Browse > Article
http://dx.doi.org/10.5762/KAIS.2020.21.5.121

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

An, Mi-Young (Department of Nursing, Graduate School of Gachon University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.5, 2020 , pp. 121-130 More about this Journal
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.
Keywords
Nursing; Nursing Students; Clinical Practice Stress; Sleep Quality; Daytime Sleepiness;
Citations & Related Records
Times Cited By KSCI : 19  (Citation Analysis)
연도 인용수 순위
1 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   DOI
2 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   DOI
3 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
4 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   DOI
5 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.
6 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.   DOI
7 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   DOI
8 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   DOI
9 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   DOI
10 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   DOI
11 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.
12 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   DOI
13 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   DOI
14 M. W. Johns, "A new method for measuring daytime sleepiness : The Epworth Sleepiness Scale:. Sleep, Vol.14. No.6, pp.540-545, 1991.   DOI
15 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   DOI
16 J. H. Yoon. Affecting Factors on Stress of Clinical Practice in Nursing Students. Department of Nursing Science The Graduate School, Ajou University, 2016. [21].
17 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   DOI
18 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   DOI
19 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.
20 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   DOI
21 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
22 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.
23 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   DOI
24 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   DOI
25 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   DOI
26 A. C. Parrott. I. Hindmarch, "The Leeds Sleep Evaluation Questionnaire in psychopharmacological investigations", Psychopharmacology, Vol.71, pp.173-179, 1980.   DOI
27 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.
28 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
29 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   DOI
30 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   DOI
31 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.
32 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.
33 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   DOI
34 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
35 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.
36 M. A. Park. "Self-leadership, Stress on Clinical Practice and Stress Coping Style in Nursing Students", A master thesis Kyungpook National University, 2009. [2]
37 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   DOI
38 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   DOI
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