-randomized controlled trial design. Participants were 56 nursing students taking clinical practicum courses (26 in the experimental group and 30 in the control group). The training program consisted of four sessions of Dongsasub training and wearing a necklace where a mixture of aroma oils attached. Participants in experimental group were given a necklace with essential oil mixture of lavender, bergamot, and geranium with the ratio of 1:1:1 for 2 weeks. The control group received no intervention. Outcome variables included perceived stress, self-esteem, depression, and clinical competence. Data were analyzed with Fisher's exact test, Chi-square, Independent t-test using the SPSS/WIN 21.0. Results: Independent t-test revealed that perceived stress (t=3.15, p=.003), depression (t=4.62, p<.001) were significantly lower in the experimental group than the control group; self-esteem (t=-3.03, p=.004), clinical competence (t=-2.15, p=.036) scored significantly greater than the control group. Conclusion: The results indicate that the Dongsasub training with application of the aroma necklace can be used as an effective nursing intervention for lowering perceived stress, depression and improving self-esteem, clinical competence of nursing students.

The Effect of Self-Expression on Stress with Clinical Dental Practice among Students in the Department of Dental Hygiene (치위생과 학생의 자기표현이 임상실습 스트레스에 미치는 영향)

  • Chun, Ju-Yean;Lee, Hyun-Ok;Kim, Jin
    • Journal of dental hygiene science
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    • v.7 no.2
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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.

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Factors Related to Clinical Competence among Graduating Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study

  • Chung, Su Kyoung;Kim, Jinsook;Bhandari, Pratibha
    • Journal of Korean Academy of Nursing
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    • v.53 no.2
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    • pp.145-154
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    • 2023
  • Purpose: This study investigated clinical competency, COVID-19-related anxiety, coping strategies, self-efficacy, and perceived stress among graduating nursing students during the COVID-19 pandemic. Methods: We conducted a cross-sectional survey. Participants were recruited from universities located in four major cities in South Korea. General demographic information, clinical competency, self-efficacy, perceived stress, COVID-19-related anxiety, and coping strategies were assessed using reliable questionnaires. Descriptive statistics, correlations, and multiple regression tests were used to analyze the data. Results: The mean clinical competency, self-efficacy, perceived stress, adaptive coping, and maladaptive coping were 138.16 ± 18.34, 83.85 ±14.02, 21.37 ± 5.79, 53.15 ± 4.64, and 30.98 ± 6.73, respectively. COVID-19-related anxiety was reported by 4.3% of participants. Clinical competency was significantly positively correlated with self-efficacy (r = .44, p < .001) and adaptive coping (r = .20, p = .035) and was significantly negatively correlated with maladaptive coping (r = .20, p = .035). The predictors of clinical competency were self-efficacy (β = .434, p < .001) and adaptive coping (β = .173, p < .039), which explained 23% of the variance in clinical competency. Conclusion: Self-efficacy and adaptive coping strategies are significant predictors of clinical competence during the pandemic. Planning and implementing various curricular and non-curricular activities to increase senior students' self-efficacy and adaptive coping strategies will help prepare competent nursing graduates for the pandemic when they enter the nursing workforce.

Factors Affecting Clinical Competence in Dental Hygiene Students

  • Lee, Hyun-Ok;Kim, Sun-Mi
    • Journal of dental hygiene science
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    • v.19 no.4
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    • pp.271-278
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    • 2019
  • Background: This study aimed to examine the factors that influence clinical performance of dental hygiene students to provide useful data for developing strategies to improve clinical competence. Methods: The effects of variables on clinical competence by quantile level were analyzed using quantile regression analysis in 247 dental hygiene students. Quantile regression and multiple regression analyses were conducted using the Stata 11.0 program to analyze predictors of clinical competence. Results: The clinical competence score of dental hygiene students was 42.69±5.90, the satisfaction of clinical practice was 49.90±7.44, the clinical practice stress was 50.62±7.37, and the professional self-concept was 31.68±4.41. Empathy was the highest at 50.87±4.93. Multiple regression analysis showed that school year, stress from clinical training, satisfaction with clinical training, professional self-concept, and empathy had significant impact on clinical competence. Quantile regression analysis showed that the effects varied depending on the clinical competence level. School year and professional self-concept had a significant positive effect, regardless of the clinical competence level, while empathy had a significant positive effect at the top 10% (Q90) of the clinical competence level. Satisfaction with clinical practice affected clinical competence at Q25, Q50, and Q90. Stress from clinical practice had significant effects at Q25, Q50, and Q90 (p<0.05). Conclusion: According to the study results, different factors affected clinical competence according to the quantile of clinical competence. This study provides valuable implications for designing clinical competence enhancement programs and strategies. In addition, objective indicators for considering factors that may affect the clinical competence, such as academic competence and satisfaction of practice hospitals, are expected to require detailed analysis and measures.

The Influence of Communication Competence, Nursing Professionalism, and Emotional Labor on Clinical Practice Stress among Nursing Students (간호대학생의 의사소통능력, 간호전문직관, 감정노동이 임상실습 스트레스에 미치는 영향)

  • Yeom, Eun-Yi
    • The Journal of the Korea Contents Association
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    • v.17 no.4
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    • pp.320-330
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    • 2017
  • This study examined effects of communication competence, nursing professionalism and emotional labor on clinical practice stress among nursing students. Data were collected through self reported structured questionnaire from 198 nursing students using convenient sampling methods from September 19, 2016 to October 10, 2016. Stepwise regression showed that emotional labor had the greatest effect on clinical practice stress(${\beta}=0.356$, p<.001), followed by nursing professionalism and communication competence. These variables together explained 25.4% of the clinical practice stress in nursing students(F=23.34, p<.001). In conclusion, strategies for reducing emotional labor and for improving nursing students' nursing professionalism and communication competence should be developed to reduce clinical practice stress of nursing students.

The Study on the Subjective Happiness, Perceived Stress, Clinical Practice Stress of Nursing Students (간호대학생의 주관적 행복감, 지각된 스트레스, 임상실습 만족도에 관한 연구)

  • Ahan, Seong-Ah;Kong, Jeong-Hyeon
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.54-61
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    • 2021
  • This study aimed to understand the factors having effects on the satisfaction with clinical practice of nursing students. For the data collection, this study conducted a survey utilizing the questionnaire targeting 188 students(third & fourth year) of two nursing colleges located in a province, from September 1st to September 30th 2019. Using the SPSS WIN 21.0 Program for the data analysis, this study used the t-test, ANOVA, Scheffe test, Pearson correlation coefficient, and multiple regression analysis. In the results of this study, the satisfaction with clinical practice of nursing students had positive correlation with subjective happiness, and negative correlation with perceived stress. The factors having effects on the satisfaction with clinical practice were major satisfaction, gender, perceived stress, subjective happiness, and subjective health status, and the explanatory power of those variables was 21.9%. Based on such results of this study, it would be necessary to develop the complex educational programs considering the elements like decrease of perceived stress and improvement of subjective happiness at the same time, in order to improve the satisfaction with clinical practice.

Influences of Job Stress, Coping, Self-efficacy on Burnout of Clinical Nurses (임상간호사의 소진에 직무스트레스, 대처, 자기효능감이 미치는 영향)

  • Lee, Ji-Won
    • Journal of Fisheries and Marine Sciences Education
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    • v.26 no.5
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    • pp.1003-1012
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    • 2014
  • The purpose of this study was to understand the clinical nurses' burnout, job stress, coping, self-efficacy and to identify the factors that influence on burnout. A quantitative, descriptive design was used to study 140 clinical nurses in B and U city, recruited from June to July, 2012. The data were analyzed SPSS 20.0 program using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The mean score for burnout was 2.28 points(range: 1-4). Burnout was significantly correlated with job stress, coping and self-efficacy. These variables accounted for 37.4% of burnout. Based on the results, the sorts of strategies to reduce the burnout are required by offering job stress, coping and self-efficacy management.