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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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Sung Hae Kim, JuHee Lee, MiRa Jang
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J Korean Acad Nurs 2019;49(4):437-448. Published online August 29, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.4.437
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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 (β=−.22, p=.003) and Nun-chi behavior (β=−.17, p=.024) were reported as significant factors affecting clinical practicum stress, explaining 10.2% of the variance. Nursing professionalism (β=.20, p=.006) and self-efficacy (β=.45, p<.001) had direct effects on emotional intelligence, explaining 45.9% of the variance. Self-efficacy had indirect effects on Nun-chi understanding (β=.20, p<.001) and Nun-chi behavior (β=.09, p=.005) through emotional intelligence. Nursing professionalism had indirect effects on Nun-chi understanding (β=.09, p=.005) and Nun-chi behavior (β=.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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Citations
Citations to this article as recorded by 
- Effects of stress on burnout among infection control nurses during the COVID-19 pandemic: the mediating effects of social support and self-efficacy
Su-jin Lee, Ju-Young Park, Seo-Hyeon Kim BMC Nursing.2024;[Epub] CrossRef - The effect of verbal violence, clinical practice stress, and coping with stress on nursing students’ major satisfaction during clinical practice
Heejung Heo, Yeoungsuk Song The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 190. CrossRef - Examining Students’ Experience with the Nursing Management Practicum Based on the Service Design
Yoomi Jung, Myungja Kim Journal of Korean Academy of Nursing Administration.2022; 28(3): 214. CrossRef - Effects of a group poetry therapy program on stress, anxiety, ego-resilience, and psychological well-being of nursing students
Jung Hyun Park, Ji Young Kim, Hyeon Ok Kim Archives of Psychiatric Nursing.2022; 41: 144. CrossRef - The mediating effect of media usage on the relationship between anxiety/fear and physician–patient trust during the COVID-19 pandemic
Yidi Chen, Jianhui Wu, Jinjin Ma, Huanya Zhu, Wenju Li, Yiqun Gan Psychology & Health.2022; 37(7): 847. CrossRef - A Cross-Sectional Study: What Contributes to Nursing Students’ Clinical Reasoning Competence?
Soomin Hong, JuHee Lee, Yeonsoo Jang, Yoonju Lee International Journal of Environmental Research and Public Health.2021; 18(13): 6833. CrossRef
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Relationship between Expectations Regarding Aging and Physical Activity among Middle Aged Adults in Urban Areas: Based on the Pender's Health Promotion Model
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Sung-Hye Cho, MoonKi Choi, JuHee Lee, Hyewon Cho
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J Korean Acad Nurs 2015;45(1):14-24. Published online February 27, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.1.14
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Abstract
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Purpose
The purpose of this study was to measure the level of expectations regarding aging (ERA) and identify relationship between ERA and physical activity of middle aged adults.
Methods
Participants were middle aged adults who resided in the community in three cities in Korea. Data were collected using questionnaires that contained items on individual characteristic, International Physical Activity Questionnaires (IPAQ), and behavior-specific cognitive factors including ERA-12. Hierarchical multiple regression was conducted to examine whether ERA would predict physical activity by controlling other factors.
Results
The mean age of the participants was 51.1±6.9 years. The mean score for ERA (possible range=0 to 100) was 40.04±14.31. More than half of the participants (62.6%) were not engaged in health promoting physical activity. Gender, employment status and exercise confidence were associated with level of physical activity (F=7.14, p<.001, R2=.36). After controlling for individual factors and behavior-specific cognitive factors, ERA was independently related to physical activity (F=7.19, p<.001, R2=.38).
Conclusion
The results demonstrate that individuals' belief about aging has effects on physical activity in Korean middle aged adults. Thus, nursing interventions which focused on ERA could help enhance physical activity in middle aged adults.
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Citations
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- The Effects of Health Status and Social Support on Happiness in MiddleAged Women
Bok Hui Baek, So Young Choi Journal of Korean Public Health Nursing.2024; 38(1): 16. CrossRef - Impact of WhatsApp-Based Self-Care Education on Self-Care Behaviors and Lifestyle in Overweight and Obese Pregnant Women with Diabetes: A Randomized Controlled Trial
Fatemeh Salarkarimi, Majid Karandish, Mehrnoosh Zakerkish, Zahra Abbaspoor Jundishapur Journal of Chronic Disease Care.2024;[Epub] CrossRef - The Level of Expectations Regarding Aging Among Older Adults: A Systematic Review and Meta-analysis
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Hossein Hassannezhad, Hasan Robabi, Fatihe Kerman Saravi Medical-Surgical Nursing Journal.2024;[Epub] CrossRef - Validity and Reliability of Persian Version of the 12-Item Expectations Regarding Aging Survey
Hamid Sharif Nia, Long She, Sotheeswari Somasundram, Fatemeh Khoshnavay Fomani, Omolhoda Kaveh, Lida Hosseini The International Journal of Aging and Human Development.2023; 96(2): 248. CrossRef - Health-Related Expectations Regarding Aging among Middle-Aged and Older Japanese: Psychometric Performance and Novel Findings from the ERA-12-J
Michael Annear, Yasuo Shimizu, Tetsuhiro Kidokoro International Journal of Environmental Research and Public Health.2022; 19(20): 13509. CrossRef - Factors Influencing the Physical Activity of Foreign Workers: Based on a Health Promotion Model
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Bina Eftekharsadat, Dawood Aghamohammadi, Neda Dolatkhah, Maryam Hashemian, Halale Salami International Journal for Vitamin and Nutrition Research.2021; 91(3-4): 304. CrossRef - Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease
Kyung Ae Kim, Seon Young Hwang Journal of Korean Academy of Nursing.2019; 49(2): 113. CrossRef - Applying the theory of planned behavior to determine factors associated with physical activity by women with hypertension in rural areas of Iran
Effat Hatefnia, Kobra Alizadeh, Mostafa Ghorbani Asian Biomedicine.2019; 12(2): 83. CrossRef - Factors Affecting the Successful Aging of Late Middle-Aged Adults
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SeungKyoung Yang, Yeongmi Ha, Mi-Ra Jung Korean Journal of Occupational Health Nursing.2015; 24(3): 235. CrossRef
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