Stress of Clinical Practice and Mental Health According to DISC Behavioral Styles in Nursing University Students / 의료커뮤니케이션

BACKGROUND: Many nursing university students were stressed during clinical practice. The purpose of this study was to identify the difference between stress of clinical practice and mental health according to behavioral styles in nursing university students.METHODS: The participants of this study were 233 junior and senior nursing students who had experienced clinical practice. Data were collected by self-report questionnaires in online from November 2017 to March 2018. Collected data were analyzed with SPSS/WIN 25.0 using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients.RESULTS: The most frequent DISC behavior style of the subjects was conscientiousness (43.8%), follewed by steadiness (19.7%), influence (18.9%), and dominance (17.6%). The participants'scores for stress of clinical practice and mental health were 3.35±0.55 and 1.13±0.65. The stress of clinical practice of the subjects was different according to DISC behavior styles(F=2.86, p=.038). The results show that the higher the score of stress of clinical practice was the higher the score of mental health(r=.51, p < .001).CONCLUSION: This study found that the difference of DISC behavioral styles can be attributed to stress of clinical practice. Therefore, nursing intervention program considering with the subjects'DISC behavior styles needs to be developed to reduce their stress of clinical practice.

Relationship among Stress of Clinical Practice, Stress Coping, Ego-Resilience and Clinical Competence in Nursing Students / 의료커뮤니케이션

BACKGROUND: This descriptive study was conducted to investigate the relations among stress of clinical practice, stress coping, ego-resilience and clinical competence in nursing students.METHODS: The participants in this study were 146 who were nursing students at D university in D city. A questionnaire was conducted to investigate the relationship between stress of clinical practice, stress coping, ego-resilience and clinical competence. Collected data were analyzed using t-test, ANOVA, Pearson's correlation with IBM SPSS Statistics 20.0 program.RESULTS: The Stress of Clinical Practice score of subjects was 60.8, Stress Coping score was 79.7, ego-resilience score was 38.8 and Clinical Competence score was 160.9. Students with high Satisfaction of major showed low clinical stress(F=12.410, p < .001) and showed high clinical performance(F=7.766, p < .001). There were statistically significantly correlations that ego-resilience showed a positive correlation with stress coping (r=.338, p < .001), and clinical competence was stress coping (r=.455, p < .001) and ego resilience (r=.373, p < .001).CONCLUSION: The results of the study indicate that stress coping, resilience, and clinical competence are significantly strongly correlated. Therefore, it is suggested that to improve the clinical competence of nursing students should be improve ego-resilience and develop stress coping ability.

Stress Experience of Nursing Students to Clinical Practice / 아동간호학회지

This study was designed to determine the schemata and their characteristics of stress experience the subjectivity of stress experience(structure of subjectivity) would be a basic step for the effective clinical education through the stress management for characteristics of these types. Q-methodological method was used for that purpose. The research method statements were collected prior to the study through indepth interviews. For the study, 31 Q-statements were selected. There were 34 nursing students as subjects for the research. The 34 nursing students sorted the 31 statements using the principal of forced normal distribution. The principle of forced normal distribution, which has 9 scales to measure the individual opinions, was called. Q-factor analysis by using PC QUANL program supply the material. According to the outcomes of this study, there were 3 types of special opinion about the stress experience of clinical practice. The first type is called "Influence of practical atmosphere type". Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The second type is called "conflict of nursing role type". Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The third type is called "Lack of confidence type". Members of this type experienced stress be cause of a lack of confidence for their own nursing knowledge and skill. As a result, we now need further study to identify individual psychological aspects of stress for clinical practice. The findings will guide the development in effective approaches for clinical education. Finally, the result of the study will provide us the need for developing systematic and integrated practice education program for students and active involvement of clinical instructor.