• Title/Summary/Keyword: Stress in Clinical Practice

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A Study on Perceived Stress, Self-esteem and Clinical Practice Stress of Nursing Students (간호대학생의 지각된 스트레스, 자아존중감, 임상실습 스트레스에 관한 연구)

  • Ahn, Seong-Ah;Jeong, Eun-Yeong;Kong, Jeong-Hyeon
    • Journal of the Health Care and Life Science
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    • v.9 no.1
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    • pp.51-60
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    • 2021
  • This study was conducted to identify the perceived stress, self-esteem and clinical practice stress of nursing students and how these variables affect clinical practice stress. Participants consisted of 164 nursing students who were in the third and fourth years who had experienced clinical practice at two nursing universtities located in Gyonganam and Jeonnam, and agreed to the survey. Data were collected using questionnaires form April 1 to April 30, 2021. Collected data were analyzed using the SPSS 22.0 Win statistics program with descriptive statistics, an t-test, ANOVA, scheffe's test, and multiple regression. The study found that clinical preactice stress was positively correlated with perceived stress but negatively correlated with self-esteem and the factors affecting clinical practice stress wre perceived stress, self-esteem, major satisfaction and interpersonal relationships and their explanatory power was 27.0%. This suggests that it is necessary to develop and apply a program to reduce perceived stress and improve self-esteem in order to reduce clinical practice stress of nursing students.

A Study on the Stress of Clinical Practice, Stress Coping and Somatization for Dental Hygiene Students (치위생과 학생들의 임상실습스트레스와 스트레스대처방식 및 신체화경향에 관한 연구)

  • Hong, Su-Min;Han, Ji-Hyoung;Kim, Hee-Kyoung;Ahn, Yong-Soon
    • Journal of dental hygiene science
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    • v.9 no.2
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    • pp.219-224
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    • 2009
  • The purpose of this study was to investigate the relationship among the stress on clinical practice, stress coping method and the somatization symptom of dental hygiene students and propose strategies for effective instruction of clinical practice. The survey was performed by self-reported questionnaires for 268 dental hygiene students who have recently experienced clinical practice. Collected data were analyzed using by t-test and Pearson correlation coefficient with the SPSS Win 12.0 program. Its results are as follows. 1. In the satisfaction of clinical practice, 'Satisfaction', 'Average' and 'Unsatisfactory' were 32.5%, 42.2% and 25.4%, respectively. The reason for dissatisfaction of clinical practice were 'insufficient education of college'(29.8%), 'environment of clinical practice institute'(23,4%), 'interpersonal relationship'(21.3%) in order. 2. Somatization symptoms was positive correlation(0.307, p < 0.01) associated with stress of clinical practice. Also it was negative correlation associated with satisfaction level of the subjects and stress of clinical practice. Correlation coefficient of the interpersonal relation factor was found the most significantly high as much as 0.331, according to the analysis carried out between subordinate factors of clinical practice stress and somatization. 3. According to stress coping method. Subjects were distributed into two group of active method and passive method. Thereafter as a result of verifying the difference of somatization symptoms, there was statistically significant difference between active method group and passive method group. Based on the study results, we suggests that effective management program of clinical practice should be developed and applied to the dental hygiene students to make them cope with stress and somatic symptom during their clinical practice.

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A study on the relationship between clinical practice stress and clinical practice satisfaction in students of department of dental technology (치기공과 학생의 임상실습 스트레스와 임상실습 만족도의 연관성)

  • Kang, Wol;Kim, Im-Sun;Choi, ByungHwan
    • Journal of Technologic Dentistry
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    • v.39 no.4
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    • pp.275-284
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    • 2017
  • Purpose: This study aimed to identify the effects of clinical practice stress on clinical practice satisfaction and to provide basic data for clinical practice improvement strategies. Methods: 150 students who had clinical experiences in Daegu Health College from June 12 to August 11, 2017 were selected by convenience sampling method and analyzed 130 questionnaires excluding 20 incomplete questionnaires. Statistical analysis was conducted using SPSS (Statistical Package for Social Science) 22.0 for windows Results: The satisfaction on major and the type of residentice showed statistically significant effect on the clinical practice satisfaction. The training environment in practice and the interpersonal relationship conflicts mostly effect on clinical practice satisfaction. Conclusion : In order to increase the clinical practice satisfaction, it is necessary to consider ways to improve the practical training environment and reduce interpersonal conflicts.

The Perceived Causal Structure Model on Stress Experienced by Nursing Students during Clinical Practice (간호학생의 임상실습스트레스에 관한 인지적 인과구조모형)

  • Park, Mi-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.10 no.1
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    • pp.54-63
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    • 2004
  • The purpose of this study is to identify the factors that influence stress experienced by nursing students and to provide a perceived causal structure model among these variables. The ultimate goal of this study is to develop efficient guidance to clinical nursing education in this population. This study intends to apply perceived causal structure: network analysis method which was developed by Kelly(1983), and has been applied in nursing research. This method is selected to show dynamic relationship of stressor using network method. Data was collected from convenient sample of 186 junior college nursing students who had the clinical practice experience during 10 weeks. Data collection and analysis was conducted in 2 steps from December, 9, 2002 to February, 8, 2003. Step 1.: Data was collected using literature review(10 articles) to identify the causes of stress. Nine causes of stress were extracted. Step 2.: As perceived casual structure network study, data was collected using questionnaires which included 9 extracted cause and stress. The questionnaire contained a 10 X 10 grid table with 10 causes and effects printed. In network analysis, 'Yes' was scored as 1, 'No' was scored as 0, and the mean(maximum 1, minimum 0) was calculated. Construction of the network under inductive eliminative analysis which stopped the construction of the network when the consensual agreement level dropped near 50% was proceeded by adding causes in order of the mean rating level. In this study, construction of the final network was stopped by consensual agreement level of 52% of the total subjects. The results are summarized as follows : Step 1: Investigation of the causes of stress ; The extracted causes of stress from quality data was identified 9 categories ; negative nurse, lack of clinical practice opportunity, ambiguous role, negative patient, lack of nursing knowledge and skill, difficult of personal relations, inefficient clinical practice guidance, gap of theory and practice, lack of support. Step 2 : Construction of the perceived causal structure model ; 1) The most central cause of stress is ambiguous role in the systems of causation. 2) The distal cause of stress is inefficient clinical practice guidance 3) The causes that have a number of outgoing link are negative nurse, ambiguous role. 4) The causes that have a number of incoming link are ambiguous role, gap of theory- practice, lack of clinical practice opportunity, lack of nursing knowledge- skill. 5) There is a mutual relationship between stress and difficult of personal relations, stress and ambiguous role, ambiguous role and negative nurse, ambiguous role and lack of clinical practice opportunity, ambiguous role and lack of nursing knowledge-skill, lack of nursing knowledge-skill and gap of theory- practice. In conclusion, the network suggests that the first centre cause is related on ambiguous role and the second on negative nurse, inefficient clinical practice guidance in the systems of causation

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Role·activity factors, ideal·value factors stress and stress amount relationship in clinical practice of dental hygiene students (치위생과 학생의 임상실습 기간 중 역할·활동요인, 이상·가치요인 스트레스, 스트레스 량의 관련성)

  • Ryu, Hae-Gyum
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.5
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    • pp.685-695
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    • 2020
  • Objectives: The purpose of this study was to investigate role·activity factors, ideal·value factors stress and stress amount relationship in clinical practice of dental hygiene students. Methods: The participate in this study were 231 dental hygiene department students. the survey was conducted from August 24 to September 30, 2018, using a structured questionnaire(1040460-A-2018-036). The collected data were compared and analyzed using a ANOVA and multiple regression. Results: The factors affecting the amount of stress were investigated. Role and activity factors stress in case of too much assignment, repeat simple and funtional work, ideal and value factors stress in case of utilized as a subsidiary work practice institution rather than clinical practice, lake of awareness that the training institution is a trainee. Conclusions: School institution and departments form organic relationships with industries. Uniform training guidance for each training institution does not help with diversity or creativity and problem-solving skills. It gives some autonomy to the training guidance of training institutions, also a clear standard for the contents of the training. we need a system that can provide and evaluate basic guidelines for what students can do in clinical practice.

The Effects of Clinical Practice Stress, Grit and Self-Efficacy on Clinical Competency in Nursing Students (간호대학생의 임상실습 스트레스, 그릿, 자기효능감이 임상 수행 능력에 미치는 영향)

  • Kim, Young-Sook
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.451-460
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    • 2022
  • This study was conducted to understand the correlation between clinical practice stress, grit, self-efficacy, and clinical performance of nursing students and to identify factors affecting clinical performance. A survey was conducted on 160 students in 3rd and 4th grade students enrolled in a nursing department located in G city. As a result of the study, clinical performance was negatively correlated with clinical practice stress(r=-.383, p< .001) and positively correlated with grit(r=.310, p< .001), self-efficacy (r=.327, p< .001). Factors affecting the clinical performance of nursing students were clinical practice stress(β=-.37, p<.001), clinical practice satisfaction (β=.35, p< .001), self-efficacy (β=.31, p< .001), grit (β=.28, p< .001) and the explanatory power was 42.8%. Based on the results of this study, in order to improve the clinical performance of nursing students, it is necessary to reduce the clinical practice stress and make them satisfied with the clinical practice. In addition, it is necessary to develop a program to improve self-efficacy and grit

Effects of critical thinking disposition, stress of clinical practice and self-confidence in performance of core nursing skill on nursing student's adapting to clinical practice (간호대학생의 비판적 사고성향, 임상실습 스트레스 및 핵심기본간호술 자신감이 임상실습 적응에 미치는 영향)

  • Jang, Young-Mi;Park, YeonHee
    • Journal of Industrial Convergence
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    • v.18 no.4
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    • pp.77-86
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    • 2020
  • This study is a descriptive research study to grasp the critical thinking tendency, clinical practice stress, core basic nursing confidence, and degree of adaptation to clinical practice in nursing students. From June to July 2019, 207 students in the fourth year of nursing college were surveyed through their own questionnaire. Collected data were analyzed by t-test, ANOVA and multiple regression analysis using SPSS/WIN v24.0. The negative correlation between clinical practice stress and critical thinking tendency(r=-.18, p=.010). The core self-confidence practice self-confidence showed a positive correlation with critical thinking tendency(r=.25, p<.001), and a negative correlation with clinical practice stress(r=-.17, p=.017). Adaptation to clinical practice showed a positive correlation with clinical practice stress(r=.44, p<.001), and the factor influencing clinical practice adaptation was stress(β=.40) (F=18.34, p<.001), and the explanatory power was about 23.1%. As mentioned above, stress brings a positive change to clinical practice, so it is necessary to identify stress factors received from clinical practice of nursing college students and reflect them in curriculum development.

The Relationship of Clinical practice stress and Resilience according to MBTI personality type in Nursing college students

  • Han, Sang-Young;Chung, Sun-Young
    • Journal of the Korea Society of Computer and Information
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    • v.22 no.7
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    • pp.117-123
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    • 2017
  • This is a descriptive study to investigate the relationship between MBTI personality type, clinical practice stress, and resilience in nursing college students. The participants of this study were 75 college students of Gangwon-do nursing college. The data were analyzed by t-test, ANOVA, $Scheff{\acute{e}}$ test and Pearson correlation coefficient using SPSS win18.0. Thirteen personality types were observed in this study participants. The NT types was the highest with a mean of 4.15 in clinical practice stress according to 4 functions of MBTI and the ST types was the highest with a mean of 3.32 in resilience according to 4 fuctions of MBTI. The NT type was the highest with a mean of 4.15 in clinical practice stress according to 4 temperaments of MBTI and the SJ type was the highest with a mean of 3.27 in resilience according to 4 temperaments of MBTI. Significant differences in clinical practice stress were observed according to 4 functions(F=27.117, p<.001) and 4 temperaments(F=27.310, p<.001) of MBTI. Significant differences in resilience were observed according to 4 temperament(F=2.825, p=.045) of MBTI. Further study is necessary to provide the basic data to construct the curriculum of nursing health education which is suitable for the characteristic of MBTI personality type.

Mediating Effect of Communication Skill in the Relationship between Fatigue and Clinical Practice Stress in Nursing Students (간호대학생의 피로와 임상실습 스트레스의 관계에서 의사소통 능력의 매개효과)

  • Yang, Ya Ki
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.1
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    • pp.58-67
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    • 2018
  • Purpose: Fatigue and clinical practice stress can negatively influence nursing students. This study was done to examine of communication skill as mediating effect variable in the relationship between fatigue and stress during clinical practice. Methods: A cross-sectional study design was employed. Research participants were 124 nursing students from G city and J province. Data were collected from December 1, 2016 to January 30, 2017 using self-report questionnaires. Data were analyzed using Baron and Kenny method. Results: Fatigue had a significant negative correlation with communication skill (r=-.28, p=.001). Fatigue had a significant positive correlation with clinical practice stress (r=.39, p<.001). In addition, communication skill had a mediating effect in the relationship between fatigue and clinical practice stress. Conclusion: The findings of this study indicate that communication skill plays an important role in reducing clinical practice stress in nursing students. Therefore, in the field of nursing education, a program to improve the communication ability of nursing students should be developed and applied.

Development and Effects of Assertiveness Training applying Dongsasub Training for Nursing Students in Clinical Practice (임상실습 간호대학생을 위한 동사섭 훈련 적용 주장훈련의 개발 및 효과)

  • Kim, Myoungsuk
    • Journal of Korean Academy of Nursing
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    • v.46 no.4
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    • pp.490-500
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    • 2016
  • Purpose: This study was conducted to develop assertiveness training applying Dongsasub training for junior nursing students, and to verify effectiveness of the training on assertiveness behavior, self-esteem, clinical practice stress, and clinical competence. Methods: The study design was a non-equivalent control group non-synchronized design. Participants were 63 nursing students in clinical training (31 students in the experimental group and 32 students in the control group). The assertiveness training applying Dongsasub training consisted of four sessions. Outcome variables included assertiveness behavior, self-esteem, clinical practice stress, and clinical competence. Data were analyzed using Chi-square, Fisher's exact test and independent samples t-test with SPSS/WIN 21.0. Results: Scores of assertiveness behavior (t=-2.49, p=.015), self-esteem (t=-4.80, p <.001) and clinical competence (t=-2.33, p=.023) were significantly higher and clinical practice stress (t=4.22, p <.001) was significantly lower in the experimental group compared to the control group. Conclusion: Results indicate that the assertiveness training applying Dongsasub training can be used as a nursing intervention to lower clinical practice stress and improve the clinical competence of nursing students.