• 제목/요약/키워드: Multiple Stress

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정신과 병동 간호사의 외상 후 스트레스 영향요인 (Predictors of Posttraumatic Stress in Psychiatric Nurses)

  • 여현주
    • 한국직업건강간호학회지
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    • 제26권3호
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    • pp.125-132
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    • 2017
  • Purpose: This study was performed to identify the impact of aggressiveness of patients and a sense of coherence on posttraumatic stress in psychiatric nurses. Methods: After collecting data from 162 psychiatric nurses, we carried out a t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using IBM SPSS Statistics 19.0. Results: The mean score of posttraumatic stress was $20.75{\pm}16.59$ points. Verbal aggression, aggressiveness about property, aggression toward oneself, and aggression toward others had a positive correlation with posttraumatic stress, while a sense of coherence had a negative correlation with post-traumatic stress. It was concluded that the significant predictors of posttraumatic stress in psychiatric nurses were aggression toward oneself, a sense of coherence, and aggression toward others, all of which accounted for 38.9% of the variability. Conclusion: The results of this study indicate that the factors influencing posttraumatic stress in psychiatric nurses were aggression toward oneself, aggression toward others, and a sense of coherence. Therefore, education programs should be developed in consideration of the fact that aggressive behavior against the patient himself and against others intensify the posttraumatic stress of the psychiatric nurse, but the integration force mitigates it.

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

  • 강민아;이수경
    • 한국간호교육학회지
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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.

청소년 스트레스에 대한 관련 변인 분석 (Analysis of Middle School Students' Stress and Related Variables)

  • 장영애;손영미
    • 한국지역사회생활과학회지
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    • 제17권4호
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    • pp.137-149
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    • 2006
  • The purpose of this study was to examine the relation of middle school students' stress in relation to certain variables, those of grade, gender, academic achievement, coping behavior and self-concept. The subjects were 574 students selected from 4 middle schools in the Incheon area. The instruments included a stress index, coping behavior questionnaire and self-concept inventory. The statistics used from this data were t-test, one-way ANOVA (Scheff test), correlation analysis and multiple regression analysis. This study showed that middle school students' stress was influenced significantly by the grade, gender and achievement in school. Also, coping behavior and self-concept were influenced significantly by the grade, gender, and achievement in school. Correlation analysis indicated that student's stress and certain coping behavior were postively correlated, especially avoidance coping behavior indicated a higher correlation to students' stress than active coping behavior. The relationship between stress and self-concept indicated a negative high correlation. It was also found that avoidance coping behavior, family self-concept, general self-concept, school and class self-concept, grade and academic achievement were significant predictors of middle school students' stress.

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수술실 간호사의 언어폭력경험, 사회적 지지, 대처양상이 업무 스트레스에 미치는 영향 (The Effects of Verbal Violence Experience, Social Support, and Coping Patterns on Job Stress among Operating Room Nurses)

  • 김정욱;고숙정;신성희
    • 임상간호연구
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    • 제22권1호
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    • pp.38-45
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    • 2016
  • Purpose: The purpose of this study was to understand the effects of verbal violence experience, social support, and coping patterns on job stress among operating room(OR) nurses. Methods: The participants were 214 operating room nurses in general hospitals. Data were collected from April 1st to May 1st in 2013 and were analyzed using a multiple regression. Results: The most influencing factor on job stress for OR nurses was verbal violence experience from doctor(${\beta}=.35$), and verbal violence experience from nurse (${\beta}=.27$) followed. Social support from co-workers was a significant factor in decreasing job stress (${\beta}=-.22$). Those three factors explained 43.0% (F=54.76, p<.001) of OR nurses' job stress. Conclusion: The findings of this study revealed that doctors' and nurses' verbal violence increased job stress of OR nurses and social support from co-workers was found decreasing OR nurses' job stress. The results of the study provides an necessity for developing an effective program for minimizing job stress of OR nurses caused by work place verbal violence.

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

  • 민희홍
    • 한국치위생학회지
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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.

미숙아로 출생한 학령전기 아동 어머니의 양육 스트레스의 영향요인 (Factors Influencing Parenting Stress in Mothers of Preschoolers Born Prematurely)

  • 이상미
    • Child Health Nursing Research
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    • 제23권4호
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    • pp.470-478
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    • 2017
  • Purpose: This study was conducted to describe parenting stress in mothers of preschoolers who were born prematurely and to determine factors affecting parenting stress in child's problem behavior, mother-child interaction and parenting alliance. Methods: An exploratory survey study was conducted with 66 mothers of preschool children (5~6 years) with preterm births (PTB). Data were collected using Parenting Stress Index (PSI), Child Behavior Checklist (CBCL), Mother-Preschool Child Interaction Scale (MPIS), and Parenting Alliance Inventory (PAI). Results: Of the 66 mothers, 8(12.1%) showed high scores that were more than borderline for the PSI total score. In the multiple linear regression analysis, lower scores on the PAI (${\beta}=-.41$, p<.001), higher scores on the externalizing problem behavior of the CBCL (${\beta}=.40$, p=.001), and lower scores on the MPIS (${\beta}=-.21$, p=.043) were statistically significant contributors to maternal parenting stress. Conclusion: Findings indicate that mothers of PTB preschool children are at risk for parenting stress. Child's externalizing problem behavior, poor maternal-child interaction and parenting alliance were independent factors raising maternal parenting stress. More attention is needed on paternal parenting support, child's behavioral development, interaction with children for effective prevention and management of maternal parenting stress of PTB young children.

간호조직의 내부마케팅, 직무스트레스, 조직몰입, 이직의도 간의 관계 (Internal Marketing, Job Stress, Organizational Commitment and Turnover Intention in Nursing Organization)

  • 윤정아;이해정
    • 간호행정학회지
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    • 제13권3호
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    • pp.293-301
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    • 2007
  • Purpose: The purpose of the study was to identify the relationship among internal marketing, job stress, organizational commitment, and turnover intention in nursing organizations in Korea. Methods: One hundred eighty six nurses recruited from 6 general hospitals in South Korea. The data were collected by self-reporting questionnaires and analysed by the SPSS WIN 11.0 program using descriptive statistics, Pearson's correlation coefficients and stepwise multiple regression. Results: Nurses participated in the study reported medium levels of perceived internal marketing, job stress, organizational commitment, and turnover intention. Perceived internal marketing had significant negative correlation with job stress and turnover intention and significant positive correlation with organizational commitment. Employee's management philosophy was a significant predictor of job stress along with characteristics of hospital, and nurse's educational level ($R^2=$ .18). Working environment was a significant predictor of organizational commitment along with monthly income and job stress ($R^2=$ .31). Promotional strategies and communication style in the organization were significant predictors of turnover intention along with organizational commitment and job stress ($R^2=$ .31). Conclusions: This study suggest that future intervention study enhancing internal marketing would lead the positive changes in job stress, organizational commitment, and turnover intention.

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간호대학생의 임상실습스트레스와 소진과의 관계에서 공감의 매개효과 (Clinical Practice Stress and Burnout in Nursing Students: The Mediating Effect of Empathy)

  • 송영숙
    • 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.

보험심사간호사의 직무 스트레스와 피로도 (Work Stress and Fatigue among Medical Insurance Review Nurses)

  • 김재란;서순림;신지원
    • 보건교육건강증진학회지
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    • 제26권4호
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    • pp.63-70
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    • 2009
  • Objectives: Work stress is associated with increased risk of fatigue. The purpose of this study was to identify the relationship of work stress and fatigue among Medical Insurance Review Nurses. Methods: The subjects of this study were 117 nurses in charge of medical insurance review. A structured questionnaires were employed to evaluate the nurses' sociodemographics, work stress and fatigue. The data were analysed through frequency, percentile, mean, standard deviation, Chronbach's $\alpha$, Pearson's correlation coefficient, and multiple regression. Results: Mean scores of work stress and fatigue of participants were 3.29 and 1.97 respectively. Work stress was correlated with fatigue significantly (r=.39). There were effects on fatigue by work performance satisfaction and the frequency of insurance request among sociodemographics. Job conflicts with doctors which was a domain of work stress was increased fatigue. Conclusion: The results of this study suggest that work performance satisfaction, the frequency of insurance request and job conflicts with doctors are significant predictors of fatigue. Thus, a strategy to enhance nurses' work environment and to reduce work stress through developing interpersonal relationship is recommended.

요양보호사의 폭력경험과 대처방법이 직무스트레스에 미치는 영향 (The Effects of Violent Experiences and Coping on Job Stress of Caregivers in Long-Term Care Facilities)

  • 김옥선;오진환;이기령
    • 가정∙방문간호학회지
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    • 제24권2호
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    • pp.169-180
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    • 2017
  • Purpose: This study was conducted to investigate factors that affect job stress among caregivers in long-term care facilities. Methods: Data were collected from 125 caregivers through a structured questionnaire targeting general characteristics, violent experiences, coping, and job stress from February 2 to March 10, 2015. Data were analyzed by t-test, ANOVA, and multiple regression using SPSS 21.0. Results: The rate of violence experienced by caregivers was 99.2% for verbal abuse, 99.2% for physical violence, 95.2% for physical threatening, and 62.3% for sexual abuse. The mean score for coping and job stress was above average. Job stress significantly differed by marital status, education level, facility size, and policy on workplace violence. The significant predictors of job stress included policy on workplace violence, violent experiences, and education level. The regression model explained 28.0% of the variance in job stress. Conclusion: To improve job stress of caregivers, it is necessary to establish policies for violence within the organization and to develop and apply various programs that allow caregivers to work safe from violence both physically and psychologically.