Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Differences in Clinical Practice Stress, Sleep Quality, and Daytime Sleepiness before and after Nursing Students

간호 대학생의 실습 전, 후 임상실습 스트레스, 수면의 질 및 주간 졸림증의 차이

  • An, Mi-Young (Department of Nursing, Graduate School of Gachon University)
  • 안미영 (가천대학교 대학원 간호학과)
  • Received : 2020.01.09
  • Accepted : 2020.05.08
  • Published : 2020.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study identified the differences and relationships between clinical practice stress, sleep quality, and daytime sleep disorder before and after clinical practice of college nursing students. The subjects were 130 students in the third year of nursing science. The results showed that the average clinical stress of the study subjects was 3.15 out of 5 points. Out of the external factors for clinical practice stress, the score for the task was 3.64. There was a significant difference in gender (t=-3.88, p<).001), subjective health status (F=5.78, p=.004), residence (F=3.20, p=.026). Nursing students showed lower sleep quality (80.0% before practice, 70.0% after practice), and those with daytime sleepiness (26.9% before practice, 42.3% after practice) were more than those of general college students. There was a difference between sleep quality (χ2=4.06, p=.004) and daytime sleepiness (χ2=6.08, p=.009) before and after clinical practice. There was also a negative correlation between daytime sleepiness and sleep quality (r=-.259, p<0.01). Therefore, strategies to reduce clinical practice stress and improve the quality of sleep are needed for the physical and mental health of nursing college students. The quality of nursing can be improved in the future by helping nursing students adapt to the clinical practice of changing nursing education field.

간호 대학생의 실습 전, 후 임상실습 스트레스, 수면의 질, 주간 졸림증 차이와 관계를 확인하는데 목적이 있다. 연구대상은 간호학과 3학년 학생 130명이다. 연구결과 연구 대상자의 임상실습 스트레스는 총점 5점 만점 중 평균점수 3.15점으로 나타났다. 임상실습 스트레스의 외부조정 요인 중 과제물에 대한 점수가 3.64로 가장 높았고, 성별(t=-3.88, p<.001), 주관적 건강상태(F=5.78, p=.004), 거주형태(F=3.20, p=.026)에 유의한 차이가 있는 것으로 나타났다. 간호대학생은 수면의 질이 낮고(실습 전 80.0%, 실습 후 70.0%), 주간 졸림증이 있는 대상이(실습 전 26.9%, 실습 후 42.3%) 일반 대학생에 비해 많음을 확인 할 수 있었다. 임상실습 전, 후 수면의 질은(χ2=4.06, p=.004), 주간 졸림증은(χ2=6.08, p=.009)로 유의한 차이가 있었다. 또한 주간 졸림증과 수면의 질은 음의 상관관계(r=-.259, p<0.01)가 있는 것으로 나타났다. 따라서 간호 대학생들의 신체적 건강 및 정신적 건강을 위하여 임상실습 스트레스를 줄이고 수면의 질을 높일 수 있는 전략 개발이 필요하며, 변화하는 간호 교육현장에서 임상실습 적응에 도움이 되도록 하여 추후 간호의 질을 향상시킬 수 있도록 해야겠다.

Keywords

References

  1. A. K. Lee, H. S. You, I. H. Park. "Affecting Factors on Stress of Clinical Practice in Nursing Students". The Journal of Korean Nursing Administration Academic Society, Vol.21. No.2, pp.154-163, 2015. DOI : https://doi.org/10.11111/jkana.2015.21.2.154
  2. N. Y. Yang, S. Y. Moon. "Relationship of Self-leadership, Stress and Satisfaction in Clinical Practice of Nursing Students", The Journal of Korean Nursing Administration Academic Society, Vol.17. No.2, pp.216-225, 2011 https://doi.org/10.11111/jkana.2011.17.2.216
  3. Y. H. Kang, M. J. Hong. "Influencing Factors of Learning Style, Critical Thinking Disposition on Clinical Performance Competency of Nursing Students", Journal of The Korean Data Analysis Society, Vol.16. No.5, pp.2841-2853, 2014.
  4. S. J. Whang. "The Relationship between Clinical Stress, Self - Efficacy, and Self - Esteem of Nursing College Students", The Journal of Korean academic society of nursing education, Vol.12. No.2, pp.205-213, 2006. DOI : https://doi.org/10.7586/jkbns.2014.16.2.98
  5. E. J. Lee, W. H. Jun. "Sense of Coherence and Stress of Clinical Practice in Nursing Students", The Journal of Korean academic society of nursing education, Vol.19. No.2, pp.163-171, 2013. DOI : http://dx.doi.org/10.5977/jkasne.2013.19.2.163
  6. 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.14-23, 2010. DOI : https://doi.org/10.5977/JKASNE.2010.16.1.014
  7. M. S. Kim. "Development and Effects of Assertiveness Training applying Dongsasub Training for Nursing Students in Clinical Practice", Journal of Korean Academy of Nursing, Vol.46. No.4, pp.490-500, 2016. DOI : https://doi.org/10.4040/jkan.2016.46.4.490
  8. G. S. Jeong. "Relationship between Nursing Students' Emotional Intelligence, Self-efficacy, Ego-resiliency and the Stress on Clinical Practices", Korean Journal of Care Management, Vol.10, pp.165-183, 2013.
  9. E. H. Kim. "The Relationship between Clinical Stress, Fatigue, Satisfaction and Self-efficacy in Clinical Practice of Nursing Students", Journal of The Korea Socity of Health Informatics and Statistics, Vol.40. No.1, pp.24-36, 2015.
  10. S. J. Park, J. Y. Choi. "Factors affecting Clinical Practice-related Fatigue among Nursing Students", The Korea Contents Society, Vol.16. No.2, pp.456-466, 2016. DOI : https://doi.org/10.5392/JKCA.2016.16.02.456
  11. H. S. Cho. "Relationship of Stress, Depression and Suicidal Tendencies in Nursing Students", Korean Parent-Child Health Journal, Vol.12. No.1, pp.3-14, 2009.
  12. M. A. Park. "Self-leadership, Stress on Clinical Practice and Stress Coping Style in Nursing Students", A master thesis Kyungpook National University, 2009. [2]
  13. E. J. Jo, J. M. Kang, K. M. Lim. "Influence of Clinical practice stress and Stress coping type on Self-leadership of Nursing students", Journal of the Korea Academia-Industrial cooperation Society, Vol.18. No.3, pp.94-104, 2017. DOI : https://doi.org/10.5762/KAIS.2017.18.3.94
  14. J. G. Kim, J. M. Kim, M. K. Chol. "A Study on the Stress and Dietary Life of Office Workers in Seoul", Korean journal of food and cookery science, Vol.19. No.4, pp.413-422, 2003.
  15. M. Adam, J. V. Retey, R. Khatami, H. P. Landolt. "Age-related changes in the time course of vigilant attention during 40 hours without sleep in men", Sleep, Vol.29. No.1, pp.55-57, 2006. DOI : https://doi.org/10.1093/sleep/29.1.55
  16. J. P. Nilsson, M. Soderstrom , A. U. Karlsson , et al. "Less effective executive functioning after one night's sleep deprivation", Journal of sleep research, Vol.14. No.1, pp.1-6, 2005. DOI : https://doi.org/10.1111/j.1365-2869.2005.00442.x
  17. J. Taillard, P. Philip, O. Coste, P. Sagaspe, B. Bioulac. "The circadian and homeostatic modulation of sleep pressure during wakefulness differs between morning and evening chronotypes", Journal of Sleep Research, Vol.12, pp.275-282, 2003. DOI : https://doi.org/10.1046/j.0962-1105.2003.00369.x
  18. Y. R. Chae, D. H. Choi, S. J. Yu. "Predictors of Poor Sleep Quality among Nursing Student", Journal of Korean Biological Nursing Science Vol.16. No.2, pp.98-104, 2014. DOI : http://dx.doi.org/10.7586/jkbns.2014.16.2.98
  19. E. C. A. Pereira, A. C. B. Schmitt, M. R. A. Cardoso, W. M. P. Pereira, G. Lorenzi-Filho, J. E. Blumel, J. M. Aldriqhi. "Prevalence of excessive daytime sleepiness and associated factors in women aged 35-49 years from the Pindamonhangaba health porject". Revista da Associacao Medica Brasileira, Vol.58, pp.447-452, 2012. DOI : https://doi.org/10.1016/S2255-4823(12)70227-8
  20. C. F. Huang, L. Y. Yang, L. M. Wu, Y. Liu, H. M. Chen. "Determinants of daytime sleepiness in first-year nursing students: a questionnaire survey", Nurse Educ Today, Vol.34. No.6, pp.1048-1053, 2014. DOI :http://dx.doi.org/10.1016/j.nedt.2013.11.005
  21. Owens, J. F., & Matthews, K. A.. "Sleep disturbance in healthy middle-aged women", Maturitas, Vol.30, pp.41-50, 1998. DOI : https://doi.org/10.1016/S0378-5122(98)00039-5
  22. M. J. Sung, K. J. Chang. "Correlations among Life Stress, Sleep, Anthropometric Measurement and Nutrient Intakes of College Students", Journal of the Korean Society of Food Science and Nutrition, Vol.36. No.7, pp.840-848, 2007. DOI : https://doi.org/10.3746/jkfn.2007.36.7.840
  23. G. H. Kim, H. S. Yoon. "Factors Influencing Sleep Quality in Nursing Students and non Nursing Students", Journal of the Korean Acad Psych Mental Health Nurs, Vol.22. No.4, pp.320-329, 2013. DOI : https://doi.org/10.12934/jkpmhn.2013.22.4.320
  24. S. J. Whang. Development and Tool Verification of clinical practice stress Measurement Tools of Nursing Students. Journal of the Margaret Pritchard College of Nursing, Vol.14. No.1, pp.35-54, 2002.
  25. A. C. Parrott. I. Hindmarch, "The Leeds Sleep Evaluation Questionnaire in psychopharmacological investigations", Psychopharmacology, Vol.71, pp.173-179, 1980. https://doi.org/10.1007/BF00434408
  26. I. J. Kim, H. J. Choi, B. J. Kim. "Psychometric Properties of Lorean Version of Modified Leeds Sleep Evaluation Questionnaire(KMLSEQ)", Korean J Rehabil Nurs, Vol.17. No.1, pp.10-17, 2014. DOI : https://doi.org/10.7587/kjrehn.2014.10
  27. M. W. Johns, "A new method for measuring daytime sleepiness : The Epworth Sleepiness Scale:. Sleep, Vol.14. No.6, pp.540-545, 1991. https://doi.org/10.1093/sleep/14.6.540
  28. Y. W. Cho, J. H. Lee, H. K. Son, S. H. Lee, C, Shin, M. W. Johns. "The reliability and valdity of the Korean version of the Epworth Sleepiness Scale", Sleep Breath, Vol.15, pp.377-384, 2011. DOI : https://doi.org/10.1007/s11325-010-0343-6
  29. H. J. Lee. "Convergence Study on Nursing Students' Stress and Satisfaction with Clinical Practice", Journal of the Korea Convergence Society, Vol.7. No.4, pp.75-83, 2016. DOI : https://doi.org/10.15207/JKCS.2016.7.4.075
  30. J. H. Yoon. Affecting Factors on Stress of Clinical Practice in Nursing Students. Department of Nursing Science The Graduate School, Ajou University, 2016. [21].
  31. M. K. Jeong, M. S. Kim. "Factors Influencing Satisfaction on Clinical Practice in Nursing Students", Journal of the Korea Academia-Industrial cooperation Society, Vol.18. No.1, pp.40-48, 2017. DOI : https://doi.org/10.5762/KAIS.2017.18.1.40
  32. M. Y. Kim, H. J. Choi. "Factors Influencing Sleep Patterns during Clinical Practice Weeks among Nursing Students : Based on Spielman's Model", Journal of Korean biological nursing science, Vol.18. No.4, pp.203-212, 2016. DOI : https://doi.org/10.7586/jkbns.2016.18.3.203
  33. W. J. Lee, H. J. Choi. "Sleep behavior and sleep disorder characteristics in college students", Journal of the InJe University, Vol.26. No.1 pp.289-306, 2011.
  34. H. R. Yi, M. K. Shin, J. S. Won. "Sleep Patterns and Factors Associated with Excessive Daytime Sleepiness in University Students", J Korean Acad Fundam Nurs, Vol.19. No.4, pp.425-433, 2012. DOI : https://doi.org/10.7739/jkafn.2012.19.4.425
  35. Y. K. Choi, H. J. Lee, K. Y. Suh, L. Kim. "Relationship between Sleep Insufficiency and Excessive Daytime Sleepiness", Sleep Medicine and Psychophysiology, Vol.10. No.2, pp.93-99, 2003.
  36. M. H. Won, S. H. Shin, "Influence of Interpersonal Problems on Sleep Quality in College Students: The Mediating Role of Mental Health and Moderated Mediating Role of Cognitive Emotional Regulation", Journal of the Korea Convergence Society, Vol. 10, No. 12, pp. 525-534, 2019. https://doi.org/10.15207/JKCS.2019.10.12.525
  37. S. J. Han, J. Y. Chun, " A Convergence Study on Influencing Factors on the Sleep of University Students -Focusing on the Dependence of Smartphone", Journal of the Korea Convergence Society, Vol. 10. No. 12, pp. 465-476, 2019. DOI : https://doi.org/10.15207/JKCS.2019.10.12.465
  38. E. H. Hwang, H. B. Lee, "Effects of Job Stress, Depression and Fatigue on Sleep Quality of Care Workers in Long-term Care Facilities", Journal of Korean Public Health Nursing Vol. 33. No.2, pp. 163-174, 2019. DOI : https://doi.org/10.5932/JKPHN.2019.33.2.163
  39. N. H. Jo, J. H. Lee, "Correlation between Smartphone Addiction, Sleep Quality, and Depression in College Students", Journal of Convergence for Information Technology, Vol. 9. No. 11, pp. 202-211, 2019. DOI : https://doi.org/10.22156/CS4SMB.2019.9.11.202