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The influence of experienced violence and the clinical learning environment on vocational identity in nursing students

간호대학생의 임상실습 중 폭력경험과 임상학습환경이 직업정체성에 미치는 영향

  • Lee, Mira (Department of Nursing, Daejeon Health Institute of Technology) ;
  • Park, Hee Ok (Department of Nursing, Daegu Health College) ;
  • Lee, Insook (Changwon National University)
  • Received : 2021.06.08
  • Accepted : 2021.08.21
  • Published : 2021.08.31

Abstract

Purpose: The purpose of this study is to determine the influence of the learning environment on nursing students' clinical practice education and the violence experienced during clinical practice on vocational identity. Methods: The design of the study was a descriptive survey, and data were collected from November 15 to November 27, 2019. The data of the study were obtained from 515 nursing students attending three universities using self-administered questionnaires. Data were analyzed using the SPSS 25.0 program. Results: For the experience of violence, verbal violence (98.3%) was the type most commonly experienced, and patients (97.7%) were the most frequent perpetrators. The clinical learning environment was perceived differently according to gender, personality, interpersonal relationship, satisfaction with nursing, clinical practice satisfaction, violence prevention education, the need for violence prevention education, sexual violence experiences, and violent perpetrators. The most influential factor on vocational identity was satisfaction with the nursing major (β=0.24, p<.001), followed by extroverted personality (β=0.18, p<.001), clinical learning environment (β=0.15, p=.001), satisfaction with clinical practice (β=0.15, p=.002), and the experience of violence by patients (β=-0.10, p=.016), which together explained 24.1% of the variance in the model. Conclusion: It is necessary to make efforts to ensure that students do not experience violence during clinical practice, to maintain a close cooperative relationship between university and clinical institutions to improve the learning environment for clinical practice, and to make the clinical field an educational learning environment.

Keywords

References

  1. Yoo HJ, Yoo TY, Chung TI, Bae SH, Jo AR. Scale development of occupational identity and testing model of antecedents and outcome variables of occupational identity. The Korean Journal of Industrial and Organizational Psychology. 2014;27(4):617-642. https://doi.org/10.24230/kjiop.v27i4.617-642
  2. Adams K, Hean S, Sturgis P, Clark JM. Investigating the factors influencing professional identity of first-year health and social care students. Learning in Health and Social Care. 2006;5(2):55-68. https://doi.org/10.1111/j.1473-6861.2006.00119.x
  3. Haghighat S, Borhani F, Ranjbar H. Is there a relationship between moral competencies and the formation of professional identity among nursing student?. BMC Nursing. 2020;19(49):1-7. https://doi.org/10.1186/s12912-020-00440-y
  4. Kim YJ, Kim MY. A study on the career identity of nursing students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2019; 9(10):369-379. https://doi.org/10.35873/ajmahs.2019.9.10.032
  5. Nam MH, Lee M. The effect of emotional labor of clinical practice, self-esteem and clinical practice satisfaction on professional identity in nursing students. The Journal of Korean Academic Society of Nursing Education. 2016;22(4):527-536. https://doi.org/10.5977/jkasne.2016.22.4.527
  6. Lee MR, Kim MJ. The influences of college adaptation, satisfaction of major and clinical practice on vocational identity in nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2018;19(6):197-208. https://doi.org/10.5762/KAIS.2018.19.6.197
  7. Ranjbar H, Joolaee S, Vedadhir A, Abbaszadeh A, Bernstein C. Becoming a nurse as a moral journey: a constructivist grounded theory. Nursing Ethics. 2017;24(5):583-597. https://doi.org/10.1177/0969733015620940
  8. Bliss S, Baltzly D, Bull R, Dalton L, Jones J. A role for virtue in unifying the 'knowledge' and 'caring' discourses in nursing theory. Nursing Inquiry. 2017;24(4):e12191. https://doi.org/10.1111/nin.12191
  9. Liu D, Wang Y. Study on the correlation between hospital workplace violence and professional identity in nursing students. Nursing of Integrated Traditional Chinese & Western Medicine. 2019;5(8):84-87. https://doi.org/10.11997/nitcwm.201908023
  10. Oh JH, Kim OS, Lee KL. Exposure to violence and coping behavior during the clinical practice of nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2015;16(8):5325-5335. https://doi.org/10.5762/KAIS.2015.16.8.5325
  11. Jung HJ, Chung HI, Choi KJ, 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.
  12. Muller G, Mylonas D, Schumacher P. Quality assurance of the clinical learning environment in Austria: construct validity of the clinical learning environment, supervision and nurse teacher scale(CLES+T sacle). Nurse Education Today. 2018;66:158-165. https://doi.org/10.1016/j.nedt.2018.04.022
  13. Dillu R, Soren R. Comparison of the attitude of nursing students towards their clinical learning environment in selected private and government colleges of nursing. International Journal of Nursing Education. 2021;13(1):123-127. https://doi.org/10.37506/ijone.v13i1.13328
  14. Han JY, Park HS. Effects of teaching effectiveness and clinical learning environment on clinical practice competency in nursing students. Journal of the Korean Academy of Fundamentals of Nursing. 2011;18(3):365-372.
  15. Oh YK, Kim EY. The effects of clinical environment on nursing students' powerlessness and self-efficacy related to clinical practice. Journal of East-West Nursing Research. 2018;24(1):36-43. https://doi.org/10.14370/jewnr.2018.24.1.36
  16. Park JE. Nursing student's experience, their response and coping method of violence in clinical setting [master's thesis]. Pusan: Pusan National University; 2013. p. 1-75.
  17. Nordquist J, Hall J, Caverzagie K, Snell L, Chan MK, Thoma B, et al. The clinical learning environment. Medical Teacher. 2019;41(4):366-372. https://doi.org/10.1080/0142159X.2019.1566601
  18. Holland JL, Gottfredson DC, Power PG. Some diagnostic scales for research in decision making and personality: Identity, information, and barriers. Journal of Personality and Social Psychology. 1980;39(6):1191-1200. https://doi.org/10.1037/h0077731
  19. Kwon YH. Effect of ready planned self-esteem program through MBTI on interpersonal relationship and career identity of nursing college students [master's thesis]. Daegu: Keimyung University; 2002. p. 1-62.
  20. Lee SH, Cha EJ. Effects of verbal abuse, sexual violence, depression, and self-esteem on career identity in nursing students during clinical training. The Journal of the Korea Contents Association. 2017;17(4):550-560. https://doi.org/10.5392/JKCA.2017.17.04.550
  21. Im YS, Kwon HJ, Noh GO, Bae KR. Verbal abuse and lowered career identity experienced by nursing students during clinical training: the mediating effect of self-esteem. Journal of the Korean Data Analysis Society. 2016;18(4):2315-2328.
  22. Jeong YH, Lee KH. Effect of verbal abuse experience, coping style and resilience on emotional response and stress during clinical practicum among nursing students. Journal of Digital Convergence. 2016;14(3):391-399. https://doi.org/10.14400/JDC.2016.14.3.391
  23. Jeon HO. The effects of verbal violence in clinical practice, academic stress coping, and depression on professional self-concepts among Korean nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2018;19(8):501-512. https://doi.org/10.5762/KAIS.2018.19.8.501
  24. Kang HJ, Shin JY, Lee EH. Relationship of workplace violence to turnover intention in hospital nurses: resilience as a mediator. Journal of Korean Academy of Nursing. 2020;50(5):728-736. https://doi.org/10.4040/jkan.20147
  25. Kang JY, Jeong YJ, Kong KR. Threats to identity: a grounded theory approach on student nurses' experience of incivility during clinical placement. Journal of Korean Academy of Nursing. 2018;48(1):85-95. https://doi.org/10.4040/jkan.2018.48.1.85
  26. Yang YJ, Kim JH. Effects of hospital-based violence-prevention and coping programs on nurses' violence experience, violence responses, self-efficacy, and organizational commitment. Journal of Korean Academy of Nursing Administration. 2020;26(5):550-562. https://doi.org/10.11111/ jkana.2020.26.5.550
  27. Preethy J, Erna JR, Mariamma VG. A comparative study to assess the perception of doctors, nurses, faculty of nursing and nursing students on ideal clinical learning environment. International Journal of Nursing Education. 2014;l6(1):208-212. https://doi.org/10.5958/j.0974-9357.6.1.042
  28. 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
  29. Turner S, Harder N. Psychological safe environment: a concept analysis. Clinical Simulation in Nursing. 2018;18:47-55. https://doi.org/10.1016/j.ecns.2018.02.004
  30. Shin SJ, Yang EB, Hwang EH, Kim KH, Kim YJ, Jung DY. Current status and future direction of nursing education for clinical practice. Korean Medical Education Review. 2017;19(2):76-82. https://doi.org/10.17496/kmer.2017.19.2.76