• Journal of Practical Engineering Education
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• v.16 no.5_spc
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• pp.793-802
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• 2024

This study aimed to test a hypothetical model explaining the mediating effect of depression on the relationship between academic burnout and clinical practice stress among nursing students in the post-COVID-19 era. A cross-sectional survey was conducted with 200 senior nursing students from two universities in C province, South Korea, from December 1 to 9, 2023. Data were analyzed using descriptive statistics, Pearson's correlation, and structural equation modeling with SPSS/WIN 26.0 and AMOS 26.0. The hypothesized model explained 75.6% of the variance in clinical practice stress among nursing students. Depression did not mediate the relationship between academic burnout and clinical practice stress (β=.06, p=.160). However, both academic burnout (β=.77, p=.004) and depression (β=.23, p=.005) directly affected clinical practice stress. In the post-COVID-19 era, academic burnout significantly influences nursing students' clinical practice stress. While depression does not mediate this relationship, it directly affects clinical practice stress. These findings suggest the need for interventions focusing on reducing academic burnout through mentoring programs and stress management strategies, alongside depression management, to alleviate clinical practice stress among nursing students. Future nursing education should implement an integrated approach to manage students' academic burden and support mental health following clinical practice.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.1
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• pp.669-678
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• 2017

This study aimed to identify the mediating effect of resilience on the relationship between stress during clinical practices and clinical competence in nursing students. A total of 137 senior nursing students in three different universities located in C city were included. The study period was between October 15 and November 15, 2016, and the data were collected using by structured questionnaires. Collected data were analyzed by descriptive analysis, t-test, ANOVA, Pearson's correlation, and Multiple regression using the SPSS 22.0 statistical program. The average score of stress in clinical practice, clinical competence, and resilience were $3.09{\pm}0.43$, $3.54{\pm}0.45$ of 5 and $4.93{\pm}0.66$ of 7. There were significantly negative correlations between stress in clinical practice and resilience (r=-.24, p=.005), as well as stress in clinical practice and clinical competencies (r=-.21, p=.012), while there were significantly positive correlations between resilience and clinical competencies (r=.59, p<.001). Resilience had a full mediated effect between stress in clinical practices and clinical competencies, which showed the significance upon Sobel test (Z=-3.02, p=.003). Therefore, it is suggested that various training courses and programs for strengthening resilience should be developed and applied to nursing curriculum.

• Journal of Korean Academy of Nursing Administration
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• v.9 no.4
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• pp.515-527
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• 2003

Purpose: The purpose of this study was to examine the work stress and nursing performance of clinical nurses' and to identify relationship between work stress and nursing performance. Method: This descriptive study queried 316 clinical nurses, selected by convenient sampling from four hospitals. Demographic characteristics, work stress and Nursing performance were measured. Descriptive statistics, t-test, ANOVA were performed to identify relationship between work stress and nursing performance on SPSS WIN 10.0. Result: The study subjects reported that the younger they were, the higher work stress they experienced and the lower nursing performance they behaviored. Also, the longer they worked as a nurse, the lower work stress they experienced and the higher nursing performance they hehaviored. The nurses working at ICU experienced more work stress. The nurses working at pediatric ward reported higher nursing performance. The married nurses' nursing performance was higher than unmarried nurses'. There was significant negative correlation between work stress and nursing performance among nurses. Conclusion: These results suggest that the nurse who experience higher work stress couldn't perform optimistic leveled nursing performance. Strategic planning for nursing administer and avoidance of work stress were discussed.

• Journal of Korean society of Dental Hygiene
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• v.16 no.4
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• pp.625-634
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• 2016

Objectives: The purpose of this study was to identify the relationship between emotional intelligence, ego resilience and stress in clinical practice of dental hygiene students. Methods: The data were analyzed by the frequency analysis, t-test, one way ANOVA, and Duncan post-hoc analysis, correlation analysis, multiple regression analysis using SPSS 21.0. The subjects were 278 dental hygiene students in a college in Gyeongsangnam-do from June 20 to 30, 2016. Results: Self-emotional appraisal $5.13{\pm}0.94$, Ego resilience $2.69{\pm}0.38$, practice education environment $3.45{\pm}0.65$ were above average. ego resilience was significantly different according to satisfaction with dental hygiene students as a grade, satisfaction in clinical practice. Stress in clinical practice was significantly different according to grade, duration of clinical practice, satisfaction with dental hygiene students as a grade, satisfaction in clinical practice, main tutor in clinical practice. Conclusions: It is necessary to develop the program that can help increase the emotional intelligence, ego resilience, and apply such program to the curricula.

• Journal of East-West Nursing Research
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• v.20 no.1
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• pp.21-28
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• 2014

Purpose: This study was to identify the extent of and the relationships among self-efficacy, spiritual well-being, and job stress in clinical nurses. Methods: The subjects were 201 clinical nurses from three different general hospitals in B city. Data were collected from May 26 to August 9, 2012 and analyzed by using descriptive statistics, independent t-test, One-way ANOVA, Sheff$\acute{e}$ test, and Partial correlation coefficients. Results: The mean scores of self-efficacy, spiritual well-being, and job stress were moderate, 3.50, 3.58, and 3.44 respectively. There were statistically significant relationships between marital status, influence of religion, the number of night shifts per month, motives for choosing nursing as a career, job satisfaction and self-efficacy. Spiritual well-being was found to be significantly related to all participants' general characteristics, and job stress was significantly related to marital status and type of religion. There was a significantly weak positive correlation between self-efficacy and spiritual well-being, and a weak negative correlation between self-efficacy and job stress. There was no significant correlation between job stress and spiritual well-being. Conclusion: This study suggests that effective strategies to foster spiritual well-being is needed to enhance clinical nurses' self-efficacy, which should equip clinical nurses to better deal with job stress in their work places.

• Journal of Korean Public Health Nursing
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• v.37 no.2
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• pp.205-217
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• 2023

Purpose: This study sought to identify the levels of coronavirus disease 2019 (COVID-19) knowledge, anxiety, nursing professionalism, and clinical practicum stress, and the factors influencing this stress in nursing students. Methods: A cross-sectional and descriptive study was conducted with the participation of 140 junior and senior nursing students recruited from three nursing colleges in Busan and Gyeongsangnam-do. Data analysis was performed using independent t-tests, Pearson's correlation coefficient, and multiple regression using the SPSS/WIN 26.0 program. Results: The study arrived at a mean score of 63.18±13.89 for clinical practicum stress, which showed a significant difference based on the perceived health status and reasons for admission to nursing school. Anxiety and professionalism exhibited a noteworthy correlation with clinical practicum stress. The significant predictors of clinical practicum stress among nursing students were perceived health status (β=.39, p<.001), anxiety (β=.25, p=.033), and the reasons for admission to nursing school (β=.17, p=.012). The total explanatory power of these variables was 23.0% (F=6.28, p<.001). Conclusion: The results of this study suggest that it is necessary to provide effective education to promote nursing professionalism during a pandemic. It is also necessary to develop and include various programs in the curriculum that strategically intervene to prevent anxiety in pre-service nurses. This would reduce the stress in the clinical practice of nursing students when faced with new infectious diseases in the future.

• The Journal of the Convergence on Culture Technology
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• v.2 no.1
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• pp.35-43
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• 2016

The purpose of this study was to analyze the relationship between general characteristics, clinical practice stress, major satisfaction and employment stress, and check the effect on employment stress in order to provide baseline data of reduced amount of stress from nursing undergraduates. Methods: The cross-sectional descriptive study design was used. We selected 388 nursing undergraduate students from nursing college located in Daejeon, Jinju, Naju city by convenience random sampling and analyzed the data using SPSS 22.0 program. Results and Conclusion: Factors that effects on employment stress was clinical practice stress, major satisfaction and family economic status, and the explanatory power was 23.8%. The results show the need for development of pre-clinical practice adaptation education program and applying it for nursing students to reduce the clinical practice stress. Also, development of counseling program is needed, since nursing has higher employment rate compare to other major however it is difficult to get a job at wanted hospital, moreover there are students who are pressured from license examination.

• Journal of Sasang Constitutional Medicine
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• v.23 no.1
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• pp.98-107
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• 2011

1. Objectives: In this research, job and stress of the staffs who is working on clinical trial of oriental medicine involved in the project of Korea Institute of Oriental Medicine (KIOM) was identified. And an efficient way to enhance the working ability of clinical trial of oriental medicine was developed by recognizing the relationship of job satisfaction, organizational commitment and job performance with their stress. 2. Methods: A survey was conducted on 18 staffs in 12 hospitals who is working in the project of The construction of constitutional information collecting system for the scientification of Sasang Constitution. The collected data was analyzed with computer software of SPSS 17.0 3. Results: The research results are as follows: 1. The staffs of clinical trial of oriental medicine responded that they want to receive the rewards for their work with a salary, and they felt that through clinical demonstration followed by SOP and front face photograph are the most difficult works in clinical trial of oriental medicine. 2. Permanent workers showed higher organizational commitment than temporary workers in the relationship of job satisfaction, organizational commitment and job performance with general characteristics(p=0.026). 3. In the relationship of job stress with general characteristics, the workers who are higher than college graduates had dissatisfaction in salary with the highest frequency(p=.004), and the workers whose monthly salary is higher than 2 millions won showed the lowest job stress(p=.021). 4. In the relationship of job satisfaction, organizational commitment and job performance with job stress, as job apprehension stress is increased, job performance is dramatically decreased(p=.027). And as improper salary stress is increased, job satisfaction and organizational commitment is dramatically decreased (p=.018, p=.050). 4. Conclusions: It was clearly evidenced that job satisfaction, organizational commitment and job performance is closely related with stress of the staffs who is working on clinical trial of oriental medicine. And it is highly recommended that the improvement of working condition and the decrease of job stress can enhance the working ability of them.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.10
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• pp.254-262
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• 2018

This study was conducted to investigate the relationship between depression and communication skills and clinical practice stress among college nursing students. This study targeted 208 nursing college seniors in B city who have experience in clinical practice. Data were collected from September 1-30 2017 and were analyzed using descriptive analyses, t-tests, ANOVA, Pearson's correlation, and Stepwise multiple regression with the SPSS WIN 21.0 program. The average score of communication skills was 3.73, the score of depression was 2.36, and the score of clinical practice stress was 2.88. Significant differences were found in clinical practice stress depending on gender (p=0.002), age (p=0.048), grade (p=0.001), satisfaction with college life (p<0.001), satisfaction with major (p=0.002), desired course (p=0.002), and satisfaction with clinical practice (p<0.001). Clinical practice stress was negatively related to communication skills (r=-0.17, p=0.016) and positively related to depression (r=0.37, p<0.001). Depression, satisfaction with clinical practice, grade, sex and religion had a high explanation rate of 26.9%, indicating that they were meaningful variables that influenced clinical practice stress. Overall, to decrease clinical practice stress among nursing students, it is necessary to develop an intervention program that can prevent and mitigate depression and improve communication skills.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.7
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• pp.220-227
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• 2016

This descriptive study was conducted to investigate the relationship between clinical practice stress, satisfaction with clinical practice, and clinical performance ability of nursing college students and the nursing profession. Data were collected from 240 students in the nursing college. Clinical performance ability (F=1.888, p=0.048) and the nursing profession (F=1.976, p=0.046) showed statistically significant differences depending on the satisfaction of majors. The nursing professional institution contained more population groups that were dissatisfied than satisfied with the majors. Additionally, clinical practice stress was reported to affect satisfaction by 41% of the respondents. Overall, stressful clinical practice, clinical practice satisfaction and clinical performance were found to significantly affect the degree of satisfaction by nursing students. Accordingly, the level of stress experienced during clinical training also affects the performance of clinical practice, and can therefore lead to mistakes. Thus, there is a need to develop future interventions that could reduce the stress experienced by clinical practice nursing students.