• 제목/요약/키워드: Clinical Stress

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Effects of Aggressive Stress Response Mediation on Clinical Practice Stress and Satisfaction (적극적 스트레스 대처매개 중재가 임상실습 스트레스와 만족도에 미치는 영향)

  • Lee, Jeong-Yun;Hwang, Hye-Kyung
    • Journal of Korean Clinical Health Science
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    • 제7권2호
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    • pp.1345-1354
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    • 2019
  • Purpose: This study aimed to determine the mediating effects of aggressive stress response on the association between clinical practice stress and clinical practice satisfaction in ophthalmic optics majors and provide basic data that could help form opticians' professionalism and make clinical practice more effective. Methods: This study was conducted in 236 sophomores and juniors in Daegu and North Gyeongsang Province who had finished clinical practice. Hierarchical regression analysis and mediating effect testing were performed to determine the associations among clinical practice stress, clinical practice satisfaction, and aggressive stress response and determine the mediating effects of aggressive stress response on the association between clinical practice stress and clinical practice satisfaction. Results: Clinical practice stress was significantly negatively correlated with clinical practice satisfaction and aggressive stress response (p<0.01), and aggressive stress response was significantly positively correlated with clinical practice satisfaction (p<0.01). The association between clinical practice stress and clinical practice satisfaction was more likely to be explained by the addition of clinical practice stress than by being aggressive stress response controlled, which statistically significantly met the criteria for mediating effects (p<0.001). Conclusions: It is necessary to pay more attention to program development and teaching methods within the department of ophthalmic optics so that ophthalmic optics majors can utilize aggressive stress response to overcome clinical practice stress effectively and improve clinical practice satisfaction.

Stress and coping of dental hygiene students in clinical practice (일부지역 치위생(학)과 학생들의 임상실습 스트레스와 대처)

  • Shim, Hyung-Soon;Lee, Hyang-Nim
    • Journal of Korean society of Dental Hygiene
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    • 제14권2호
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    • pp.139-145
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    • 2014
  • Objectives : The purpose of the study is to investigate the clinical practice stress reduction and to improve clinical practice satisfaction in dental hygiene students. Methods : The subjects were 354 dental hygiene students in Gwangju and Jeonnam. A self-reported questionnaire was filled out from June 3 to 21, 2013. The questionnaire included stress management in the clinical practice. Results : As for clinical practice stress, there was a significant relevance between satisfaction in major and clinical practice. Clinical practice stress coping had a significant relevance to clinical practice satisfaction and clinical practice stress. Conclusions : In order to reduce clinical practice stress in dental hygiene students and to enhance clinical practice satisfaction, it is important to develop clinical practice stress management program and to develop the appropriate measurement tool for stress.

Mediation Effect of a Positive Stress Coping Strategy in the Relationship between Clinical Practice Stress and Clinical Practice Satisfaction (임상실습 스트레스와 실습 만족도의 관계에 미치는 적극적 스트레스 대처의 매개효과)

  • Lee, Sun-Young;Jeon, Seon-Yeong;Kim, Yun-Young
    • The Korean Journal of Health Service Management
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    • 제10권2호
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    • pp.193-204
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    • 2016
  • Objectives : The purpose of this study was to identify the mediation effect of a positive stress coping strategy between clinical practice stress and clinical practice satisfaction in nursing students. Methods : In this study, data was collected from 248 nursing students at K University in South Korea from October of 2015 to November of 2015. The collected data was analyzed using the SPSS 22.0 Statistics Program. Results : Clinical practice stress and a positive stress coping strategy were significant predictors of clinical practice satisfaction (${\beta}$=.442, p<.001). The explanatory power of the measure of clinical practice satisfaction was increased to 29.3% (p<.001) with solely clinical practice stress, and it reached 44.2% (p<.001) when a positive stress coping strategy was reflected. The results of this study confirmed that a positive stress coping strategy has a mediation effect on clinical practice stress and clinical practice satisfaction levels. Conclusions : It is necessary to develop a program to take advantage of positive stress coping skills so that nursing college students can smoothly overcome stress during their clinical training and thus improve their clinical practice experience.

Comparison of Stress Levels Arising in Clinical Settings, Stress Coping Mechanisms and Clinical Competency between Male and Female Nursing Students (남녀 간호대학생의 임상실습 스트레스, 대처방식 및 임상수행능력 비교)

  • Kim, Sung-Mi;Hwang, Tae-Yoon
    • The Journal of Korean Academic Society of Nursing Education
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    • 제20권4호
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    • pp.606-616
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    • 2014
  • Purpose: This study compares differences between male and female nursing students in terms of the level of stress experienced during clinical practice settings, stress coping mechanisms and clinical competency. Method: The study population was nursing students who had taken a clinical practice course at one of five general hospitals in city D. Data were collected from September 15 to October 15, 2013 through a structured self-administered questionnaire survey given to 319 subjects (156 male students, 163 female students) enrolled in a statistical analysis course. Results: Male nursing students experienced lower stress levels during clinical practice and higher clinical competency than female students. In terms of stress coping mechanisms, male students were significantly more active than female students in deploying coping strategies. Among all students, students with higher clinical practice stress and concomitant stress coping scores exhibited higher clinical competency. Conclusion: Noticeable differences between male and female nursing students in terms of stress levels arising in the course of clinical practice, stress coping strategies, and clinical competency were revealed. However, further identification of specific stressful situations for male and female nursing students and subsequent management of clinical training circumstances are required.

Dental hygiene students' stress during clinical practices and stress coping styles (치위생과 학생들의 임상실습 스트레스 요인 및 대처방식)

  • Kim, Soo-Kyung;Jung, You-Sun
    • Journal of Korean society of Dental Hygiene
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    • 제10권5호
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    • pp.887-895
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    • 2010
  • Objectives : In this study, 233 dental hygiene students in Seoul and Gyeonggi areas were surveyed in order to provide the basic data for more effective clinical practice by investigating the stress they experience during the clinical practice and how they cope with stress; Methods : 5 areas in stress factors as environmental factor, interpersonal factor, role and activity, ideal and value, and the amount of BEPSI and 4 areas in their coping methods as problem-oriented, social support, emotion-oriented, and wishful thinking were measured by Liker 5-point scale. Results : 1. The satisfaction level of subjects on their major was the highest as 'generally satisfied (50.6%),' and their satisfaction level of clinical practice was also the highest as 'generally satisfied (32.6%).' 2. The clinical practice stress was 2.76 points on average, and their stress factors were ideal and value (3.18), environmental factor (2.98), role and activity (2,70), the amount of BEPSI (2.55), and interpersonal factor (2.37). And the way how they cope with stress were 3.29 points on average, wishful thinking (3.71), social support (3.36), problem-oriented (3.13), and emotion-oriented (2.95). 3. The clinical practice stress according to clinical training institutions showed significant differences: university dental hospitals and general hospitals (2.83), dental clinics (2.65), and dental hospitals (2.63). 4. The clinical practice stress showed a negative correlation between the satisfaction level of major and the satisfaction level of clinical practice (p<0.01), and the more satisfaction they had in their major and clinical practice, the less stress during the clinical practice. 5. In the correlation between each subordinate factor of the stress in clinical practice and how to cope with it, interpersonal factor and emotion-oriented factor, the amount of BEPSI and wishful thinking showed a positive correlation (p<0.05). Conclusions : In this study, it is necessary to develop clinical practice program that is to increase satisfaction and provide motivation in order to reduce the stress during clinical training.

A Study on Relationship between Stress of Clinical Practice and Clinical Competency in Nursing Students (간호학생의 임상실습 스트레스와 임상수행능력과의 관계 연구)

  • Kim Hye Suk
    • Journal of Korean Public Health Nursing
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    • 제16권1호
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    • pp.64-76
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    • 2002
  • This study was performed to identify the level of stress of clinical practice and clinical competency and the relationships between stress of clinical practice and clinical competency in nursing students. The subjects of this study were 379 senior nursing students in 2 nursing colleges in M city. The data were collected from November 5th to 24th, 2000, using questionnaire. The instruments used were the Stress of Clinical Practice Scale and the Clinical Competency Measurement Tool. The data were analyzed using frequency, percentage, t-test, ANOVA, and Pearson's Correlation Coefficient, using the SPSS program. The results of the study were as follows : 1. The mean score for the level of stress of clinical practice was 3.83 points. The stress of clinical practice were classified into six dimensions and their order of getting score was nurse(3.99), relationship between nursing theory and practice(3.94), human relationship (3.92), clinical education and evaluation by professors(3.87), environment(3.70), and patient(3.59). 2. The mean score for the level of clinical competency was 3.91 points. The clinical competency were classified into five dimensions and their order of getting score was professional development (4.08), skills (4.06) , interpersonal relationship/communication(3.95), teaching/coordinating(3.81), and nursing process(3.70), 3. The stress of clinical practice showed significant difference in the score of grade(t=-2.82, p=.005), interpersonal relationship(t=1.97, p=.049) and satisfaction of major(F=3.38, p=.035) of nursing students. 4. The clinical competency showed significant difference in the score of grade(t=-5.97, p=.000). interpersonal relationship(t=3.64, p=.000) and satisfaction of major(F=8.73, p=.000) of nursing students. 5. The data showed the positive correlations between stress of clinical practice and clinical competency(r=.209, p=.000). In conclusion. this study found that the stress of clinical practice was significantly related to clinical competency in nursing students. Therefore further study is needed to examine the efficient coping strategies about stress of clinical practice in nursing students.

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Critical thinking disposition, stress of clinical practice and clinical competence of nursing students (간호학생의 비판적 사고성향과 임상실습 스트레스 및 임상실습수행능력)

  • Kim, In-Sook;Jang, Youn-Kyoung;Park, Su-Ho;Song, So-Hyeon
    • The Journal of Korean Academic Society of Nursing Education
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    • 제17권3호
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    • pp.337-345
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    • 2011
  • Purpose: This study was done to identify the relationship among Critical Thinking Disposition (CTD), stress of clinical practice and clinical competence in Korean nursing students. Methods: Participants were 407 baccalaureate nursing students (3rd and 4th grades) in Korea. Variables included CTD, stress of clinical practice, clinical competence, and demographic variables. Data was analyzed by frequencies, t-test, ANOVA, Pearson's correlation and multiple regression. Results: Clinical competence positively correlated with CTD, but negatively correlated with stress of clinical practice. The regression model explained 25.6% of clinical competence. The significant predictors of clinical competence were intellectual eagerness, intellectual fairness in CTD, conflict with patients, and clinical environment in stress of clinical practice. Conclusions: CTD and stress of clinical practice contribute to nursing student's clinical competence. Therefore, efforts to encourage nursing student's CTD, increase stress management skills, especially in conflict with patients, and build a supportive clinical environment should be made to strengthen clinical competence.

The Relationship of Communication Competence, Professional Self-Concept and Stress in Clinical Practice of Nursing Students (간호대학생의 의사소통 능력, 간호전문직 자아개념과 임상실습 스트레스와의 관계)

  • Kang, Min-Ah;Lee, Soo-Kyoung
    • The Journal of Korean Academic Society of Nursing Education
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    • 제22권4호
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    • pp.452-461
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    • 2016
  • Purpose: This study was conducted to investigate the relationships among communication competence, professional self-concept, and stress in clinical practice of nursing students. Methods: The study participants were 308 senior year nursing students in D city and K province. Collected data were analyzed using t-tests, analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression with the SPSS Version 20.0. Results: There were significant differences in participants' stress of clinical practice based on their level of satisfaction on clinical practice, self-confidence of nursing and difficulty with relationships in clinical practice. A negative correlation was detected between stress in clinical practice and the professional self-concept of nursing students. Significant predictors of the perceived stress of clinical practice were satisfaction in clinical practice and pride in nursing. These accounted for 18% of the perceived stress of clinical practice in a regression model. Conclusion: The results may serve as basic data in support of the need to the develop effective systematic stress management programs and clinical training courses in order to attenuate the stress experienced during clinical practice of nursing students.

Relationship of Self-leadership, Stress and Satisfaction in Clinical Practice of Nursing Students (간호대학생이 지각한 셀프리더십, 임상실습 스트레스 및 임상실습 만족도 간의 관계)

  • Yang, Nam-Young;Moon, Sun-Young
    • Journal of Korean Academy of Nursing Administration
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    • 제17권2호
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    • pp.216-225
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    • 2011
  • Purpose: In this study, the relationship between self-leadership, stress, and satisfaction among nursing students in clinical practice was examined. Method: The participants were 273 nursing students. Data collected from September to December 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: The mean scores for self-leadership ($3.72{\pm}.41$), stress ($3.45{\pm}.59$), and satisfaction ($3.11{\pm}.38$) in clinical practice were above average. Self-leadership was significantly different according to year, interpersonal relationships, and satisfaction with nursing as a major. Stress in clinical practice was significantly different according to gender, year, and health status. Satisfaction in clinical practice was significantly different according to year, interpersonal relationships, and satisfaction with nursing as a major. Significant correlations were found between self-leadership and satisfaction in clinical practice, and stress and satisfaction in clinical practice. Year, self-leadership, interpersonal relationships, and stress in clinical practice were factors influencing satisfaction in clinical practice (20.0%). Conclusion: These findings indicate that there is a need to improve self-leadership, and to lessen stress in clinical practice to improve nursing students' satisfaction with clinical practice. The above-mentioned results should be reflected in the development of effective teaching methods for clinical practice.

Influencing Factors of stress in clinical practice in dental hygiene students (치위생과 학생의 임상실습 스트레스 영향 요인)

  • Min, Hee-Hong
    • Journal of Korean society of Dental Hygiene
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    • 제17권1호
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    • pp.39-47
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    • 2017
  • Objectives: Identifying influencing factors of stress in clinical practice of dental hygiene students through controlling the amount of stress in clinical practice. Methods: A self-reported questionnaire was filled out by 226 dental hygiene students in Daejeon, Cheongju and Jeolla province from March 2 to 30, 2016. The contents of the questionnaire included general characteristics (6 items), clinical practice characteristics (4 items), clinical practice stress (16 items), quality of life (24 items), health promotion behavior (20 items), OHIP (14 items), and critical thinking disposition (15 items). Data was analyzed using SPSS 19.0. for one way ANOVA, scheffe' posthoc test, Pearson correlation coefficients, and multiple regression analysis. Cronbach's alpha of clinical practice stress, quality of life, health promotion behavior, OHIP, and critical thinking disposition were 0.827, 0.913, 0.896, 0.921 and 0.778, respectively. Results: Clinical practice stress was 3.38 points, quality of life was 3.40 points, health promotion behavior was 3.21 points, OHIP was 4.21 points and critical thinking disposition was 3.17 points. Conclusions: Factors that had impact on clinical practice stress include sleeping state, satisfaction of clinical practice, practice number, and the quality of life, and they appeared statistically significant (p<0.05). This exercise showed the necessary manuals and system implementations in clinical practice, which can reduce the amount of stress in dental hygiene students.