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Purpose:The purpose of this study was to explore perception of the clinical learning environment, resilience and perfectionism in relation to practice burnout and to identify factors influencing practice burnout in student nurses. Methods: A descriptive correlational study was conducted. The participants were 313 student nurses from three universities in B and U city. Data were analyzed using t-test, ANOVA, Pearson correlation coefficient, Scheffés test and multiple regression analysis. Results: Mean score for practice burnout in student nurses was 2.92 out of 5 points. Practice burnout explained 44.7% of the variance in perfectionism (β = .245, p < .001), satisfaction with college life (β = .232, p < .001), resilience (β = -.228, p < .001), clinical learning environment (β = -.193, p < .001), satisfaction with major (β = .180, p = .001), practical relationships with peers (β = .128, p = .005), and satisfaction with clinical practice (β = .124, p = .039). Conclusion: Research results suggest that the important variable for student nurses' practice burnout is perfectionism. Therefore education is needed to develop strategies to manage perfectionism and reduce practice burnout. 서 론 연구의 필요성 오늘날 지식과 정보에 대한 접근의 기회가 확대되고 건강에 대한 관 심의 증가로 전문직으로서의 간호에 대한 요구가 증대되고 있다[1]. 이 에 간호교육평가원에서는 전문적인 지식과 질적인 간호 제공 능력을 가진 간호사를 양성하기 위해 성과중심의 교육체계를 갖추고 임상실 습교육의 질을 관리하고 있다[2]. 국내 간호교육 임상실습은 1,000시간 이상이 요구되는 필수교육 과정이며[2] 병원, 보건 및 의료시설 등에서 간호실무 경력자들에 의해 이루어지고 있다[3]. 간호대학생들은 임상 실습을 통해 다양한 임상현장을 경험하고 간호사의 역할과 간호술기 를 학습하며 환자들의 요구를 파악하고 대처할 수 있는 임상수행능력 을 배우게 된다[4]. 그러나 임상실습 과정에서 발생하는 이론과 실습 간의 차이와 낯선 병원환경과 복잡한 인간관계, 간호사들의 무관심과 같은 임상실습교육환경 및 자신의 미숙한 수행능력 등으로 인하여 실 습스트레스를 경험하게 된다[5]. 간호대학생의 실습스트레스가 지속되 면 피로, 불면, 불안, 우울 등이 나타나고 임상실습에 적응하지 못하며 결국 실습과 관련된 소진을 경험하게 된다[6]. 이러한 실습소진이 4년 동안 지속적으로 증가되면 학업몰입과 직업 준비에 영향을 미치며 졸 업 후 직무소진, 이직의도에까지 영향을 미치는 것으로 보고되고 있다 [7]. 따라서 임상실습교육환경이 간호대학생의 실습과 관련된 소진에 미치는 영향을 파악할 필요가 있다. 임상실습교육환경은 간호대학생의 임상실습 결과에 직접적인 영향 을 미치는 총체적인 것으로, 간호기술과 지식을 획득하고 실습을 위한 준비와 조직적인 기술, 역할 수행의 자신감을 가지는데 있어 많은 영향 을 미친다[8]. Han과 Park[9]은 간호대학생들이 임상실습교육환경을 긍정적으로 인지할수록 임상수행능력도 높다고 하였으며, 임상실습교 육환경이 간호대학생의 실습소진을 줄이고 임상실습을 긍정적으로 경험하게 하는 중요한 요인이라고 하였다. 그러나 간호대학생들은 임 Corresponding author Jung Mi Kang 182 Yangun-ro, Haundae-gu Doosan APT 102- 403,This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

This study was to examine the relationships between nurse's perception of patient safety culture and performance for safety nursing activities at rehabilitation hospitals. Methods: This study applied a descriptive research design. Participants were 194 nurses who have provided nursing services for more than 6 months at 4 rehabilitation hospitals located in B metropolitan city. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients and multiple regression. Results: There was a positive correlation between the awareness of patient safety culture and safety nursing activity. Multivariate analysis showed that hospital work environment, experience of education, hospital climate, frequency of reported events, and marital status were significantly associated with the safety nursing activity. Overall, approximately 23.1% of total variability in the safety nursing activity could be explained by the 5 variables (R 2 =0.231, p<.005). Conclusion: Nurses at rehabilitation hospitals are relatively positive about patient safety culture. Therefore, we need to develop safety education programs at the level of organization in order to improve patient safety through performing effective safety nursing activities in addition to increase awareness of patient safety culture among nurses. Furthermore, we need hospital's strategies at the system level for open communication and outcome reports regarding patient safety.