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간호대학생의 임상실습 만족도에 영향을 미치는 요인

Factors Influencing Satisfaction on Clinical Practice in Nursing Students

  • 투고 : 2016.11.15
  • 심사 : 2017.01.06
  • 발행 : 2017.01.31

초록

본 연구는 간호대학생의 정서조절능력, 스트레스 대처방식과 임상실습 만족도 간의 관계를 파악하고, 간호대학생의 임상실습 만족도에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 자료 수집은 K시와 B시에 소재한 4개의 간호대학에서 3, 4학년에 재학 중인 간호대학생 201명을 대상으로 2016년 5월 1일부터 2016년 6월 30일까지 자가보고 설문지를 통하여 조사하였다. 수집된 자료는 SPSS/Win v 20.0을 이용하여 t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, stepwise multiple regression으로 분석하였다. 간호대학생의 감정조절 능력 평균은 5점 만점에 $3.79{\pm}0.48$점, 적극적 대처는 4점 만점에 $2.79{\pm}0.41$점, 소극적 대처는 $2.53{\pm}0.36$점, 임상실습 만족도는 5점 만점에 $3.58{\pm}0.46$점 이었다. 임상실습 만족도는 정서조절능력(r=.391, p<.001), 적극적 대처(r=.361, p<.001) 및 소극적 대처(r=.276, p<.001)와 통계적으로 유의한 상관관계가 있는 것으로 나타났다. 또한 임상실습 만족도에 영향을 미치는 주요 요인으로는 전공만족도(${\beta}=-.318$, p<.001)와 정서조절 능력(${\beta}=.230$, p<.001)으로, 이들 모형의 설명력은 28.1%로 나타났다. 본 연구결과를 바탕으로 간호대학생의 임상실습 만족도를 향상시키기 위해서는 간호대학생의 전공만족도를 높이고, 긍정적인 정서조절 능력을 향상시킬 수 있는 효과적인 프로그램의 개발이 필요하리라 사료된다.

This study investigated the relationship among emotional regulation, coping strategies and satisfaction in clinical practice, and examined factors influencing satisfaction with clinical practice in nursing students. Data were collected through structured questionnaires from May 1 to June 30, 2016. The study participants were 201 third and fourth year nursing students at four departments of nursing located in B and K metropolitan city. Data were analyzed using t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients and stepwise multiple regression with SPSS WIN v 20.0. The mean emotional regulation score was $3.73{\pm}0.48$, active coping was $2.79{\pm}0.33$, passive coping was $2.53{\pm}0.36$, and practice satisfaction was $3.58{\pm}0.46$. Statistically significant relationships were noted between emotional regulation and satisfaction with clinical practice (r=.391, p<.001), between active coping and satisfaction with clinical practice (r=.361, p<.001), between passive coping and satisfaction with clinical practice (r=.276, p<.001). Factors influencing satisfaction with clinical practice were satisfaction with the nursing major (${\beta}=-.322$, p<.001) and emotional regulation (${\beta}=.232$, p<.001). These factors explained 28.1% of variance in participant's satisfaction with clinical practice. In conclusion, effective nursing educational programs need to be developed to enhance satisfaction with clinical practice and to foster positive emotional regulation in nursing students.

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참고문헌

  1. H. S. Kim, "A Study on the Problems and Improvement of Practice Education in Health and Nursing Department", Higher Vocational Education Research Institution in Korean Council for University College Education, no. 8, pp. 1-101, 2013.
  2. S. J. Han, "A Study on Relationship between Empowerment and Satisfaction of Clinical Practice in Nursing Students", The Journal of Korean Academic Society of Nursing Education, vol. 6, pp. 132-146, 2000.
  3. W. J. Park, J. Y. Han, "The Effect of Ego-Resilience, Stress Coping Styles, Teaching, Effectiveness, and Family Support on Satisfaction of Clinical Practice in Nursing Students by AMOS Structural Equation Model", The Journal of Korean Academic Society of Nursing Education, vol. 17, no. 3, pp. 365-375. 2011. DOI: https://doi.org/10.5977/JKASNE.2011.17.3.365
  4. K. J. Kang, S. J. Yu, H. M. Seo, M. S. Park, M. Yu, Y. R. Chae, D. H. Choi, "Factors Influencing Professionalism in Male and Female Student Nurses", The Journal of Korean Academic Society of Nursing Education, vol. 20, no. 4, pp. 91-501, 2014. DOI: http://doi.org/10.5977/jkasne.2014.20.4.4
  5. W. A. Khater, L. M. Akhu-Zaheya, I. A. Shaban, "Sources of Stress and Coping Behaviours in Clinical Practice among Baccalaureate Nursing Students", International Journal of Humanities and Social Science vol. 4, no. 6, pp. 194-202, 2014. https://doi.org/10.7763/IJSSH.2014.V4.345
  6. J. E. Song, H. J. Chae, "Differences on Stress and Stress Coping Strategies according to Emotional Intelligence in Nursing Students", The Journal of Korean Academic Society of Nursing Education, vol. 20 no. 4, pp. 502-512, 2014. DOI: https://doi.org/10.5977/jkasne.2014.20.4.502
  7. R. S. Lazarus, "Coping Theory and Research: Past, Present, and Future", Psychosomatic Medicine, vol. 55, pp. 234-247, 1993. DOI: https://doi.org/10.1097/00006842-199305000-00002
  8. Tache. J, Selye. H, "On Stress and Coping Mechanisms", Issues in Mental Health Nursing, Vol 7, pp. 3-24, 1985. DOI: https://doi.org/10.3109/01612848509009447
  9. G. S. Yoo, D. W. Shin, "Effects of Stress Coping Styles on Academic Burnout and Employment Stress among Undergraduate Students", The Korean Journal of Counselling, vol. 14, no. 6, pp. 3849-3869, 2013. DOI: https://doi.org/10.15703/kjc.14.6.201312.3849
  10. Y. L. Moon, "A Research on E1 Development Programs for Character Education", Seoul national university Journal of Department of Education, vol. 59, pp. 31-98, 1999.
  11. J. H. Choi, "Effects of emotional intelligence and ego-resilience on adjustment to college life", Unpublished Master's thesis, Yonsei University, Seoul, 2009.
  12. I. S. Jang, "The Effects of Emotional Regulation between Clinical Practice Stress and Nursing Professionalism in Nursing Students", Journal of the Korean Data & Information Science Society, vol. 27, no. 3, pp. 749-761, 2016. DOI: https://doi.org/10.7465/jkdi.2016.27.3.749
  13. K. H. Lee, "Mediation Effect of Clinical Practice Satisfaction in the Relationship between Nursing Students' Powerlessness and Nursing Image", Journal of East-West Nursing Research, vol. 16, no. 1, pp. 26-34, 2010.
  14. H. J. Park, I. S. Jang, "Stress, Depression, Coping Styles and Satisfaction of Clinical Practice in Nursing Students", The Journal of Korean Academic Society of Nursing Education, vol. 16, no. 1, pp. 13-23. 2010. DOI: https://doi.org/10.5977/JKASNE.2010.16.1.014
  15. H. S. Yu, "Relationship among Stress of Clinical Practice, Practice Satisfaction and Clinical Competence in Nursing Students", Journal of the Korean Data Analysis Society, vol. 17, no. 2(B), pp. 1129-1144, 2015.
  16. H. J. Gu, "A Study on the Relationship between Perceived Family Support and Satisfaction of Clinical Practice by Nursing Students", Journal of Korean Academy Society of Nursing Education, vol. 14, no. 2, pp. 205-215, 2008. DOI: https://doi.org/10.5977/JKASNE.2008.14.2.205
  17. M. H. Sung, "Factors Influenceing the Professional Self-Concept among Nursing Students", Journal of East-West Nursing Research, vol. 18, no. 1, pp. 18-24, 2012.
  18. T. S. Ahn, Y. A. Song, "Affecting Factors of Nursing Professionalism Perceived by Nursing Students", Journal of East-West Nursing Research, vol. 21, no. 1, pp. 10-17, 2015. DOI: https://doi.org/10.14370/jewnr.2015.21.1.10
  19. P. Salovery, J. D. Mayer, "Emotional Intelligence", Imagination, Cognition and Personality, vol. 9, no. 3, pp. 185-211, 1990. DOI: https://doi.org/10.2190/DUGG-P24E-52WK-6CDG
  20. R. S. Lazarus, S. Folkman, "Stress, Appraisal and Coping", New York: Springer Publishing Co. 1984.
  21. J. S. Jan, K. S. Oh, "A Study on the Grief and Coping Pattern of Mothers who Have a Chronically Ill Child", Korean Nursing, vol. 29, no. 4, pp. 73-87. 1990.
  22. E. M. Na, "Work Pressure and Types of Stress Coping among Preceptor Nurses", Unpublished Master's thesis, Ajou University, Seoul, 2014.
  23. K. J. Cho, H. S. Kang, "The Correlation of Self Esteem and Satisfaction on Clinical Practice". Journal of Korean Academy of Nursing, vol. 14, no. 2, pp. 63-74, 1984.
  24. S. E. Lee, "A Study on Satisfaction and Experience of Clinical Practice & Direction for Clinical Education: Focused on Maternity Nursing Practice", The Journal of Korean Academic Society of Nursing Education, vol. 7 no. 2, pp. 333-348, 2014.
  25. S. H. Lee, S. Y. Kim, J. A. Kim, "Nursing Students' Image of Nurse and Satisfaction with Clinical Practice", Journal of Korean academy of nursing administration, vol. 10, no. 2, pp. 219-231, 2004.
  26. H. W. Kwak, J. E. Yi, "Relation of Interpersonal Relationship, Clinical Stress and Satisfaction of Clinical Practice in Nursing Students", Journal of the Korea Academia-Industrial Cooperation Society, vol. 17, no. 2 pp. 147-155, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.2.147
  27. W. S. Lee, K. C, Cho, S. H. Yang, Y. S. Roh, G. Y. Lee, "Effects of Problem-Based Learning combined with Simulation on he Basic Nursing Competency of Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, vol. 16, no. 1, pp. 64-72. 2009.
  28. M. J. Baek, W. J. Kim, H. S. Ryu, "Influencing Factors of Professional Self-Concept, Satisfaction for Clinical Practice, and Critical Thinking Disposition on Clinical Competency in Nursing Students", Journal of the Korean Data Analysis Society, vol. 15, no. 6B, pp. 3353-3365. 2013.
  29. E. J, Shin. "A Study related to Self-Efficacy, Satisfaction with Practice and Fundamentals of Nursing Practice", The Korean Journal of Fundamentals of Nursing, vol. 15, no. 3, pp. 380-386, 2008.
  30. J. Por, L. Barriball, J. Fitzpatrick, J. Roberts, "Emotional Intelligence: Its Relationship to Stress, Coping, Well-Being and Professional Performance in Nursing Students", Nurse Education Today, vol. 31, no. 8, pp. 855-860. 2011. DOI: https://doi.org/10.1016/j.nedt.2010.12.023
  31. H. S. Lee, E. J. Kim, "The Comparison of Stress Coping and Satisfaction with Clinical Practice according to the Grade of Nursing College Student", Journal of East-West Nursing Research, vol. 14, no. 1, pp. 5-13, 2008.
  32. H. Y. Koo, H. S. Im, "Comparison of Factors influencing Satisfaction of Clinical Practice between Associate and Bachelor Nursing Students", The Korea Contents Association, vol. 13, no. 1, pp. 311-321, 2013. DOI: https://doi.org/10.5392/JKCA.2013.13.01.311
  33. M. Y. Jung, "The Effects of University Students' Emotion Regulation and Emotion Expression Abilities on Their Interpersonal Relations", Unpublished Master's thesis, Hankuk University of Foreign Studies, Seoul, 2013.