• Title/Summary/Keyword: Clinical stress

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Factors Influencing Nursing Students' Adjustment to College Life (간호대학생의 대학생활 적응 영향요인)

  • Kim, Kyoung-Nam;Kim, Ju-Young;Kim, Hyeon-Jeong;Kim, Hee-Jeong;Moon, Yoo-bin;Moon, Hye-Jin;Park, Eon-Seol
    • Journal of Korean Clinical Health Science
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    • v.8 no.2
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    • pp.1417-1425
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    • 2020
  • Purpose: The purpose of this study was to check the stress, stress and coping ability of nursing college students and to identify factors that influence college life adjustment. Method: This study was a descriptive research study to confirm the correlation between stress, stress response, coping ability, and college life adaptation of nursing college students, and to analyze the factors that influence college life adjustment. The data collection period was from August 17 to 23, 2020, for one week, the researcher directly explains the purpose and purpose of the study to 221 nursing college students nationwide, and online surveys to those who have agreed to participate in the study. The collected data were analyzed using SPSS Win 20.0 program. Results: Adaptation to college was negatively correlated with stress (r=-.285, p<.001), stress response (r=-.258, p<.001), and coping ability (r=.512, p<.001) had a positive correlation. The most significant factor influencing the study subjects' adaptation to college life was coping ability (β=.473, p<.001), followed by stress (β=-.185, p=.002) in the order of The explanatory power of the factors affecting the subject's adaptation to college life was 28.9%. Conclusion: As a result of this study, it means that nursing students' adaptation to college life has less stress and stress response, and higher coping ability increases college life adaptation. The factor that influenced the adjustment to college life was the most significant factor, followed by stress. In order for nursing students to adjust to college life smoothly, it is thought that coping measures to reduce stress and stress responses and overcome them are necessary.

Effects of tianeptine on symptoms of fibromyalgia via BDNF signaling in a fibromyalgia animal model

  • Lee, Hwayoung;Im, Jiyun;Won, Hansol;Nam, Wooyoung;Kim, Young Ock;Lee, Sang Won;Lee, Sanghyun;Cho, Ik-Hyun;Kim, Hyung-Ki;Kwon, Jun-Tack;Kim, Hak-Jae
    • The Korean Journal of Physiology and Pharmacology
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    • v.21 no.4
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    • pp.361-370
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    • 2017
  • Previous reports have suggested that physical and psychological stresses may trigger fibromyalgia (FM). Stress is an important risk factor in the development of depression and memory impairments. Antidepressants have been used to prevent stress-induced abnormal pain sensation. Among various antidepressants, tianeptine has been reported to be able to prevent neurodegeneration due to chronic stress and reverse decreases in hippocampal volume. To assess the possible effect of tianeptine on FM symptoms, we constructed a FM animal model induced by restraint stress with intermittent cold stress. All mice underwent nociceptive assays using electronic von Frey anesthesiometer and Hargreaves equipment. To assess the relationship between tianeptine and expression levels of brain-derived neurotrophic factor (BDNF), cAMP response element-binding protein (CREB), and phosphorylated cAMP response element-binding protein (p-CREB), western blotting and immunohistochemistry analyses were performed. In behavioral analysis, nociception tests showed that pain threshold was significantly decreased in the FM group compared to that in the control group. Western blot and immunohistochemical analyses of medial prefrontal cortex (mPFC) and hippocampus showed downregulation of BDNF and p-CREB proteins in the FM group compared to the control group. However, tianeptine recovered these changes in behavioral tests and protein level. Therefore, this FM animal model might be useful for investigating mechanisms linking BDNF-CREB pathway and pain. Our results suggest that tianeptine might potentially have therapeutic efficacy for FM.

Three-dimensional finite element analysis on stress distribution of the mandibular implant-supported cantilever prostheses depending on the designs (임플란트 지지 하악 캔틸레버 보철물의 디자인에 따른 저작압 분산에 관한 삼차원 유한요소 분석)

  • Ban, Jae-Hyurk;Shin, Sang-Wan;Kim, Sun-Jong;Lee, Jeong-Yeol
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.1
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    • pp.70-81
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    • 2009
  • Statement of problem: The position and length of cantilever influence on the stress distribution of implants, superstructure and bone. In edentulous mandible, implant-supported cantilever prostheses that based 4 or 6 implants between mental foramens has been attempted. Excessive bite force loaded at cantilever prosthesis causes bone resorption and breakage of superstructure prosthesis around posterior implants. To complement the cantilever length of conventional prosthesis, In 1992, (McCartney) introduced "cantilever-rest-implant" and Malo reported "All-on-Four" in 2003. Purpose: Analyze and compare the stress distribution of conventional cantilever prostheses with rest implant and All-on-$Four^{TM}$ implant prostheses. Material and method: The external loads(300 N vertically, 75 N horizontally) are applied to first molar area. The stress value, stress distribution and aspect of stress dispersion are analyzed by three-dimensional finite element analysis program, ANSYS ver. 10.0. Results: 1. The rest implant and "All-on-Four" implant system are superior to conventional cantilever prostheses to reduce stress on the bone and the superstructure around implants. 2. The rest implant was of the greatest advantage to stress distribution on bone, implant and superstructure. 3. With same number of implants, distally tilted implants are preferred to conventional cantilever prostheses for reducing the length of cantilever.

A Study of Nurses' Resilience, Occupational Stress and Satisfaction (간호사의 탄력성과 직무 스트레스 및 직무만족도)

  • Kim, Bu-Nam;Oh, Hyun-Sook;Park, Yong-Sook
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.1
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    • pp.14-23
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    • 2011
  • Purpose: The purpose of this study is to examine the clinical nurses' resilience, occupational stress, and occupational satisfaction and to identify the correlations among them. Methods: Structured questionnaires were administered with total 75 questions for 433 nurses working at a university hospital in Jin-ju from July 19 to 30, 2010. Data from the completed questionnaires were analyzed with the SPSS/WIN program. Results: The resilience had a significant difference according to the age, marital status, religion, education level, annual income, motive of choosing the nursing science, clinical career, position, and workplace. Resilience had a negative correlation with occupational stress (r=-.405), and had a positive correlation with occupational satisfaction (r=.380). Occupational stress had a negative correlation with occupational satisfaction (r=-.637). Conclusion: The higher their resilience was, the lower their occupational stress and the higher the occupational satisfaction. It is recommended that intervention program be developed that can enhance personal resilience in nurse.

Validity and Reliability of a Korean Version of Nurse Job Rotation Stress (한국어판 간호사 직무순환 스트레스 측정도구 타당도와 신뢰도)

  • Han, Jeong Won;Lee, Bin Na;Yang, Bo Eun
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.3
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    • pp.352-358
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    • 2016
  • Purpose: This study was a methodological research implemented to establish basic data for controlling the job rotation stress of nurses and effectively managing human resources by reflecting the Nurse Job Rotation Stress Scale (NJRS) developed by Huang and others into the domestic nursing environment and verifying the use of measurement tools. Methods: The study selected nurses working at four hospitals, with over 300 beds, in Seoul, Gyeongi-do, and Busan, as its research subjects and verified the content validity, construct validity, concurrent validity, and internal consistency reliability of the measurement tool. Results: The results ultimately formed eight questions from three sub-factors (3 emotional response questions, 2 daily life questions, and 3 communication questions). In terms of reliability, emotional response issued a Cronbach's of .78, daily life issued a Cronbach's of .75, and communication issued a Cronbach's of .86. Conclusion: This study is expected to be used as basic data for achieving effective human resource management by calculating the stress of clinical nurses resulting from job rotation, but the researcher believes that the measurement tools must be expanded by confirming additional job rotation stress questions which reflect the organizational culture of Korea.

Knowledge, Performance and Stress about Care for Delirium in Orthopedic Hospital Nurses (정형외과병원 간호사의 섬망간호에 대한 지식, 수행 및 스트레스)

  • Kim, Mi Young;Eun, Young
    • Journal of muscle and joint health
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    • v.20 no.1
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    • pp.72-80
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    • 2013
  • Purpose: This study was conducted to investigate the correlation among nurses' knowledge, performance, and stress about care for delirium. Methods: The data were collected using the instruments for knowledge about nursing care (50 items), performance (23 items), and stress (20 items). Descriptive statistics and Pearson's correlation coefficient were used to analyze the data of 222 participants. Results: Nursing knowledge were different by clinical experience (F=3.12, p=.016), position at work (t=-2.54, p=.012), experience in caring patients with delirium (t=3.90, p<.001), and conflicts with other disciplines on matters related to delirium (t=4.00, p=.001). The difference in performance were associated with age (F=4.19, p=.001), clinical experience (F=2.67, p=.003), and whether there was a guideline for managing the patients with delirium (t=2.30, p=.022). Stress of nurses was different by whether they had a religion or not (t=-2.41, p=.017). The knowledge of care for delirium had the positive relationship with performance (r=.21, p=.001) and negative relationship with stress (r=-.29, p=.001). Conclusion: It is necessary to develop educational program and guideline for improving the knowledge and performance in care for delirium among nurses working at orthopedic hospitals.

A Study on the Relationship between Job Stress, Self-Efficacy and Job Satisfaction in Nurses (간호사의 업무스트레스, 자기효능감과 직무만족에 관한 연구)

  • Bong, Young-Suk;So, Hyang-Sook;You, Hye-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.3
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    • pp.425-433
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    • 2009
  • Purpose: This study was conducted to examine relationships among job satisfaction, job stress, and self-efficacy and to identify predicting factors on the job satisfaction among a general hospital nurses. Method: The subjects were 266 nurses working at C university hospital in G city. Data were collected using a self-reported questionnaires. The data were analyzed using t-test, one-way ANOVA, Scheffe test, Pearson's correlation coefficients, & multiple stepwise regression by SPSS 12.0 program. Result: The job satisfaction indicated a significant relationship to self-efficacy (r=.310, p<.001) and work stress (r=-.273, p<.001) respectively. The powerful predictors of job satisfaction were general self-efficacy (22.6%), over ₩2,500,000 at monthly income (7.3%), job stress (4.9%), work period at present unit (2.6%), which explained 41.3% of total variance of job satisfaction. It has been confirmed that the regression equation model of this research may serve as a predictor of clinical nurses' job satisfaction. Conclusions: We need to develop self-efficacy promoting and stress relief program for clinical nurses in order to improve job satisfaction.

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Effects of Foot Bath Therapy on Operating Room Nurses' Lower Extremities Edema, Stress, and Fatigue (족욕요법이 수술실 간호사의 하지 부종, 스트레스 및 피로에 미치는 효과)

  • Lee, Young Sin;Park, Hae Kyung;Kim, Hyun Jea;Jung, Yun Hee
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.1
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    • pp.102-112
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    • 2014
  • Purpose: The purpose of this study was to identify the effects of foot bath therapy on operating room (OR) nurses' lower extremities edema, stress, and fatigue. Methods: This study used a randomized control group non-synchronized design. The data were collected from August to October 2013, and a total of 50 OR nurses in an university hospital in U Metropolitan City participated in the study: 25 nurses for the experimental group and 25 for the control group. The experimental group received foot bath in which feet were soaked in $40^{\circ}C$ water and immersed up to ankle line for 20 minutes per a day for 12 times. Results: There were significant decrease in the calf edema, physical stress, and fatigue between pre and post foot bath therapy. Conclusion: The findings of this study show that foot bath had the effect in decreasing lower extremities edema, stress, and fatigue among OR nurses. Foot bath therapy, therefore, is suggested as a comfort and easy-to-use method in clinical setting to reduce OR nurses' lower extremities edema, stress, and fatigue.

Effect of Job Stress, Emotional Labor, and Positive Psychological Capital on the Job Satisfaction of Physician Assistants (전담간호사의 직무 스트레스, 감정노동과 긍정심리자본이 직무만족도에 미치는 영향)

  • Hong, Bo-Ram;Kim, Kyoung-Mi
    • Korean Journal of Occupational Health Nursing
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    • v.28 no.3
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    • pp.176-185
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    • 2019
  • Purpose: The purpose of this study was to identify the effects of job stress, emotional labor, and positive psychological capital on the job satisfaction of physician assistants (PAs). Methods: The sample consisted of 166 PAs working in general hospitals in B city, Y city, and C city. Data were analyzed through the SPSS/WIN 18.0 program using t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and multiple regression. Results: The factors of job stress (${\beta}=-.488$, p<.001), positive psychological capital (${\beta}=.188$, p=.004), and total clinical career (${\beta}=-.147$, p=.014) had the greatest influence on the level of job satisfaction experienced by the PAs. The total explanatory power was 49.9%. Conclusion: It was found that job stress, positive psychological capital, and total clinical career were influencing factors in the job satisfaction of PAs. Therefore, to improve their job satisfaction, it is necessary to develop strategies to manage the job stress experienced by PAs, and to strengthen and develop positive psychological capital.

The effect of sleep quality on non-face-to-face online learning satisfaction in college students (대학생의 수면의 질이 비대면 온라인 학습 만족도에 미치는 영향)

  • Eun-Jeong Go
    • Journal of Korean Clinical Health Science
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    • v.11 no.1
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    • pp.1607-1615
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    • 2023
  • purpose: In addition to evaluating the quality of sleep of college students, the effect on non-face-to-face online learning satisfaction is identified and used as basic data for improving the quality of remote lectures. Methods: From June 1 to June 24, 2022, a self-entry survey was conducted on students enrolled in the dental hygiene department of D University in Daegu. To evaluate the non-face-to-face online learning satisfaction and sleep quality of the study subjects using the lBM SPSS Statistics 21 program, ANOVA analysis was conducted on the difference between individual stress levels and non-face-to-face online learning satisfaction. The correlation between sleep quality, stress, and non-face-to-face online learning satisfaction was analyzed using Pearson's correlation coefficient. Results: The lower the quality of sleep, the higher the stress, resulting in statistically significant results (p<0.001). The higher the quality of sleep, the higher the learning satisfaction, resulting in statistically significant results (p<0.001). There was a statistically significant positive correlation between learning satisfaction and stress (r=0.591, p<0.01). Conciussions: Through the above results, in order to improve the satisfaction of non-face-to-face online learning, it is necessary to manage the individual's learning environment and health to relieve stress. Instructors also need to communicate with learners and apply teaching methods considering learners' academic abilities.