• Title/Summary/Keyword: Clinical Practice Anxiety

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The Effect of Laughter Program on the Stress of Nursing College Students in Clinical Practice (웃음프로그램이 간호대학생의 임상실습 스트레스에 미치는 효과)

  • Jung, Kyung-Hwa;Park, Sang-Youn
    • The Korean Journal of Health Service Management
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    • v.6 no.1
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    • pp.163-172
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    • 2012
  • The purpose of the study were to investigate the effect of laughter program on the stress of nursing college students in clinical practice. The research design is one group pretest-posttest survey. Thirty-eight nursing college students took part in the study. Laughter program was carried out for 1hour 6weeks. Laughter program showed significant change on the state anxiety, mood-emotion, laughter index, subjective stress and self esteem. The acquired data were analyzed with SPSS/win 15.0 using descriptive methods paired t-test, Pearson correlation coefficient. The research producted following results: Laughter program can be effective to decrease the clinical practice stress; anxiety, mood-emotion and subjective stress index. Laughter program can be effective to increase laughter index and self esteem of nursing college students. Based on the study, It is necessary to repeat studies and considering to develop proper methods of clinical practice stress of nursing college students. This study recommends that laughter program coupled with cognitive approaches could affect ways of nursing college students coping with stress and contribute to the improvement from increasing their satisfaction.

Influence of Nursing Students' Clinical Practice Anxiety and Clinical Practice Stress on Nursing Professionalism in the COVID-19 Situation (코로나19(COVID-19) 상황에서 간호대학생의 임상실습 불안과 임상실습 스트레스가 간호전문직관에 미치는 영향)

  • Lee, Hyea-Kyung;Choi, Hye-Won;Kim, Min-Ji;Kim, Young-Seo;Kim, Ji-Seon;Park, Da-In;Lee, Hee-Su;Jung, Su-Hyun;Choi, Yun-Soo
    • Journal of Industrial Convergence
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    • v.20 no.5
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    • pp.101-110
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    • 2022
  • This study aims to understand the effects of nursing college students' anxiety about clinical practice and stress from it during the practice on their nursing professionalism during COVID-19 and be used as baseline data to promote this professionalism. The target is 187 juniors and seniors in nursing college located in Chungnam, Chungbuk, and Gyeongbuk with experience in the clinical practice, and the survey was conducted from September to November 2021. The data was analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression using SPSS 22.0. Nursing professionalism was significantly correlated with clinical practice stress(r=-.151, p=.039). In terms of the factors that influenced the nursing professionalism, the coefficient of determination of satisfaction in major was 5.2%(β=-.24, p=.001), and that of stress from the clinical practice was 3.0%(β=-.17, p=.015), which explains a total of 8.2%. Major satisfaction was the most influential factor predicting greater nursing professionalism. The results of this study demonstrate the necessity to increase nursing students' satisfaction in major and reduce their stress from clinical practice in order to improve the nursing professionalism during COVID-19.

Evaluation of Community Health Nursing Practice and Nursing Student's Clinical Experience at Public Health Centers (일개 대학 간호학과생의 보건소 실습평가와 경험에 관한 연구)

  • Park, Jeong-Mo;Lee, Suk-Jeong
    • Research in Community and Public Health Nursing
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    • v.13 no.1
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    • pp.161-170
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    • 2002
  • Purpose: To evaluate community health nursing practice by nursing students for basic data to improve nursing practice education, and to determine the clinical practice experiences of nursing students at public health centers. Method: According to methodological triangulation, all data was collected from March 2001 to June 2001 through prepared questionnaires with 62 Participants, and in depth interviews with 2 Participants, and content analysis with 8 Participants. Results: 1. Clinical practice content was needed to make up professionally. 2. Clinical practice instructor was satisfied with teaching by community health nursing professor, but not by public health center nurse. 3. Clinical environment was perceived as good. 4. Clinical practice time was perceived suitable, but practice evaluation was given a low grade. 5. Experience of nursing students was grouped into 9 categories and 20 themes. 9 Categories are as follows: change of public health center image, difficulty in the personal relationship, positive personal relationships, doubt about the attitude, doubt about the task, tension, worth, ambivalance of the conference, feeling about the end stage of the clinical practice. Twenty themes are stereotypic of the public health care center: recognition, difficulty between tasks and interrelationships with the clients, decrease of self esteem due to deficiency of trust with the students, exchange of feelings in the relationships, the situation of clients was not considered, feelings were disregarded, not systematic, regarding students as supplementory manpower, independent work but not enough contents, anxiety & fear, self-trust, be skilled in the practice, pragmatic knowledge formation, understanding of the old person, self-study of oneself. live up to the expectation, consider as the job, dissolve the stress and impose burden, feeling the lack regarding active approach in the practice. Conclusion: The students have perceived the need of community health nursing through the clinical practice. Clinical practice of community health nursing requires content supplement, correction of instruction by public center nurses, environmental alteration, evaluation criteria set up. Experience of clinical practice in the public health center was as follows: Getting rid of the stereotype about public health center, nursing students comprehended variety and were worth while to do clinical practice in spite of tension& anxiety and fear. And they thought to be a community nurse someday.

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Experience in mixed practice education of nursing college students in the context of COVID-19 - Phenomenological Study (코로나-19 상황에서 간호대학생의 혼합실습 교육 경험-현상학적 연구)

  • Lee, Yunju;Yang, Jeongha
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.479-490
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    • 2021
  • This study was attempted to identify the essence of the mixed practice experience that replaces the clinical practice of nursing students in the COVID-19 situation. From December 17, 2020 to December 31, 2020, eight nursing students were individually interviewed to collect data, and the data were analyzed by applying Colaizzi's phenomenological analysis methodology. The study's finding derived 6 categories. The specific categories were 'Accepting in anxiety', 'Autonomy at the fore', 'Straining non-face-to-face practice', 'Fill your knowledge', 'A variety of approaches to achieve goals', 'The best practice left with regret'. In the pendemic situation, nursing students accepted clinical practice substitution with anxiety and concern about mixed practice, and experienced a way to adapt to practice through self-directed learning and to achieve the goal of clinical practice.

Recognition of Anxiety Disorders in Depressed Patients (우울증 환자들에서 불안장애의 인지)

  • Kim, Jung-Bum;Jung, Sung-Won
    • Anxiety and mood
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    • v.3 no.1
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    • pp.15-19
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    • 2007
  • Substantial rates of comorbid anxiety disorders have been found using structured research diagnostic interviews in depressed outpatients. Comorbid anxiety disorders is underrecognized in routine clinical settings, in which clinicians usually use unstructured diagnostic interviews. Recognition of comorbid conditions such as anxiety disorders in patients seeking treatment for depression is clinically important because the presence of these disorders might influence selection of treatment options or predict the chronicity of the depression. A reliable and valid self-report screening questionnaire, such as the Psychiatric Diagnostic Screening Questionnaire (PDSQ), would potentially enhance usual clinical practice as a useful diagnostic aid.

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Relationship of Anxiety, Empathy, Ego-resilience and Clinical Competency in Nursing Students (간호대학생의 불안, 공감능력, 자아탄력성과 임상수행능력과의 관계)

  • Kim, Eun-Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.8
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    • pp.326-337
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    • 2018
  • The purpose of this study was to investigate the levels of anxiety, empathy, ego-resilience, and clinical competency of nursing students, and to examine the relationship of the variables. The participants were 197 nursing students. Data were collected from December 3 to 15, 2017 by taking a survey and analyzed with SPSS WIN 19.0 program(SPSS Inc., Chicago, IL, USA). The results of this study were as follows: The mean score of anxiety was $2.16{\pm}.51$, empathy was $3.51{\pm}.36$, ego-resilience was $2.83{\pm}.44$, and clinical competency was $3.65{\pm}.48$. There was significant differences in clinical competency by satisfaction with major, satisfaction with clinical practice. There were a negative correlation between clinical competency and anxiety(r=-.37, p<.001), a positive correlation between clinical competency and empathy(r=.34, p<.001) and a positive correlation between clinical competency and ego-resilience(r=.49, p<.001). Variables such as ego-resilience, empathy, anxiety, satisfaction with major and satisfaction with clinical practice explained 35.6% of variance in clinical competency. According to these result, there is a need to develop interventions and programs to increase the ego-resilience and empathy and to reduce the anxiety for improving clinical competency in nursing students.

South Korean nursing students' experiences of clinical practice in the newborn nursery and neonatal intensive care unit: A phenomenological study

  • Sim, In Ok;Bae, Ok Yeon;Kim, Tae Hoon
    • Child Health Nursing Research
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    • v.27 no.1
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    • pp.3-12
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    • 2021
  • Purpose: While clinical practice is crucial for nursing students to acquire the skills needed to provide professional, high-quality nursing care, further studies on improving undergraduate nursing programs are needed to provide a supportive clinical learning environment for student nurses. This study aimed to understand nursing students' clinical experiences in newborn nurseries and neonatal intensive care units and to provide basic data for the establishment of strategies to promote effective clinical education. Methods: Interviews were held with 15 nursing students at J University who had clinical practice experience in the newborn nursery and neonatal intensive care unit. The collected data were analyzed using the phenomenological analysis method developed by Colaizzi (1978). Results: The nursing students' experiences were grouped into four categories: "expectations for and anxiety about clinical practice", "acquisition of a wide range of knowledge regarding neonatal nursing", "challenges faced in clinical practice", and "experiencing interpersonal changes". Conclusion: The current neonatal practice nursing education system provides students with positive learning experiences. However, the lack of practice opportunities, insufficient instruction, and the theory-practice gap were identified as major issues hindering students' learning needs. These study results are expected to provide basic data for curriculum development to improve undergraduate nursing education.

Psychophysiologic States of Insomnia Patients -Pre-Sleep Arousal, Self Efficacy, Sleep Hygiene Awareness and Practice, Depression, and Anxiety- (불면증 환자의 정신생리 상태 -수면 직전 각성 정도, 자기 효율 정도, 수면 위생, 불안과 우울 정도-)

  • Oh, Kang-Seob;Lee, So-Hee;Lee, Si-Hyung
    • Sleep Medicine and Psychophysiology
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    • v.2 no.1
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    • pp.82-90
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    • 1995
  • Objectives : Insomnia is significantly influenced by the pre-sleep arousal, self efficacy, sleep hygiene, depression and anxiety. The authors tried to explore how these factors are related with the clinical features of sleep. Methods : Fifty three patients diagnosed as insomnia by DSM-IV criteria were studied. They filled up the pre-sleep arousal scale(PSAS), sleep efficacy scale(SES), sleep hygiene awareness and practice scale, BDI, and state and trait anxiety scales. Results: 1) The mean values of sleep-related variables were as follows : Sleep latency,136.89 minutes ; frequences of awakening during a night, 2.28 ; minutes to get back to sleep, 42.70 ; total sleep time, 180.19 minutes ; duration of illness, 72.00 months. 2) The mean scores of scales were as follows : PSAS(cognitive), 22.40 ; PSAS(somatic), 17.32 ; SES, 20.16 ; sleep hygiene knowledge, 25.96 ; caffein knowledge, 59.78 ; sleep hygiene practice, 42.12 ; BDI. 18.2 ; state anxiety, 41.24 ; trait anxiety ; 44.50. 3) In the subjects with superimposed depression, the mean frequency of awakening during a night and the mean pre-sleep arousal scale score were higher than in those without depression. 4) Frequency of awakening were correlated positively with a PSAS(a tight tense feeling in your muscle) and sleep hygiene awareness. PSAS(cognitive) were correlated positively with a PSAS(somatic). BDI correlated positively with a PSAS item(a jittery, nervous feeling in your body)and a SES item (not allow a poor night's sleep to interfere with daily activities). Anxiety scales were correlated positively with sleep hygiene practice scale sleep, and PSAS were correlated negatively with SES. Conclusions : The mean scores of PSAS, SES, sleep hygiene awareness and practice scale, BDI, state and trait anxiety scales of insomniacs were correlated either positively or negatively in insomnia patients. These factors seem to contribute to the development and maintainence of insomnia.

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The Experiences of Nursing Student on Alcoholism Care (간호대학생의 알코올중독 환자간호 실습경험에 관한 연구)

  • An, Minjeong;Hwang, Yoon Young;Chu, Min Sun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.3
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    • pp.362-371
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    • 2014
  • Purpose: The aim of this study was to describe the experiences of student nurses during their clinical practice periods in an alcoholic ward. Methods: A descriptive phenomenological study design was employed. Individual interviews were conducted and audio-taped. Colaizzi's method of data analysis was applied to inductively determine themes and formulated meanings. Data saturation was achieved and methodological rigor was established. Results: Four themes were identified and these themes included anxiety of nursing practice in unfamiliar setting, sympathy with patients, learning about the inpatient alcoholics care, and self-reflection. Conclusion: Nursing students had positive and negative experiences in their clinical practice. The results of this study had important implications regarding clinical practice and research for nursing clinical education.

Relationships among Nursing Students' Anxiety, Communication Skills, and Nursing Professionalism about On-campus Clinical Practice due to COVID-19 (코로나 19로 인한 간호대학생의 교내임상실습 불안, 의사소통능력 및 간호전문직관간의 관계)

  • Kim, Do-Hui;Lee, Won-Jin;Kang, Min-Ji;Kang, Jee-Yeon;Kim, Na-Rae;Kim, Seo-Yeong;Kim, Seong-A;Park, Seong-Eun;Bae, Sun-Mi
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.9-16
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    • 2022
  • This study was attempted to confirm the correlation between anxiety, communication skills, and nursing professionalism due to the replacement on-campus practice of nursing students due to the COVID-19 outbreak. The subjects of this study were 131 nursing students in 3rd and 4th grade, and data were collected from October 30, 2021 to November 23, 2021. The collected data were analyzed with SPSS Statistics 28.0 using descriptive statistics, t-test, ANOVA, and Person's correlation. As a result of the study, it was found that there was a negative correlation between anxiety and nursing professionalism(r=-.332, p<.001), and there was a positive correlation between communication ability and nursing professionalism (r=.364, p=.000) Based on this study, it is necessary to develop and apply an effective clinical practice education intervention method that can reduce anxiety caused by on-campus practice to enhance nursing professionalism and enhance communication ability. Based on this study, it is necessary to understand the relationship between grade level and nursing professionalism, and to develop and apply an effective anxiety intervention method that can increase nursing professionalism by reducing anxiety caused by on-campus practice.