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KMID : 0806120190490040437
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대한간호학회지
2019 Volume.49 No. 4 p.437 ~ p.448
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Factors Affecting Clinical Practicum Stress of Nursing Students: Using the Lazarus and Folkman’s Stress-Coping Model
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Kim Sung-Hae
Lee Ju-Hee
Jang Mi-Ra
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Abstract
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Purpose: This study was conducted to test a path model for the factors related to undergraduate nursing students’ clinical practicum stress, based on Lazarus and Folkman’s stress-coping model.
Methods: This study utilized a path analysis design. A total of 235 undergraduate nursing students participated in this study. The variables in the hypothetical path model consisted of clinical practicum, emotional intelligence, self-efficacy, Nun-chi, and nursing professionalism. We tested the fit of the hypothetical path model using SPSS/WIN 23.0 and AMOS 22.0.
Results: The final model fit demonstrated a satisfactory statistical acceptance level: goodness-of-fit-index=.98, adjusted goodness-of-fit-index=.91, comparative fit index=.98, normed fit index=.95, Tucker-Lewis index=.92, and root mean square error of approximation=.06. Self-efficacy (b=-.22, p=.003) and Nun-chi behavior (b=-.17, p=.024) were reported as significant factors affecting clinical practicum stress, explaining 10.2% of the variance. Nursing professionalism (b=.20, p=.006) and self-efficacy (b=.45, p<.001) had direct effects on emotional intelligence, explaining 45.9% of the variance. Self-efficacy had indirect effects on Nun-chi understanding (b=.20, p<.001) and Nun-chi behavior (b=.09, p=.005) through emotional intelligence. Nursing professionalism had indirect effects on Nun-chi understanding (b=.09, p=.005) and Nun-chi behavior (b=.09, p=.005) through emotional intelligence. The variables for self-efficacy and nursing professionalism explained 29.1% of the Nun-chi understanding and 18.2% of the Nun-chi behavior, respectively.
Conclusion: In undergraduate nursing education, it is important to identify and manage factors that affect clinical practicum stress. The findings of this study emphasize the importance of Nun-chi, self-efficacy, emotional intelligence, and nursing professionalism in the development of an educational strategy for undergraduate nursing students.
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KEYWORD
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Clinical Practicum, Psychological Stress, Nursing Students
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