• Journal of Korean Academy of Nursing Administration
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• v.20 no.4
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• pp.394-404
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• 2014

Purpose: The purpose of this study was to identify the conceptual structure of stressors experienced by nursing students during clinical practice. Methods: Ten men and 10 women nursing college students were interviewed. The results were 208 ideas. By synthesizing and editing these ideas, the final statement was trimmed down to 39 questions. The next step was to have the participants classify these 39 final questions. They were asked to rate stress scores using a five-point scale. Through multidimensional scaling analysis and hierarchical cluster analysis yielded dimensions and clusters. Results: Results of the study showed 2 dimensions which were classified as 'interpersonal relationship-practice system' and 'identity-practice environment'. It also yielded 8 clusters which were classified as 'role confusion', 'gender discrimination', 'attitudes of medical personnel and patients', 'comparison between fellow students', 'difference between theory and practice', 'disestablishing the role of practice guide', 'interference with training', and 'problems of the practice environment'. Further, stress factors and stress levels were differentiated depending on the gender of the student. Conclusion: The results of the study indicate that educators who are developing clinical practice programs and clinical practitioners should consider stressors during clinical practice and the educational implications to nursing students.

• The Korean Journal of Emergency Medical Services
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• v.16 no.3
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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.

• Health Communication
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• v.13 no.2
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• pp.133-140
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• 2018

Purpose: This study was performed to provide basic educational data for improvement of satisfaction in clinical practice by investigating the relationship of clinical practice satisfaction with self-efficacy, fatigue and communication skill in dental hygiene students. Methods: A survey using a self-administered questionnaire was conducted among 205 second- and third-year students enrolled in an dental hygiene program at three colleges located in A and B province from March 10 to April 10, 2018. Results: Satisfaction level of clinical practice was significantly higher in the group more satisfied with their majors, with more healthy subjective health status, more satisfied with their interpersonal relationships, with a higher self-efficacy, with a lower fatigue, and with better communication skill. Clinical practice satisfaction had a significantly positive correlation with self-efficacy and communication skill and a significantly negative correlation with fatigue. Factors affecting clinical practice satisfaction in the subjects were communication skill, self-efficacy and fatigue. The total variance explained by all three variables was 20%. Conclusion: Further studies and development of education programs including a broad range of strategies for clinical training are warranted by reflecting those related variables to improve clinical practice satisfaction in dental hygiene students.

• Health Policy and Management
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• v.20 no.2
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• pp.1-16
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• 2010

Background : Clinical practice guidelines are an increasingly familiar part of clinical practice. Moreover, rigorously developed evidence based guidelines has been widely used. However, in Korea, some of published documents as clinical practice guidelines have shown considerable disparity in structure, contents and quality. This is mainly because there is no consensus on the definition and quality standard of clinical practice guidelines. The purpose of this study was to draw consensus on the definition and the quality standard about clinical practice guidelines. Method : We developed a questionnaire about the definition of clinical practice guidelines with inclusion criteria(23 items) and the quality standard(30 items). We selected 9 experts who had prior experience in developing and implementing guidelines. Rating methods for appropriateness of items were adopted from the RAND method. Consensus was drawn in three rounds. Results : Of the 47 items agreed, 40 items were determined to be appropriate. Clinical practice guidelines were defined as "scientifically and systematically developed statements to assist practitioners and patients on making decisions about appropriate health care for specific clinical circumstances." Narrative reviews, systematic reviews or health technology assessment without recommendations, translation of foreign guidelines, guidelines for patients only and training manuals were not considered as clinical practice guidelines. For the quality standard of clinical practice guidelines, 27 items were deemed necessary. Conclusions : The consensus on the definition with inclusion criteria and the quality standard of clinical practice guidelines carries an important meaning as the first attempt to draw a general agreement in our society. The unique achievement of the consensus reflects the current status of clinical practice guidelines that there has been a high tendency to adapt foreign guidelines. We hope efforts of this kind will continue to bring improvement in clinical practice guidelines.

• The Journal of the Korea Contents Association
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• v.16 no.9
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• pp.286-296
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• 2016

The purpose of this study aimed to find the effect of self-esteem and communication competence on clinical practice stress of the Korean nursing students. A total of 198 nursing students participated in this study. Data collection was conducted through the use of questionnaires constructed to include the Rosenberg Self-esteem Scale, Global Interpersonal Communication Competence, and the Clinical Competence Scale. As a result, self-esteem, communication competence, and clinical practice stress of the Korean nursing students were found to be(Self-esteem: $3.4{\pm}0.57$; Communication competence: $3.5{\pm}0.42$; Clinical practice stress: $3.6{\pm}0.58$). Also, the nursing students with female(85.4%), experience of simulation on clinical training(72.2%) were found to have significantly higher clinical practice stress. Moreover, there were significant correlations between self-esteem and undesirable role model(r=.156, p=.029), communication competence and clinical practice stress(r=-.329, p<.001). The factors affecting clinical practice stress were communication competence, gender, satisfaction of clinical practice, and experience of simulation on clinical training. They amounted to 27.8% in clinical practice stress. The results indicate a need to develop effective teaching methods and learning strategies to decrease clinical practice stress of the nursing students.

• The Journal of Korean Academic Society of Nursing Education
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• v.20 no.4
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• pp.606-616
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• 2014

Purpose: This study compares differences between male and female nursing students in terms of the level of stress experienced during clinical practice settings, stress coping mechanisms and clinical competency. Method: The study population was nursing students who had taken a clinical practice course at one of five general hospitals in city D. Data were collected from September 15 to October 15, 2013 through a structured self-administered questionnaire survey given to 319 subjects (156 male students, 163 female students) enrolled in a statistical analysis course. Results: Male nursing students experienced lower stress levels during clinical practice and higher clinical competency than female students. In terms of stress coping mechanisms, male students were significantly more active than female students in deploying coping strategies. Among all students, students with higher clinical practice stress and concomitant stress coping scores exhibited higher clinical competency. Conclusion: Noticeable differences between male and female nursing students in terms of stress levels arising in the course of clinical practice, stress coping strategies, and clinical competency were revealed. However, further identification of specific stressful situations for male and female nursing students and subsequent management of clinical training circumstances are required.

• Journal of muscle and joint health
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• v.27 no.2
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• pp.142-152
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• 2020

Purpose: This study involeved a descriptive survey to identify clinical practice satisfaction, self-esteem, and nursing professionalism of nursing college students and determined the factors that affected their nursing professionalism. Methods: Data were collected through a survey of conducted from December 4 to December 20, 2019 (N=186). The relationship among variables was analyzed using Pearson's coefficient correlation and affecting factors for turnover intention were identified by using multiple linear regression. Results: The research results demonstrate that the mean of nursing students' clinical practice satisfaction mean was 3.64 (5 total), the mean of self-esteem was 3.84 (4 total), and the mean of nursing professionalism mean was 3.89 (5 total). Nursing professionalism was significantly different by age and satisfaction with major. Nursing professionalism had positive relationships with clinical practice satisfaction, self-esteem, and satisfaction with major, but had a negative relationships with age. Clinical practice satisfaction, self-esteem, satisfaction with major, and age were identified as influencing factors in turnover intention, and the explanatory power was 43.3%. Conclusion: A strategy to increase clinical practice satisfaction and to enhance self-esteem in nursing college students is necessary. Likewise, further analysis and programs to improve clinical practice environments and training systems should be implemeted.

• Journal of Korean society of Dental Hygiene
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• v.19 no.4
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• pp.525-533
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• 2019

Objectives: This research aimed to identify the influential factors that affect the satisfaction of dental hygiene students' clinical training between college and university and contribute to improvement in clinical practice quality. Methods: A self-reported questionnaire was completed by 210 dental clinical hygienists from June 10 to August 30, 2018. Data were analyzed using SPSS 22.0. An independent t-test, one-way ANOVA, Scheffe's post-hoc test, and Pearson's correlation coefficient were employed, and a stepwise multiple regression analysis was performed. Results: Regarding the influential factors of satisfaction with clinical practice among dental hygiene students, in the case of college students, dental hygienist practice instructor dummy, self-efficacy, satisfaction of school life, interpersonal relation was the increasing order. In the case of university students, dental hygienist practice instructors, subjective health, satisfaction with school life, and interpersonal relations was the increasing order. Conclusions: The most influential factor of dental hygiene students' clinical practice satisfaction between college and university was the ability to form interpersonal relationships. Therefore, to increase the satisfaction of dental hygiene students with clinical practice between college and university, external sources and efforts to emphasize internal sources are required.

• Korean Journal of Clinical Pharmacy
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• v.3 no.2
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• pp.169-173
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• 1993

• Journal of Korean Clinical Health Science
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• v.4 no.4
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• pp.671-679
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• 2016

Purpose. This research study is to understand the effects of field (clinical) Practice on employment choice and decision. Method. The research study conducts a questionnaire survey of trainees who received field (clinical) Training during the period of 2016 summer vacation to analyze the data, utilizing Likert 5 rating scales and conduct a statistical analysis with the tool of SPSS 18.0. Results.. As for the satisfaction of the participation of Practice, girl students account for the high rate (75.1%) compared with boy students (61.7%). Regarding the satisfaction of each Practice spot, ophthalmic clinic reaches the high rate (77.8%) compared with optical shop (65.7%). Practice about practice courses (53.2%) of regular subjects have somewhat close correlations compared with theory courses (46.8%). 75.2% of respondents in the group that shows the high satisfaction of the participation of Practice replied that they would decide employment as an academic major after Practice. And the figure is proved to assume a high ratio. Conclusion. The analytic research outcome indicates that those trainees who received Practice in an ophthalmic clinic have higher satisfaction than those who received Practice in an optical shop. There is the high accomplishment of employment in relation to academic major area instead of other area, after Practice.