The Relation between Stress of Clinical Practice and Burnout among Nursing Students: The Mediation Effect of Spiritual Well-being

Abstract

Purpose: The purpose of this study is to examine the factors that influence the clinical practice of nursing students and to identify the mediating effects of spiritual well-being in the relation between stress of clinical practice and burnout caused by clinical practice. Methods: Data were collected by self-report questionnaires targeting 420 nursing students in three nursing colleges located in Gyeonggi and Chungnam province. Results: Burnout of clinical practice according to general characteristics of the study subjects showed significant difference in religion (t=1.895, p=.049). Stress of clinical practice and burnout of clinical practice showed positive correlation (r=.42, p<.001), existential spiritual well-being showed negative correlation between stress of clinical practice (r=-.17, p<.001) and burnout of clinical practice (r=-.47, p<.001). In addition, religious spiritual well-being in spiritual well-being showed no mediating effects and existential spiritual well-being showed mediating effects between burnout in clinical practice stress. Conclusion: In order to alleviate the stress of clinical practice for burnout of clinical practice prevention of nursing students, solutions to improve the existential spiritual well-being will be required in the future.

The Effects of Clinical Practice Stress and Resilience on Nursing Students’ Academic Burnout

“…In addition, the higher the clinical practice stress, the higher the degrees of burnout. The results of this study can be interpreted within the same context as those of the previous study, in that the degree of burnout was low when the satisfaction level with the practice was high [3]; the higher the clinical practice stress, the higher the clinical practice exhaustion [9]. Further, nursing students with high academic resilience had low levels of clinical practice stress [16].…”

“…Nursing students experience a lot of stress due to the unique characteristics of the nursing department, in addition to the general stress experienced by most university students as they adapt to college life [7]. Due to difficulties with studying vast amounts of information pertaining to their academic major at the time of enrollment, having a less flexible curriculum and a more competitive atmosphere, and undertaking the necessary preparations for the national nursing licensing qualifications [8], high levels of stress lead to academic burnout.…”

“…Due to difficulties with studying vast amounts of information pertaining to their academic major at the time of enrollment, having a less flexible curriculum and a more competitive atmosphere, and undertaking the necessary preparations for the national nursing licensing qualifications [8], high levels of stress lead to academic burnout. Among the various stressors experienced by nursing students, clinical practice stress is a major factor that causes exhaustion in clinical practice [9]. practice education exposes students to unfamiliar environments and this often leads to serious anxiety and tension [11].…”

“…Among the variables that can alleviate negative influences such as stress, resilience is considered to help nursing students prepare to face challenges and adversity, and not only survive but also thrive in the face of additional life events and challenges with hope and optimism for future successful outcomes, improved well-being, and career longevity [7,12]. The self-resilient person is one who has the necessary patience and ability to appropriately adjust to the stress level and react flexibly in unfamiliar situations, thus enabling successful adaptation [13].…”

Clinical Practice Stress and Burnout in Nursing Students: The Mediating Effect of Empathy

“…이에 간호대학생의 소진을 감소시킬 수 있는 방안이 필요하다. 간호대학생의 소진에 영 향을 주는 요인은 학년, 감정노동, 임상실습스트레스, 영적안 녕 등이 있고 (Lee et al, 2017;Lim, 2017), 이 중 임상실습 스트레스는 소진의 주요 요인이다 (Lee et al, 2017;Lim, 2017 (Davis, 1980). 간호대학생은 대상자와 끊임없이 치료적 관계를 형성해야 하 고, 효과적인 의사소통을 통해서 대상자의 문제를 해결해야하 는데, 이에 필수적인 요소가 공감이다 (Ji, 2014) (Alzayyat & Al-Gamal, 2014;Lee et al, 2017), 간호대학생의 소진 (Lee et al, 2017;Michalec et al, 2013;Rudman & Gustavsson, 2012), 공감 (Jeong & Lee, 2015) (Davis, 1980).…”