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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

  • Received : 2018.10.08
  • Accepted : 2018.12.07
  • Published : 2018.12.31

Abstract

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.

본 연구는 간호 대학생들의 임상실습 전 후의 삶의 질에 영향을 미치는 요인을 평가하고자 수행되었다. 자료는 H대학 및 G대학의 3,4학년에 재학 중인 간호 대학생들 256명으로부터 2018년 2월 19일에서 6월 29일까지 설문지를 통하여 수집하였다. 수집한 자료는 SPSS/WIN 18.0 통계프로그램을 이용하여 Paired t-test, ANOVA, Spearman rho Correlation, Kendall Correlation, Multiple Linear Regression으로 분석하였다. 임상실습 전 후의 간호 대학생들의 삶의 질에 유의한 설명력을 갖는 요인은 지원 동기(t=5.268, p<.001), 성적(t=4.771, p<.001), 우울(t=-4.600, p<.001), 월 소득(t=3.383, p=.001), 학과 만족도(t=3.344, p=.001)순이고,이들 요인의 결정계수인 $R^2$은 .685로 68.5%의 설명력을 보여주었다. 이는 적성이 맞아 간호학과를 선택하여 학과 만족도도 높고 성적도 일정하게 유지하며, 경제적인 어려움과 우울의 정도가 낮은 간호 대학생들의 삶의 질이 높다고 유추된다. 따라서 간호 대학생들의 지원동기와 월 소득은 통제할 수는 없으므로 통제 가능한 성적과 학과 만족도를 향상시키고, 우울을 감소시켜 임상실습 전 후의 삶의 질을 향상시킬 수 있는 프로그램을 개발함이 필요한 것으로 사료된다.

Keywords

Table 1. Difference in General Characteristics of Nursing Students and Quality of Life before and after Clinical Practice

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Table 2-1. Difference in Satisfaction of Nursing Department, Satisfaction of Clinical Practice, Overall Health of Nursing Students before and after Clinical Practice, and Quality of Life

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Table 2-2. Difference in Depression, Stress Levels, Stress Levels during Clinical Practice, Self-esteem, Self-efficacy of Nursing Students before and after Clinical Practice, and Quality of Life

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Table 3. Difference in Satisfaction of Nursing Department, Satisfaction of Clinical Practice, Overall Health, Depression, Stress Levels, Stress Levels during Clinical Practice, Self-esteem, Self-efficacy, and Quality of Life before and after Clinical Practice in Nursing Students

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Table 4. Correlation of Factors Affecting the Quality of Life before and after Clinical Practice of Nursing Students

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Table 5-1. Factors Affecting the Quality of Life before Clinical Practice in Nursing Students

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Table 5-2. Factors Affecting the Quality of Life after Clinical Practice in Nursing Students

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Table 5-3. Factors Affecting the Quality of Life before and after Clinical Practice in Nursing Students

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References

  1. H. S. Park, Y. J. Bae, S. Y. Jung, A Study on self-esteem, self-efficacy, coping methods, and the academic and job-seeking stress of nursing students, J Korean Academic Psychiatric Mental Health Nursing, 11, (4), 621-631, 2002.
  2. Y. K. Yang, K. S. Han, M. H. Bae, S. H. Yang, Social support, academic stress, clinical practice stress in college students of nursing, The Korean Journal of Stress Research, 22, (1), 23-33, 2014. https://doi.org/10.17547/kjsr.2014.22.1.23
  3. M. S. Lee, K. S. Kim, M. K. Cho, J. W. Ahn, S. N. Kim, Study of stress, health promotion behavior, and quality of life of nursing students in clinical practice and factors associated with their quality of life, J Muscle Jt Health, 21, (2), 125-134, 2014. DOI: https://dx.doi.org/10.5953/JMJH.2014.21.2.125
  4. G. H. Kim, K. H. Kim, The effect of therapeutic recreation on interpersonal relationships and quality of life in nursing students, J Korean Academic Psychiatric Mental Health Nursing, 17, (4), 431-439, 2008.
  5. M. Y. Park, S. Y. Kim, A qualitative study of nursing students' first clinical experience, The Journal of Korean Academic Society of Nursing Education, 6, (1), 23-35, 2000.
  6. B. Y. Park, O. S. Shim, Predictors of quality of life in nursing students and general college students, Journal of Learner-Centered Curriculum and Instruction, 16, (11), 811-830, 2016. DOI: https://dx.doi.org/10.22251/jlcci.2016.16.11.811
  7. S. S. Baek, J. Y. Cho, The influence of life stress, depression, smart-phone addiction on quality of life among college students, Korea Academy Industrial Cooperation Society, 18, (8), 248-256, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.8.248
  8. U. C. Kim, Y. S. Park, Factors influencing the quality of life for korean adolescents and adults at home, school, work and leisure setting: indigenous psychological analysis, The Korean Journal of Health Psychology, 9, (4), 973-1002, 2004.
  9. M. B. Frisch, Quality of life therapy-applying life satisfaction approach to positive psychology and cognitive therapy, 21-43, Sigma Press, 2017.
  10. E. Y. Hong, E. H. Lee, G. M. Kim, E. J. Jeon, B. H. Park, Structured model on the health related quality of life in university students focused on personal competency health care, The Korean Journal of Rehabilitation Nursing, 20, (2), 129-139, 2017. DOI: https://doi.org/10.7587/kjrehn.2017.20.2.129
  11. S. L. Kim, J. E. Lee, Relationship among stress, coping strategies, and self-esteem in nursing students taking clinical experience, The Journal of Korean Academic Society of Nursing Education, 11, (1), 98-106, 2005.
  12. M. S. Kim, G. O. Noh, S. H. Kim, A study on the mediating effects of self-esteem between perceived stress and QOL in nursing students, Journal of the Korean Data Analysis Society, 19, (4). 2233-2245, 2017.
  13. S. H. Kim, D. H. Kim, H. M. Son, Comparison of attitudes of nursing students toward death, self-esteem and life satisfaction according to clinical experience, Korean Journal of Hospice and Palliative Care, 14, (3), 144-151, 2011.
  14. S. K. Min, K. I. Kim, I. H. Park, Guideline for development of korean version of WHO quality of life scare abbreviated version(WHOQOL-BREF), Seoul: Hana, 2002.
  15. S. M. Kim, T. Y. Hwang, Comparison of stress levels arising in clinical settings, stress coping mechanisms and clinical competency between male and female nursing students, The Journal of Korean Academic Society of Nursing Education, 20, (4), 606-616, 2014. https://doi.org/10.5977/jkasne.2014.20.4.606
  16. Rogenberg M, Society and adolescent self-image, Princeton, NJ: Princeton University Press, 1965.
  17. Chen G, Gully MS, Eden D, Validation of a new general self-efficacy scale. Organizational Research Methods, 4, (1), 62-83, 2001. https://doi.org/10.1177/109442810141004
  18. M. S. Choi, C. N. Son, Exploration study for development of the scale with undergraduate students' subjective quality of life, The Korean Journal of Health Psychology, 12, (2), 289-305, 2007. https://doi.org/10.17315/kjhp.2007.12.2.001
  19. J. A. Lee, H. S. Lee, A Study on quality of life among college students in Korea, The Journal of Korean Society for Health Education, 15, (2), 105-117, 1998.
  20. Y. K. Kim, S. K Kwon, H. G. Son, The influence of perceived stress, depression, and positive psychological capital on quality of life among nursing students, Journal of the Korean Data Analysis Society, 20, (3), 1579-1593, 2018.