J Korean Acad Nurs Adm. 2015 Mar;21(2):154-163. Korean.
Published online Mar 31, 2015.
Copyright © 2015 Korean Academy of Nursing Administration
Original Article

Affecting Factors on Stress of Clinical Practice in Nursing Students

Ae Kyong Lee,1 Hye Sook You,2 and In Hyae Park3
    • 1Chonnam National University Hospital, Korea.
    • 2Department of Nursing, Honam University, Korea.
    • 3Department of Nursing, Chonnam National University, Korea.
Received August 23, 2014; Revised January 14, 2015; Accepted February 27, 2015.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This descriptive study was done to identify factors that influence stress related to clinical practice for nursing students.

Methods

Structured questionnaires were used to collect data from 278 students from two nursing colleges located in G metropolitan city and one nursing college in C region.

Results

The factors that most influenced stress for the nursing students during their clinical practice were critical thinking disposition, clinical competence, year, and gender. Especially, the result showed that higher critical thinking disposition and clinical competence correlated with lower stress in clinical practice.

Conclusion

The results indicate that improving nursing students' critical thinking ability and clinical competence would help to relieve stress during clinical practice and increase the ability to cope with stress efficiently. The development of a variety of teaching and learning strategies and education in both theoretical and clinical practice education would be necessary to achieve this goal.

Keywords
Students; Nursing; Clinical practice; Stress; Psychological

Tables

Table 1
General Characteristics and Clinical Practice Stress according to General Characteristic (N=278)

Table 2
Degree of the Critical Thinking Disposition, Clinical Competence and Clinical Practice Stress (N=278)

Table 3
Correlations among Variables (N=278)

Table 4
Factors Influencing Clinical Practice Stress (N=278)

References

    1. Ha NS, Choi MS. The relationship between leadership styles and self-esteem, satisfaction of clinical practice in nursing students. J Korean Acad Nurs Adm 2005;11(1):13–21.
    1. Kim HS. A study on relationship between stress of clinical practice and clinical competency in nursing students. J Korea Community Health Nurs Acad Soc 2002;16(1):64–76.
    1. Hyoung HK, Ju YS, Im SI. A concept mapping study on clinical stress for nursing students during clinical practice. J Korean Acad Nurs Adm 2014;20(4):394–404. [doi: 10.11111/jkana.2014.20.4.394]
    1. Cope P, Cuthbertson P, Stoddart B. Situated learning in the practice placement. J Adv Nurs 2000;31(4):850–856.
    1. Park JW, Ha NS. Nursing students' clinical experiences. J Korean Acad Psychiatr Ment Health Nurs 2003;12(1):27–35.
    1. Park MY. Nursing students' stress and anger experience in the clinical setting. J Korean Acad Soc Nurs Educ 2001;7(1):7–21.
    1. Park MY, Kim SY. A qualitative study of nursing students' first clinical experience. J Korean Acad Soc Nurs Educ 2000;6(1):23–35.
    1. Korean Accreditation Board of Nursing Education. Accreditation manual with interpretive guidelines for four-year nursing programs [Internet]. Seoul: Korean Accreditation Board of Nursing Education; 2012 [cited 2014 December 22].
    1. Korean Nurses Association. Plan for improving the nursing education system quality for nurse workforce [Internet].
    1. Korean Nurses Association. The number of nursing schools and hospitals [Internet]. Seoul: Korea Nurses Association; 2014 [cited 2014 December 22].
    1. Lee HS, Kim EJ. The comparison of stress coping and satisfaction with clinical practice according to the grade of nursing college student. J East West Nurs Res 2008;14(1):5–13.
    1. Kwon IS, Lee GE, Kim GD, Kim YH, Park KM, Park HS, et al. Development of a critical thinking disposition scale for nursing students. J Korean Acad Nurs 2006;36(6):950–958.
    1. Kim IS, Jang YK, Park SH, Song SH. Critical thinking disposition, stress of clinical practice and clinical competence of nursing students. J Korean Acad Soc Nurs Educ 2011;17(3):337–345. [doi: 10.5977/JKASNE.2011.17.3.337]
    1. Campbell B, Mackay G. Continuing competence: An Ontario Nursing Regulatory Program that supports nurses and employers. Nurs Adm Q 2001;25(2):22–30.
    1. Lee EK, Park JA. Ego-resilience and the clinical competence of nursing students. J Korean Acad Public Health Nurs 2013;27(2):293–303. [doi: 10.5932/JKPHN.2013.27.2.293]
    1. Jang HJ, Kwag YK. Affecting factors on clinical competence of nursing students. J Korea Acad Ind Coop Soc 2013;14(9):4380–4387. [doi: 10.5762/KAIS.2013.14.9.4380]
    1. Hong SJ, Kim EH. Effect of preceptorship on nursing students' clinical competency, stress of clinical practice, and practice satisfaction in clinical practice. J Korea Acad Ind Coop Soc 2014;15(10):6204–6214. [doi: 10.5762/KAIS.2014.15.10.6204]
    1. Lee JY, Lee YM, Pak SY, Lee MJ, Jung YH. Effect of critical thinking disposition on emotional regulation, perceived stress and communication competence among nursing students. J Korean Acad Soc Nurs Educ 2013;19(4):606–616. [doi: 10.5977/jkasne.2013.19.4.606]
    1. Shin EJ, Park YS. Emotional intelligence, ego resilience, stress in clinical practice of nursing students. J Korea Acad Ind Coop Soc 2013;14(11):5636–5645. [doi: 10.5762/KAIS.2013.14.11.5636]
    1. Facione NC, Facione PA, Sanchez CA. Critical thinking disposition as a measure of competent clinical judgment: The development of the California Critical Thinking Disposition Inventory. J Nurs Educ 1994;33(8):345–350.
    1. Yoon J. In: Development of an instrument for the measurement of critical thinking disposition: in nursing. [dissertation]. Seoul: Catholic University; 2004.
    1. Barret C, Myrick F. Job Satisfaction in Preceptorship and its effect on the clinical performance of the preceptee. J Nurs Educ 1998;27:364–371.
    1. Lee WH, Kim CJ, Yoo JS, Her HJ, Kim KS, Lim SM. Development of a clinical competency measurement tool for student. Yonsei J Nurs Sci 1990;13:17–29.
    1. Choi MS. In: A study on the relationship between teaching effectiveness of clinical nursing education and clinical competency in nursing students. [master's thesis]. Seoul: Ewha Womans University; 2005.
    1. Lazarus RS, Folkman S. In: Stress, Appraisal and Coping. New York: Springer Publishing Co; 1984.
    1. Whang SJ. Development and verification of a tool for the nursing student's clinical stress. J Margaret Pritchard Coll Nurs 2002;14(1):35–54.
    1. Whang SJ. The relationship between clinical stress, self-efficacy, and self-esteem of nursing college students. J Korean Acad Soc Nurs Educ 2006;12(2):205–213.
    1. Sung MH, Eum OB. Relationships between critical thinking disposition, professional nursing competence and job satisfaction in clinical nurses. J Korean Acad Nurs Adm 2009;15(1):26–36.
    1. Kim SM, Hwang TY. Comparison of stress levels arising in clinical settings, stress coping mechanisms and clinical competency between male and female nursing students. J Korean Acad Soc Nurs Educ 2014;20(4):606–616. [doi: 10.5977/jkasne.2014.20.4.606]
    1. Park YS. Gender differences of perceived stress type, stress response and personality characteristics of Lim's character style inventory and vulnerability of personality in college students. J Korean Acad Soc Nurs Educ 2014;20(1):118–128. [doi: 10.5977/jkasne.2014.20.1.118]

Metrics
Share
Tables

1 / 4

PERMALINK