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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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Development and Validation of a Tool for Evaluating Core Competencies in Nursing Cancer Patients on Chemotherapy
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Sung Hae Kim, Jae Hyun Park
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J Korean Acad Nurs 2012;42(5):632-643. Published online October 31, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.5.632
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Abstract
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Purpose
This study was done to develop tool to evaluate the core competencies regarding nursing cancer patients on chemotherapy, and to verify the reliability and efficacy of the developed tool.
Methods
A tool to evaluate the core competencies was developed from a preliminary tool consisting of 112 items verified by expert groups. The adequacy of the preliminary tool was analyzed and refined to the final evaluation tool containing 76 items in 8 core competencies and 18 specific competencies. The evaluation tool is in the form of a self-report, and each item is evaluated according to a 3-point scale. From September 22 to October 14, 2011, 349 survey responses were analyzed using SPSS 20.0 and the WINSTEPS program that employs the Rasch model.
Results
Results indicated that there were no inappropriate items and the items had low levels of difficulty in comparison with the knowledge levels of the study participants. The results of factor analysis yielded 18 factors, and the reliability of the tools was very high with Cronbach's α=.97.
Conclusion
The results of this study can be used for training and evaluation of core competencies for nursing cancer patients, and for standardizing nursing practices associated with chemotherapy.
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Citations
Citations to this article as recorded by - The Reliability and Validity of the Korean Version of the Indiana University Simulation Integration Rubric for Interprofessional Communication among Nursing and Medical Students
Shinhye Chae, Jae-Bum Kim, Soonyoung Shon
Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 138. CrossRef - Development and Validation of the Short Form of Core Competencies Scale of Nursing Care for Cancer Patients Undergoing Chemotherapy
Sung Hae Kim, Seyong Lee, Sang Hee Kim, Jung Ok Choi, Gie Ok Noh
Asian Oncology Nursing.2024; 24(4): 184. CrossRef - Development of Integrated Supportive Care Nursing Competence Scale for Cancer Survivors
Eun-Jung Bae, Yun-Hee Kim
Healthcare.2024; 12(7): 755. CrossRef - Care Needs of Advanced Cancer Patients in a Long-term Care Hospital: Patient-Nurse Comparison
Hee-Jung Kang, Kyung-Ah Kang
Asian Oncology Nursing.2023; 23(4): 196. CrossRef - Psychometric Properties of the Korean Version of the Environmental Health Literacy Scale
Jung-Min Kwak, Ju-Hee Kim
International Journal of Environmental Research and Public Health.2022; 19(7): 4079. CrossRef - Chemotherapy administration checklist for patients receiving chemotherapy
Gitika Miglani, Ashok Kumar, Vandna Pandey, Puneet Pareek, Shrikant K. Nair
Journal of Education and Health Promotion.2022; 11(1): 397. CrossRef - Development of Clinical Performance Examination(CPX) using Flipped Learning
Jeong Sook PARK, Soon Yang JANG
JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2017; 29(4): 987. CrossRef - Development of Program Outcome Self-Assessment Tool in Korean Nursing Baccalaureate Education
Hyun-Kyoung Kim
The Journal of Korean Academic Society of Nursing Education.2015; 21(2): 215. CrossRef - Development of Short Form of the Korean Version- the Boston Naming Test (K-BNT-15) Based on Item Response Theory
HyangHee Kim, Soo Ryon Kim
The Journal of the Korea Contents Association.2013; 13(12): 321. CrossRef
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