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http://dx.doi.org/10.5762/KAIS.2018.19.9.234

Factors Influencing Adaptation on Clinical Practice in Nursing Students  

Kim, Soo Yeon (Graduate school of Nursing, Hanyang University)
Shin, Yong Soon (College of Nursing, Hanyang University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.19, no.9, 2018 , pp. 234-242 More about this Journal
Abstract
This descriptive study aims to examine the factors that influence nursing students' adaptation to clinical practice. Data was collected from 180 nursing students between April 26 and May 4, 2018. A self-reporting questionnaire was employed, which comprised of 17 questions regarding transition shock, 24 questions about social support, two questions regarding the levels of preparedness for clinical practice, and 14 questions about the degree of adaptation to clinical practice. Collected data was analyzed using t-test, one-way analysis of variance, and stepwise multiple regression, as well as by calculating the Pearson correlation coefficient. Subjects' degree of adaptation to clinical practice had a negative correlation with their transition shock. The degree of adaptation had a positive correlation with the levels of preparedness for clinical practice (r = 0.35) and the sub-variables of social support in the domains of friends (r = 0.24), parents (r = 0.32), and professors (r = 0.38). The smaller the transition shock (B = -0.409) and the greater the levels of preparedness (B = 0.766), professorial support (B = 0.228), and parental support (B = 0.163), the higher the degree of adaptation to clinical practice. Transition shock had the greatest influence on the degree of adaptation to clinical practice felt by subjects, followed by their level of preparedness for clinical practice and professorial support. Hence, to increase the degree of adaptation to clinical practice, not only should individual nursing students be better prepared to conduct clinical practice and professors provide greater support, but also there needs to be measures implemented to reduce transition shock.
Keywords
Adaptation; Clinical practicum; Nursing students; Professional practice gaps; Social support;
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Times Cited By KSCI : 5  (Citation Analysis)
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1 K. R. Shin, "A phenomenological perspective and discovery of meaning in nursing students' clinical experience," Journal of Korean Academy of Adult Nursing, vol. 8, no. 1, pp. 156-168, 1996.
2 S. Kumaran and M. Carney, "Role transition from student nurse to staff nurse: facilitating the transition period," Nurse Education in Practice, vol. 14, no. 6, pp. 605-11, Nov 2014. DOI: https://doi.org/10.1016/j.nepr.2014.06.002   DOI
3 E. Y. Kim, J. H. Yeo, and K. I. Yi, "Development of the Transition Shock Scale for newly graduated nurses," Journal of Korean Academy of Nursing, vol. 47, no. 5, pp. 589-599, Oct 2017. DOI: https://doi.org/10.4040/jkan.2017.47.5.589   DOI
4 Y. J. Yi, "Development and evaluation of the e-learning orientation program for nursing student's adapting to clinical practicum," Journal of Korean Academy of Adult Nursing, vol. 19, no. 4, pp. 593-602, 2007.
5 M. H. Han and A. J. Yoo, "The relation of stress and perceived social support to problem behavior," Korean Journal of Child Studies, vol. 17, no. 1, pp. 173-188, 1996.
6 Y. G. Noh, "Influence of Social Support on the Relationship between Practice Stress, Emotional Labor and Burnout among Nursing Students," Journal of Korean Academy of Nursing Administration, vol. 23, no. 5, 2017. DOI: https://doi.org/10.11111/jkana.2017.23.5.461
7 J. Jaccard, R. Turrisi, and J. Jaccard, Interaction effects in multiple regression (no. 72). pp. 60-67, Sage, 2003.
8 K. M. Sin, J. O. Kwon, and E.-Y. Kim, "Factors associated with new graduate nurses' reality shock," Korean Academy of Nursing Administration, vol. 20, no. 3, pp. 292-301, 2014. DOI: http://dx.doi.org/10.11111/jkana.2014.20.3.292   DOI
9 Y. K. Yang, K. S. Han, M. H. Bae, and S. H. Yang, "Social support, academic stress, clinical practice stress in college student of nursing," The Korean Journal of Stress Research, vol. 22, no. 1, pp. 23-33, 2014. DOI: https://doi.org/10.17547/kjsr.2014.22.1.23   DOI
10 J. Y. Han and H. S. Park, "Effects of teaching effectiveness and clinical learning environment on clinical practice competency in nursing students," Journal of Korean Academy of Fundamentals of Nursing, vol. 18, no. 3, pp. 365-372, 2011.
11 W. J. Park and 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   DOI
12 E. J. Kim, "The Relationships among Learning Motivation, Perceived Achievement, and Actual Achievement on Nursing Skill Performance Assessment," The Journal of Korean Academic Society of Nursing Education, vol. 23, no. 1, pp. 48-56, 2017. DOI: https://doi.org/10.5977/jkasne.2017.23.1.48   DOI
13 M. Krammer and C. Schmalenberg, "Dreams and reality: where do the meet," Journal of Nursing Administration, vol. 1, no. 6, pp. 35-43, 1976.
14 D. W. Choi, "Clinical competence according to experiences on the essential of fundamental nursing skills in nursing students," The Journal of Korean Academic Society of Nursing Education, vol. 20, no. 2, pp. 184-191, 2014. DOI: https://doi.org/10.5977/jkasne.2014.20.2.184   DOI
15 W. H. Jun, M. J. Jo, and H. Na, "Relationships between anger expression, social supports and adjustment to college life among nursing students," The Journal of the Korea Contents Association, vol. 15, no. 3, pp. 219-228, 2015. DOI: https://doi.org/10.5392/JKCA.2015.15.03.219   DOI
16 S. O. Kim and B. H. Kang, "The Influence of Nursing Students' Learning Experience, Recognition of Importance and Learning Self-efficacy for Core Fundamental Nursing Skills on their Self-confidence," Journal of the Korea Academia-Industrial cooperation Society, vol. 17, no. 8, pp. 172-182, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.8.172
17 K. Casey, R. Fink, C. Jaynes, L. Campbell, P. Cook, and V. Wilson, "Readiness for practice: the senior practicum experience," Journal of Nursing Education, vol. 50, no. 11, pp. 646-52, Nov 2011. DOI: https://doi.org/10.3928/01484834-20110817-03   DOI
18 J. P. Wanous, T. D. Poland, S. L. Premack, and K. S. Davis, "The effects of met expectations on newcomer attitudes and behaviors: A review and meta-analysis," Journal of applied psychology, vol. 77, no. 3, p. 288, 1992.   DOI
19 I. Brissette, M. F. Scheier, and C. S. Carver, "The role of optimism in social network development, coping, and psychological adjustment during a life transition," Journal of personality and social psychology, vol. 82, no. 1, p. 102, 2002.   DOI
20 E. Howkins and A. Ewens, "How students experience professional socialisation," International Journal of Nursing Studies, vol. 36, no. 1, pp. 41-49, 1999. DOI: https://doi.org/10.1016/S0020-7489(98)00055-8   DOI
21 G. Sangestani and M. Khatiban, "Comparison of problem-based learning and lecture-based learning in midwifery," Nurse education today, vol. 33, no. 8, pp. 791-795, 2013. DOI: https://doi.org/10.1016/j.nedt.2012.03.010   DOI
22 Korean Accreditation Board of Nursing, Accreditation assessment standards for education of Korea(The course of nursing bachelor's degree). Korean Accreditation Board of Nursing, Seoul, 2014.
23 P. Burns and E. C. Poster, "Competency development in new registered nurse graduates: Closing the gap between education and practice," The journal of continuing education in nursing, vol. 39, no. 2, pp. 67-73, 2008. DOI: https://doi.org/10.3928/00220124-20080201-03   DOI
24 M. Y. Jho, "An analysis of research on nursing practice education in Korea," The Journal of Korean Academic Society of Nursing Education, vol. 16, no. 2, pp. 239-248 2010. DOI: https://doi.org/10.5977/JKASNE.2010.16.2.239   DOI
25 S. Y. Kang, "The social adjustment process of nursing students in the clinical practice," Journal of Korean Association for Qualitative Research, vol. 1, no. 0, pp. 9-19, 2016.
26 M. Kramer, Reality shock: Why nurses leave nursing. pp. 891-893, Mosby St. Louis, MO, 1974.
27 J. E. Duchscher, "Transition shock: the initial stage of role adaptation for newly graduated registered nurses," Journal of Advanced Nursing vol. 65, no. 5, pp. 1103-1113, 2009. DOI: https://doi.org/10.1111/j.1365-2648.2008.04898   DOI
28 S. V. Dunn, L. Ehrich, A. Mylonas, and B. C. Hansford, "Students' perceptions of field experience professional development: A comparative study," Journal of Nursing Education, vol. 39, no. 9, pp. 393-400, 2000.
29 C. E. Houghton, "'Newcomer adaptation': a lens through which to understand how nursing students fit in with the real world of practice," Journal of Clinical Nursing, vol. 23, no. 15-16, pp. 2367-2375, 2014. DOI: https://doi.org/10.1111/jocn.12451   DOI