DOI QR코드

DOI QR Code

Study of Stress, Health Promotion Behavior, and Quality of Life of Nursing Students in Clinical Practice and Factors associated with Their Quality of Life

간호대학생의 임상실습 스트레스, 건강증진행위, 삶의 질과 영향요인에 관한 연구

  • Received : 2014.07.05
  • Accepted : 2014.07.25
  • Published : 2014.08.31

Abstract

Purpose: The purpose of this study was to identify factors associated with quality of life of nursing students during clinical practice. Methods: A convenience sample of 332 nursing students completed the questionnaire from July to September, 2013. A self-reported questionnaire was used to obtain data on quality of life, stress related to clinical practice, and health promotion behavior. Data was analyzed with independent t-test, one way ANOVA and Scheff${\acute{e}}$'s post hoc test, Pearson correlation coefficients, and hierarchical multiple regression by using SPSS version 20.0. Results: There were significant differences in quality of life scores by age, economic status, interpersonal relationships, daytime somnolence, number of visits in pharmacy and/or healthcare center, health status, and stress management. Quality of life had positive correlation with health promotion behavior but had negative correlation with the level of stress related to clinical practice. Models including these variables explained 34.3% (F=9.77, p<.001) of the variance for quality of life. Age, economic status, sleep amount, numbers of pharmacy/hospital visits, health status, stress during clinical practice, and health promotion behavior were significantly associated with quality of life in nursing students. Conclusion: There is a need to develop and implement new strategies that will result in improvement in nursing students' quality of life.

Keywords

References

  1. Cha, B. K. (2013). Factors affecting health-related quality of life in women undergraduates. Journal of Korean Academy of Fundamentals of Nursing, 20 (4), 400-409. http://dx.doi.org/10.7739/jkafn.2013.20.4.400
  2. Chon, K. K., & Kim, K. H. (1991). Development of the life stress scale for college students: A control theory approach. Korean Journal of Clinical Psychology, 10 (1), 137-158.
  3. Chu, J. P., Min, B. I., & Park, S. G. (2001). Perceived sources and coping methods of stress in a population of university students in Korea. Korean Journal of Stress Research, 9 (2), 41-49.
  4. Clark, M. M., Warren, B. A., Hagen, P. T., Johnson, B. D., Jenkins, S. M., Werneburg, B. L., et al. (2011). Stress level, health behaviors, and quality of life in employees joining a wellness center. American Journal of Health Promotion, 26 (1), 21-25. http://dx.doi.org/10.4278/ajhp.090821-QUAN-272
  5. Del Prato, D., Bankert, E., Grust, P., & Joseph, J. (2011). Transforming nursing education: a review of stressors and strategies that support students' professional socialization. Advances in Medical Education and Practice, 2011 (2), 109-116. http://dx.doi.org/10.2147/AMEP.S18359
  6. Gibbons, C., Dempster, M., & Moutray, M. (2009). Index of sources of stress in nursing students: A confirmatory factor analysis. Journal of Advanced Nursing. 65 (5), 1095-1102. http://dx.doi.org/10.1111/j.1365-2648.2009.04972.x
  7. Han, K. S., & Kim, G. M. (2007). Comparison to self esteem, family adaptation, health promoting behaviors, and symptoms of stress between nursing and other major university women student. Korean Academy of Psychiatric and Mental Health Nursing, 16 (1), 78-84.
  8. Jimenez, C., Navia-Osorio, P. M., & Diaz, C. V. (2010). Stress and health in novice and experienced nursing students. Journal of Advanced Nursing, 66 (2), 442-455. http://dx.doi. org/10.1111/j.1365-2648.2009.05183.x
  9. Kim, H. S., Oh, E. G., Hyong, H. K., & Cho, E. S. (2008). A study on factors influencing health promotion lifestyle in college students. Journal of Korean Academy of Community Health Nursing, 19 (3), 506-520.
  10. Kim, N. E. (2011). The relationships among stress, reliance, and quality of life in college students. Journal of Adolescent Welfare, 13 (4), 1-19.
  11. Kim, S. L., & Lee, J. E. (2005). Relationship among stress, coping strategies, and self-esteem in nursing students taking clinical experience, Journal of Korean Academic Society of Nursing Education, 11 (1), 98-106.
  12. Lee, H. S., & Kim, E. J. (2008). The comparison of stress coping and satisfaction with clinical practice according to the grade of nursing college student. Journal of East-West Nursing Research, 14 (1), 5-13.
  13. Min, S. K., Lee, C. I., Kim, K. I., Suh, S. Y., & Kim, D. K. (2000). Development of korean version of WHO quality of life scale abbreviated version (WHOPQOL-BREF). Journal of the Korean Neuropsychiatric Association, 39 (3), 571-579.
  14. Min, S. K., Shin, W. C., Kim, K. I., Chung, J. I., & Kim, D. K. (2000). Comparison of quality of life between medical students and general college students. Journal of the Korean Neuropsychiatric Association, 39 (6), 1054-1060.
  15. Park, H. J., & Jang, I. S. (2010). Stress, depression, coping styles and satisfaction of clinical practice in nursing students. Journal of Korean Academic Society of Nursing Education, 16 (1), 14-23. http://dx.doi.org/10.5977/jkasne.2010.16.1.014
  16. Park, J. Y., & Kim, N. H. (2013). Relationships between physical activity, health status, and quality of life of university students. Journal of Korean Public Health Nursing, 27 (1), 153-165. http://dx.doi.org/10.5932/JKPHN.2013.27.1.153
  17. Paro, H. B. M. S., Morales, N. M. O., Silva, C. H. M., Rezende, C. H. A., Pinto, R. M. C., Morales, R. R., et al. (2010). Healthrelated quality of life of medical students. Medical Education, 44 (3), 227-235. http://dx.doi.org/10.1111/j.1365-2923.2009.03587.x
  18. Reeve, K. L., Shumaker, C. J., Yearwood, E. L., Crowell, N. A., & Riley, J. B. (2013). Perceived stress and social support in undergraduate nursing students' educational experiences. Nurse Education Today, 33 (4), 419-424. http://dx.doi.org/10.1016/j.nedt.2012.11.009
  19. Ross, R., Zeller, R., Srisaeng, P., Yimmee, S., Somchid, S., & Sawatphanit, W. (2005). Depression, stress, emotional support, and self-esteem among baccalaureate nursing students in Thailand. International Journal of Nursing Education Scholarship, 2 (1), 1-15. http://dx.doi.org/10.2202/1548-923x.1165
  20. Ryu, M. K., Park, K. M., & Kim, C. N. (1999). Factors related to the quality of life of college students. Korean Public Health Association, 25 (1), 29-42.
  21. Seo, H. M. (2001). Construction of health promoting behaviors model in elderly. Unpublished doctoral dissertation, Seoul National University, Seoul.
  22. Song, Y. S. (2012). Stressful life events and quality of life in nursing students. Journal of Korean Academic Society of Nursing Education, 18 (1), 71-80. http://dx.doi.org/10.5977/jkasne.2012.18.1.071
  23. Timmins, F., & Kaliszer, M. (2002). Aspects of nurse education programmes that frequently cause stress to nursing studentsfact-finding sample survey. Nurse Education Today, 22 (3), 203-211. http://dx.doi.org/10.1054/nedt.2001.0698
  24. Walker, S. N., & Hill-Polerecky, D. M. (1996). Psychometric evaluation of the Health-Promoting Lifestyle Profile II . Unpublished manuscript, University of Nebraska Medical Center.
  25. Yazdani, M., Rezaei, S., & Pahlavanzadeh, S. (2010). The effectiveness of stress management training program on depression, anxiety and stress of the nursing students. Iranian Journal of Nursing and Midwifery Research, 15 (4), 208-215.
  26. Yi, S. E., Oh, K. S., Park, Y. J., Kim, J. A., Kim, H. S., Oh, K. O., et al. (2004). Structural equation model for the health behaviors of university nursing students in Korea. Journal of Korean Academic Society of Nursing Education, 10 (2), 278-288.
  27. Yoo, J. S., Chang, S. J., Choi, E. K., & Park, J. W. (2008). Development of a stress scale for korean nursing students. Journal of Korean Academy of Nursing, 38 (3), 410-419. http://dx.doi.org/10.4040/jkan.2008.38.3.410
  28. Yu, S. J., Song, M. R., & Kim, E. M. (2014). Factors influencing depression among nursing students. The Journal of Korean Academic Society of Nursing Education, 20 (1), 71-80. http://dx.doi.org/10.5977/jkasne.2014.20.1.71

Cited by

  1. Influence on Health Promotion Behavior among Nursing students according to Health Information Seeking Behavior vol.29, pp.2, 2015, https://doi.org/10.5932/JKPHN.2015.29.2.231
  2. The Relationships between Body Mass Index, Nutrition Knowledge and the Health Promotion Behavior of Nursing Students vol.18, pp.2, 2016, https://doi.org/10.7586/jkbns.2016.18.2.87
  3. Structured Model on the Health related Quality of Life in University Students focused on Personal Competency Health Care vol.20, pp.2, 2017, https://doi.org/10.7587/kjrehn.2017.129