Journal of the Korean Data Analysis Society

Korean Data Analysis Society (한국자료분석학회)
권호 표지

Relationship among Stress of Clinical Practice, Practice Satisfaction and Clinical Competence in Nursing Students

간호대학생의 임상실습 스트레스, 임상실습 만족도와 임상수행능력의 관계

  • 유혜순 (군산간호대학교 간호학과)
  • Received : 2014.11.19
  • Accepted : 2015.03.19
  • Published : 2015.04.30
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the relation of stress of clinical practice, practice satisfaction and clinical competence in college nursing students. The study was conducted, based on a sample of 410 students in Gunsan, Korea and the data were analyzed using descriptive statistics, t-test and Pearson correlation with SPSS 19.0 program. As a result of correlation analysis, there were significant differences in stress of clinical practice, practice satisfaction and clinical competence according to religion, health status, interpersonal relationship, satisfaction on campus life, grade, satisfaction on clinical practice. Also, stress of clinical practice was negatively related with practice satisfaction and clinical competence. For the improvement of clinical competence in nursing students, the extent of stress of clinical practice should be identified and it is needed that proper exercise program reducing stress of clinical practice should be developed.

본 연구는 간호대학생의 임상실습 과정에서 느끼는 스트레스, 임상실습 만족도와 임상수행능력의 관계를 파악하여 임상실습 교육의 활성화를 위한 기초 자료를 제공하기 위하여 시도되었다. 연구대상자는 임상실습을 경험한 4년제 간호학과에 재학 중인 3, 4학년 410명을 대상으로 구조화된 설문지를 통해 조사한 자료를 SPSS/PC+ ver. 19.0을 이용하여 분석하였다. 연구결과, 임상실습 스트레스, 임상실습 만족도 및 임상수행능력 정도는 종교, 건강상태, 대인관계, 대학생활 만족도, 학업성적, 간호학과 선택 동기, 간호학 전공 만족도, 임상실습 만족도, 실습 시 동료와의 관계, 주된 실습기관, 임상실습량에 대한 만족도, 졸업 후 희망진로 등 대상자의 특성에 따라 대부분 통계적으로 유의한 차이가 나타났다. 임상실습 스트레스, 임상실습만족도 및 임상수행능력의 상관관계 분석에서는 임상실습 스트레스가 높을수록 임상수행능력과 임상실습 만족도는 낮아지며, 임상실습 만족도가 높을수록 임상수행능력이 높은 것으로 나타났다. 따라서 간호대학생들의 임상실습 교육의 부실과 실습과정에서의 스트레스 증가는 임상실습 만족도를 저하시키고 임상수행능력 부족을 초래할 뿐 아니라, 나아가 양질의 의료서비스 저하와 함께 전문성을 갖춘 우수한 간호사를 양성하는 데 어려움을 갖게 될 것이므로, 간호대학생들의 임상실습 스트레스 정도를 파악하고 임상실습 만족도와 임상수행능력에 미치는 영향을 파악함으로써 효율적인 임상실습 교육을 위한 훈련 프로그램을 개발하여 적용한다면 궁극적으로 간호대학생들의 임상수행능력을 증진시킬 수 있을 것으로 기대된다.

Keywords

References

  1. Baek, M. J., Kim, W. J., Ryu, H. S. (2013). Influencing factors of professional self-concept, satisfaction for clinical practice, and critical thinking disposition on clinical competency in nursing students, Journal of the Korean Data Analysis Society, 15(6B), 3353-3365. (in Korean).
  2. Cho, N. O. (1998). The relationship between assertiveness and clinical stress in nursing students, The Journal of Korean Academic Society of Nursing Education, 4(2), 317-330. (in Korean).
  3. Cho, K. J., Kang, H. S. (1984). A study on the clinical performance ability, self-concept of professional nursing and satisfaction with clinical practice of nursing students, Journal of Korean Academy of Nursing, 14(2), 63-74. (in Korean).
  4. Cho, K. M., Lee, S. E. (2002). Correlation study on the relationship between the teaching effectiveness and satisfaction of clinical practice in clinical nursing education, Kyung-In Studies, 1(2), 123-135. (in Korean).
  5. Choi, K. O., Jo, H. S., Kim, C. Y., Kim, B. Y., Chang, S. J. (2002). The teaching effectiveness of preceptorship and satisfaction of student for clinical practice on nursing education, Journal of Korean Academy of Nursing Administration, 8(1), 73-83. (in Korean).
  6. Ha, N. S., Han, K. S., Choi, J. (1998). The relationship of perceived stress, ways of coping, and stress response of nursing students, Journal of Korean Academy of Nursing, 28(2), 358-368. (in Korean). https://doi.org/10.4040/jkan.1998.28.2.358
  7. Han, S. J. (2000). A study on relationship between empowerment and satisfaction of clinical practice in nursing students, The Journal of Korean Academic Society of Nursing Education, 6(1), 132-146. (in Korean).
  8. Hyun, M. S., Seo, M. A. (2000). Clinical practicum experiences of the nursing students' in psychiatric settings, Journal of Korean Academy of Psychiatric and Mental Health Nursing, 9(1), 44-53. (in Korean).
  9. Ji, E. M., Lee, J. H. (2014). Influencing factors of satisfaction for clinical practice in nursing students, Journal of the Korean Data Analysis Society, 16(2B), 1125-1140. (in Korean).
  10. Jung, S. Y. (2013). The structural model of clinical performance ability for nursing students, Journal of the Korean Data Analysis Society, 15(6B), 3333-3352. (in Korean).
  11. Kang, I. W., Kim, H. S. (1994). A study on the relationship between head nurse's leadership perceived by students and student's satisfaction in clinical nursing practice, Korean Journal of Adult Nursing, 6(2), 144-155. (in Korean).
  12. Kim, H. S. (2002). A study on relationship between stress of clinical practice and clinical competency in nursing students, Journal of Korea Community Health Nursing Academic Society, 16(1), 64-76. (in Korean).
  13. Kim, N. H., Kim, K. W. (2011). Self-efficacy, self-concept of professional nursing, and clinical practice satisfaction to clinical practice education in nursing students, The Korean Journal of Health Service Management, 5(4), 41-51. (in Korean). https://doi.org/10.12811/kshsm.2011.5.4.041
  14. Kim, S. L., Lee, J. E. (2005). Relationship among stress, coping strategies, and self-esteem in nursing students taking clinical experience, The Journal of Korean Academic Society of Nursing Education, 11(1), 98-106. (in Korean).
  15. Kim, J. S., Lee, A. R., Eo, Y. S. (2013). Clinical practice performance according to type of practices and satisfaction of clinical practice in students at child health nursing, The Journal of Korean Academy Society of Nursing Education, 19(4), 542-548. (in Korean). https://doi.org/10.5977/jkasne.2013.19.4.542
  16. Lee, S. E. (2001). A study on the clinical performance ability, self-concept of professional nursing and satisfaction with clinical practice of nursing students, The Journal of Korean Academic Society of Nursing Education, 7(2), 333-348. (in Korean).
  17. Lee, K. E., Ha, N. S., Kil, S. Y. (2000). The relationship between self-disclosure and clinical competency in nursing students, Journal of Korean Academy of Nursing, 30(3), 571-583. (in Korean). https://doi.org/10.4040/jkan.2000.30.3.571
  18. 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, 14(1), 5-13. (in Korean). https://doi.org/10.1300/J097v14n01_02
  19. Lee, S. H., Kim, S. Y., Kim, J. A. (2004). Nursing students' image of nurse and satisfaction with clinical practice, The Journal of Korean Academic Society of Nursing Education, 10(2), 219-231. (in Korean).
  20. Lee, W. H., Kim, J. J., Yu, J. S., Heo, H. G., Kim, G. S., Lim, S. M. (1990). A study on the development of measure instrument of practical competence in nursing students, Journal of Nursing Science, Yonsei University, 13, 17-27. (in Korean).
  21. Moon, M. S. (1998). Nursing students' initial clinical experience, The Journal of Korean Academic Society of Nursing Education, 4(1), 15-27. (in Korean).
  22. Moon, S.-H., Cho, H. H. (2014). Job seeking stress, stress coping styles, and perimenstrual symptoms in female college students, Journal of the Korean Data Analysis Society, 16(4B), 2261-2272. (in Korean).
  23. Park, M. Y. (2001). Stress and anger of nursing students related to clinical practice, The Journal of Korean Academic Society of Nursing Education, 7(1), 7-21. (in Korean).
  24. Park, J. W., Ha, N. S. (2003). Nursing students' clinical experiences, Journal of Korean Academy of Psychiatric and Mental Health Nursing, 12(1), 27-35. (in Korean).
  25. Park, H. J., Jang, I. S. (2010). Stress, depression, coping styles and satisfaction of clinical practice in nursing students, The Journal of Korean Academic Society of Nursing Education, 16(1), 14-23. (in Korean). https://doi.org/10.5977/JKASNE.2010.16.1.014
  26. Park, G. O., Kim, Y. S. (2013). Stress of clinical practice, self-concept, mental health of nursing students, Journal of the Korean Data Analysis Society, 15(4B), 2149-2163. (in Korean).
  27. Park, M. Y., Kim, S. Y. (2000). A qualitative study of nursing students' first clinical experience, The Journal of Korean Academic Society of Nursing Education, 6(1), 23-25. (in Korean).
  28. Park, I. S., Kim, C. S., Kim, R., Kim, Y. J., Park, M. H. (2005). Stress, anxiety and fatigue of nursing students in clinical practice, The Journal of Korean Academic Society of Nursing Education, 11(2), 151-160. (in Korean).
  29. Schwrian, P. M. (1978). Evaluating the performance of nurses : A multidimensional approach, Nursing Research, 27(6), 347-351.
  30. Shin, K. A., Cho, B. H. (2012). Professional self-concept, critical thinking disposition and clinical competence in nursing students, Journal of Korean Academy of Fundamentals Nursing, 19(1), 46-56. (in Korean). https://doi.org/10.7739/jkafn.2012.19.1.046
  31. Tanner, J. (2000). A practice-based approach to the selection of course content, Nurse Education on Today, 20, 141-146. https://doi.org/10.1054/nedt.1999.0384
  32. Whang, S. J. (2002). Development and verification on measurement instrument of stress of clinical practice in nursing students, Studies in Nursing Science, Jesus University, 14(1), 35-54. (in Korean).
  33. Whang, S. J. (2006). The relationship between clinical stress, self-efficacy and self-esteem of nursing college students, The Journal of Korean Academic Society of Nursing Education, 12(2), 205-213. (in Korean).
  34. Yang, S. H., Lee, O. C., Lee, W. S., Yoon, J., Park, C. S., Lee, S. J. (2009). Critical disposition and clinical competency in 3 nursing colleges with different education methods, The Journal of Korean Academic Society of Nursing Education, 15(2), 149-158. (in Korean). https://doi.org/10.5977/JKASNE.2009.15.2.149
  35. Yang, N. Y., Moon, S. Y. (2011). Relationship of self-leadership, stress and satisfaction in clinical practice of nursing students, Journal of Korean Academy of Nursing Administration, 17(2), 216-225. (in Korean). https://doi.org/10.11111/jkana.2011.17.2.216