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

  • 제22권2호
  • /
  • Pages.160-168
  • /
  • 2021
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

간호대학생이 경험한 무례함과 임상실습교육환경이 임상실습스트레스에 미치는 영향

Effects by Incivility Experienced and Clinical Learning Environment of Nursing Students on Clinical Practice Stress

  • 투고 : 2020.10.05
  • 심사 : 2021.02.05
  • 발행 : 2021.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 간호대학생이 경험하는 무례함과 임상실습교육환경이 임상실습스트레스에 미치는 영향을 확인하기 위해 시도하였다. 연구대상자는 임상실습 경험이 있는 3, 4학년 간호대학생 204명이며, 자료는 구조화된 설문지를 배부하고 자가보고하는 형식으로 2019년 4월 1일부터 4월 30일까지 수집되었다. 자료 분석을 위해 SPSS 22.0 program을 이용하여 기술적 통계, t-test, ANOVA, Pearson 상관계수, 다중회귀분석을 실시하였다. 본 연구의 결과는 다음과 같다. 간호대학생이 경험한 무례함의 평균은 1.58점, 임상실습교육환경의 평균은 2.79점, 임상실습스트레스의 평균은 3.33점으로 나타났다. 임상실습스트레스는 간호대학생이 경험한 무례함과 정적 상관관계, 임상실습교육환경과는 부적 상관관계가 있는 것으로 나타났다. 간호대학생이 경험한 무례함과 임상실습교육환경은 부적 상관관계가 있는 것으로 확인되었다. 임상실습 중 경험한 무례함과 임상실습교육환경은 임상실습스트레스에 유의한 영향요인으로 나타났으며 22.5%의 설명력을 보였다. 본 연구결과를 바탕으로 간호대학생들의 임상실습스트레스를 효과적으로 관리하기 위해서는 임상현장에서 경험하는 무례함을 감소시키고 임상실습교육환경을 개선하는 노력이 필요 할 것이다.

This study attempts to identify how incivility and clinical learning environment affects clinical practice stress among nursing students. This study enrolled 204 nursing students in the third- and fourth-grades, having practical clinical experience. Data were collected from April 1 to April 30, 2019, by the self-reported method. Data analysis was achieved by applying descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis, using the SPSS 22.0 program. Our results showed that the average values for incivility experienced by nursing students was 2.58, clinical learning environment was 2.79, and clinical practice stress was 3.33. Incivility experienced and clinical practice stress appeared to be a static correlation, whereas the clinical learning environment and clinical practice stress, and incivility experienced and clinical learning environment, were identified as amulet correlations. Incivility experienced and clinical learning environment exerted significant influences on clinical practice stress, where the explanatory power was confirmed at 22.5%. Based on the results of this study, we propose the necessity to develop and apply various programs to effectively manage the clinical practice stress of nursing students.

키워드

참고문헌

  1. T. McKown, L. McKeon, S. Webb. "Using quality and safety ed ucation for nurses to guide clinical teaching on a new dedicated education unit", Journal of Nursing Education. Vol.50, No.(12), pp.706-710, 2011. DOI: https://doi.org/10.3928/01484834-20111017-03
  2. J. Curtis, I. Bowen, A. Reid. "You have no credibility: Nursing students' experiences of horizontal violence", Nurse Education in Practice. Vol.7, No.3, pp.156-163, 2016. DOI : https://doi.org/10.1016/j.nepr.2006.06.002
  3. S. R. Kim, J. E. Lee. "Relationship among stress coping strategies, and self-esteem in nursing students taking clinical experience", Journal of Korean Academic Society of Nursing Education, Vol.11, No.1, pp.98-106, 2005.
  4. S. P. Thomas, R. Burk. "Junior nursing students' experiences of vertical violence during clinical rotations", Nursing Outlook, Vol.57, No.4, pp.226-231, 2009. DOI : https://doi.org/10.1016/j.outlook.2008.08.004
  5. S. J. Whang. "The relationship between clinical stress, self-efficacy, and self-esteem of nursing college students", The Journal of Korean academic society of nursing education, Vol.12, No.2, pp.205-213, 2006.
  6. K. H. Lee. "Mediation effect of clinical practice satisfaction in the relationship between nursing students' powerlessness and nursing image", Journal of East-West Nursing Research, Vol.16, No.1, pp.26-34, 2010.
  7. T. Ferns & L. Meerebeau. "Verbal abuse experienced by nursing students", Journal of Advanced Nursing. Vol.61, No.4, pp.436-444, 2007. DOI : https://doi.org/10.1111/j.1365-2648.2009.05114.x.
  8. C. K. Clarke, D. J. Kane, D. L. Rajacich, K. D. Lafreniere. "Bullying in undergraduate clinical nursing education", Journal of Nursing Education. Vol.51, No.5, pp.269-276, 2012. DOI : https://doi.org/10.3928/01484834-20120409-01
  9. M. Anthony, J. Yastik. "Nursing students'experiences with incivility inclinical education", Journal of Nursing Education. Vol.50, No.3, pp.140-144, 2011. DOI: http://dx.doi.org/10.3928/01484834-20110131-04
  10. S. P. Thomas, R. Burk. "Junior nursing students'experiences of vertical violence during clinical rotations", Nursing Outlook, Vol.57, No.4 , pp.226-231, 2009. DOI: http://dx.doi.org/10.1016/j.outlook.2008.08.004
  11. Y. Babenko-Mould, H. K. S. Laschinger. "Effects of incivility in clinical practice settings on nursing student burnout", International Journal of Education Scholarship, Vol.11, No.1, pp.145-154, 2014. DOI: http://dx.doi.org/10.1515/ijnes-2014-0023
  12. J. K. Kim, J. H. Yoo, E. Y. Cheon. "Relationship among incivility, burnout, copingand satisfaction to clinical practice experienced by nursing college students in clinical practice", Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.1, pp.316-324, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.1.316
  13. K. Midgley. "Pre-registration student nurses perception of the hospital-learning environment during clinical placements", Nurse Education Today, Vol.26, No.4, pp.338-345, 2006. DOI: https://doi.org/10.1016/j.nedt.2005.10.015
  14. M. Y. Park. "Nursing students' stress and anger experience in the clinical setting", The Journal of Korean Academy Society of Nursing Education, Vol.7, No.1, pp.7-21, 2001.
  15. J. Curtis, I. Bowen & A. Reid. "You have no credibility: Nursing students' experiences of horizontal violence", Nurse Education in Practice, Vol.7, No.3, pp.156-163, 2016. DOI : https://doi.org/10.1016/j.nepr.2006.06.002
  16. J. S. Yoo, S. J. Chang, E. K. Choi, J. W. Park. "Development of a stress scale for Korean nursing students", Journal of Korean Academy of Nursing, Vol.38, No.3, pp.410-419, 2008. DOI: https://doi.org/10.4040/jkan.2008.38.3.410
  17. Y. M. Jang, Y. H. Park. "Effects of critical thinking disposition, stress of clinical practice and self-confidence in performance of core nursing skill on nursing student's adapting to clinical practice", Journal of Industrial Convergence, Vol.18, No.4, pp.77-86, 2020. DOI : https://doi.org/10.22678/JIC.2020.18.4.077
  18. H. S. Lee, E. J. Kim. "The Comparison of Stress Coping and Satisfaction with Clinical Practice according to the Grade of Nursing College Student", Journal of East-West Nursing Research, Vol.14, No.1, pp.5-13, 2008.
  19. Y. J. Lee, H. M. Yang, K. J. Lee. "Effects of career identity, compassionate competence, and clinical practice stress on career adaptability among nursing students", Journal of Learner-Centered Curriculum and Instruction, Vol.19, No.20, pp.1-14, 2019. DOI: https://doi.org/10.22251/jlcci.2019.19.20.1
  20. J. H. Yun, S. J. Boo. "Factors Affecting Levels of Stress on Clinical Practice Among Nursing Students", Journal of Learner-Centered Curriculum and Instruction, Vol.19, No.5, pp.1199-1214, 2019. DOI: https://doi.org/10.22251/jlcci.2019.19.5.1199
  21. M. K. Cho, H. Jeong. "A convergence study of the effects of empathy and communication skill on clinical stress in nursing students", Journal of the Korea Convergence Society, Vol.9, No.11, pp.539-547, 2018. DOI: https://doi.org/10.15207/JKCS.2018.9.11.539
  22. Y. J. Jeong, C. K. Koh. "Effects of Personality and Coping Behavior on Clinical Practice Stress among One College Nursing Students", Korean journal of stress research, Vol.24, No.4, pp.296-302, 2016. DOI: https://doi.org/10.17547/kjsr.2016.24.4.296
  23. M. Anthony, J. Yastik, D. A. MacDonald, K. A. Marshall. "Development and validation of a tool to measure incivility in clinical nursing education", Journal of Professional Nursing, Vol.30, No.1, pp.48-55, 2014. DOI: https://doi.org/10.3928/01484834-20110131-04
  24. Y. K. Hong. "Incivility experienced by nursing student, coping and burnout in clinical practice", Master's thesis, Pusan National University. 2016.
  25. S. V. Dunn, P. B. PhD. "The development of a clinical learning environment scale", Journal of advanced nursing, Vol.22, No.6, pp.1166-1173, 1995. DOI: https://doi.org/10.1111/j.1365-2648.1995.tb03119.x
  26. J. Y. Han. "Nursing students' perceptions of clinical learning environment", Journal of the Korean Data Analysis Society, Vol.12, No.5, pp.2595-2607, 2010.
  27. D. L. Beck, R. Srivastava. "Perceived level and sources of stress in baccalaureate nursing students", Journal of Nursing Education, Vol.30, No.3, pp.127-133, 1991. DOI: https://doi.org/10.3928/0148-4834-19910301-08
  28. S. L. Kim, J. E. Lee. "Relationship among stress, coping strategies and self-esteem in nursing students taking clinical experience", The Journal of Korean Academic Society of Nursing Education, Vol.11, No.1, 98-106, 2005. DOI: https://doi.org/10.14257/astl.2016.140.38
  29. M. K. Jeon, J. W. Oh. "Relationship between rudeness, burnout, major satisfaction and self-efficacy which nursing students experience during clinical practice", Journal of digital convergence, Vol.15, No.1, pp.339-346, 2017. DOI: https://doi.org/10.14400/JDC.2017.15.1.339
  30. J. G. Kim, J. H. Yoo, E. Y. Cheon. "Relationship among Incivility, Burnout, Coping and Satisfaction to Clinical Practice experienced by Nursing College Students in Clinical Practice", Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.1, pp.316-324, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.1.316
  31. Y. Hong, Y. Kim, H. Son. "Effect of nurses' incivility experienced by nursing student, coping on burnout in clinical practice.", Journal of Korean Academy of Nursing Administration, Vol.22, No.4, pp.323-331, 2016. DOI: https://doi.org/10.11111/jkana.2016.22.4.323
  32. L. M. Andersson, C. M. Pearson. "Tit for tat? the spiraling effect of incivility in the workplace. Academy of Management Review." The Academy of Management. Vol.24, No.3, pp.452-471, 1999. DOI: https://doi.org/10.5465/amr.1999.2202131
  33. J. Kang, Y. J. Jeong, K. R. Kong. "Threats to identity: A grounded theory approach on student nurses' experience of incivility during clinical placement." Journal of Korean Academy of Nursing, Vol.48, No.1, pp.85-95. 2018. DOI: https://doi.org/10.4040/jkan.2018.48.1.85
  34. J. Y. Han, H. S. Park. "Effects of teaching effectiveness and clinical learning environment on clinical practice competency in nursing students", Journal of Korean Academy of Fundamentals of Nursing, Vol.18, No.3, pp.365-372, 2011.
  35. J. H. Song, M. W. Kim. "Study on clinical education for nursing in hospitals in Korea", Journal of Korean Academic Society of Nursing Education, Vol.19, No.2, pp.251-264, 2013. DOI: https://doi.org/10.5977/jkasne.2013.19.2.251
  36. Korean Accreditation Board of Nursing Education. Evaluation manual of nursing education certification for the second half of 2015;1-50 [Internet]. Seoul: Korean Accreditation Board of Nursing, 2015 [cited 2016 May 20]. Available from: http://kabone.or.kr/kabon02/index04.php
  37. H. S. Jeong, K. L. Lee. "Empathy and clinical practice stress in nursing student", Journal of the Korea Academia-Industrial Cooperation Society, Vol.16, No.9, pp.6044-605, 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.9.6044
  38. E. J. Lee, W. H. Jun. "Sense of coherence and stress of clinical practice in nursing students", Journal of Korean Academic Society of Nursing Education, Vol.19, No.2, pp.163-171, 2013. DOI: https://doi.org/10.5977/jkasne.2013.19.2.163
  39. S. S. Hong, J. A. Hong, W. H. Jun. "Spirituality and stress of clinical practice among nursing student", The Journal of the Korea Contents Association, Vol.13, No.6, pp.361-369, 2013. DOI: https://doi.org/10.5392/JKCA.2013.13.06.361
  40. S. V. Dunn, P. Burnett. "The development of a clinical learning environment scale", Journal of Advanced Nursing, Vol.22, No.6, pp.1166-1173, 1995. DOI:https://doi.org/10.1111/j.1365-2648.1995.tb03119.x