Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
권호 표지

Effects of Clinical Training on Stress, Anxiety and Changes in Autonomic Nervous System in Nursing Students

임상실습이 간호학생의 스트레스, 불안 및 자율신경계 변화에 미치는 영향

  • Received : 2011.06.02
  • Accepted : 2011.08.01
  • Published : 2011.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to examine the effects of first clinical training on stress, anxiety and changes in autonomic nervous system in nursing students. Methods: Seventy-four nursing students were assigned to the experimental group (n=36) that had two weeks of clinical training, and the control group (n=38) that had only two weeks of regular classes. Perceived stress, state anxiety and heart rate variability (HRV) were measured at the beginning and end of the experiment. Results: Perceived stress in the experimental group was significantly higher than in the control group. However, State anxiety was not significantly different between the two groups. All indices of HRV except LF/HF ratio were significantly different between the two groups. LF norm in the experimental group was significantly higher than in the control group, and HF norm in the experimental group was significantly lower than in the control group. Conclusion: Based on these results, it can be suggested that clinical training increases the perceived stress and affects the changes in autonomic nervous system in nursing students.

Keywords

References

  1. Chandola, T., Heraclides, A., & Kumari, M. (2010). Psychophysiological biomarkers of workplace stressors. Neuroscience & Biobehavioral Reviews, 35, 51-57. https://doi.org/10.1016/j.neubiorev.2009.11.005
  2. Cho, G. Y., & Kim, H. O. (2010). Effect of self-foot reflexotherapy on the fatigue, mood and vital signs of the nursing students. The Journal of Korean Biological Nursing Science, 12, 24-30.
  3. Cline, M. E., Herman, J., Shaw, E. R., & Morton, R. D. (1992). Standardization of the visual analogue scale. Nursing Research, 41, 378-380.
  4. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). New York, NY: Routledge Academic.
  5. Dishman, R. K., Nakamura, Y., Garcia, M. E., Thompson, R. W., Dunn, A. L., & Blair, S. N. (2000). Heart rate variability, trait anxiety, and perceived stress among physically fit men and women. International Journal of Psychophysiology, 37, 121-133. https://doi.org/10.1016/S0167-8760(00)00085-4
  6. 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. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 16, 78-84.
  7. Jones, M. C., & Johnston, D. W. (1997). Distress, stress and coping in first-year student nurses. Journal of Advanced Nursing, 26, 475-482. https://doi.org/10.1046/j.1365-2648.1997.t01-5-00999.x
  8. Kandel, E. R., Schwartz, J. H., & Jessell, T. M. (1991). Principles of Neural Science (3rd ed.). Norwalk, CT: Appleton and Lange.
  9. Kim, C. J., Hur, H. K., Kang, D. H., & Kim, B. H. (2004). Effects of psychosocial stress management on stress and coping in student nurses. The Journal of Korean Academic Society of Adult Nursing, 16, 90-101.
  10. Kim, J. T., & Shin, D. K. (1978). A study based on the standardization of the STAI (state-trait anxiety inventory) for Korea. The New Medical Journal, 21(11), 69-75.
  11. Kim, M. A., Kim, N. A., Kwon, Y. S., Lee, K. H., Park, S. Y., & Jung, K. S. (2010). Influence of academic examination on heart rate variability and its relationship with test anxiety. The Korean Journal of Stress Research, 18, 11-17.
  12. Kwon, I. S. (2002). An analysis of research on clinical nursing education. Journal of Nurses Academic Society, 32, 706-715.
  13. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York, NY: Springer.
  14. Lee, H. S. (2008). The effects of aroma inhalation on nursing students' stress response and anxiety before their first clinical practice. Journal of Korean Academy of Community Health Nursing, 19, 112-119.
  15. 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, 14-23. https://doi.org/10.5977/JKASNE.2010.16.1.014
  16. 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, 151-160.
  17. Park, M. Y. (2001). Nursing students' stress and anger experience in the clinical setting. The Journal of Korean academic society of nursing education, 7, 7-21.
  18. 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, 23-35.
  19. Ra, S. S., & Kim, S. J. (1987). A study on anxiety level and anxiety content in student nurse. Journal of Kimcheon Science College, 15, 97-128.
  20. Rozanski, A., Bairey, C. N., Krantz, D. S., Friedman, J., Resser, K. J., Morell, M., et al. (1988). Mental stress and the induction of silent myocardial ischemia in patients with coronary artery disease. New England Journal of Medicine, 318, 1005-1012. https://doi.org/10.1056/NEJM198804213181601
  21. Saito, K., Hiya, A., Uemura, Y., & Furuta, M. (2008). Clinical training stress and autonomic nervous function in female medical technology students: analysis of heart rate variability and 1/f fluctuation. The Journal of Medical Investigation, 55, 227-230. https://doi.org/10.2152/jmi.55.227
  22. Shin, Y. S., Cho, Y. S., & Jung, Y. J. (2004). The effects of aromatherapy on autonomic nerve system and physical resistance of a stress. The Journal of Korean Biological Nursing Science, 6(2), 5-17.
  23. Spielberger, C. D. (1975). Anxiety: state-trait process. In C. D. Spielberger & I. G. Sarason (Eds.), Stress and axiety: The series in clinical psychology (pp. 115-143). Washington, DC: Hemisphere.
  24. Suh, S. G. (2007). The Relationship between Hypertension and Stress Measured by Heart Rate Variability in a Rural Area, Korea. Unpublished doctoral dissertation, Hanyang University, Seoul.
  25. Sung, K. W. (2002). A comparative study on main role, professional self concept and job satisfaction of public health nurses and clinical nurses. Journal of Nurses Academic Society, 32, 219-230.
  26. Sztajzel, J. (2004). Heart rate variability: a noninvasive electrocardiographic method to measure the autonomic nervous system. Swiss Medical Weekly, 134, 514-522.
  27. Yang, J. J. (2001). The effectiveness of assertive training on the state anxiety and assertive behavior of nursing students experiencing clinical practice training. The Journal of Korean Academic Society of Nursing Education, 7, 54-67.
  28. Yoo, J. S., Chang, S. J., Choi, E. K., & Park, J. W. (2008). Development of a stress scale for Korean nursing students. Journal of Nurses Academic Society, 38, 410-419.
  29. 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, 205-213.
  30. Won, J. S., & Kim, J. H. (2002). Study on ego states in the view of transactional analysis, coping style and health states of nursing students. Journal of East-West Nursing Research, 7, 68-81.