Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Effect of Nurses' Incivility Experienced by Nursing Student, Coping on Burnout in Clinical Practice

임상실습에서 간호대학생이 경험하는 간호사의 무례함, 대처가 소진에 미치는 영향

  • Hong, Yunkyung (College of Nursing, Pusan National University) ;
  • Kim, Younghae (College of Nursing, Pusan National University) ;
  • Son, Hyunmi (College of Nursing, Pusan National University)
  • Received : 2016.05.23
  • Accepted : 2016.09.06
  • Published : 2016.09.30
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Abstract

Purpose: The purpose of this study was to identify the effects of nurse's incivility experienced by nursing students and coping against incivility on burnout in clinical practice. Methods: A cross-sectional correlation study design was used. The subjects were 120 nursing student from four universities in Busan and Yangsan, South Korea. A self-report questionnaire was used to collect data on incivility, coping, and burnout. Finally total 117 nursing students' data was analyzed except 3 nursing students who had never experienced nurse's incivility for clinical practice. Data analyzed using descriptive statistics, Pearson correlation coefficient, independent t-test, ANOVA, and multiple regression. Results: 97.5% of subjects (n=120) experienced incivility. Incivility was positively correlated with seeking social support coping, avoiding focused coping and burnout. Incivility and avoiding focused coping had a significant positive effect on burnout. The explained variance for burnout was 10.0% and avoiding focused coping was the most significant factor in burnout. Conclusion: Most of nursing students experience the nurses' incivility. Judging incivility as a difficult problem to solve, students use more avoiding focused coping strategy and burnout is increased. Therefore education is needed to improve the coping strategies at incivility. Additionally colleges and hospitals should establish the formal reporting system to handle the incivility.

Keywords

References

  1. Brammer JD. RN as gatekeeper: student understanding of the RN buddy role in clinical practice experience. Nurse Education in Practice. 2006;6(6):389-396. http://dx.doi.org/10.1016/j.nepr.2006.07.013
  2. Kim SL, Lee JE. Relationship among stress coping strategies, and self-esteem in nursing students taking clinical experience. The Journal of Korean Academic Society of Nursing Education. 2005;11(1):98-106.
  3. Curtis J, Bowen I, Reid A. You have no credibility: Nursing students' experiences of horizontal violence. Nurse Education in Practice. 2007;7(3):156-163. http://dx.doi.org/10.1016/j.nepr.2006.06.002
  4. Thomas SP, Burk R. Junior nursing students' experiences of vertical violence during clinical rotations. Nurs Outlook. 2009;57 (4):226-231. http://dx.doi.org/10.1016/j.outlook.2008.08.004
  5. Andersson LM, Pearson CM. Tit for tat? the spiraling effect of incivility in the workplace. Academy of Management Review. The Academy of Management. 1999;24(3):452-471. http://dx.doi.org/10.5465/amr.1999.2202131
  6. Lim S, Cortina LM, Magley VJ. Personal and workgroup incivility: Impact on work and health outcomes. Journal of Applied Psychology. 2008;93(1):95-107. http://dx.doi.org/10.1037/0021-9010.93.1.95
  7. Anthony M, Yastik J, MacDonald DA, Marshall KA. Development and validation of a tool to measure incivility in clinical nursing education. Journal of Professional Nursing. 2014;30(1):48-55. http://dx.doi.org/10.1016/j.profnurs. 2012.12.011
  8. Anthony, M, Yastik, J. Nursing students' experiences with incivility in clinical education. Journal of Nursing Education. 2011;50(3):140-144. http://dx.doi.org/10.3928/01484834-20110131-04
  9. Babenko-Mould Y, Laschinger HKS. Effects of incivility in clinical practice settings on nursing student burnout. International Journal of Nursing Education Scholarship. 2014;11(1):145-154. http://dx.doi.org/10.1515/ijnes-2014-0023
  10. Gibbons C. Stress, coping and burn-out in nursing students. International Journal of Nursing Studies. 2010;47(10):1299-1309. http://dx.doi.org/10.1016/j.ijnurstu.2010.02.015
  11. Daniel ZF, Shah G, Sidney Z. Burnout in premedical undergraduate students. Academic Psychiatry. 2012;36(1):11-16. http://dx.doi.org/10.1176/appi.ap.10080125
  12. Rudman A, Gustavsson JP. Burnout during nursing education predicts lower occupational preparedness and future clinical performance: A longitudinal study. International Journal of Nursing Studies. 2012;49(8):988-1001. http://dx.doi.org/10.1016/j.ijnurstu.2012.03.010
  13. Lazarus RS, Folkman S. Stress, appraisal and coping. Kim JH, translator. Seoul: Daegwang; 1983.
  14. Folkman S, Lazarus RS, Dunkel-Schetter C, DeLongis A, Gruen RJ. Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology 1986;50(5):992-1003. http://dx.doi.org/10.1037/0022-3514.50.5.992
  15. Lazarus RS. Coping theory and research: Past, present, and future. Psychosomatic Medicine. 1993;55(3):234-247. http://dx.doi.org/10.1097/00006842-199305000-00002
  16. Lash AA, Kulakac O, Buldukoglu K, Kukulu K. Verbal abuse of nursing and midwifery students in clinical settings in Turkey. Journal of Nursing Education. 2006;45(10):396-403.
  17. Leiter MP. Coping patterns as predictors of burnout: The function of control and escapist coping patterns. Journal of Organizational Behavior. 1991;12(2):123-144. http://dx.doi.org/10.1002/job.4030120205
  18. Jung HJ, Chung HI, Choi KC, Cho AY, Chae YM, Choi KH, et al. Experience, emotional reaction and coping behavior of verbal abuse during the clinical practice of nursing students. Korean Journal of Health Communication. 2013;8(2):99-108.
  19. Kim SH, Cho HJ, Dong JH, An JM, Yun BR, Lee GY, et al. Verbal abuse, verbal abuse response, and stress on verbal abuse of nursing student in clinical training. Social Science Research Institute. 2011;10:249-266.
  20. Juliet T, Annette J, Barbara J. Finessing incivility: The professional socialization experiences of student nurses' first clinical placement, a ground theory. Nurse Education Today. 2015; 35(12):e4-e9. http://dx.doi.org/10.1016/j.nedt.2015.08.022
  21. Clark C, Farnsworth J, Landrum E. Development and description of the Incivility in Nursing Education (INE) survey. The Journal of Theory Construction and Testing. 2009;13(1):7-15.
  22. Clark CM. Faculty and student assessment of and experience with incivility in nursing education. Journal of Nursing Education. 2008;47(10):458-465. http://dx.doi.org/10.3928/01484834-20081001-03
  23. Amirkhan J. A factor analytically derived measure of coping: the coping strategy indicator. Journal of Personality and Social Psychology. 1990;59(5):1066-1074. http://dx.doi.org/10.1037/0022-3514.59.5.1066
  24. Shin HJ, Kim CD. A validation study of coping strategy indicator (CSI). Korean Journal of Counseling and Psychotherapy. 2002;14(4):919-935.
  25. Schaufeli WB, Martinez IM, Pinto AM, Salanova M, Bakker AB. Burnout and engagement in university students: A cross-national study. Journal of Cross-Cultural Psychology. 2002;33 (5):464-481. http://dx.doi.org/10.1177/0022022102033005003
  26. Shin H, Puig A, Lee J, Lee JH, Lee SM. Cultural validation of the Maslach Burnout Inventory for Korean students. Asia Pacific Education Review. 2011;12(4):633-639. http://dx.doi.org/10.1007/s12564-011-9164-y
  27. Kim TN. The study of murye (impoliteness) in Korean speech act, -The comparative study on the types of murye and impoliteness strategies-. Journal of Korean Language Education, 2011;22(3):99-131.
  28. Hong CM. The relationship between burnout using MBI-SS and mental health in nursing students. Asia-Pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2015;5(4):353-362. http://dx.doi.org/10.14257/AJMAHS.2015.08.71
  29. Lee HS, Kim EJ. The comparison of stress coping and satisfaction with clinical practice according to the grade of nursing college student. Journal of East-West Nursing Research. 2008;14(1):5-13.
  30. Palaz S. Turkish nursing students' perceptions and experiences of bullying behavior in nursing education. Journal of Nursing Education and Practice 2013;3(1). http://dx.doi.org/10.5430/jnep.v3n1p23

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