Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effects of Verbal Violence in Clinical Practice, Academic Stress Coping, and Depression on Professional Self-concepts among Korean Nursing Students

간호대학생의 임상실습 시 경험한 언어폭력, 학업스트레스 대처 및 우울이 전문직 자아개념에 미치는 영향

  • Received : 2018.05.23
  • Accepted : 2018.08.03
  • Published : 2018.08.31
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Abstract

The aims of this study were to investigate the effects of verbal violence experienced during clinical practice, emotional responses, academic stress coping, and depression on professional self-concepts of nursing students. Data were collected through a self-reported structured questionnaire form given to nursing students in grades 3-4 using convenient sampling methods from October 25 to November 1, 2017. As a result, 41.9% of the subjects experienced verbal violence during clinical practice. The frequency of experiences for verbal violence was '1 time' at 16.9%, '2 times' at 15.5%, and '3 times' at 4.7%. The verbal violence attackers were patients (42.9%), nurses (37.7%), and protector (15.5%). Emotional response was positively correlated with depression and frequency of verbal violence. Academic stress coping had a negative correlation with depression and a positive correlation with professional self-concept. Depression was negatively correlated with professional self-concept. Multiple regression analysis showed that academic stress coping and depression were statistically significant variables in the professional self-concept, and these variables had a 28% explanatory power. Therefore, in order to improve the professional self-concept of nursing students, it is necessary to develop a strategy to raise the level of academic stress coping and to reduce depression.

본 연구의 목적은 간호대학생을 대상으로 임상실습 시 경험한 언어폭력, 감정반응, 학업스트레스 대처 및 우울이 전문직 자아개념에 미치는 영향을 파악하기 위함이다. 자료 수집은 C시 소재의 4년제 종합대학에 재학 중인 3-4학년 간호대학생을 대상으로 2017년 10월 25일부터 11월 1일까지 자가 보고식 설문조사로 시행되었다. 연구결과, 임상실습 시 언어폭력을 경험한 적이 있는 대상자는 41.9%로, 언어폭력 경험 횟수는 1회 16.9%, 2회 15.5%, 3회 4.7% 순이었다. 언어폭력 가해자는 환자 42.9%, 간호사 37.7%, 보호자 15.5% 순이었다. 대상자의 언어폭력 경험 시 감정반응은 언어폭력 경험 횟수 (r=.16, p=.049) 및 우울(r=.39, p<.001)과 양의 상관관계를 보였으며, 학업스트레스 대처는 우울과 음의상관관계가 있고(r=-.19, p=.021), 전문직 자아개념과는 양의 상관관계가 있는 것으로 나타났다(r=.46, p<.001). 우울은 전문직 자아개념과 음의 상관관계가 있었다(r=-.38, p<.001). 회귀분석 결과, 학업스트레스 대처(${\beta}=.40$, p<.001)와 우울(${\beta}=-.32$, p<.001)이 간호대학생의 전문직 자아개념에 통계적으로 유의한 영향을 미치는 변수로 나타났으며, 이들 변인은 간호대학생의 전문직 자아개념에 대해 28%의 설명력을 가지고 있었다(F=12.37, p<.001). 그러므로 간호대학생의 전문직 자아개념 향상을 위해, 학업스트레스 대처 수준을 높이고, 우울을 감소시킬 수 있는 전략 마련이 요구된다. 특히 임상실습 시 경험하는 우울을 조절하기 위해 이와 관련있는 언어폭력 후 감정반응에 대한 적절한 치료적 중재 적용이 도움이 될 것이다.

Keywords

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