• 한국간호교육학회지
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• 제24권4호
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• pp.406-414
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• 2018

Purpose: The purpose of this paper was to examine the relationships between clinical practice stress and burnout, and the mediating role of empathy in nursing students. Methods: A cross-sectional research design was employed. One hundred seventeen nursing students completed questionnaires on clinical practice stress, empathy (perspective-taking, fantasy, empathic concern and personal distress) and burnout in December 2017. IBM SPSS Statistics 23 was used and descriptive statistics, frequency, Pearson correlation coefficient and multiple regression were conducted. Baron & Kenny method and Sobel test were adopted for analysis of the mediation effect (personal distress of empathy). Results: The mean scores of clinical practice stress and burnout were 3.45 and 43.09, and perspective-taking, fantasy, empathic concern and personal distress of empathy were 2.67, 2.42, 2.64 and 2.19, respectively. The highest relationship between clinical practice stress and empathy was personal distress of empathy (r=.32, p<.001). Burnout was positively associated with clinical practice stress and personal distress of empathy (r=.22, p=.015; r=.51, p<.001). Personal distress of empathy demonstrated a complete mediating effect on the relationship between clinical practice stress and burnout (Z=3.22, p=.001). Conclusion: These results showed that decreasing personal distress of empathy is important for nursing students, and may help in reducing clinical practice stress and burnout.

• 중환자간호학회지
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• 제15권2호
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• pp.27-38
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• 2022

Purpose : The purpose of this study was to identify the mediating effect of role clarity in the relationship between clinical decision-making abilities and job stress among advanced practice nurses at tertiary hospitals. Methods : The participants were 137 advanced practice nurses. The assessment tools were clinical decision-making in nursing scale, role ambiguity scale, and Korean occupational stress scale (KOSS-26). Data were analyzed with the SPSS/24.0 program and mediation analysis was performed according to the Baron and Kenny methods. Results : There were significant relationships between clinical decision-making abilities and job stress (r=-.33, p<.001), and role clarity and job stress (r=-.29, p=.001). Role clarity showed partial mediating effects in the relationship between clinical decision-making abilities and job stress (Z=2.02, p=.043). Conclusion : Therefore, to reduce advanced practice nurses' job stress, it is necessary to develop a program and strategies to increase their clinical decision-making abilities.

• 간호행정학회지
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• 제21권4호
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• pp.417-425
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• 2015

Purpose: The purpose of this study was to identify factors in the clinical learning environment that affect clinical practice stress and anxiety in nursing students. Methods: Participants were 210 senior nursing students from two universities who had completed their clinical experience. Data were collected from self-report questionnaires and analyzed using t-test, ANOVA, and hierarchical multiple regression analysis with the SPSS/WIN 21.0 Program. Results: The mean scores for the clinical learning environment, the clinical practice stress, and anxiety were $3.16{\pm}0.68$, $2.98{\pm}0.66$, and $43.74{\pm}10.18$ points, respectively. The regression analysis showed that the clinical learning environment contributed to 13% of the stress and 20% of the anxiety in the nursing students with the conditions controlled for general characteristics, department satisfaction and social support. Conclusion: The results of this study suggest that the clinical learning environment should be carefully assessed to reduce nursing students' stress and anxiety from clinical practice. Therefore, collaboration between nursing universities and teaching hospitals is necessary to optimize clinical learning environment.

• 수산해양교육연구
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• 제28권3호
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• pp.619-629
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• 2016

This study was a descriptive study to investigate emotional labor, clinical practice stress and satisfaction of clinical practice in nursing college students. The data were collected using an self-reporting questionnaire from June 1 to July 12, 2015. Collected data were analysed on SPSS Win 20.0. The study results were summarized as follows : The students' emotional labor was $3.13{\pm}0.54$ in average on a scale of 5. The clinical practice stress was $3.65{\pm}0.47$ in average, and students' satisfaction of clinical practice was $3.41{\pm}0.43$. The emotional labor has positive correlation significantly with clinical practice stress(r=0.353, p<.001), and negative correlation with satisfaction of clinical practice (r=-0.170, p<.007). In stepwise multiple regression to put control variables, emotional labor and clinical practice stress were no significant influence toward satisfaction of clinical practice. According the result, to improve the satisfaction of clinical practices emotional labor should be released. Moreover it is necessary to attention to the health care of nursing students and it is needed to boost up the students satisfaction with major, more friendly relations should be built with co-trainees.

• 간호행정학회지
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• 제21권2호
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• pp.154-163
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• 2015

Purpose: This descriptive study was done to identify factors that influence stress related to clinical practice for nursing students. Methods: Structured questionnaires were used to collect data from 278 students from two nursing colleges located in G metropolitan city and one nursing college in C region. Results: The factors that most influenced stress for the nursing students during their clinical practice were critical thinking disposition, clinical competence, year, and gender. Especially, the result showed that higher critical thinking disposition and clinical competence correlated with lower stress in clinical practice. Conclusion: The results indicate that improving nursing students' critical thinking ability and clinical competence would help to relieve stress during clinical practice and increase the ability to cope with stress efficiently. The development of a variety of teaching and learning strategies and education in both theoretical and clinical practice education would be necessary to achieve this goal.

• 한국간호교육학회지
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• 제11권1호
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• pp.98-106
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• 2005

The study to identify the relationship among stress associated with clinical experience, coping strategies and self-esteem in nursing students and to provide basic information which is useful for nursing students' learning experience in clinical setting were surveyed using self-reported questionnaires. The findings were summarized : 1. Senior students showed a higher level of stress than junior students. A higher stress level was observed in the unsatisfied group, compared with the neutral group. By class and clinical schedule, students who followed the 3-week class and 3-week clinical schedule showed a higher level of stress than those who followed the 8-week class and 8-week clinical schedule. 2. Senior students had a higher mean coping strategy score than junior students. And the satisfied group showed higher self-esteem, compared with the neutral and unsatisfied group. 3. There was a positive correlation between stress associated with clinical learning experience and coping strategies. But a negative correlation was seen between stress and self-esteem in nursing students. 4. Nursing students used more coping mechanisms as their stress levels increased but showed low self-esteem. The results suggest the need for developing more effective teaching methods and strategies that could improve students' ability to solve problems and sustain their self-esteem even under a stressful circumstance.

• 한국응급구조학회지
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• 제16권3호
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• pp.77-89
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• 2012

Purpose : The purpose of the study was to investigate the relationship between stress, depression, coping styles, and satisfaction of clinical practice in paramedic students. Methods : The study was conducted to 221 paramedic students who have experienced clinical training from March until June in 2012. Questionnaires consisted of level of stress, depression, coping styles, and satisfaction of clinical practice. The data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. Results : The mean score of stress was $2.69({\pm}.69)$, depression was $19.09({\pm}9.41)$, coping styles was $3.17({\pm}.47)$, and satisfaction of clinical practice was $3.61({\pm}.58)$. Stress had a significant positive correlation with depression and a negative correlation with active coping and satisfaction of clinical practice. Depression had a significant positive correlation with passive coping and a negative correlation with satisfaction of clinical practice. Active coping had a significant positive correlation with passive coping and satisfaction of clinical practice. Conclusion : There was a positive effect on decreasing stress and depression in paramedic students, and encouraging positive coping when the students received counseling and instruction for clinical practice.

• 보건의료생명과학 논문지
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• 제9권1호
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• pp.51-60
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• 2021

본 논문은 간호대학생의 지각된 스트레스, 자아존중감, 임상실습 스트레스를 파악하고 이들 변인들이 임상실습 스트레스에 영향을 미치는지 파악하기 위해 시도되었다. 연구대상은 전남지역 1개, 경남지역 1개 간호대학에서 임상실습을 경험한 3,4학년 164명을 대상으로 하였다. 자료수집기간은 2021년 4월 1일부터 동년 4월 30일까지 이었다. 자료 분석은 SPSS Win 22.0을 사용하였고 기술통계, t-test, ANOVA, scheffe's test, 상관분석, 다중회귀분석을 실시하였다. 연구 결과 대상자의 임상실습 스트레스는 지각된 스트레스와 정적 상관관계가 있었고, 자아존중감과 부적상관관계가 있었으며, 임상실습 스트레스에 영향을 미치는 요인으로 지각된 스트레스, 자아존중감, 전공만족도, 대인관계 이었으며, 이들의 설명력은 27.0%이었다. 이에 간호대학생의 임상실습 스트레스 감소를 위해 지각된 스트레스 감소와 자아존중감 향상을 위한 프로그램 개발 및 적용이 필요함을 시사한다.

• 디지털융복합연구
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• 제15권8호
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• pp.213-224
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• 2017

본 연구는 간호학생의 간호전문직 자아개념, 비판적 사고성향, 임상실습 만족도, 임상 수행능력, 임상실습 스트레스의 관계에 대한 구조모형을 검증하고자 시도되었다. 간호대학생 227명을 대상으로 구조화된 설문지를 이용하여 자료수집 하였다. 연구결과, 간호전문직 자아개념에 비판적 사고성향, 임상실습 만족도, 임상 수행능력, 임상실습 스트레스의 직접 효과는 유의하였으며, 수행능력과 임상실습 스트레스의 간접효과도 유의하였다. 비판적 사고성향에 수행능력과 임상실습 스트레스의 직접효과는 유의하였으며, 임상실습 만족도에 임상 수행능력과 임상실습 스트레스의 직접효과도 유의하였다. 이에 따라 간호학생의 간호전문직 자아개념의 영향 요인을 고려하여 근거중심의 비판적 사고성향과 조직적이고 체계적인 결론에 도달하는 능력을 갖추기 위해 다양한 교수법 적용과 교육환경 등 다각적인 변화와 임상 수행능력과 만족도를 향상시키고 임상실습 스트레스 줄일 수 있는 중재 프로그램 개발과 적용이 필요하다고 사료된다.

• 재활간호학회지
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• 제16권1호
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• pp.47-54
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• 2013

Purpose: The purpose of this study was to investigate the relationship among stress, depression, and satisfaction to clinical practice in nursing students. Methods: Three hundred forty-five nursing college students were selected by convenient sampling and data were collected from October to November, 2011. Results: The nursing students experienced moderate stress level. The most severe stressors were adjustment to school and clinical practice. Also, they experienced more than moderate level of satisfaction on clinical practice. The most satisfiable factors were clinical practice circumstance and practice hours. The sophomore had more severe stress and depression and had lower clinical practice satisfaction than the junior. Satisfying with major in nursing as well as clinical practice had a significantly negative correlation with stress and depression. Conclusion: Based on this results, we need to develop programs for increasing satisfaction to clinical practice and major in nursing. The program will enhance adaptation ability to clinical practice.