• 대한간호학회지
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• 제36권6호
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• pp.925-932
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• 2006

Purpose: The purpose of this study was to identify the relationship between depression, perceived stress, fatigue and anger in clinical nurses. Method: A descriptive survey was conducted using a convenient sample. Data was collected by questionnaires from four hundred clinical nurses who worked at a university hospital. Radloff's CES-D for depression, Cohen, Kamarck & Mermelstein's Perceived Stress Scale, VAS for Fatigue, and Spielberger's STAXI for anger were used. The data was analyzed using the pearson correlation coefficient, students' t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0. Result: The depression of clinical nurses showed a significantly positive correlation to perceived stress(r=.360, p=.000), mental fatigue(r=.471, p=.000), physical fatigue(r=.350, p=.000), trait anger(r=.370, p=.000), anger-in expression(r=.231, p=.000), and anger-control expression(r=.120, p=.016). There was a negative correlation between depression and age(r=-.146, p=.003). The mean score of depression of nurses, 26, was a very high score and 40.8% of clinical nurses were included in a depression group. The main significant predictors influencing depression of clinical nurses were mental fatigue, trail anger, perceived stress, anger-in expression, and state anger, which explained about 32.7%. Conclusion: These results indicate that clinical nurses with a high degree of perceived stress, mental fatigue and anger-in expression are likely to be depressed.

• 한국간호교육학회지
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• 제16권1호
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• pp.14-23
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• 2010

Purpose: The purpose of this study was to investigate the relationship among stress, depression, coping styles and satisfaction of clinical practice in nursing students. Method: Two hundred fifty-eight nursing college students in 1 city were selected by convenient sample. A questionnaire measured the 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. Result: The mean score of stress was 2.82 (${\pm}.39$), depression was 19.23 (${\pm}7.70$), coping styles was 2.42 (${\pm}.42$), and satisfaction of clinical practice was 2.81 (${\pm}.41$). There were significant differences on four variables according to the satisfaction of a nursing major. Stress had a significant positive correlation with depression, and a negative correlation with problem focused coping and satisfaction of clinical practice. Depression had a significant negative correlation with satisfaction of clinical practice. Emotional focused coping had a significant positive correlation with depression, and problem focused coping had a significant negative correlation with depression. Conclusion: From the studies reviewed, one can expect a positive effect on decreasing stress and depression among nursing students when the nursing educators use counseling and instruction for clinical practice.

• 문화기술의 융합
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• 제7권4호
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• pp.429-434
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• 2021

본 연구는 간호대학생의 임상실습스트레스에 영향을 주는 요인을 확인하기 위해 시행되었다. 임상실습을 경험한 간호대학생 191명을 대상으로 자료를 수집하여 SPSS/WIN 22.0 프로그램을 이용하여 분석하였다. 간호대학생의 대인관계능력 3.61점(5점), 눈치 3.57점(5점), 임상실습스트레스 2.97점(5점)으로 나타났다. 임상실습스트레스에 영향을 주는 요인은 대인관계능력, 눈치-행동이었고, 대인관계능력과 눈치-행동이 높을수록 임상실습스트레스가 낮은 것으로 나타났다. 이들 변인은 간호대학생의 임상실습스트레스를 설명하는데 23%의 영향력을 나타내었다. 이 결과를 바탕으로 간호대학생의 임상실습스트레스를 감소시킬 수 있는 방안을 마련하는데 기초자료로 활용할 수 있을 것이다.

• 한국직업건강간호학회지
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• 제25권4호
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• pp.311-319
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• 2016

Purpose: This study examined association of job stress with health-promoting behaviors and objective health status in 129 clinical nurses working at a university hospital. Methods: A cross-sectional and descriptive design was used. Job stress and health behaviors were measured with Korean Occupational Stress Scale and Heath Promoting Lifestyle Profile-II, respectively. Health status measured with afternoon plasma cortisol, C-peptide, and lipid profiles. Results: The level of job stress among clinical nurses was moderate with 51.41 on average. The mean for health-promoting behavior in the low stress group was significantly higher than that in the high or moderate stress groups (p<.001). The proportions of nurses with high C-peptide and cortisol levels, or low high-density lipoprotein levels, ranged from 14.0% to 35.7%. In particular, the percentage of nurses with high C-peptide levels was significantly higher in moderate and high stress groups than in the low stress group (24.1% versus 11.6%, p<.05). Conclusion: The study findings affirmed the associations of job stress with health-promoting behaviors as well as selected health status indicators such as C-peptide in clinical nurses. Job stress management intervention can help clinical nurses to improve their health-promoting behaviors and health status.

• 보건의료산업학회지
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• 제7권2호
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• pp.125-134
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• 2013

The purpose of this study was to identify the influencing factors of college adjustment in nursing students. A quantitative descriptive design was used to study 400 nursing students in Busan and Ulsan, recruited from May 1 to 30, 2011. The instruments used were the clinical stress scale, stress coping scale and college adjustment problem checklist. The data were analysed SPSS program, using descriptive statistics, Pearson correlation coefficient, and simultaneous multiple regression. Findings of the study can be summarized as follows; First, the average of clinical stress was 3.68 points, the problem-solving coping was 2.85 points, the emotional-focused coping was 2.48 points, and college adjustment was 3.03 points. Second, The correlation of the clinical stress and college adjustment relations showed negative correlation in all areas. The correlation of problem-solving and emotional-focused coping and college adjustment showed positive correlation. Third, The significant predictors of college adjustment were satisfaction in major, psychological factors, problem-solving coping, perceived health status, emotional-focused coping, knowledge, skills, assignment/reports. These variables showed explanatory power of 43.2%. The study suggested to help reduce clinical stress and to strengthen problem-solving coping for college adjustment in nursing students.

• The Korean Journal of Physiology and Pharmacology
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• 제23권2호
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• pp.95-102
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• 2019

Endoplasmic reticulum (ER) stress is mediated by disturbance of $Ca^{2+}$ homeostasis. The store-operated calcium (SOC) channel is the primary $Ca^{2+}$ channel in non-excitable cells, but its participation in agent-induced ER stress is not clear. In this study, the effects of tunicamycin on $Ca^{2+}$ influx in human umbilical vein endothelial cells (HUVECs) were observed with the fluorescent probe Fluo-4 AM. The effect of tunicamycin on the expression of the unfolded protein response (UPR)-related proteins BiP and CHOP was assayed by western blotting with or without inhibition of Orai1. Tunicamycin induced endothelial dysfunction by activating ER stress. Orai1 expression and the influx of extracellular $Ca^{2+}$ in HUVECs were both upregulated during ER stress. The SOC channel inhibitor SKF96365 reversed tunicamycin-induced endothelial cell dysfunction by inhibiting ER stress. Regulation of tunicamycin-induced ER stress by Orai1 indicates that modification of Orai1 activity may have therapeutic value for conditions with ER stress-induced endothelial dysfunction.

• 한국치위생학회지
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• 제19권5호
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• pp.791-802
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• 2019

Objectives: The purpose of this study was to investigate the relevance of stress and stress amounts of physical environment factors and interpersonal factors of clinical practice institution of dental hygiene department students. It is in order to create condition to focus on clinical practice institution. Methods: The participants in this study were 231 dental hygiene department students engaged in clinical practice; the survey was conducted from September 1 to 30, 2018, using a structured questionnaire (1040460-A-2018-036). The questionnaire consisted of items on participants' general characteristics (4 items), characteristics of the clinical practice institution (9 items), stress from environmental factors (8 items), stress from interpersonal factors (7 items), and stress amounts of BEPSI (5 items). The collected data were compared and analyzed using a t-test, ANOVA, and multiple regression. Results: The physical environment and interpersonal factors of stress according in clinical practice institutions were statistically significant. In case of a number of dentists (p<0.05), subjective practice atmosphere (p<0.001), practice satisfaction (p<0.001), and kindly teach (p<0.001). The factors affecting the amount of stress on the characteristics of the clinical practice institution were that the dental clinic, the relationship with the dental hygienist is common, the number of dentists is 4 or more, and there is no resting room. Conclusions: The selected clinical practice institutions should provide dental hygiene department students with places to relax and a systematic hands-on manual.

• 가정간호학회지
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• 제27권2호
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• pp.169-178
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• 2020

Purpose: This study examined the mediating effects of nursing professionalism on the relationship between the stress of clinical practice and compassion competence in nursing students. Methods: A correlational research design was used in this study. The participants were 120 nursing students recruited from three universities in South Korea. Data were collected using the self-reporting scales of stress of clinical practice, nursing professionalism, and compassion competence. Baron and Kenny's regression method and the Sobel test were used to analyze the mediating effects of nursing professionalism on the association between the stress of clinical practice and compassion competence. Results: The mean score for compassion competence was above average. Of the compassion competence domains, sensitivity and insights had the highest and lowest scores, respectively; there were significant mean differences in compassion competence scores according to their grade and level of satisfaction with nursing major. Compassion competence correlated negatively with the stress of clinical practice, whereas it correlated positively with nursing professionalism. In addition, nursing professionalism exerted full mediating effects on the relationship between the stress of clinical practice and compassion competence. Conclusion: The results suggested that enhancing nursing professionalism could help promote compassion competence among nursing students who experience stress in clinical practice.

• 융합정보논문지
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• 제11권8호
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• pp.53-61
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• 2021

본 연구는 임상실습을 처음 시작하는 간호대학 3학년생을 대상으로 월경통증, 임상실습 스트레스, 임상수행능력 정도와 상관관계를 확인하고 임상수행능력에 영향을 주는 요인을 알아보고자 실시하였다. 간호대학생 155명을 대상으로 2020년 10월 1일부터 10월 30일까지 설문조사 하였으며, 수집된 자료는 SPSS 22.0 프로그램을 이용하여 t-test, ANOVA, Scheffe test, Person's correlation coefficients, 다중회귀분석을 하였다. 연구결과 월경통증은 5.01점, 임상실습 스트레스는 2.82점, 임상수행능력은 3.4점 이었다. 월경통증은 임상실습 스트레스와 양의 상관관계를(r=.319, p=.000), 임상수행능력과 음의 상관관계를(r=-.279, p=.000) 보였으며, 임상실습 스트레스와 임상수행능력은 음의 상관관계를(r=-.333, p=.005) 보였다. 임상수행능력에 가장 유의한 영향을 준 요인은 월경통증이고 설명력은 25.0%였다. 따라서 간호대학생의 임상수행능력을 증진시키기 위해 월경통증 완화를 위한 중재 교육이 필요하다.

• Human Ecology Research
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• 제53권5호
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• pp.475-488
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• 2015

Economic activity and social participation by women has recently increased; however, working mothers raising young children are under new stress due to the simultaneous combination of job and parenting responsibilities. This stress has resulted in social problems of career break and low fertility. This study investigates the effect of clinical art therapy on occupational stress and parenting stress of working mothers. We analyzed 34 working mothers in full-time employment (over 8 hours a day) who have preschool children (0-6 years old). They were divided into 17 subjects in the experimental group and 17 subjects in the control group. For the experimental group, 10 hours and a half sessions of group art therapy were participated in once a week from April to August in 2014. We perform Dan Occupational Stress Index by Ivancevich and Matteson, Parenting Stress Index/Short Form and salivary cortisol test before and after the group art therapy. For qualitative analysis, Kinetic House-Tree-Person (KHTP) drawing test was used. Using SPSS ver. 19.0, paired t -test or Wilcoxon signed rank test compared the pre and post analysis results. The results of this study are as follows. First, scores of 'occupational stress factor' subpart showed significant improvement in the Occupational Stress Index after the clinical art therapy. Second, scores of 'parental distress,' 'parent-child dysfunctional interaction,' and 'difficult child' subpart in Parenting Stress Index also showed a significant improvement. Third, a positive change was observed after the clinical art therapy in the KHTP drawing test. In conclusion, this study suggests that the clinical art therapy can be effective for occupational stress factors and the parenting stress of working mothers.