• Title/Summary/Keyword: Self-Coping

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

  • Kim, Sung Hae;Lee, JuHee;Jang, MiRa
    • Journal of Korean Academy of Nursing
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    • v.49 no.4
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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.

The Relationship between Perceived Stress and the Ways of Coping in the Elderly (노인의 지각된 스트레스와 대처방법과의 관계)

  • Hong, Min-Ju;Lee, Myung-Hwa
    • The Korean Journal of Rehabilitation Nursing
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    • v.6 no.1
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    • pp.26-39
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    • 2003
  • The elderly can experience a lot of stressful events and the stress acts as a various fluent that affects a well-being level, the self-contentment of lives, and the achievements by themselves. Also, the elderly are different from the young in many unexpressed stress and have diverse copings for perceived stress. Moreover, they mainly seem to use a problem-focused coping and an emotion-focused coping. To use whatever copings is to improve the quality of life in the old period and very important fact to achieve their ends. The purpose of this study was to investigate the relationship between Perceived Stress and the Ways of Coping in the Elderly and to gain the baseline data for development of nursing intervention program for improve to the quality of life in the elderly. The design of this study was a correlational study. The subjects of this study consisted of 230 of the elderly living in Pusan. The data was collected from 1st July. to 1st September, 2002. The instruments used for this study were 'Perceived Stress Scale(20items, 5point. scale)' developed by Kang In(1990) and translated by Lee young-ja(1999), and its reliability is Cronbach's ${\alpha}=.89$. 'Coping Scale(30items, 4point. scale, 14 items about a problem-focused coping, 16 items about an emotion-focused coping, 4 points scale) developed by Lazarus & Folkman(1984) and translated by Yang Young-hee(1998). The reliability of this study is Cronbach's ${\alpha}=.90$. The data was analyzed by the SPSS WIN 10.0 program using frequency, percentage, mean, standard deviation, t-test, ANOVA & Scheffe test and Pearson's correlation coefficient. The results of this study were as follows; 1. The mean score of perceived stress was $31.75{\pm}10.23$(Min 20, Max 100), which the item mean score was $1.59{\pm}.51$(Min 1, Max 5). 2. The number of subjects in a problem-focused coping was 72(31.3%), the number of subjects in an emotion-focused coping was 158(68.7%) 3. There were statistically significant positive correlation between perceived stress and problem-focused coping method and the more emotion-focoused coping method.(r=.180, r= .209, P< .05). It means the more stress, the more problem-focused coping method and the more emotion-focused coping method. 4. There was significant difference the score of perceived stress according to sex (F=-5.057, P=.000)marital status, (F=-2.909, P=.004), economic level, (F=10.243, P=.000), paticipated meeting, (F=9.346, P=.000), perceived health status(F=5.117, P=.007). 5. There was significant difference the score of problem-focused coping method according to age(F=14.200, P=.000), marital status (F=2.432, P=.0160), economic level (F=14.410, P=.000), monthly income, (F=8.300. P=.000), income resource (F=10.235, P=.000), educational level (F=15.222, P=.000), occupation (F=1.544, P=.041), paticipated meeting (F=4.936, P=.008), perceived health status(F=5.655, P=.004). And there was significant difference the score of emotion-focused coping method according to monthly income(F=4.781, P=.009), income resource(F=2.930, P=.035), educational level(F=6.101, P=.003), religionF=2.698, P=.032), paticipated meetings(F=7.285, P=.001). As a result of the study, the elderly had a bit less stress and the two-thirds of the elderly used the emotion-focused coping. Thus, the more perceived stress, the more problem-focused coping method and the more emotion-focused coping method. Accordingly, to improve the quality of life of the elderly, there needs and applies a nursing intervention program that relieves the stress and use effective coping method.

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The Effects of Self-Control Behaviors on Boredom

  • Sangha Park;Yujin Kim;Hyomin Choi;Sohee Lee;Hoichang Kwon;Hyejoo Lee
    • International Journal of Advanced Culture Technology
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    • v.11 no.1
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    • pp.63-73
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    • 2023
  • The purpose of this study is to investigate whether there was a difference in the degree of boredom between groups according to whether they participated in the self-control program, and to verify whether the individual's degree of boredom was lowered before and after the self-control program. 148 college students participated in this study. The results showed that the experimental group who participated in the self-control program had significantly lower boredom than the control group. Furthermore, the boredom of individuals who participated in the self-control program was significantly lower after participating in the self-control program than before. This study showed that self-control behaviors significantly affect boredom. Based on the results, theoretical and practical implications to cope with boredom were discussed.

A Study of the Relationship between Decision Making Abilities in Young Children and Self-directed Learning Abilities (유아 의사결정력과 자기주도 학습능력 간의 관계 연구)

  • Park, Ji-Young
    • Korean Journal of Child Studies
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    • v.33 no.6
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    • pp.71-84
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    • 2012
  • The purpose of this study is to analyze the relationship between decision making abilities young children and their self-directed learning abilities. A survey was carried out using 160 young children in the J region. The collected data were analyzed by Pearson correlation and multiple regression techniques using the SPSS statistics program. The conclusions are as follows : First, decision making abilities in young children exhibited a positive correlation with their self-directed learning abilities. Second, decision making abilities in young children were an influential variable in terms of their self-directed learning abilities. As a result, decision making abilities in young children were an important variable in predicting their self-directed learning abilities.

A Study on Causal Attribution and Self-Efficacy in the Patients with Cancer (암환자가 지각하는 원인지각과 자기효능에 관한 연구)

  • 류은정;윤은자
    • Journal of Korean Academy of Nursing
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    • v.31 no.2
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    • pp.232-243
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    • 2001
  • When people undergo stressful situations such as a cancer diagnosis, they ask, "why me\ulcorner" The causal attributions people make about cancer influence what kind of coping strategies are chosen. Weiner (1979) suggested three dimensions of causal attributions: focus of causality, stability, and controllability. The purpose of the present study was to test the relation between causal attributions and self-efficacy in patients with cancer. The subjects were 194 patients who had been diagnosed cancer one year ago and attended an outpatient clinic. 1. Each mean score of causal attribution dimensions (focus of control, stability, controllability) that each patient made about cancer was 2.47, 2.73, 2.86, 3.35, and 3.28. The mean score of self-efficacy was 71.03. 2. There was a significant negative correlation between self efficacy and controllability. Particularly, there was a significant negative relationship between self efficacy and external controllability. Based upon these results, it is recommended that the developing nursing interventions to change causal attribution and self-efficacy is necessary. A number of theoretical relationships and empirical finding are confirmed by this data, and future proposals in research is suggested.

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Stress and Coping among Parents of Mentally Retarded Children in the Kyoung-in area (경인 지역의 정신 지체아 부모의 스트레스와 대응)

  • 구현영
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.668-680
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    • 1995
  • The purpose of this study was to contribute to family nursing for reducing stress and improving coping of the parents of mentally retarded children. Data were collected through self-reported questionnaires during a period of 2 months between November 1994 and January 1995 in the Kyoung-in area. The subjects consist of 180 parents (90 mothers and 90 fathers) of mentally retarded children attending schools for the handicapped and 186 parents (93 mothers and 93 fathers) of normal children. The levels of general stress and of parental role stress were measured with the General stress scale and the Parental role stress scale, respectively, while the Coping scale was adopted to measure the level of coping. The data were analyzed by using Chi-square test. fisher's exact test, Repeated masured ANOVA, oneway ANOVA and Scheffe comparison test. The results were as follows ; 1. The level of general stress was significantly higher in the mothers and the fathers of the men-tally retarded than in the respective parents of the normal. Of the parents, the mothers experienced significantly greater level of general stress than the fathers did in both groups of the retarded and of the normal. 2. As for the parental role stress, the mothers and the fathers of the mentally retarded experienced significantly greater stress than respective parents of normal children did. In particular, the stress was significantly higher in the mothers than the fathers of these children in both groups. The difference in the levels of parental role stress experienced by mothers and by fathers was significantly bigger among those of the mentally retarded tnan among those of normal children. 3. No significant difference in the level of coping was observed between the mothers of both groups and the fathers of both groups. By contrast, the fathers revealed significantly greater scores in coping than the mothers in both groups. 4. General stress experienced by the fathers of the mentally retarded was different by health status, satisfaction with spouses, and the supports from their spouses. Health status, satisfaction with spouses, and monthly income Influenced parental role stress experienced by those fathers. Their level of coping was associated with their satis-faction with spouses and family life. 5. Of the mothers of the mentally retarded, the level of general stress was different by their health status, while parental role stress was related to the satisfaction with their spouses and the child's age. The level of coping among the mothers was different by the supports from their spouses. The above findings indicate that those parents of the mentally retarded did not take more coping strategies than those of the normal did, despite greater stress experienced among themselves. Hence, nursing intervention for managing stress should be given to those parents including fathers of mentally retarded children. Mothers of the mentally retarded, in particular, should receive high priority in planning nursing care, since they experience greater levels of both general stress and parental role stress than their spouses, which is most likey due to primary responsibility in child rearing given to them at home.

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Stressors and Coping Behaviors among the $5^{th}$.$6^{th}$ Graders at Gwangju City (광주지역 초등학교 5, 6학년 아동의 스트레스 요인과 대처방식조사)

  • Kang, Hae-Young;Park, So-Ra;Chang, Keum-Ok;Park, Kwang-Hyae
    • Journal of the Korean Society of School Health
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    • v.16 no.2
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    • pp.35-43
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    • 2003
  • The purpose of this study was to identify the stressors and coping behaviors among the 5th 6th graders at Gwangju city. The subjects were 352 elementary school students and the data were collected by self-reported questionnaire from June 19 to July 21, 2003. Study instrument to investigate stressors was developed 40-items summated scale (${\alpha}$ = .87) with four subcategories: 8-items individualistic (${\alpha}$ = .72), ll-items family life-related (${\alpha}$= .70), 14-items school life-related (${\alpha}$= .76) and 7 socio-environmental (${\alpha}$= .63) factors. And the instrument to examine stress coping behaviors was also developed 30-items summated scale (${\alpha}$= .82) with three subcategories: 10-items active (${\alpha}$= .72), 10-passive (${\alpha}$= .75), and 10-mystic (${\alpha}$ = .70) coping behaviors. The data were analyzed by descriptive statistics, t-test and ANOVA using SPSS/PC+ program. The results were summarized as follows: Mean score of stressors was $66.6{\pm}14.45$ out of 160. There were no significant differences in total scores of stressors in terms of gender, grade, number of siblings and the school location The score of individualistic stressors, on the other hand, was tended to be significant higher in the 6th graders (t = -2.155, p = .032) and the school children in Gwangsangu district where has mixed rural and urban characteristics (F = 2.400, p = .049). Mean score of stress coping behaviors was $61.3{\pm}12.24$ out of 120. It was significantly different in terms of number of siblings (t = 2.108, p = .036) and the school location (F = 4.928, p = .001). In several subcategories, the mean scores of active coping behaviors were significantly higher in the only children group (t = -2.127, p = .034) and Donggu district where traditional downtown area (F = 2.410, p = .050). and passive (F = 4.013, p = .003) and mystic coping (F = 2.720, p= .030) were also significantly higher in the same district. In conclusion, the score of stressors of children in Gwangju city showed relatively low as that of other areas, and the children utilized active coping behaviors more frequently in various stressful situations.

Impact of Life Stress on Depression, Subjective Well-being and Psychological Well-being in Nursing Students: Mediation Effects of Coping (간호대학생의 생활스트레스와 우울, 안녕감의 관계에서 스트레스 대처의 매개효과)

  • Lee, Eun-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.1
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    • pp.55-65
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    • 2017
  • This study was conducted to investigate the mediating effects of coping on the impact of life stress on depression, subjective well-being and psychological well-being in nursing students. Self-report questionnaires were used to collect data from 147 nursing students. Data were analyzed using descriptive statistics, Pearson's correlation coefficient and hierarchical multiple regression. Nursing students who had a higher level of depression had a higher level of life stress, as well as a higher frequency of avoidance coping. Conversely, those who had a higher level of subjective well-being and psychological well-being had a lower level of life stress, as well as a lower frequency of avoidance coping. There were also significant positive correlations between psychological well-being and problem solving coping. The results showed that avoidance coping partially mediated the effects of life stress on depression, subjective well-being and psychological well-being. The results suggest that it is necessary to offer stress management programs to reduce avoidance coping, with additional consideration of life stress and coping strategies, to prevent depression and improve well-being among nursing students.

A Case Study on the Occupational Therapy Evaluation and Intervention Plan of a Community Asperger Syndrome Child Receiving Coping Model (지역사회 아스퍼거 장애 아동을 대상으로 대처모델(coping model)을 적용한 작업치료 평가 및 중재계획수립: 사례연구)

  • Lee, Mi Ji
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.87-91
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    • 2013
  • Objective : This case study examined the evaluation of occupational therapy and plan to intervention of community asperger syndrome child receiving coping model. Methods : We selected child which 7-year-old boy. Evaluation periods were 2weeks which consisted of external factors and internal factors. External factors were made up interaction of subject, environments and participation of school and community. Internal factors were made up observation and structured evaluation about development state and medical conditions. Also it included observation of appropriate mood and emotions. Results : After evaluation receiving coping model, we planed to intervention. First, subject able to use his time effectively. Second, we'll have intervention program about delayed fine motor areas. Third, we'll educate self-control skills and coping skills of subject's action which not controlled himself. Fourth, we'll find the personal and physical sources to care subject. Conclusion : Our research has planed occupational therapy intervention receiving coping model of asperger syndrome subject. Future research need to practical applications.

Study on the Obese Students' Stress and Coping Method in Middle and High Schools (비만 중.고등학생의 스트레스와 대처방법에 관한 연구)

  • Kim, Yi-Soon
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.732-745
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    • 2001
  • This study attempted to identify obese students' stress and coping method in middle and high schools. The data were collected from the total of 600 obese students from middle and high schools in Pusan. The author used a convenience sampling method. The data collection was done from March 2 to April 30. 2001. The analysis of the data was done with SPSS Win(10.0) for descriptive statistics. t-test. and ANOVA. The instrument used for the obese students' stress and coping method was a questionnaire developed by Kim. Yi-Soon and Kim. Young-Hae(200l). The tool was composed of 65 items (33stress items: 32coping method items) with the five-point Likert scale. The results were as follow: 1. The average score of stress was 2.49 (SD = .86) points in the male students. and 2.83(SD= .86) points in the female students. The subcategories were: (outward appearance), (boyfriend/girlfriend), (occurrence of an outbreak of a disease), (relationship within the family), (an obese appearance), (difficulty in exercise). The highest degree of stress came from 'an obese appearance' for the male students (mean=2.64. SD=0.87) and (mean=2.64. SD=0.87) for the female students. 2. The subcategories of the coping method were: (be concerned about other matters), (recreation activities), (self-violence), (relaxation), (hobby activities), (avoid a situation), (communication), (music), (negative behavior), (positive thinking). The highest degree of coping method were (recreation activities) in the male students (mean=3.07. SD=0.86) and (music) in the female students (mean=3.47. SD=1.01). 3. The results comparing stress with demographic variables were significant for gender (t=7.010. p=0.000). grades at school (F=2.918. p=0.02l), degree of obesity (F=5.205. p=0.006). grades (F=2.550. p=0.027). standard of living(F=8.277. p=0.000). the state of health (F=2.882, p=0.022), relationship with the father (F=4.790, p=0.001), relationship with the mother (F=6.080, p=0.000), and the educational level of the father (F=3.192, p=0.013). 4. The results comparing the coping method with demographic variables were significant for gender (t=4.597. p=0.000). These findings contribute to the understanding of the degree of stress and the type of coping methods of obese students in middle and high schools. Therefore, the result of this study aids in an effective nursing intervention to improve the mental health program for the obese.

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