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Relationship of Communication Skill, Depression, and Clinical Practice Stress of Nursing Students

간호대학생의 의사소통능력, 우울 및 임상실습 스트레스와의 관계

  • Received : 2019.07.13
  • Accepted : 2018.10.05
  • Published : 2018.10.31

Abstract

This study was conducted to investigate the relationship between depression and communication skills and clinical practice stress among college nursing students. This study targeted 208 nursing college seniors in B city who have experience in clinical practice. Data were collected from September 1-30 2017 and were analyzed using descriptive analyses, t-tests, ANOVA, Pearson's correlation, and Stepwise multiple regression with the SPSS WIN 21.0 program. The average score of communication skills was 3.73, the score of depression was 2.36, and the score of clinical practice stress was 2.88. Significant differences were found in clinical practice stress depending on gender (p=0.002), age (p=0.048), grade (p=0.001), satisfaction with college life (p<0.001), satisfaction with major (p=0.002), desired course (p=0.002), and satisfaction with clinical practice (p<0.001). Clinical practice stress was negatively related to communication skills (r=-0.17, p=0.016) and positively related to depression (r=0.37, p<0.001). Depression, satisfaction with clinical practice, grade, sex and religion had a high explanation rate of 26.9%, indicating that they were meaningful variables that influenced clinical practice stress. Overall, to decrease clinical practice stress among nursing students, it is necessary to develop an intervention program that can prevent and mitigate depression and improve communication skills.

본 연구는 간호 대학생의 의사소통능력, 우울과 임상실습 스트레스를 파악하고, 임상실습 스트레스와의 관련요인을 분석하고자 시도되었다. 대상자는 B시에 소재한 간호 대학생 208명이며, 자료수집기간은 2017년 9월 1일부터 2017년 9월 30일까지였다. 수집된 자료는 SPSS WIN 21을 이용하여 기술통계, t-tset, ANOVA, Pearson's correlation, Stepwise multiple regression으로 분석하였다. 연구결과, 간호 대학생이 경험하는 의사소통능력은 5점 만점의 평균평점 3.74점이며, 우울은 4점 만점의 평균평점이 2.36점이며, 임상실습 스트레스는 5점 만점의 평균평점 2.88점으로 나타났다. 대상자의 제 특성에 따른 임상실습 스트레스 정도는 성별 (p=.002), 나이 (p=.048), 학년 (p=.001), 대학만족도 (p<.001), 전공만족도 (p=.002), 희망진로(p=.002), 실습만족도 (p<.001)에서 통계적으로 유의한 차이가 있었다. 대상자의 의사소통능력과 임상실습 스트레스는 역 상관관계를 보였고 (r=-.17, p=.016), 우울과 임상실습 스트레스는 상관관계를 보였으며 (r=.37, p<.001), 임상실습 스트레스에 유의한 영향을 주는 요인은 우울, 실습 만족도, 학년, 성별이었고, 전체 26.9%의 설명력을 갖는 것으로 나타났다. 그 결과, 간호 대학생의 임상 실습스트레스를 최소화하기 위하여 우울을 예방하고 완화하며 의사소통능력을 향상시킬 수 있는 중재 프로그램 개발이 필요하다고 사료된다.

Keywords

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