• Title/Summary/Keyword: Stress in Clinical Practice

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Factors Affecting the Quality of Life of Nursing Students before and after Clinical Practice (임상실습 전·후 간호 대학생들의 삶의 질에 영향 요인)

  • Kim, Kyeong-Ah
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.774-785
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    • 2018
  • This study was conducted to evaluate the factors affecting the quality of life before and after clinical practice for nursing students. The data were collected from 256 nursing students in the third and fourth years at H college and G University through a questionnaire from February 19 to June 29, 2018. The collected data were compiled using the SPSS/WIN 18.0 statistical program with Paired t-test, ANOVA, Spearman rho Correlation, Kendall Correlation, and Multiple Linear Regression. The factors that significantly explained the quality of life of nursing students before and after clinical practice were the reason for application (t=5.268, p<.001), school record (t=4.771, p<.001), depression (t=-4.600, p<.001), monthly income (t=3.383, p=.001), and satisfaction in nursing department (t=3.344, p=.001). The coefficient of determination for these factors, R2, showed an explanation force of 68.5%. These results also inferred that the quality of life of nursing college students is high, with high satisfaction in nursing departments and regular school record and low economic hardship and depression. Therefore, programs should be developed that can improve the quality of life of nursing students before and after clinical practice by continued improvement in the controllable factors of school record and satisfaction in nursing departments and by reducing depression, since the reason for application and the monthly income of nursing students cannot be controlled.

A Study on the Satisfaction and Stress Factor of Clinical Practice for Students in the Department of Dental Hygiene (치위생과 학생의 임상실습에 따른 만족도와 스트레스요인에 관한 연구)

  • Park, Mi-Young
    • Journal of dental hygiene science
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    • v.6 no.4
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    • pp.243-249
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    • 2006
  • The purpose of this survey research was to investigate the satisfaction and the factor of stress of 183 dental hygienic students for the dental clinical training who were at 3 colleges which were located in Incheon-city and Kyunggido. This survey was carried out from 12th of September to 19th of October and analyzed using SPSS WIN 12.0. As a result of analysis, the following conclusion were obtained. 1. 86.3% dental hygienic students for satisfaction for the major, 75.9% for training, and 91.8% for future occupation reflected as more than good. 2. In case of the factor of stress, Ideal and value was found out as $3.54{\pm}1.23$ and personnel relationship as $1.74{\pm}1.20$. 3. In case of satisfaction according to general characteristics, there were more or less significant differences according to motive of department choice (P = 0.003) for satisfaction of the major and motive of department choice (P = 0.036) for satisfaction of future occupation. 4. Correlation among each satisfactions showed as the more they were satisfied with the major, the more they were satisfied with training, moreover, they were also satisfied with future occupation. 5. For factor of stress affecting to satisfaction for training, role and ideal and value were showed as affecting variables.

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Effects of Self-Foot Reflexology on Stress, Fatigue, Skin Temperature and Immune Response in Female Undergraduate Students (자가발반사요법이 여대생의 스트레스, 피로, 피부온도 및 면역반응에 미치는 효과)

  • Lee, Young-Mee
    • Journal of Korean Academy of Nursing
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    • v.41 no.1
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    • pp.110-118
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    • 2011
  • Purpose: The purpose of this study was to evaluate the effects of self-foot reflexology on stress (perceived stress, urine cortisol level, and serum cortisol level), fatigue, skin temperature and immune response in female undergraduate students. Methods: The research design was a nonequivalent control group pretest-post test design. Participants were 60 university students: 30 in the experiment group and 30 in the control group. The period of this study was from April to June 2010. The program was performed for 1 hr a session, three times a week for 6 weeks. The data were analyzed using the SPSS/WIN 17.0 program. Results: The results showed that self-foot reflexology was effective in reducing perceived stress and fatigue, and raised skin temperature in female undergraduate students. But cortisol levels and immune response were not statistically significant different. Conclusion: The results of this study indicate that self-foot reflexology is an effective nursing intervention in reducing perceived stress and fatigue and, in improving skin temperature. Therefore, it is recommended that this be used in clinical practice as an effective nursing intervention for in female undergraduate students.

Effects of the Cognitive Training Program on Cognitive Function, Stress and Depression of Elderly Patients in Geriatric Hospitals (노인전문병원 입원 노인의 인지훈련 프로그램이 인지기능, 스트레스 및 우울에 미치는 효과)

  • Kim, Yun-Kyung;Kim, Tae-Hoon;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.12 no.3
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    • pp.140-147
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of the cognitive training program on cognitive function, stress and depression in geriatric hospitals. Methods: The subjects of the experimental group were 17 elderly patients who attended the cognitive training program in Geriatric Hospitals and the subjects of the control group were 15 elderly patients who attended in geriatric hospitals. The persons in training group must take cognitive training program for 4 weeks by 3 times a week. The Mini-mental State Examination Korea version (MMSE-K), Geriatric depression Scaleshort form-Korea version (GDS-K) and Korean Computerized Neurobehavioral Test (KCNT) were utilized to determine cognitive function, stress and depression. The collected data were analyzed by descriptive statistics, t-test and ANOVA using SPSS/PC 12.0 program. Results: Cognitive function (t=-7.625, p=.000) in the elderly after receiving the cognitive training program was significantly more improved than before intervention. Also, Stress and depression (t=2.73, p=.004) was significantly more reduced than before the intervention. Conclusion: This cognitive training program was partially effective in improving cognitive function, neurobehavioral performance and reduce stress and depression. Therefore, it is recommended that this program be used in clinical practice as an effective nursing intervention in geriatric hospitals.

Dietary Behavior, Health Status, and Perceived Stress of University Students (대학생의 식행동과 건강 상태 및 스트레스에 관한 연구)

  • Cho, Jee-Ye;Song, Jae-Chul
    • The Korean Journal of Food And Nutrition
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    • v.20 no.4
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    • pp.476-486
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    • 2007
  • This study was performed to investigate the dietary behaviors, perceived stress, and health-related factors along with their correlations in University students. The number of subjects was 150(64 males and 86 females), and the results of the study were as follows: Stress was felt by over 80% of the male and female students. The male students were more stressed than the females for economic value, gender difference, professor and drinking-related stress factors, and there was a significant difference between the genders. The female students had more clinical symptoms from stress than the male students in terms of dizziness, indigestion and constipation(p<0.01, p<0.001). The amount of food intake under stress was significantly different by gender. The female students preferred sweet tasting items, whereas the male students preferred hot tasting item when under stress. Also the intake of candy and chocolate when under stress in the male and female students was $2.00{\pm}0.74$ and $2.41{\pm}0.75$, respectively. The female students consumed candy and chocolate more than the male(p<0.01). Furthermore, 62.5% of the male students and 30.2% of the female students exercised to get rid of stress: the use of ball games as exercise in male and female students was $1.59{\pm}0.83$, $1.01{\pm}0.11$, respectively. Many students drank alcohol and smoked while under stress. In particular, the male students smoked more than normal as compared to the females, and there was a significant gender difference(p<0.001). The clinical symptoms positively correlated with the life stress level were degree of nervousness, sweaty, achy neck and shoulders, sore back, dizziness, eye fatigue, headache and indigestion. The amount of food intake under stress was positively correlated to the clinical symptom of headache. These results indicate the effects of life stress on dietary behaviors, food choice, and health status. Stress not only changed dietary behaviors, but was also related to health status. Therefore, education with regard to nutrition is necessary if college students are to practice food eating habits to correctly manage life stresses.

Nursing students' experiences of violence during a clinical practicum: A literature analysis (간호대학생이 실습지에서 경험한 폭력에 관한 문헌 분석)

  • Yoo, Kyung Hee;Kim, Jong Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.3
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    • pp.268-283
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    • 2022
  • Purpose: The purpose of this study is to identify the trends related to nursing students' experiences of violence and to propose a method to build a practice environment safe from violence in nursing students' practicums. Methods: Using three databases, data on the experiences of violence in nursing student practice recorded in domestic studies from 2011 to 2022 were collected and analyzed. Results: In this study, 23 studies were analyzed, of which 19 were quantitative, four were qualitative study. In a survey conducted on the experiences of violence among nursing students during practice, verbal and physical violence, sexual harassment, and physical threats were found, and the perpetrators of the violence were patients, guardians, nurses, doctors, and hospital staffs. It was also found that the experiences of violence in nursing students' practice were negatively related to occupational identity, depression, burnout, and stress. Conclusion: It is necessary to develop an intervention program to reduce depression and increase self-esteem in order to better establish a student's career identity and to prepare a plan to build safe practices for nursing students.

Effects of Simulation-based Learning on Stress, Problem Solving Ability, Self-Efficacy, and Resilience of College Nursing Students

  • Kyoungrim, Kang;Sang-Hwa, Lee;Dong-Hee, Kim;Kyo-Yeon, Park
    • International Journal of Advanced Culture Technology
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    • v.10 no.4
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    • pp.8-18
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    • 2022
  • Objectives: The objective of this study was to explore the effects of the simulation-based learning program on stress, problem-solving ability, self-efficacy, and resilience of final-year nursing students in a college in South Korea. Methods: The design of the study was a one-group pretest-posttest. The participants of this study were final-year nursing students in 2018. A total of 105 students completed it. The intervention was an 8-week simulation-based practice course. The primary and secondary outcome measures were baseline and follow-up questionnaires regarding demographic factors, stress, problem-solving ability, self-efficacy, and resilience. Results: Problem-solving ability (t=6.567, p<.001), self-efficacy in four situations (p<.001) and resilience (t=2.352, p=.021) increased after simulation-based learning than before learning. Stress also increased after simulation-based learning compared to before learning (t=5.960, p<.001). The level of stress, self-efficacy, and resilience were mainly related to participants' satisfaction with their clinical placement, and interpersonal relationships (p<.05). Conclusions: Simulation-based learning is expected to improve nursing students' problem-solving ability, self-efficacy, and resilience. This can lead to induce learning motivation of nursing students, improve their coping strategies for solving problems, and ultimately provide high-quality care.

The Controversy Regarding the Optimal Management of Chronic Low Back Pain: Interventional vs. Medical Treatment (만성요통의 적정 치료를 둘러싼 논란: 중재적 치료 대 보존적 치료)

  • Kwon, O-Hyun
    • Annals of Clinical Neurophysiology
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    • v.12 no.1
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    • pp.1-2
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    • 2010
  • Chronic non-specific low back pain (CLBP) is one of the major health problems casting substantial amount of economic expenses and negative impact on quality of life onto an individual as well as society. On contrary to public familiarity, the ways of management of CLBP are diverse and there is yet no general consensus about which approach is better than others or to whom the specific management should be applied. Some hold the negative point of view on the efficacy of the invasive maneuver such as epidural injection because there is no controlled clinical trial (RCT) yielding better long term outcome of those invasive managements over conservative ones. But the experts of interventional or surgical treatment stress the methodological difficulty in performing RCT and assert that those invasive treatments can bring the prompt and complete resolution of low back pain and restoration of function in appropriately selected cases. These seemingly opposite views on the invasive management on CLBP are rather complimentary each other than to be contradictory.

An Integrative Review of Meditation Program for Stress Relief of Nurses (국내 간호사의 스트레스완화를 위한 명상프로그램에 관한 통합적 고찰)

  • Park, Ye-Ri-Ja
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.557-570
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    • 2022
  • The purpose of this study was to review meditation programs for stress relief of Korean nurses. Whittmore and Knafl's integrative review methods were used. The search yielded 97 articles, 7 of which met the criteria and were included in the review. One of the selected studies was a randomized controlled quasi-experimental design and six were a non-equivalent control group pretest-posttest design. Meditation programs varied from 5 to 8 sessions. All of the meditation programs measured the effect on stress as various meditation programs. However, there was one study confirming the degree of stress management maintenance after the end of the meditation program. Although there are contents to strengthen the practice and will of nurses, it was confirmed that it was difficult to evaluate sincerity. Therefore, a highly accessible program for nurses in various clinical situations and strategies to strengthen participants' practice and will needs to be included in the meditation program content.

No short-term effects of calorie-controlled Mediterranean or fast food dietary interventions on established biomarkers of vascular or metabolic risk in healthy individuals

  • Parcina, Marijo;Brune, Maik;Kaese, Vareska;Zorn, Markus;Spiegel, Rainer;Vojvoda, Valerija;Fleming, Thomas;Rudofsky, Gottfried;Nawroth, Peter Paul
    • Nutrition Research and Practice
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    • v.9 no.2
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    • pp.165-173
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    • 2015
  • BACKGROUND/OBJECTIVES: This study addressed the question whether the composition of supposedly 'healthy' or 'unhealthy' dietary regimes has a calorie-independent short-term effect on biomarkers of metabolic stress and vascular risk in healthy individuals. SUBJECTS/METHODS: Healthy male volunteers (age $29.5{\pm}5.9years$, n = 39) were given a standardized baseline diet for two weeks before randomization into three groups of different dietary regimes: fast food, Mediterranean and German cooking style. Importantly, the amount of calories consumed per day was identical in all three groups. Blood samples were analyzed for biomarkers of cardiovascular risk and metabolic stress after two weeks of the baseline diet and after two weeks of the assigned dietary regime. RESULTS: No dietary intervention affected the metabolic or cardiovascular risk profile when compared in-between groups or compared to baseline. Subjects applied to the Mediterranean diet showed a statistically significant increase of uric acid compared to baseline and compared to the German diet group. Plasma concentrations of urea were significantly higher in both the fast food group and the Mediterranean group, when compared to baseline and compared to the German diet group. No significant differences were detected for the levels of vitamins, trace elements or metabolic stress markers (8-hydroxy-2-deoxyguanosine, malondialdehyde and methylglyoxal, a potent glycating agent). Established parameters of vascular risk (e.g. LDL-cholesterol, lipoprotein(a), homocysteine) were not significantly changed in-between groups or compared to baseline during the intervention period. CONCLUSIONS: The calorie-controlled dietary intervention caused neither protective nor harmful short-term effects regarding established biomarkers of vascular or metabolic risk. When avoiding the noxious effects of overfeeding, healthy individuals can possess the metabolic capacity to compensate for a potentially disadvantageous composition of a certain diet.