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A Study on Perceived Stress, Self-esteem and Clinical Practice Stress of Nursing Students

간호대학생의 지각된 스트레스, 자아존중감, 임상실습 스트레스에 관한 연구

  • 안성아 (진주보건대학교 간호학과) ;
  • 정은영 (청암대학교 간호학과) ;
  • 공정현 (진주보건대학교 간호학과)
  • Received : 2021.06.20
  • Accepted : 2021.07.06
  • Published : 2021.07.30

Abstract

This study was conducted to identify the perceived stress, self-esteem and clinical practice stress of nursing students and how these variables affect clinical practice stress. Participants consisted of 164 nursing students who were in the third and fourth years who had experienced clinical practice at two nursing universtities located in Gyonganam and Jeonnam, and agreed to the survey. Data were collected using questionnaires form April 1 to April 30, 2021. Collected data were analyzed using the SPSS 22.0 Win statistics program with descriptive statistics, an t-test, ANOVA, scheffe's test, and multiple regression. The study found that clinical preactice stress was positively correlated with perceived stress but negatively correlated with self-esteem and the factors affecting clinical practice stress wre perceived stress, self-esteem, major satisfaction and interpersonal relationships and their explanatory power was 27.0%. This suggests that it is necessary to develop and apply a program to reduce perceived stress and improve self-esteem in order to reduce clinical practice stress of nursing students.

본 논문은 간호대학생의 지각된 스트레스, 자아존중감, 임상실습 스트레스를 파악하고 이들 변인들이 임상실습 스트레스에 영향을 미치는지 파악하기 위해 시도되었다. 연구대상은 전남지역 1개, 경남지역 1개 간호대학에서 임상실습을 경험한 3,4학년 164명을 대상으로 하였다. 자료수집기간은 2021년 4월 1일부터 동년 4월 30일까지 이었다. 자료 분석은 SPSS Win 22.0을 사용하였고 기술통계, t-test, ANOVA, scheffe's test, 상관분석, 다중회귀분석을 실시하였다. 연구 결과 대상자의 임상실습 스트레스는 지각된 스트레스와 정적 상관관계가 있었고, 자아존중감과 부적상관관계가 있었으며, 임상실습 스트레스에 영향을 미치는 요인으로 지각된 스트레스, 자아존중감, 전공만족도, 대인관계 이었으며, 이들의 설명력은 27.0%이었다. 이에 간호대학생의 임상실습 스트레스 감소를 위해 지각된 스트레스 감소와 자아존중감 향상을 위한 프로그램 개발 및 적용이 필요함을 시사한다.

Keywords

References

  1. H-K. Hyoung , Y-S. Ju and S-I. Lim, 'A Concept Mapping Study on Clinical Stress for Nursing Students during Clinical Practice', Journal of Korean Academy of Nursing Administraiton, Vol.20, No.4, pp.394-404, 2014. https://doi.org/10.11111/jkana.2014.20.4.394
  2. S-Y. Han and Y-M. Lee, 'The Relationship between Anxiety, Anger and Fatigue among Stress factor of Nursing Students in Clinical Practice', Journal of Korea Academia-Industrial cooperation Society, Vol.13, No.2, pp.554-561, 2012. https://doi.org/10.5762/KAIS.2012.13.2.554
  3. S-Y. Park, 'Relationships among Stress, Depression, Musculoskeletal Pain and Fatigue of Nursing Students in Clinical Practice', Nursing and Health Issues, Vol.26, No.1, pp.1-19, 2021.
  4. S-K. Cha and E-M. Lee, 'Comparison of Stress, Depression and Suicidal Ideation between Nursing Students and Students of Other Majors', The Journal of Korean Academic Society of Nursing Education, Vol.20, No.4, pp.650-658, 2014. https://doi.org/10.5977/JKASNE.2014.20.4.650
  5. J-O. Park and Y-S. Seo, 'Validation of the Perceived Stress Scale(PSS) on Samples of Korean University Students', Korean Journal of Psychology, Vol.29, No.3, pp.611-629, 2010.
  6. M-K. Shin, H-R. Yi and J-S. Won, 'Influence of Life Stress and Depression on Suicidal Ideation among College Nursing Students', Journal of the Korean Academy of Fundamentals of Nursing, Vol.20, No.4, pp.419-428, 2013. https://doi.org/10.7739/jkafn.2013.20.4.419
  7. S-J. Park and B-J. Park, 'Relationship of Clinical Practice Stress to Clinical Competence among One College Nursing Students', The Korean Journal of Stress Research, Vol.21, No.4, pp.313-322, 2013.
  8. K-S. Choi, 'Self-esteem and Positive Psychology', The Korean Journal of Stress Research, Vol.15, No.3, pp.205-214, 2007.
  9. S-H. Lee and S-J. Kim, 'The Degree of Perceived Stress, Depression and Self Esteem of University Students', Journal of Korean Public Health Nursing, Vol.26, No.3, pp.453-464, 2012. https://doi.org/10.5932/JKPHN.2012.26.3.453
  10. H. Moon, M-J, Chung and J-Y, Kim, 'Mediating Effect on Emotion Regulation in the Relationship between Self-Esteem and Mental Health of Nursing Student', The Korean Journal of Stress Research, Vol.19, No.3, pp.253-260, 2011.
  11. H-I. Lee, 'Self-esteem, Interpersonal Relationship and Depression in Nursing Students', The Korean Journal of Stress Research, Vol.18, No.2, pp.109-118, 2010.
  12. A-K. Lee, H-S. You and I-H. Park, 'Affecting Factors on Stress of Clinical Practice in Nursing Students', Journal of Korean Academy of Nursing Administration, Vol.21, No.2, pp.154-163, 2015. https://doi.org/10.11111/jkana.2015.21.2.154
  13. S-H. Kim, J-H. Kim and M-R. Jang, 'Factors Affecting Clinical Practicum Stress of Nursing Students; Using the Lazarus and Folkman's Stress-Coping Model', Journal of Korean Academy of Nursing, Vol.49, No.4, pp.437-448, 2019. https://doi.org/10.4040/jkan.2019.49.4.437
  14. S-J. Shin and M-S. Jung, 'The Relationship between Communication Skill, Stress Coping, and Clinical Practice Stress in Nursing Students', The Journal of Humanities and Social science, Vol.7, No.5, pp.441-455, 2016.
  15. S. Cohen, T. Kamarck and R. Mermelstein, 'A Global Measure of Perceived Stress', Journal of Health and Social Behavior, Vol.24, pp.385-396, 1983. https://doi.org/10.2307/2136404
  16. M. Rosenberg, 'In: Society and the Adolescent Self-Image', Princeton(NJ): Princeton University Press, 1965.
  17. B-J. Jeon, 'Self-esteem: A test of its Measurability', Yonsei Non-Chong, Vol.11, pp.109-129, 1974.
  18. D. Beck and R. Srivastava, 'Perceived Level and Sources of Stress in Baccalaureate Nursing Students', Journal of Nursing Education, Vol30, No.3, pp.127-133, 1991. https://doi.org/10.3928/0148-4834-19910301-08
  19. S-L. Kim and 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, Vol.11, No.1, pp.98-106, 2005.
  20. H-J. Park and E-K. Byun, 'Effect of Perceived Stress, Self esteem, Major Satisfaction on the Test Anxiety of Nursing Students', The Journal of the Convergence on Culture Technology, Vol.7, No.1, pp.194-201, 2021. https://doi.org/10.17703/JCCT.2021.7.1.194
  21. M-O. Yu, 'The Influence of Nursing Students' Character Strength on Perceived Stress', Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.2, pp.168-176, 2017.
  22. J-H. Nam and H-S. Park, 'The Impacts of Perceived Stress and Self-compassion on Quality of Life of Nursing Students', The Journal of Korean Academic Society of Nursing Education, Vol.26, No.1, pp.67-77, 2020. https://doi.org/10.5977/jkasne.2020.26.1.67
  23. Y-H. Kim and Y-C. Kwon, 'The Effect Self-esteem, Major satisfaction and Career identity on Nurse image, in Nursing Students Perceive', Journal of Digital Convergence, Vol.16, No.2, pp.215-224, 2018. https://doi.org/10.14400/JDC.2018.16.2.215
  24. M-R. Park, 'Effects of Personality Education Program for the University Student's Self-esteem, Communicative competence, and Interpersonal competence', Korean Journal of General Education, Vol.13, No.3, pp.77-95, 2019.
  25. M-H. Jeong and M-A. Shin, 'The Relationship between Self-esteem and Satisfaction in Major of Nursing Students', The Journal of Korean Academic Society of Nursing Education, Vo.12, No.2, pp.170-177, 2006.
  26. E-J. Oh, G-J. Jo and Y-K. Jung, 'Nursing Students' Academic Stress, Self-esteem and the Relationship Between Subjective Happiness', The Journal of Humanities and Social science, Vol.11, No.6, pp.2583-2595, 2020.
  27. H-M. Hwang, 'Relationship among Empathic ability, Communication skill, and Clinical practice stress in Clinical Practice of Nursing Students', Journal of Korean Academy on Communication in Healthcare, Vol.12, No.1, pp.1-10, 2017.
  28. Y-R. Yeom and K-B. Choi, 'The Effect of Mindfulness Mediation Programs on Nursing College Students' Perceived Stress, Depression, and Self-efficacy', Journal o f Eats-West Nursing Research, Vol.19, No.2, pp.104-113, 2013.
  29. K-H. Jung and S-Y. Park, 'The Effect of Laughter Program on the Stress of Nursing College Students in Clinical Practice', The Korean Journal of Health Service Management, Vol.6, No.1, pp.163-172, 2012. https://doi.org/10.12811/kshsm.2012.6.1.163
  30. J-S. Yoo, S-J. Chang and E-K. Choi, 'Development of a Stress for Korean Nursing Students', Journal of Korean Academy of Nursing, Vol.38, No.3, pp.410-419, 2008. https://doi.org/10.4040/jkan.2008.38.3.410
  31. E-A. Kim, 'Convergence Study on Stress, Stress of Clinical Practice, Coping, and Psychological well-being in Nursing Students', Journal of the Korean Convergence Society, Vol.9, No.3, pp.91-99, 2018.
  32. H-J. Choi, 'The Analysis of Trends in Domestic Research on Clinical Practice Stress of Nursing Students', Korean Association for Learner-Centered Curriculum And Instruction, Vol.21, No.5, pp.355-367, 2021. https://doi.org/10.22251/jlcci.2021.21.5.355
  33. S-Y. Kim, S-Y. Lim and H-M. Choi, 'The Relationship among Stress in Clinical Practice, Depression and Self-Esteem in Nursing College Students', The Journal of the Convergence on Culture Technology, Vol.1, No.4, pp.59-64, 2015. https://doi.org/10.17703/JCCT.2015.1.4.59