• 제목/요약/키워드: Stress in Clinical Practice

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임상실습을 경험한 간호 대학생이 지각하는 실습 교육환경, 실습 스트레스가 학과 적응에 미치는 영향 (The Effect of Practical Education Environment And Practical Stress Perceived by Nursing College Students who have Experienced Clinical Practice on Department Adaptation)

  • 양혜경
    • 문화기술의 융합
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    • 제10권2호
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    • pp.43-49
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    • 2024
  • 본 연구는 임상실습을 경험한 간호대학생이 지각하는 실습교육환경과 실습 스트레스가 학과 적응에 미치는 영향을 확인하고자 시도되었다. 연구대상은 C지역의 간호대학에서 임상실습을 경험한 간호학생 154명을 대상으로 하였다. 연구결과 간호대학생이 지각하는 실습교육환경과 학과적응은 양의 상관관계가 있었고(r=.43, p=.001), 실습스트레스와 학과적응은 음의 상관관계(r=-.15, p=.012)가 있는 것으로 나타났다. 간호대학생들의 학과적응에 영향을 미치는 요인으로 실습 교육환경과 실습 스트레스로 확인되었다. 따라서 실습교육환경을 긍정적으로 개선하기 위해 현장 실습 적응에 도움을 줄 수 있는 관련 요인들을 지속적으로 훈련하고, 실습기관과 유기적 협력을 통해 실습교육환경을 개선하기 위한 방안 마련이 필요함을 제언한다.

간호학생의 임상실습 스트레스경감을 위한 발마사지의 효과 (The Effect of Foot Massage on Stress in Student Nurses in Clinical Practice)

  • 원종순;김금순;김경희;김원옥;유재희;조현숙;정인숙
    • 기본간호학회지
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    • 제7권2호
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    • pp.192-207
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    • 2000
  • The purpose of this study was to identify the effects of foot massage on the stress of student nurses in clinical practice. The research design was a nonequivalent control group pretest-posttest design. The subjects of this study were 52 student nurses from three junior colleges and one university. The subjects were assigned to one of two groups : the experimental group(26 students), and the control group(26 students). The study was conducted from October to November 1999. For the experimental group the foot massage was performed once a day for 3 days, starting from the first day of clinical practice. Subjects' mood, fatigue, blood pressure and pulse rate were measured as dependent variables. The Instrument for mood and fatigue state was a 100mm visual analogue scale. For the experimental group pre and post tests were done just before and after every 3 foot massages and on the 7th clinical practice day. For the control group pretest was done on 1st clinical day and posttest was done on clinical practice 7th day. The data was analyzed by the t-test and paired t-test and the results are summarized as follows: 1. The mood state scores were significantly higher for the experimental group as compared to the control group after the foot massage(t=13.73, p<.001). 2. The fatigue state scores were significantly lower for the experimental group as compared to the control group after the foot massage(t=8.69, p<.001). 3. The systolic blood pressure was significantly different between the experimental group and the control group after the foot massage(t=3.0073, p<.01). 4. The diastolic blood pressure was not significantly different between the experiment group and the control group after the foot massage. 5. The pulse rate was not significantly different between the experiment group and the control group after foot massage. 6. The mood state scores on the 1st, 2nd, 3rd massage day was significantly improved right after the foot massage. 7. The fatigue state scores on the 1st, 2nd, 3rd massage day were significantly lower right after the foot massage. 8. Systolic blood pressure on the 1st and 2nd massage day was significantly decreased right after the foot massage. Diastolic blood pressure and pulse rate were decreased right after massage but the change was not statistically significant. On the basis of the above findings, this study suggests that foot massage can be an effective stress relieving method for student nurses in clinical practice.

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호흡바이오피드백 훈련이 간호대학생의 임상실습시 스트레스에 미치는 효과 (The Effect of Breathing Biofeedback Training in the Stress of Nursing Students in Clinical Practice.)

  • 권영숙;김태희
    • 기본간호학회지
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    • 제6권2호
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    • pp.169-184
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    • 1999
  • The purpose of this study was to identify the effects of breathing biofeedback training on the stress of nursing students in clinical practice. The research design was a nonequivalent control group pretest-posttest design. The subjects of this study were 39 nursing students from the College of Nursing of K University. The study was conducted from July 20 to September 3, 1998. The subjects were assigned to one of two groups : the experimental group (19 students), and the control group (20 students). The breathing biofeedback training was performed 12 times with the experimental group. The level of psychological stress was measured using the State Anxiety Inventory, Profile of Mood State, and Visual Analogue Stress Scale. The level of physiological stress was measured using pulse rate and blood pressure. The data were analyzed using descriptive statistics, $x^2-test$, t-test, and repeated measures of ANOVA. The results of study are as follows : 1) State anxiety scores were not significantly different between the experimental group and the control group after the biofeedback training. 2) Profile of mood state scores were not significantly different between the experimental group and the control group after the biofeedback training. 3) Visual Analogue Stress Scale scores were significantly different between the experimental group and the control group after the biofeedback training(F=11.68, p=0.002). 4) Pulse rates were not significantly different between the experimental group and the control group after the biofeedback training. 5) Systolic blood pressures were significantly different between the experimental group and the control group after the biofeedback training(F=5.44, p=0.025). 6) Diastolic blood pressures were not significantly different between the experimental group and the control group after the biofeedback training. On the basis of the above findings, the following recommendations for further study are made ; 1) Identification of the effects of breathing biofeedback training at times of high stress during clinical practice. 2) Identification fo the effects of stress reduction according to the frequency of the breathing biofeedback training.

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일 간호대학생의 통합성과 임상실습 스트레스가 학과만족도에 미치는 영향 (Relationships between Integration, Clinical Practice Stress, Department Satisfaction in Nursing Students)

  • 백명화;이미숙;김지연
    • 디지털융복합연구
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    • 제20권2호
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    • pp.543-551
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    • 2022
  • 본 연구의 목적은 간호대학생의 통합성과 임상실습 스트레스 정도를 파악하여 학과만족도와의 관계를 파악하는 것에 있다. 자료 수집은 2021년 6월부터 7월까지 진행하였다. 임상실습 경험이 1회 이상인 간호대학생 3, 4학년을 대상으로 통합성, 임상실습 스트레스, 학과만족도 척도로 이루어진 설문지로 자료를 수집하였고, 총 394부의 자료를 SPSS 프로그램으로 분석하였다. 연구결과 통합성은 학과만족도에 정적 상관관계를(r=.412, p<.01), 임상실습 스트레스와는 부적 상관관계를 보이는 것으로 나타났다(r=-.193, p<.01). 간호대학생의 학과만족도에 영향을 미치는 예측요인은 통합성(β=.406, p<.001)과 입학 동기(β=.166, p=.006)로 전체 변량을 20% 설명하였다. 결과적으로 통합성과 입학 동기는 학과만족도에 영향을 미치는 것으로 확인되었으며, 간호대학생들의 학과만족도를 높이기 위해서는 입학초기부터 통합성 증진프로그램과 학과적응 프로그램 운영이 필요할 것으로 사료된다.

간호대학생의 감성지능 수준에 따른 스트레스 정도 및 스트레스 대처방식의 차이 (Differences in Stress and Stress Coping Strategies according to Emotional Intelligence in Nursing Students)

  • 송주은;채현주
    • 한국간호교육학회지
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    • 제20권4호
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    • pp.502-512
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    • 2014
  • Purpose: The purpose of this study is to identify differences in stress levels and stress coping strategies according to the degree of emotional intelligence in nursing students. Method: Study participants included 367 nursing students from three universities in Gyeonggi and Chungnam provinces. Data were collected through a self-administered questionnaire in December 2012 and subsequently analyzed via the IBM SPSS 20.0 program with descriptive statistics, independent t-tests, one-way ANOVA and Scheffe tests. Results: The emotional intelligence of nursing students was slightly higher than average. Perceived stress and clinical practice stress among nursing students were high and nursing students used more problem-focused compared to emotion-focused coping strategies. Nursing students who had a higher level of emotional intelligence exhibited lower levels of perceived stress (t=2.26, p=.025) and clinical practice stress (t=9.37, p<.001) and more used problem-focused coping strategies (t=-7.56, p<.001) than those who had a lower level of emotional intelligence. Conclusion: These results suggest that nursing interventions to improve the emotional intelligence of nursing students are necessary to manage stress more effectively.

한국간호대학생의 임상실습 스트레스와 스트레스 대처 (Relationships between Nursing Practice Stress and Stress Coping of Nursing Students in Korea)

  • 김지현
    • 디지털융복합연구
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    • 제12권2호
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    • pp.409-415
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    • 2014
  • 본 연구는 일 지역 간호대학생의 임상실습 스트레스와 그에 대한 스트레스 대처의 관련성을 알아보기 위한 것이다. 한국의 C 도시에 위치한 2개 대학의 간호학생을 대상으로 하였으며, 자료수집은 연구참여에 동의한 사람 160명을 대상으로 2012년 3월부터 9월까지 구조화된 설문지를 이용하여 수행하였다. 수집된 자료는 SPSS 18.0을 이용하여 분석하였고, 서술통계, 피어슨 상관분석 등을 이용하였다. 연구결과 임상실습 스트레스 점수는 평균 $2.72{\pm}6.2$였으며, 스트레스 대처점수는 $2.60{\pm}0.37$ 이었다. 스트레스 대처양상 중 희망적 사고는 오리엔테이션(r=0.32, p<0.01), 집담회의(r=0.52, p<0.01), 과제하기(r=0.29, p<0.01)시의 스트레스가 발현시에 관련성이 높았고, 임상실습 시험시의 스트레스는 문제집중대처양상과 관련성이 높았다(r=0.31, p<0.05). 간호사 대하기(r=0.31, p<0.01), 또는 기타 보건전문인과 대인관계하기(r=0.35, p<0.01)시의 스트레스는 긍정적 관점으로 대처하기 양상과 관련성이 높았다. 학생들은 긍정적이고 활동적인 대처양상을 보여주었으며, 이는 임상현장에서 경험하는 스트레스를 효과적으로 다룰 수 있는 충분한 능력을 향상시키는데 좋은 경험이 될 것이다.

일개 대학 간호학과생의 보건소 실습평가와 경험에 관한 연구 (Evaluation of Community Health Nursing Practice and Nursing Student's Clinical Experience at Public Health Centers)

  • 박정모;이숙정
    • 지역사회간호학회지
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    • 제13권1호
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    • pp.161-170
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    • 2002
  • Purpose: To evaluate community health nursing practice by nursing students for basic data to improve nursing practice education, and to determine the clinical practice experiences of nursing students at public health centers. Method: According to methodological triangulation, all data was collected from March 2001 to June 2001 through prepared questionnaires with 62 Participants, and in depth interviews with 2 Participants, and content analysis with 8 Participants. Results: 1. Clinical practice content was needed to make up professionally. 2. Clinical practice instructor was satisfied with teaching by community health nursing professor, but not by public health center nurse. 3. Clinical environment was perceived as good. 4. Clinical practice time was perceived suitable, but practice evaluation was given a low grade. 5. Experience of nursing students was grouped into 9 categories and 20 themes. 9 Categories are as follows: change of public health center image, difficulty in the personal relationship, positive personal relationships, doubt about the attitude, doubt about the task, tension, worth, ambivalance of the conference, feeling about the end stage of the clinical practice. Twenty themes are stereotypic of the public health care center: recognition, difficulty between tasks and interrelationships with the clients, decrease of self esteem due to deficiency of trust with the students, exchange of feelings in the relationships, the situation of clients was not considered, feelings were disregarded, not systematic, regarding students as supplementory manpower, independent work but not enough contents, anxiety & fear, self-trust, be skilled in the practice, pragmatic knowledge formation, understanding of the old person, self-study of oneself. live up to the expectation, consider as the job, dissolve the stress and impose burden, feeling the lack regarding active approach in the practice. Conclusion: The students have perceived the need of community health nursing through the clinical practice. Clinical practice of community health nursing requires content supplement, correction of instruction by public center nurses, environmental alteration, evaluation criteria set up. Experience of clinical practice in the public health center was as follows: Getting rid of the stereotype about public health center, nursing students comprehended variety and were worth while to do clinical practice in spite of tension& anxiety and fear. And they thought to be a community nurse someday.

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간호대학생의 임상실습 스트레스와 의사소통능력이 자아탄력성에 미치는 영향 (Influence of Clinical practice stress and Communication skills on Ego-resilience of Nursing students)

  • 조은주;임경민
    • 한국산학기술학회논문지
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    • 제17권6호
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    • pp.618-628
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    • 2016
  • 본 연구는 간호대학생의 임상실습 스트레스와 의사소통 능력이 자아탄력성에 미치는 영향을 규명하기 위한 서술적 조사연구이다. 대상자는 B시 2개 대학교의 임상실습 경험이 있는 4학년 학생 122명이며, 자료수집기간은 2015년 3월23일에서 3월30일까지였다. 수집된 자료는 SPSS/WIN 18.0 통계 프로그램을 이용하여 t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients와 multiple regression으로 분석하였다. 연구결과 대상자의 임상실습 스트레스는 평균평점이 $3.40{\pm}0.62$으로 중간보다 높았고, 의사소통 능력은 평균평점이 $3.67{\pm}0.4$으로 중간보다 높았다. 자아탄력성은 평균평점이 $3.54{\pm}0.58$으로 중간보다 높았다. 대상자의 제 특성에 따른 자아탄력성 정도는 성별(t=2.732, p=.010), 전공만족도(F=8.226, p<.001), 실습동료관계(F=11.853, p<.001)에 따라 통계적으로 유의한 차이가 있었다. 대상자의 임상실습 스트레스, 의사소통 능력, 자아탄력성의 상관관계를 분석한 결과, 임상실습스트레스와 자아탄력성 간에는 미약한 음의 상관관계가 있었으나, 통계적으로 유의하지 않았다(r=-.168, p=.065). 의사소통 능력과 자아탄력성간에는 중간정도의 양의 상관관계가 있는 것으로 나타났고, 통계적으로 유의하였다(r=.593, p<.001). 자아탄력성을 설명하는 유의한 변수는 의사소통능력과 전공만족도, 실습동료관계, 성별순이었고, 전체 설명력은 38.9%이었다. 따라서 간호대학생의 자아탄력성을 높이기 위해서는 의사소통 능력을 신장시키고, 전공만족도를 높이며, 실습동료와 좋은 관계를 구축할 수 있는 교과프로그램의 개발이 필요하다고 사료된다.

치기공과 학생들의 스트레스 요인분석에 관한 연구 - 대구.제주 중심으로 - (A study on the related factors of students' stress in dental laboratory college - focusing in Daegu and Jeju -)

  • 김정숙;정효경;박남규
    • 대한치과기공학회지
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    • 제30권1호
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    • pp.121-130
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    • 2008
  • The purpose of this research project is to assess students' stress during clinical rotations and to suggest strategies for enhancing professional skills as well as the quality of clinical rotations among the students of dental technology. The participants included 200 sophomores and juniors from dental laboratory college located in Daegu and Jeju. Data was collected December 7, 2007, and March 7, 2008, by survey samplings. A total of 185 completed surveys were obtained and analyzed for this study. Findings from the study are summarized below. When age and stress were compared, it was found that younger students had higher levels of stress related to their environment, role, and activities. Regarding grade level and stress, students in lower levels were slightly (p<.01) more likely to have stress (Sophomore =2.91, junior =2.49). When the stress level was compared with students' satisfaction with their major, the less students were satisfied, the higher their level of stress was. The study found a slight (p<.05) difference between groups [satisfaction group (M=2.44), group in between satisfaction and dissatisfaction (M=2.58), and dissatisfaction (M=2.82)) in the relationship between satisfaction with the major and overall stress. Again, it appears that stress levels increase as satisfaction with the chosen major decreases. Third, the intensity of stress was affected by the environment in which students practiced, classmate relationships, roles, goals and values, and activities, and areas of performance. It showed that the groups unsatisfied and in-between with the quality of practice have more intensified stress than the group with satisfaction. The study showed a slight (p<.01) difference amongst groups [(satisfaction group (M=2.17), group in between satisfaction and dissatisfaction (M=2.68), and dissatisfaction (M=2.96)) in the relationship between satisfaction with the quality of the clinical rotation and overall stress. It appeared that higher levels of stress were seen with lower satisfaction with the major. Overall, students' level of stress was correlated with age and grade level, level of satisfaction in the major and the quality of the clinical rotation. Furthermore, schools need to focus on improving the environment where students practice, classmate relationships, roles, goals and values, and activities, and areas of performance. Dental laboratory colleges should concentrate on the basic case with the quality of clinical rotation and the chosen major. More skillful teaching and properly assigned clinical rotations and classes, along with a strong practical knowledge base applicable to clinical rotations will be needed in order to address these sources of dissatisfaction.

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간호대학생의 아동간호 임상실습 전 시뮬레이션 기반 오리엔테이션 프로그램의 효과 (Effects of Simulation-Based Orientation Program before Pediatric Clinical Practice of Nursing Students)

  • 하영옥;정소영
    • 산업융합연구
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    • 제18권6호
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    • pp.119-127
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    • 2020
  • 본 연구는 처음 아동간호 임상실습을 준비하는 학생들을 대상으로, 시뮬레이션 기반 오리엔테이션 프로그램의 효과를 확인하고자 시행되었다. 본 연구는 비동등성 대조군 전후설계의 유사실험연구로서, 임상실습을 시작하는 간호학과 3학년 학생 70명이 대상자이다. 실험군 35명의 학생에게는 시뮬레이션 기반 오리엔테이션을 적용하였고, 대조군 35명의 학생에게 기존의 강의형태 오리엔테이션을 적용하였다. 자료수집은 대상자들의 오리엔테이션 전과 실습 후에 간호수행능력, 지각된 스트레스, 자기효능감, 의사소통능력에 대한 설문으로 진행하였고, 수집된 자료는 SPSS WIN 23.0 프로그램을 사용하여 분석하였다. 연구결과 간호대학생의 아동간호 실습 전 시뮬레이션 기반 오리엔테이션 프로그램은 간호수행능력을 향상시키는 것으로 나타났다(t=5.390, p<.001). 지각된 스트레스와 자기효능감, 의사소통능력은 실습 후 모두 증가하였지만, 통계적으로 유의하지는 않았다. 따라서, 시뮬레이션 기반 오리엔테이션의 내용을 구성하고 운영할 때 학생들의 상황을 충분히 고려할 필요가 있다.