Stress (스트레스연구)

The Korean Society of Stress Medicine (대한스트레스학회)
권호 표지

Relationship of Clinical Practice Stress to Clinical Competence among One College Nursing Students

일개 간호대학생의 임상실습 스트레스와 임상수행능력의 관계

  • 박선정 (삼육대학교 일반대학원 간호학과) ;
  • 박병준 (고려대학교 간호대학)
  • Received : 2013.11.07
  • Accepted : 2013.12.15
  • Published : 2013.12.31
⟨ Previous Next ⟩

Abstract

The purpose of this study was to examine the relationship of the clinical practice stress of nursing students to their clinical competence in an effort to provide some information of intervention. The subjects in this study were every junior and senior who earned all the necessary credits for clinical practice in a nursing college located in the province of G. The number of the selected students was 349. The collected data were analyzed by the statistical package SPSS WIN 18.0, and a structural inventory was utilized to grasp the general characteristics, clinical practice stress and clinical competence of the students. As a results, the students got a mean of $3.24{\pm}.61$ and $3.20{\pm}.41$ in self-perceived clinical practice stress and clinical competence respectively, which were both above the average, and the personal characteristics of their clinical practice stress had a statistically significant negative correlation to their clinical competence. Given the findings of the study, nursing education tailored to individual characteristics is required in association with clinical practice, and should be implemented to determine influential sociopsychological variables.

본 연구는 일개 간호대학생의 임상실습 스트레스에 따른 임상수행능력을 파악하여, 임상실습 스트레스를 줄이고 나아가서는 임상수행능력을 향상 시킬 수 있는 중재방안을 마련하기 위한 기초자료를 제공하고자 수행된 조사연구이다. 본 연구는 G도에 위치한 일개 간호대학에서 임상실습 학점을 모두 이수한 3, 4학년 전수인 407명 가운데 연구에 동의한 349명을 대상으로 하였다. 자료로는 일반적 특성을 포함한 임상실습 스트레스와 임상수행능력을 측정할 수 있는 구조적 도구를 사용하여 SPSS WIN 18.0 program을 이용하여 분석하였다. 본 연구의 결과, 대상자가 인식하는 임상실습 스트레스의 정도는 평균 $3.24{\pm}.61$점, 임상수행능력은 $3.20{\pm}.41$점으로 측정되어 보통 이상이었으며, 임상실습 스트레스와 임상수행능력 총점에 서는 상관관계가 없는 것으로 보고되었으나, 임상실습 스트레스의 개인영역과 임상수행능력의 하위영역 사이에서는 통계적으로 유의한 역 상관관계가 있음을 확인하였다. 이를 통해 임상실습에서 개인의 특성을 고려한 간호교육이 수행되어야 하며, 각 특성별 심리 사회적인 변인을 확인하는 연구가 요구된다.

Keywords

References

  1. Barrett C, Myrick F (1998) Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee. J. of Adv. Nurs. 27:364-371. https://doi.org/10.1046/j.1365-2648.1998.00511.x
  2. Cho HS (2005) A study on the critical thinking disposition and clinical competency of nursing students. J. Korean Acad. Soc. Nurs Edu. 11:222-231.
  3. Choi MS (2005) A Study on the Relationship between Teaching Effectiveness of Clinical Nursing Education and Clinical Competency in Nursing Students. Unpublished master's thesis. Ewha Womans University. Seoul.
  4. Do HJ, Kim YS (2008) Study on male nursing college students' subjectivity in their attitude toward jobs. J. Korean Acad. Soc. Nurs Edu. 14:167-175. https://doi.org/10.5977/JKASNE.2008.14.2.167
  5. Han KS, Kim GM (2007) Comparison to self esteem, family adaptation, health promoting behaviors and symptoms of stress between nursing and other major university women student. J. Korean Acad. Psychiatric and Mental Health Nurs. 16:78-84.
  6. Han SH, Yu HS (2012) College women's self-leadership, stress of clinical practice and self disclosure in an area. J. Korean Acad. Soc. Nurs Edu. 18:131-140. https://doi.org/10.5977/jkasne.2012.18.1.131
  7. Jung JS (2012). Relationship of self-directedness and practice satisfaction to clinical practice in nursing students: the mediating effect of clinical competence. J. Korean Acad. Soc. Nurs Edu. 18:53-61. https://doi.org/10.5977/jkasne.2012.18.1.053
  8. Kim HS (2002) A study on relationship between stress of clinical practice and clinical competency in nursing students. J. of Korea Community Health Nursing Academic Society 10:64-76.
  9. Kim IS, Jang YK, Park SH et al. (2011) Critical thinking disposition, stress of clinical practice and clinical competence of nursing students. J. Korean Acad. Soc. Nurs Edu. 17:337-345. https://doi.org/10.5977/JKASNE.2011.17.3.337
  10. Kim KH, Kim GD (2007) The relationship between critical thinking disposition and self-efficacy of college nursing students. J. Korean Acad. Soc. Nurs Edu. 13:229-236.
  11. Kim SL, Lee JE (2005) Relationship among stress, coping strategies, and self-esteem in nursing students taking clinical experience. J. Korean Acad. Soc. Nurs Edu. 11:98-106.
  12. Kim WH (2002). Relationship between Job Stress and Nursing Task Performance of Clinical Nurses. Unpublished master's thesis. Chosun University. Gwangju.
  13. Ko KJ (2003) A study on the Critical Thinking Disposition and Clinical Competency of Nursing Students. Unpublished master's thesis. Kwandong University. Gangneung.
  14. Lee WH, Kim CJ, Yoo JS et al. (1991). Development of a clinical competency for nursing students. J. of Nursing for Yonsei University 13:17-27.
  15. Oh MJ (2000) A factor analysis of the perspectives on the coping strategies about practical stress in nursing student. Child Health Nursing Research 6:423-436.
  16. Park BS (2009) Stress and satisfaction related to clinical practice by sex role identity among nursing students. Unpublished master's thesis. Kwandong University. Gangneung.
  17. Park HJ, Jang IS (2010) Stress, depression, coping styles and satisfaction of clinical practice in nursing students. J. Korean Acad. Soc. Nurs Edu. 16:14-23. https://doi.org/10.5977/JKASNE.2010.16.1.014
  18. Park JW, Chio J (2013) Clinical practicum experiences of the nursing students' in psychiatric settings by personality types of enneagram. Korean Journal of Stress Research 21:213-227.
  19. Park MY, Kim SY (2000) A qualitative study of nursing students first clinical experience. J. Korean Acad. Soc. Nurs Edu. 6:23-35.
  20. Park SI, Seo EH (2010) Experience of male students majoring in nursing. Qualitative Research 11:60-68.
  21. Shin EJ (2012) Emotional intelligence, ego resilience, stress in clinical practice of nursing students. Unpublished master's thesis. Keimyung University. Daegu.
  22. Son YJ, Choi EY, Song YA (2010) The Relationship between Stress and Depression in Nursing College Students. Korean Journal of Stress Research 18:345-352.
  23. Shin YW, Lee HJ, Lim YJ (2010) Predictors of clinical competence in new graduate nurses. J. Korean Acad. Nurs Admin. 16:37-47. https://doi.org/10.11111/jkana.2010.16.1.37
  24. Whang SJ (2002) Development and verification of a clinical practice stress scale for nursing students. J. of the Margaret Pritchard College of Nursing 14:35-54.
  25. Whang SJ (2006) The relationship between clinical stress, selfefficacy, and self-esteem of nursing college students. J. Korean Acad. Soc. Nurs Edu. 12:205-213.
  26. Yang NY, Moon SY (2011) Relationship of self-leadership, stress and satisfaction in clinical practice of nursing students. J. Korean Acad. Nurs Admin. 17:216-225. https://doi.org/10.11111/jkana.2011.17.2.216
  27. Yee JA (2004) A study on the image of nurses and the professional self-concept perceived by nursing students. J. Korean Acad. Nurs Admin. 10:325-334.
  28. Zhang X, Luk W, Arthur D et al. (2001). Nursing competencies: personal characteristics contributing to effective nursing performance. Journal of Advanced Nursing 33:467-474. https://doi.org/10.1046/j.1365-2648.2001.01688.x