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The Effects of Clinical Learning Environment on Nursing Students' Powerlessness and Self-Efficacy Related to Clinical Practice

간호대학생의 임상실습교육환경이 임상실습 관련 무력감과 자기효능감에 미치는 영향

  • Received : 2017.08.31
  • Accepted : 2017.11.14
  • Published : 2018.05.31

Abstract

Purpose: The purpose of this study was to identify the effect of the clinical learning environment on nursing students' powerlessness and self-efficacy related to clinical practice. Methods: Participants were 149 nursing students from a university who had completed their clinical practicum in B city. Data were collected using self-report questionnaires and analyzed using t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and hierarchical multiple regression. Results: The mean score of the clinical learning environment was 2.99 out of 5 points, the powerlessness related to the clinical practice, 2.96 out of 5 points, and the self-efficacy related to clinical practice, 73.69 out of 100 points, respectively. The regression analysis showed that the clinical learning environment explained 11% of the powerlessness related to clinical practice and 3% of the self-efficacy related to clinical practice in the nursing students after controlling for the general characteristics. Conclusions: The result of this study indicated that it is necessary to improve the clinical learning environment for decreasing the feeling of powerlessness and increasing the self-efficiency related to clinical practice among the nursing students.

Keywords

References

  1. Dunn SV, Burnett P. The development of a clinical learning environment scale. Journal of Advanced Nursing. 1995;22(6):1166-1173. https://doi.org/10.1111/j.1365-2648.1995.tb03119.x
  2. Locken T, Norberg H. Reduced anxiety improves learning ability of nursing students through utilization of mentoring triads. Journal of Nursing Education. 2005;48(1):17-23. https://doi.org/10.3928/01484834-20090101-08
  3. American Association of Colleges of Nursing. The essential clinical resource for nursing academic missions [Internet]. Washington. DC: American Association of Colleges of Nursing. 2008 [cited 2014 March 17]. Available from: http://www.aacn.nche.edu/education-resources/Clinical Essentials99.pdf
  4. Song JH, Kim MW. Study on clinical education for nursing in hospitals in Korea. The Journal of Korean Academic Society of Nursing Education. 2013;19(2):251-264. https://doi.org/10.5977/jkasne.2013.19.2.251
  5. Chan D. Development of an innovative tool to assess hospital learning environments. Nurse Education Today. 2001;21(8):624-631. https://doi.org/10.1054/nedt.2001.0595
  6. Midgley K. Pre-registration student nurses perception of the hospital-learning environment during clinical placements. Nurse Education Today. 2006;26(4):338-345. https://doi.org/10.1016/j.nedt.2005.10.015
  7. Lee AK, You HS, Park IH. Affecting factors on stress of clinical practice in nursing students. Journal of Korean Academy of Nursing Administration. 2015;21(2):154-163. https://doi.org/10.11111/jkana.2015.21.2.154
  8. Lee JE, Kim SL. 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.
  9. Whang SJ. The relationship between clinical stress, self-efficacy, and self-esteem of nursing college students. The Journal of Korean Academic Society of Nursing Education. 2006;12(2):205-213.
  10. Lee KH. Mediation effect of clinical practice satisfaction in the relationship between nursing students’ powerlessness and nursing image. Journal of East-West Nursing Research. 2010;16(1):26-34.
  11. O'Kell S. A study of the relationships between learning style, readiness for self-directed learning and teaching preference of learner nurses in one health district. Nurse Education Today. 1988;8(4):197-204. https://doi.org/10.1016/0260-6917(88)90149-9
  12. Ahn EK. A model for clinical nurses' self-efficacy and work performance [dissertation]. Daegeon: Chungnam National University; 2000. pp. 1-147.
  13. Pakieser-Reed K. Nursing practice self-efficacy and nursing practice outcome expectations for baccalaureate nursing students [dissertation]. Milwaukee:The University of Wisconsin; 2006. pp. 1-224.
  14. Kendall S, Bloomfield L. Developing and validating a tool to measure parenting self-efficacy. Journal of Advanced Nursing. 2005;51(2):174-181. https://doi.org/10.1111/ j.1365-2648.2005.03479.x
  15. Han JY, Park HS. Effects of teaching effectiveness and clinical learning environment on clinical practice competency in nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(3):365-372.
  16. Kim EY, Yang SH. Effects of clinical learning environment on clinical practice stress and anxiety in nursing students. Journal of Korean Academy of Nursing Administration. 2015;21(4):417-425. https://doi.org/10.11111/jkana.2015.21.4.417
  17. Han JY. Nursing students’ perceptions of clinical learning environment (CLE). Journal of the Korean Data Analysis. 2010;12(5):2595-2607.
  18. Koh JE. A study of the relationship between instrumental activity of daily living and powerlessness in the elderly. Bulletin of Dongnam Health College. 2001;19:125-138.
  19. Miller J. Powerlessness: Coping with chronic illness. Philadelphia: FA Davis Company. 1983.
  20. Bandura A. The explanatory and predictive scope of self-efficacy theory. Journal of Social and Clinical Psychology. 1986;4(3):359-373. https://doi.org/10.1521/jscp.1986.4.3.359
  21. Harvey V, McMurray N. Self-efficacy: A means of identifying problems in nursing education and career progress. International Journal of Nursing studies. 1994;31(5): 471-485. https://doi.org/10.1016/0020-7489(94)90017-5
  22. Kim YM. Neighborhood environment, family environment stress, and learned helplessness among adolescents. Mental Health & Social Work. 2010;36(12):232-262.
  23. Han JJ. Satisfaction of clinical practice and self-efficacy of clinical practice in nursing students [master's thesis]. Seoul: Ewha Women's University; 2012.
  24. Shin EJ. A study related to self-efficacy, satisfaction with practice and fundamentals of nursing practicum. Journal of Korean Academy of Fundamentals of Nursing. 2008;15(3):380-386.
  25. Hong SS, Park MJ. The effects of clinical practice stress and helplessness on nursing professionalism among nursing students. Journal of the Korea Contents Association,. 2014;14(12):369-377.
  26. Park JW, Ha NS. Nursing students’ clinical experiences. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2003;12(1):27-35.

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