• Title/Summary/Keyword: stress of clinical practice

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A Study on the Effect of Self-Management and Relaxation Training through Biofeedback on Influencing the Stress Response and Immune Functions (바이오휘드백을 통한 자기조절 훈련이 스트레스반응과 면역기능에 미치는 효과에 관한 연구)

  • 이소우;김금순;박성회
    • Journal of Korean Academy of Nursing
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    • v.29 no.4
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    • pp.855-869
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    • 1999
  • The purpose of this study was to test the effectiveness of self-management relaxation training through biofeedback and progressive muscle relaxation methods. The effectiveness of the experimental methods was tested by measuring the degree of symptoms of stress (SOS), the McNair's profile of Mood States (POMS), the levels of ephinephrine, norepinephrine, pulse rate, blood pressure and natural killer cells. The subjects of this study were sixty six nursing students divided into four groups : two groups were the biofeedback and progressive muscle relaxation groups, the other two groups served as control groups. One was a group of sophomores with no experience at all, the other a junior group without self -management or relaxation training. This study was conducted for eight weeks of clinical practice from April, 26th 1998 to June, 20th 1998. Biofeedback training was done with software developed by J&J company (1-410 form for abdominal respiration training). Progressive muscle relaxation training was done with u audiotape recorded according to Jacobson's Theory. The data were analyzed with frequencies, means, and analysis of covariance using the SPSS program and the significance level of statistics was 5%. The results of the study are : 1) The importance of clinical practice stress reduction is shown in that the level of symptoms of stress in the experimental groups in clinical practice was higher than in the group receiving only a lecture. 2) The relaxation training methods of biofeedback and progressive muscle relaxation were effective in reducing the symptoms of stress under the clinical practice stress conditions. 3) The effectiveness of the biofeedback training relaxation method to reduce symptoms of stress was higher than that of progressive muscle relaxation. 4) The relaxation training methods of biofeedback and progressive muscle relaxation were effective in reducing stressful mood states. 5) The relaxation training methods of biofeedback and progressive muscle relaxation were not effective in reducing epinephrine and norepinephrine levels. 6) The relaxation training methods of biofeedback and progressive muscle relaxation were effective in increaing the number of natural killer cells. 7) The relaxation training methods of biofeedback and progressive muscle relaxation were effective in decreasing high systolic and diastolic values of blood pressure and high pulse rates. In summary, the relaxation methods of biofeedback and progressive muscle relaxation in reducing clinical practice stress were effective in lowering the level of symptoms of stress and the profile of stressful mood states. They were also effective in lowering high blood pressure and pulse rates. The relaxation methods were effective in increasing the number of natural killer cells as part of the immune function. However, relaxation methods were not effective in reducing the catecholamine level. The biofeedback training method for reduction of symptoms of stress was more effective than the progressive muscle relaxation method.

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A Study on Causes of Stress Experienced by Part Students of Dental Hygiene Department During Clinical Training (일부 치위생과 학생들의 임상실습 시 경험하는 스트레스 요인에 관한 조사)

  • Lee, Jung-Hwa;Jeon, Eun-Sook
    • Journal of dental hygiene science
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    • v.9 no.1
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    • pp.137-143
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    • 2009
  • The purpose of this study was to survey the cause factor and degree of stress experienced by second and third grade students of dental hygiene department in Gyeong-nam province and Ulsan Metropolitan city who were finished two weeks public health center training and four weeks dental hospital and local dental clinical training. It was to provide basic data and improve the problem of clinical training program. 1. In respect of their motives of choosing the hygiene department, 64.8% in second grade and 62.2% in third grade of those respondents cite guarantee of getting a job as main reason. In respect of the satisfaction for major field, 29.6% of second grade and 73.3% of third grade respondents were satisfied. 2. In the satisfaction for clinical training in public health center, 46.3% of second grade and 46.7% of third grade respondents were satisfied. In the satisfaction for clinical training in local dental clinic and hospital, 50.9% of second grade and 66.7% of third grade respondents were satisfied. 3. In the respect of major factor to feel stress in clinical training in public health center, the relation of school practice program and clinical training in public health center, 50.5% of respondents was felt stress because of the difference between school practice program and field condition was exist. 4. In the respect of major factor to feel stress in local dental clinic and hospital training, the relation of school practice program and clinical practice in public health center, 54.5% of respondents were felt stress. 62.1% of respondents were felt stress because of the difference between knowledge and practice. 58.1% of respondents were felt stress because of the difference between school practice program and field condition was exist. 50.5% of respondents were felt stress because of the lack of knowledge in related fields. As the above results, it is necessary to develop clinical practice program that is to increase satisfaction and provide motivation in oder to reduce the stress during clinical training.

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The Effects of Major Satisfaction and Clinical Practice Satisfaction on Job-Seeking Stress in Nursing College Students (간호대학생의 전공만족과 임상실습만족이 취업스트레스에 미치는 영향)

  • Cho, Young-Mi
    • Journal of Digital Convergence
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    • v.19 no.11
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    • pp.607-614
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    • 2021
  • This study was attempted to find out the effect of major satisfaction and clinical practice satisfaction of nursing college students on job-seeking stress. For this study, from May to June 2021, 152 4th grade students were participated from M University in Jeolla-do Province, using a self-reported questionnaire. Descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and multiple regression analysis were used for data analysis. As a result of this study, it was revealed that there was a significant negative correlation between the job-seeking stress of nursing students on major satisfaction(r=-.356, p<.001), but clinical practice satisfaction was not((r=-.018, p=.825). Also, the factors affecting the job-seeking stress of nursing students were age(β=0.285, p<.001), G.P.A.(β=0.250, p=.001) and major satisfaction(β=-0.331, p<.001) with a total explanatory power of 25.3%. As the results of this study, to decrease the job-seeking stress of nursing students, it is necessary to develop and apply programs to increase major satisfaction, and also the programs should be considered the nursing students' ages and G.P.As.

Influence of Clinical practice stress and Stress coping type on Self-leadership of Nursing students (간호대학생의 임상실습스트레스와 스트레스 대처방식이 셀프리더십에 미치는 영향)

  • Jo, Eun-Joo;Kang, Jung-Mi;Lim, Kyoung-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.94-104
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    • 2017
  • This study was conducted to identify the influence of clinical practice stress and the stress coping type on the self-leadership of nursing students. The subjects were 122 nursing students in B city and the data were collected from May 6 to May 13, 2015. The data were analyzed by means of the t-test, ANOVA, Scheff's test, Pearson's correlation coefficients and Stepwise multiple regression. Significant differences were found in the self-leadership by health status (p<.001), interpersonal relationships (p=.001), satisfaction with nursing major (p<.001) and satisfaction with clinical practice (p=.002). Self-leadership was negatively related to clinical practice stress (p=.028) and positively related to stress coping style (p<.001). The meaningful variables which influenced self-leadership were the health status, stress coping type and satisfaction with nursing major. The total explanatory power was 28.1% and the health status was the most influential factor. Therefore, in order to enhance the self-leadership of nursing students, it is necessary for them to maintain a good health condition and to have an effective stress coping type. In addition, methods are needed to increase the satisfaction of nursing major students.

The Structural Relationship among Sense of Coherence, Clinical Practice Stress, and Departmental Satisfaction of Dental Hygiene Students (치위생(학)과 학생의 통합성, 임상실습스트레스, 학과만족도의 구조적 관계)

  • Jeon, Ki Ha;Lim, Soon Ryun;Kim, Mi
    • Journal of dental hygiene science
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    • v.16 no.5
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    • pp.323-330
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    • 2016
  • The purpose of this study was to understand the comprehensive relationship among sense of coherence, clinical practice stress, and major satisfaction of students in the department of dental hygiene. From four local universities, departments of dental hygiene were selected: two departments represented a three-year curriculum system and two represented a four-year curriculum system. Data from the final questionnaires of 319 students were analyzed. Differences between variables were analyzed using t-tests and ANOVAs, and correlations were checked using Pearson's correlation coefficients. Path analysis was conducted to analyze the relationship among clinical practice stress, sense of coherence, and major satisfaction. The results indicated that clinical practice stress had a negative influential relationship with both sense of coherence, and major satisfaction. In addition, sense of coherence had a positive influential relationship with major satisfaction. The direct and indirect effects among factors displayed significant differences, indicating that clinical practice stress has a partial mediation effect on sense of coherence and major satisfaction. Therefore, major satisfaction can be increased by developing and implementing programs to improve sense of coherence.

A Study on the Satisfaction and Stress Factors of Clinical Practice for Dental Hygiene Students (일부 치위생학과 학생들의 병원실습 만족도와 스트레스 요인에 관한 연구)

  • Yoo, Ja-Hea;Kim, Jung-Hee
    • Journal of dental hygiene science
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    • v.16 no.1
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    • pp.62-69
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    • 2016
  • The purpose of this study was investigate the relationship between the degree of satisfaction of the clinical practice and the stress factors for dental hygiene students. Dental hygiene students to 232 people from May 21, 2012 to June 22, 2012 and analyzed using by SPSS for Windows ver. 12.0 program. Regarding the stress factors, by the school system, all the factors, including the environmental factor, the role factor, the interpersonal relationships factor, the ideal and value factor, and the Brief Encounter Psychosocial Instrument (BEPSI) were higher in the 3-year system than in the 4-year system (p<0.01). Regarding the stress factors according to the degree of satisfaction regarding the practices, all the factors were high when unsatisfied. Among these, the environmental factor was the highest (p<0.001). According to the practice organization, the environmental factor was the highest among the university dental hospital. The interpersonal relationship factor and the ideal and value factor were the highest among the dental hospitals. The role factor and the BEPSI were the highest among the dental clinics (p<0.01). When the hospital atmosphere was bad, the environmental factor was the highest (p<0.001). As a result of analyzing the correlations between the stress factors of the hospital practices, there were the positive correlations among the environment, the roles, the interpersonal relationship, the ideals and values, and the BEPSI (p<0.01). The stress factor that showed the biggest influence on the BEPSI was interpersonal relationships. In the clinical practice, because of the unfamiliar environment and the insufficiency of the interpersonal relationships, the stress indices of the students can be higher than at ordinary times. I believe that, as such, a systematic management plan for the clinical practice for raising the ability of the students to cope with the stress by themselves must be prepared.

Effects of Aromatherapy on Stress and Mood of Junior Nursing Students during Clinical Practice (아로마 요법이 임상실습 중 간호대학생의 스트레스와 기분에 미치는 영향)

  • Park, Soohyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.71-79
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    • 2018
  • The purposes of this study were to identify the stress level of nursing students prior to clinical training and to examine the effects of aromatherapy on stress, stress perception, and mood during clinical practice. This study was a randomized control trial using a pre-post test conducted from May-July 2016. A total of 41 junior nursing students were recruited. The experimental group (n=22) underwent aroma inhalation using a necklace containing lavender essential oil and a control group (n=19) used a normal saline necklace. There were significant improvements in stress (p=.023) and mood levels in the experimental group (p=.006). The difference in stress perception between the experimental and control groups was not statistically significant (p=.382). Aroma therapy might be useful for decreasing stress and improving their positive mood during clinical practice for nursing students.

The study of stress, satisfaction and the frequency of performing of Dental hygiene students to clinical training (일부 지역 치위생과 학생의 임상실습에 대한 수행빈도, 만족도 및 스트레스에 관한 연구)

  • Park, Young-Nam;Yoon, Sung-Uk;Lee, Kyeong-hee
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.359-367
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    • 2016
  • This study will be used as basic data to hold clinical training effective by researching and analyzing frequency, satisfaction and stress for the clinical practice of dental hygiene course students. The survey was undergone from Feb. 1, 2014 to Mar. 31 for 219 dental hygiene course juniors who had experienced clinical training in 3 year colleges located in Daejeon and Chungcheong Province. From the study, general and university hospital holds the highest satisfaction in clinical practice and dental offices in acquiring skills. Also, a significant difference is shown between the frequency and satisfaction according to clinical training sheets. The highest degree of stress is shown in dental offices for 'toothbrushing training and dental health education' and in general and university hospital for 'patient counselling'. Therefore, consideration should be made to establish the direction of education, standard criteria and evaluation method for student clinical training to raise its effectiveness.

The Effect of Practical Education Environment And Practical Stress Perceived by Nursing College Students who have Experienced Clinical Practice on Department Adaptation (임상실습을 경험한 간호 대학생이 지각하는 실습 교육환경, 실습 스트레스가 학과 적응에 미치는 영향)

  • Hye Kyung Yang
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.43-49
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    • 2024
  • This study is tried to confirm the effect of practical education environment and practical stress perceived by nursing college students who have experienced clinical practice on department adaptation. The subjects of the study were 154 nursing students who experienced clinical practice at nursing universities in Area C. As a result of the study, there was a positive correlation between the practical education environment perceived by nursing students and department adaptation (r=.43, p=.001), a negative correlation between practical stress and department adaptation (r=-.15, p=.012). The practical education environment and practical stress were identified as factors influencing nursing students' adaptation to the department. Therefore, in order to positively improve the practical education environment, it is necessary to continuously train related factors that can help adapt to field practice and prepare measures to improve the practical education environment through close cooperation with practice institutions.

The Effect of Foot Massage on Stress in Student Nurses in Clinical Practice (간호학생의 임상실습 스트레스경감을 위한 발마사지의 효과)

  • Won Jong-Soon;Kim Keum-Soon;Kim Kyung-Hee;Kim Won-Ock;Yu Jae-Hee;Jo Hyun-Sook;Jeong Ihn-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.192-207
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    • 2000
  • The purpose of this study was to identify the effects of foot massage on the stress of student nurses in clinical practice. The research design was a nonequivalent control group pretest-posttest design. The subjects of this study were 52 student nurses from three junior colleges and one university. The subjects were assigned to one of two groups : the experimental group(26 students), and the control group(26 students). The study was conducted from October to November 1999. For the experimental group the foot massage was performed once a day for 3 days, starting from the first day of clinical practice. Subjects' mood, fatigue, blood pressure and pulse rate were measured as dependent variables. The Instrument for mood and fatigue state was a 100mm visual analogue scale. For the experimental group pre and post tests were done just before and after every 3 foot massages and on the 7th clinical practice day. For the control group pretest was done on 1st clinical day and posttest was done on clinical practice 7th day. The data was analyzed by the t-test and paired t-test and the results are summarized as follows: 1. The mood state scores were significantly higher for the experimental group as compared to the control group after the foot massage(t=13.73, p<.001). 2. The fatigue state scores were significantly lower for the experimental group as compared to the control group after the foot massage(t=8.69, p<.001). 3. The systolic blood pressure was significantly different between the experimental group and the control group after the foot massage(t=3.0073, p<.01). 4. The diastolic blood pressure was not significantly different between the experiment group and the control group after the foot massage. 5. The pulse rate was not significantly different between the experiment group and the control group after foot massage. 6. The mood state scores on the 1st, 2nd, 3rd massage day was significantly improved right after the foot massage. 7. The fatigue state scores on the 1st, 2nd, 3rd massage day were significantly lower right after the foot massage. 8. Systolic blood pressure on the 1st and 2nd massage day was significantly decreased right after the foot massage. Diastolic blood pressure and pulse rate were decreased right after massage but the change was not statistically significant. On the basis of the above findings, this study suggests that foot massage can be an effective stress relieving method for student nurses in clinical practice.

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