Stress of Clinical Practice, Self-concept, Mental Health of Nursing Students

간호대학생의 임상실습스트레스, 자아개념 및 정신건강

  • Park, Gwang Ok (Department of Nursing, College of Nursing, Catholic University of Pusan) ;
  • Kim, Young Sun (Department of Nursing, College of Nursing, Catholic University of Pusan)
  • 박광옥 (부산가톨릭대학교 간호대학 간호학과) ;
  • 김영선 (부산가톨릭대학교 간호대학 간호학과)
  • Received : 2013.07.19
  • Accepted : 2013.08.20
  • Published : 2013.08.31

Abstract

The purpose of study was to explore the mental health level of nursing students according to their clinical stress and self-concept, and to identify influencing factors of mental health. A cross-sectional study design was used in this study. The participants for this study were 169 nursing students in B and C city. The collected data were analyzed using t-test, ANOVA, Pearson's correlation and multiple regression with SPSS/win21.0 program. The mean scores of stress of clinical practice, self-concept and mental health were 2.86, 3.05 and 1.56. The mental health of the nursing students was significantly different according to the sex and the location of high school. The mental health showed the significant positive relationship with stress of clinical practice and negative relationship with self-concept. Personal self-concept, social self-concept, physical self-concept and interpersonal relationship conflict accounted for 32.9% of variance in mental health of nursing students. Finding of this study allow a comprehensive understanding of nursing students. It is necessary to develop nursing intervention program for improving mental health of nursing students by considering self-concept and relieving stress of clinical practice.

본 연구는 간호대학생의 자아개념, 임상실습스트레스 정도와 정신건강 수준을 알아보고 이들의 관계를 파악하고자 시도된 서술적 상관관계 연구이다. 연구대상은 P시와 G시에 소속되어 있는 한 학기동안 임상실습을 경험한 간호대학생 3학년, 169명이며 구조화된 설문지를 이용하였다. 자료수집은 2012년 9월 17일에서 10월 12일까지이며, 자료의 분석은 SPSS 21.0 program을 이용하여 분석하였다. 본 연구결과 간호대학생의 임상실습스트레스 정도는 높았고, 자아개념 정도와 정신건강 수준은 낮았다. 임상실습스트레스 하위요인 중 실습교육환경, 바람직하지 못한 역할모델, 실습업무 부담 등이 높은 스트레스 요인으로 나타났다. 또한 실습교육환경, 바람직하지 못한 역할모델, 대인관계갈등, 환자와의 관계에 대한 스트레스가 높을수록 정신건강이 낮은 것으로 나타났다. 또한 자아개념의 하위 영역 중에서는 개인적 자아, 사회적 자아, 신체적 자아와 임상실습 스트레스 하위 영역 중에서는 대인관계갈등이 간호대학생의 정신건강을 유의하게 설명하는 변인으로 32.9%의 설명력을 나타내었다. 본 연구 결과 간호대학생의 정신건강을 향상시킬 수 있는 긍정적 자아개념 형성과 임상실습스트레스 해소를 위한 중재방안마련의 기초자료를 제공하고자 한다.

Keywords

Acknowledgement

Supported by : 부산가톨릭대학교

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