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The Influences of COVID-19 Knowledge, Anxiety, and Nursing Professionalism on Clinical Practicum Stress among Nursing Students

간호대학생의 COVID-19에 대한 지식, 불안, 간호전문직관이 임상실습 스트레스에 미치는 영향

  • Received : 2023.06.20
  • Accepted : 2023.08.03
  • Published : 2023.08.31

Abstract

Purpose: This study sought to identify the levels of coronavirus disease 2019 (COVID-19) knowledge, anxiety, nursing professionalism, and clinical practicum stress, and the factors influencing this stress in nursing students. Methods: A cross-sectional and descriptive study was conducted with the participation of 140 junior and senior nursing students recruited from three nursing colleges in Busan and Gyeongsangnam-do. Data analysis was performed using independent t-tests, Pearson's correlation coefficient, and multiple regression using the SPSS/WIN 26.0 program. Results: The study arrived at a mean score of 63.18±13.89 for clinical practicum stress, which showed a significant difference based on the perceived health status and reasons for admission to nursing school. Anxiety and professionalism exhibited a noteworthy correlation with clinical practicum stress. The significant predictors of clinical practicum stress among nursing students were perceived health status (β=.39, p<.001), anxiety (β=.25, p=.033), and the reasons for admission to nursing school (β=.17, p=.012). The total explanatory power of these variables was 23.0% (F=6.28, p<.001). Conclusion: The results of this study suggest that it is necessary to provide effective education to promote nursing professionalism during a pandemic. It is also necessary to develop and include various programs in the curriculum that strategically intervene to prevent anxiety in pre-service nurses. This would reduce the stress in the clinical practice of nursing students when faced with new infectious diseases in the future.

Keywords

References

  1. Aslan, H., & Pekince, H. (2021). Nursing students' views on the COVID-19 pandemic and their perceived stress levels. Perspectives in Psychiatric Care. 57(2), 695-701. https://doi.org/10.1111/ppc.12597
  2. Beck, D., & Srivastava, R. (1991). Perceived level and sources of stress in baccalaureate nursing students. Journal of Nursing Education. 30(3), 127-133. https://doi.org/10.3928/0148-4834-19910301-08
  3. Cho, O. K., & Shin, S. B. (2020). COVID-19 and untact-online lectures. Student Press of College of Agriculture and Life Sciences Seoul National University. Retrieved November 11, 2022, from http://cals.snu.ac.kr/en/board/student?bm=v&bbsidx=10597
  4. Collado-Boira, E., Ruiz-Palomino, E., Salas-Media, P., Folch-Ayora, A., Muriach, M., & Balio, P. (2020). "The COVID-19 outbreak"-An empirical phenomenological study on perceptions and psychosocial considerations surrounding the immediate incorporation of final-year Spanish nursing and medical students into the health system. Nurse Education Today. 92, 104504. https://doi.org/10.1016/j.nedt.2020.104504
  5. Han, S. S., Kim, M. H, & Yung, E. K. (2008). Factors affecting nursing professionalism. The Journal of Korean Academic Society of Nursing Education. 14(1), 73-79. https://doi.org/10.5977/JKASNE.2008.14.1.073
  6. Hwang, S. J., & Lee, M. I. (2020). Perceived knowledge, anxiety and compliance with preventive behavior performance on COVID-19 by nursing college students. Journal of Digital Convergence. 18(12), 459-468. https://doi.org/10.14400/JDC.2020.18.12.459
  7. Kim, J. S., & Choi, J. S. (2016). Middle East respiratory syndrome-related knowledge, preventive behaviours and risk perception among nursing students during outbreak. Journal of clinical nursing. 25, 2542-2549. https://doi.org/10.1111/jocn.13295
  8. Kim, H. J., Cheon, E. Y., & Yoo, J. H. (2021). A study on the relationship between knowledge, risk perception, preventive health behavior from coronavirus disease-2019 in nursing students. Journal of the Korea Academia -Industrial cooperation Society. 22(4), 246-254. https://doi.org/10.5762/KAIS.2021.22.4.246
  9. Kim, H. S., & Park, J. H. (2018). Predictors of MERS-related preventive behaviors performance among clinical practice students in a tertiary hospital. Journal of the Korea Academia-Industrial cooperation Society. 19(9), 174-185. https://doi.org/10.5762/KAIS.2018.19.9.174
  10. Kim, S. R., & Lee, J. E. (2005). Relationship among stress, coping strategies, and self-esteem in nursing students taking clinical experience. The Journal of Korean Academic Society of Nursing Education. 11(1), 98-106.
  11. Kim, E. Y., & Yang, S. H. (2015). Effects of clinical learning environment on clinical practice stress and anxiety in nursing student. Journal of Korean Academy of Nursing Administration. 21(4), 417-425. https://doi.org/10.11111/jkana.2015.21.4.417
  12. Korea Disease Control and Prevention Agency (2020). Coronavirus disease(COVID-19). Retrieved October 23, 2022. from https://ncv.kdca.go.kr/hcp/page.do
  13. Lee, C. K., & Ahn, J. H. (2020). College nursing students' experiences of COVID-19 pandemic. Journal of the Korea Academia-Industrial cooperation Society. 21(12), 142-152. https://doi.org/10.5762/KAIS.2020.21.12.142
  14. Lee, H. K., Choi, H. W., Kim, M. J., Kim, Y. S., Kim, J. S., Park, D. I., Lee, H. S., Jung, S. H., & Choi, Y. S. (2022). Influence of nursing students' clinical practice anxiety and clinical practice stress on nursing professionalism in the COVID-19 situation. Journal of Industrial Convergence. 20(5), 101-110. https://doi.org/10.22678/JIC.2022.20.5.101
  15. Lee, K. H. (2022). Factors influencing clinical practice stress of nursing students who performed their first clinical practice during the COVID-19. The Journal of Learner-Centered Curriculum and Instruction. 22(21), 715-727. https://doi.org/10.22251/jlcci.2022.22.21.715
  16. Lee, O. S., & Lim, J. H. (2021). Image of nurse and nursing professionalism perceived of nursing students before and after their first clinical practice in the COVID-19 pandemic. Journal of Digital Convergence. 19(5), 479-488. https://doi.org/10.14400/JDC.2021.19.5.479
  17. Lee, S. J., Jin, X. L., & Lee, S. J. (2021). Factors influencing COVID-19 preventive behaviors in nursing students: knowledge, risk perception, anxiety, and depression. Journal of Korean Biological Nursing Science. 23(2), 110-118. https://doi.org/10.7586/jkbns.2021.23.2.110
  18. Nemati, M., Ebrahimi, B., & Nemati, F. (2020). Assessment of iranian nurses' knowledge and anxiety toward COVID-19 during the current outbreak in iran. Archives of Clinical Infectious Diseases. e102848. http://doi.org/10.5812/archcid.102848
  19. Park, H. J., & Oh, J. W. (2014). The relationships of the clinical practice stress and the major satisfaction with the nursing professionalism of nursing college students. Journal of Digital Convergence. 12(12), 417-426. https://doi.org/10.14400/JDC.2014.12.12.417
  20. Park, J. H., Kang, D. Y., Kang, J. M., Gwak, N. H., Kim, C. E., & Lee, M. K. (2022). The association of faculty-student interaction, psychological well-being, and the image of nurses of nursing students on nursing professionalism in the COVID-19 pandemic. The Journal of Korean Academic Society of Nursing Education. 28(1), 101-112. https://doi.org/10.5977/jkasne.2022.28.1.101
  21. Park, J. H., Kim, J. H., Lee, H. J., & Kang, P. R. (2021). The relationship of anxiety, risk perception, literacy, and compliance of preventive behaviors during COVID-19 pandemic in nursing students. Journal of the Korean Applied Science and Technology. 38(1), 48-59. https://doi.org/10.12925/jkocs.2021.38.1.48
  22. Park, K., Jung, M., & Kim, S. H. (2021). Effects of resilience and nursing professionalism on clinical practice stress in the COVID-19 pandemic. The Journal of Humanities and Social Sciences 21. 12(4), 1361-1374. http://dx.doi.org/10.22143/HSS21.12.4.97


  23. Seo, J. G., & Park, S. P. (2015). Validation of the generalized anxiety disorder-7 (GAD-7) and GAD-2 in patients with migraine. Journal of Headache and Pain. 16, 97. https://doi.org/10.1186/s10194-015-0583-8
  24. Spitzer, R., Kroenke, K., Williams, J., & Lowe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine. 166(10), 1092-1097. https://doi.org/10.1001/archinte.166.10.1092
  25. Spoorthy, M., Pratapa, S., & Mahant, S. (2020). Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review. Asian Journal of Psychiatry. 51, 102119. https://doi.org/10.1016/j.ajp.2020.102119
  26. Yeun, E. J., Kwon, Y. M., & Ahn, O. H. (2005). Development of a nursing professional values scale. Journal of Korean Academy of Nursing. 35(6), 1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091
  27. Yoo, E. Y. (2020). Analysis of nursing students' educational needs about corona19 infection control. Journal of Digital Convergence. 18(12), 335-341. https://doi.org/10.14400/JDC.2020.18.12.335
  28. Yoon, H. S., & Kim, K. H. (2016). The clinical practice experiences of nursing students by new nurses. Journal of Learner-Centered Curriculum and Instruction. 16(3), 903-922.
  29. Zhang, W., Wang, K., Yin, L., Zhao, WF., Wue, Q., Peng, M., Min, B., Tian, Q., Leng, HX., Du, JI., Chang, H., Yang, Y., Li, W., Shangguan, FF., Yan, TY., Dong, HQ., Han, Y., Wang, YP., Cosci, F., & Wang, HX. (2020). Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychotherapy and Psychosomatics. 89(4), 242-250. https://doi.org/10.1159/000507639