• Journal of Korean Critical Care Nursing
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• v.15 no.2
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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.

• 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.

• Korean Journal of Adult Nursing
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• v.21 no.1
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• pp.129-139
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• 2009

Purpose: This study was to identify the perceptions of nursing student on the clinical practice environment and related variables. Methods: The subjects of this study were 180 nursing students from a college participated in clinical practice at four regional hospitals. Data was collected with the questionnaire tool for the perceptions of clinical practice environment. Results: The students highly satisfied in the major had significantly high perception in innovation, personalization, student involvement, and clinical practice satisfaction. The students with a low level of stress and a clearly named guidance nurse were significantly high in the perceptions of task orientation, innovation, personalization, student involvement, and practice satisfaction. Clinical practice environment variables such as task orientation, innovation, individualization, personalization, student involvement, and practice satisfaction were significantly correlated with each other. In student characteristics, the main variables directly influencing the perceptions of clinical practice environment were religion, the level of stress, and the method of guidance. Conclusion: Understanding the students' perspective would be valuable for promoting a positive clinical practice environment. Developing a cooperative system between the college and educational hospitals is necessary for effective clinical practice education.

• Journal of Korean Clinical Health Science
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• v.5 no.3
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• pp.907-914
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• 2017

Purpose : This study was conducted to provide basic data on the relationship between environmental factors causing stress in clinical practice institutions and stress levels of dental hygiene students. Methods : The research subjects totaled 207 and it was analyzed with structured questionnaires. The collected data were analyzed using an IBM SPSS ver. 20.0. Results : The environmental factors causing stress according to the status of clinical practice institutions was statistically and significantly different in the case of Busan practice areas (p<0.01), dental university hospitals (p<0.001), attendance times prior to 8am (p<0.001), quitting times that surpassed 8pm (p<0.01), and the number of dentists exceeding 4 (p<0.01). It was found to affect the stress level of students when individuals had to stand for a long period of time(p<0.001, ${\beta}=0.254$) and with the use of unfamiliar tools and equipment(p<0.05, ${\beta}=0.178$). Conclusions : As a result of the research conducted, it should be concluded that dental clinics should provide rest areas for individuals to focus on clinical practice. In addition, it is necessary to develop a systematic program that enables students to communicate with students at any time during the training period.

• 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

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.9
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• pp.6044-6052
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• 2015

This study was conducted to identify the level of empathy and clinical practice stress and the relationship between empathy and clinical practice stress in nursing students. Data were collected from 252 nursing students between 1st September and 31st December 2013. 249 questionnaires were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. The mean scores of empathy level in the subcategories for perspective taking 3.57, fantasy 3.59, empathic concern 3.72 and personal distress 3.15 were above median and the mean score for clinical practice stress 3.03 was above median. Clinical practice stress positively correlated with personal distress on empathy. These findings indicate that there is a need to manage personal distress on empathy for nursing students with high level of personal distress to lessen stress in clinical practice of nursing students.

• The Journal of the Korea Contents Association
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• v.13 no.6
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• pp.361-369
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• 2013

The purpose of this study was to investigate the level of spirituality and stress of clinical practice and to identify the relationship of variables among nursing students. Data were collected from 203 nursing students using self-report questionnaire composed of demographic characteristics and two scales including spirituality and stress of clinical practice. Data were analyzed by frequencies, t-test, ANOVA, Pearson's correlation coefficients using the SPSS program. The mean score for spirituality and stress of clinical practice were above medium level, with the value of 3.18 and 3.42 out of 5 respectively. There were significant mean differences in spirituality according to religion and satisfaction on major while those in stress of clinical practice according to sex and satisfaction on major. Significant negative correlation between spirituality and stress of clinical practice was found. In conclusion, to reduce clinical stress in nursing students, it is necessary to develop and apply educational program for spiritual improvement.

• 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.

• Journal of Internet of Things and Convergence
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• v.7 no.2
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• pp.31-40
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• 2021

Objectives: This study was conducted to investigate the degree of verbal abuse, emotional response, nursing professionalism, clinical practice stress during clinical practicim of nursing students. Methods: A sample of convenience was 106 nursing students, and a questionnaire was used to measure their verbal abuse, emotional response, nursing professionalism, clinical practice stress. Data were analyzed by descriptive statistics, t-test, one-way ANOVA, and multiple linear regression. Results: A significant positive correlation was found among verbal abuse, emotional response, clinical practice stress(r=.683, r=.573). Grade of which the participant was in, verbal abuse(𝛽=.487), emotional response(𝛽=.240) were significant predictive variables of which accounted for 49% of the variance in clinical practice stress. Conclusions: The results from this study can provide basic data on the development of strategies for nursing college students to cope with verbal abuse and to manage stress under clinical practice

• The Journal of the Convergence on Culture Technology
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• v.10 no.2
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• pp.429-438
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• 2024

This study was conducted to investigate the factors affecting stress before clinical practice among nursing students. The subjects of the study were surveyed on third-grade students who were about to undergo their first clinical practice. The data collection period was from December 22, 2023 to January 10, 2024, with a total of 191 nursing students. The instruments used for this study were Perceived stress scale(Pss), Self-leadership, and Global Interpersonal Communication Competency(GICC) scale. The data were analyzed by t-tests, ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression using SPSS/WIN 21.0. The results of the study showed a negative correlation with self-leadership(r=-.29, p=<.001) and interpersonal communication competence(r=-.40, p=<.001). In the stepwise multiple regression analysis, it was found that the stress levels of nursing students before clinical practice were influenced by factors such as gender, satisfaction with the department, and interpersonal communication competence. These variables explained 33.7% of the variance in pre-clinical stress. Based on the findings of this study, it is recommended to develop educational interventions that can help reduce stress before clinical practice among nursing students.