• 한국콘텐츠학회논문지
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• 제16권9호
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• pp.286-296
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• 2016

본 연구는 간호 대학생의 자아 존중감과 의사소통능력이 임상실습 스트레스에 미치는 영향을 확인하고자 하였으며 본 연구의 대상자로 일 대학의 간호 대학생 198명이 참여하였다. 자료 수집은 자아 존중감 척도, 의사소통능력 척도, 임상실습 스트레스 측정도구를 통하여 설문조사하였다. 본 연구 결과 5점 만점에 자아 존중감은 평균 $3.4{\pm}0.57$, 의사소통능력은 평균 $3.5{\pm}0.42$, 임상실습 스트레스는 평균 $3.6{\pm}0.58$으로 나타났다. 또한 일반적 특성 중 남학생보다 여학생(85.4%), 시뮬레이션 실습 경험이 없는 경우보다 있는 경우(72.2%) 임상실습 스트레스가 높게 나타났다. 더 나아가 자아 존중감과 임상실습 스트레스의 하위 변수인 바람직하지 못한 역할모델과 양의 상관관계가 있으며(r=.156, p=.029), 의사소통능력과 임상실습 스트레스(r=-.329, p<.001)는 통계적으로 유의한 음의 상관관계가 있는 것으로 나타났다. 간호 대학생의 임상실습 스트레스에 영향을 미치는 요인은 의사소통능력, 성별, 임상실습만족도, 시뮬레이션 실습경험 여부였다. 이 요인의 설명력은 총 27.8%였다. 본 연구 결과를 토대로 간호 대학생의 임상실습 스트레스를 감소하기 위해서는 이들 변수를 반영한 다양한 교수법 활용 및 학습전략을 마련할 필요가 있다.

• 한국콘텐츠학회논문지
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• 제22권9호
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• pp.451-460
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• 2022

본 연구는 간호대학생의 임상실습 스트레스, 그릿, 자기효능감, 임상 수행 능력 간의 상관관계를 파악하고 임상 수행 능력에 영향을 미치는 요인을 파악하기 위해 시행되었다. 경북 G시 소재 일개 간호학과에 재학 중인 3, 4학년 학생 160명을 대상으로 설문조사를 실시하였다. 연구 결과 임상 수행 능력은 임상실습 스트레스와 음의 상관관계(r=-.383, p<.001), 그릿(r=.310, p<.001), 자기 효능감과(r=.327, p<.001)는 양의 상관관계가 있는 것으로 나타났다. 간호대학생의 임상 수행 능력에 영향을 미치는 요인은 임상실습 스트레스(β=-.37, p<.001), 임상실습 만족도β=.35, p<.001), 자기 효능감(β=.31, p<.001), 그릿(β=.28, p<.001) 순으로 나타났으며 설명력은 42.8%로 나타났다. 이 연구 결과를 바탕으로 간호대학생의 임상 수행 능력을 향상하기 위해서는 임상실습 스트레스를 줄이고 임상실습에 만족하도록 해주어야 하며, 이와 더불어 자기 효능감과 그릿을 향상하는 프로그램의 개발이 필요하다.

• 융합정보논문지
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• 제10권5호
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• pp.51-59
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• 2020

본 연구의 목적은 간호대학생의 임상간호인성, 임상실습스트레스, 스트레스 대처 및 간호전문직관의 관련성을 파악하고, 간호전문직관에 영향을 미치는 요인을 규명하여 간호대학생의 올바른 간호전문직관을 증진시키기 위한 프로그램을 개발하는데 기초자료로 활용하기 위함이다. 본 연구는 2019년 5월에서 6월까지 G시 소재 대학에 재학 중인 4학년 학생 145명을 대상으로 하였다. 자료분석은 SPSS를 이용하여 t-test, ANOVA, 상관관계 분석, 단계적 다중회귀분석으로 실시하였다. 연구결과, 간호대학생의 임상간호인성, 임상실습스트레스, 스트레스 대처는 간호전문직관과 유의한 양의 상관관계를 나타냈다. 간호전문직관에 영향을 미치는 요인으로는 임상간호인성과 스트레스 대처로, 이들 요인은 간호전문직관을 38.2% 설명하였고(F=43.973, p=.000), 가장 영향을 미치는 요인은 스트레스 대처로 나타났다(β=.508, p=.000). 본 연구의 결과는 간호대학생의 긍정적인 간호전문직관을 위해서 임상간호인성을 증진시키고 다양한 스트레스 대처방법을 제공하는 것이 필요함을 보여준다.

• 대한방사선기술학회지:방사선기술과학
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• 제36권3호
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• pp.201-208
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• 2013

방사선(학)과 학생들이 임상실습 시 경험할 수 있는 스트레스 요인을 분석하여 효율적인 임상실습교육과 개선에 도움을 주고자 본 연구를 진행하였다. 연구방법은 부산 경남 지역 5개 대학 방사선학과 학생들 중 임상실습을 경험한 학생을 대상으로 설문을 실시하였다. 그 결과, 5가지 스트레스 항목 중 환경요인이 가장 높은 스트레스 원으로 나타났으며, 다음으로 이상과 가치, 역할 및 활동 순으로 나타났다. 또한 일상에서 느끼는 스트레스보다 임상실습 시 느끼는 스트레스가 더 높게 나타났다. 본 연구 결과를 토대로 임상실습 스트레스를 줄인다면 학생들의 임상실습 만족도를 높이는데 기여하는 것은 물론 임상실습의 질 또한 향상시킬 수 있을 것으로 판단된다.

• 기본간호학회지
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• 제7권1호
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• pp.109-121
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• 2000

Increasingly nursing science is embracing the concepts and methodology derived from psycho-neuroimmunology. It has been previously shown that stress increases and immune function declines in students undergoing examinations. To date, however, no many studies have been reported on stress levels, immune function and interventions in Korean students undergoing their first clinical nursing rotation. It was proposed that nursing students during their first clinical rotation experience increase in stress because of the novelty of the situation and their lack of clinical knowledge. It was also hypothesized that biofeedback and progressive relaxation, methods of self-regulation of involuntary autonomic nervous system responses, would reduce the stress response. The purpose of this study is to test the effectiveness of progressive muscle laxation using biofeedback The effectiveness of the experimental methods was tested by measuring the degree of symptoms of stress (SOS) and the values of ephinephrine, pulse rate, blood pressure and natural killer cells. The subjects of this study were thirty nursing students divided into two groups: experimental group was progressive muscle relaxation group using biofeedback and control group. This study was conducted for 8 weeks of clinical practice. Biofeedback training was done by software developed by J&J company (1-410 form for progressive muscle training). Progressive muscle relaxation training according to Jacobson's Theory was done by messaged word from biofeedback. The data was analyzed using Chronbach' ${\alpha}$ and t-test of the SPSS program and the significance level of statistics was 5%. The results of the study were : 1) The progressive muscle relaxation training using biofeedback was effective for the reduction of symptoms of stress(t=-4.248, p<.001) under clinical practice stress conditions. 2) The progressive muscle relaxation training using biofeedback was not effective for the values of epinephrine(t=-1.294, p=.206). 3) The progressive muscle relaxation training using biofeedback was effective for the reduction of systolic blood pressure (t=-2.757, p=.01). 4) The progressive muscle relaxation training using biofeedback was effective for the reduction of diastolic blood pressure (p=-2.032, 0=.05). 5) The progressive muscle relaxation training using biofeedback was not effective for the reduction of pulse rate(t=-15, p=.988). 6) The progressive muscle relaxation training using biofeedback was effective for the maintenance of natural killer cells (t=2.381, p=02). The first clinical rotation for student nurses is a stressful experience as seen by the rise in the SOS in the control group. Biofeedback using progressive muscle relaxation were effective in preventing the rise of symptoms of stress and the blood pressure means when comparing the pre to post clinical experience, The mean natural killer cell count was depressed in the control group but not significantly different in the experimental groups, It is proposed here that stress via the hypothalamic - pituitary - adrenal axis suppressed the NK cell count whereas the relaxation methods prevented the rise in stress and the resulting immune depression. We recommend relaxation techniques using biofeedback as a health promotion technique to reduce psychological stress. In summary. the progressive muscle relaxation training using biofeedback was effective for the reduction of symptoms of stress under clinical practice stress conditions.

• 한국직업건강간호학회지
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• 제14권1호
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• pp.71-82
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• 2005

Purpose: This study analyzed domestic articles that studied job-stress of nurses using Meta Analysis to evaluate the responses resulted from job-stress and the factors affecting them. Method: To conduct this study, data were collected primarily from database of "richis" and additionally from 8 nursing journals and 5 theses for a degree on job-stress of clinical nurses. Result: As a result of Meta Analysis casual factor of job-stress, the result represented that two reasons; personal factor was the age, occupational factor were ward, duration of employment and position. By the result of analysis of effect of job-stress, satisfaction of the job, exhaustion, health status and immersion of the job were strongly related to job-stress. According to the general solution against job-stress that referred from job-stress related theses, there are several; Imagination Therapy, Assertive Training and Value Clarification Training could bring significant result. Conclusion: This study showed that because job-stress of clinical nurses had nothing to do with personal factors, job-stress management plans for nurses are needed to focus on occupational factors. Also the study suggested that various coping skills that proved to be effective are needed to be used to relieve job-stress and that's responses on nurses.

• Child Health Nursing Research
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• 제5권1호
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• pp.5-17
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• 1999

This study was designed to determine the schemata and their characteristics of stress experience the subjectivity of stress experience(structure of subjectivity) would be a basic step for the effective clinical education through the stress management for characteristics of these types. Q-methodological method was used for that purpose. The research method statements were collected prior to the study through indepth interviews. For the study, 31 Q-statements were selected. There were 34 nursing students as subjects for the research. The 34 nursing students sorted the 31 statements using the principal of forced normal distribution. The principle of forced normal distribution, which has 9 scales to measure the individual opinions, was called. Q-factor analysis by using PC QUANL program supply the material. According to the outcomes of this study, there were 3 types of special opinion about the stress experience of clinical practice. The first type is called 'Influence of practical atmosphere type'. Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The second type is called 'conflict of nursing role type'. Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The third type is called 'Lack of confidence type'. Members of this type experienced stress because of a lack of confidence for their own nursing knowledge and skill. As a result, we now need further study to identify individual psychological aspects of stress for clinical practice. The findings will guide the development in effective approaches for clinical education. Finally, the result of the study will provide us the need for developing systematic and integrated practice education program for students and active involvement of clinical instructor.

• 한국간호교육학회지
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• 제11권2호
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• pp.151-160
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• 2005

Purpose: The purpose of this study was to identify the levels of stress, anxiety and fatigue of nursing students in clinical practice, and the relationship among these variables. Method: Data was collected by structured questionnaires from 223 nursing students who have practiced at the hospital in Gwangju. Data was analyzed by using descriptive statistics, ANOVA, t-test and Pearson's correlation coefficient. Result: The mean score for stress was 3.87. The mean score for anxiety was 44.88. The mean score for fatigue was 30.79. There was a significant difference of stress according to student grade, practice unit, practice time, satisfaction of clinical practice. There was a significant difference of anxiety according to religion, health status, satisfaction of clinical practice, satisfaction on nursing. There was a significant difference of fatigue according to religion, health status, practice time, satisfaction of clinical practice, selective motivation on nursing, satisfaction on nursing. Conclusion: This study revealed that there was a significant correlation among stress, anxiety and fatigue of nursing students in clinical practice.

• 한국간호교육학회지
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• 제18권1호
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• pp.131-140
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• 2012

Purpose: The purpose of this study was to investigate the degrees of and relationships between self-leadership, stress of clinical practice and self-disclosure in a group of college female students. Methods: Data were collected from 258 participants with self-report questionnaires in August, 2011. Results: There were significant differences in the level of 'self-leadership' depending on 'interpersonal relationships', 'application motivation', 'satisfaction with nursing as a major' and 'satisfaction in clinical practice'. And also there was significant difference in the level of 'self-disclosure' depending on 'interpersonal relationships'. But there was no significant difference in the level of 'stress of clinical practice' depending on general characteristics of participants. There were significant correlations between 'self-leadership' and self-disclosure, 'stress of clinical practice' and 'self-disclosure'. Conclusion: The results of this study suggest that it is needed to develop diverse programs that can reduce the stress of clinical practice by strengthening the capacity of self-leadership and self-disclosure.

• 의학교육논단
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• 제22권2호
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• pp.115-121
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• 2020

The high degree of academic burnout experienced during academic life indicates that job skill levels during the first year following graduation are low, and the correlation with turnover intention is high. We investigated the effects of clinical practice stress and resilience on nursing students' burnout, and searched for factors that can prevent or control burnout. We recruited a convenience sample of 202 nursing students. Academic burnout, general characteristics, clinical practice stress, and resilience were assessed via self-reported questionnaires. The mean total score of academic burnout was 44.0 points; exhaustion was the highest at 18.5 points, inefficacy was 15.9 points, and cynicism was 9.6 points. High levels of clinical practice stress affected academic burnout (β=0.194, p=0.003), while high resilience was a factor that lowered the degree of academic burnout (β=-0.449, p<0.001). Based on our results, factors affecting students' experiences of academic burnout were clinical practice stress and resilience. We therefore propose the implementation of a new curriculum aimed at increasing satisfaction with the major, reducing clinical practice stress, and increasing resilience, including an efficient peer mentoring program for clinical practice.