Open Access, Peer-reviewed
pISSN 1225-9330
eISSN 2288-4955
    J Korean Acad Nurs Adm. 2015 Sep;21(4):417-425. Korean.
    Published online Sep 30, 2015.
    https://doi.org/10.11111/jkana.2015.21.4.417
    Copyright © 2015 Korean Academy of Nursing Administration
    Original Article

    Effects of Clinical Learning Environment on Clinical Practice Stress and Anxiety in Nursing Students

    Eun Young Kim and Seung Hee Yang
      • Department of Nursing, Dong-A University, Korea.
    • Corresponding author: Yang, Seung Hee. Department of Nursing, Dong-A University, 32 Daesingongwon-ro, Seo-gu, Busan 49201, Korea. Tel: +82-51-203-1301, Fax: +82-51-240-2920, Email: blue11998833@hanmail.net
    Received July 28, 2015; Revised September 12, 2015; Accepted September 14, 2015.

    This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    The purpose of this study was to identify factors in the clinical learning environment that affect clinical practice stress and anxiety in nursing students.

    Methods

    Participants were 210 senior nursing students from two universities who had completed their clinical experience. Data were collected from self-report questionnaires and analyzed using t-test, ANOVA, and hierarchical multiple regression analysis with the SPSS/WIN 21.0 Program.

    Results

    The mean scores for the clinical learning environment, the clinical practice stress, and anxiety were 3.16±0.68, 2.98±0.66, and 43.74±10.18 points, respectively. The regression analysis showed that the clinical learning environment contributed to 13% of the stress and 20% of the anxiety in the nursing students with the conditions controlled for general characteristics, department satisfaction and social support.

    Conclusion

    The results of this study suggest that the clinical learning environment should be carefully assessed to reduce nursing students' stress and anxiety from clinical practice. Therefore, collaboration between nursing universities and teaching hospitals is necessary to optimize clinical learning environment.

    Keywords
    Clinical learning environment; Clinical practice stress; Anxiety; Nursing education

    Tables

    Table 1
    General Characteristics of the Participants (N=210)

    Table 2
    Clinical Learning Environment, Clinical Practice Stress, Anxiety (N=210)

    Table 3
    Clinical Practice Stress and Anxiety by General Characteristics (N=210)

    Table 4
    Predictors of Clinical Practices Stress (N=210)

    Table 5
    Predictors of Anxiety (N=210)

    Notes

    This work was supported by the Dong-A University research fund.

    References

      1. American Association of Colleges of Nursing. The essential clinical resource for nursing academic missions [Internet]. Washington. DC: American Association of Colleges of Nursing; 2008 [cited 2014 March 17].
        Available from: http://www.aacn.nche.edu/education-resources/ClinicalEssentials99.pdf.
      1. Locken T, Norberg H. Reduced anxiety improves learning ability of nursing students through utilization of mentoring triads. J Nurs Educ 2005;48(1):17–23.
      1. Park JW, Ha NS. Nursing students' clinical experiences. J Korean Acad Psychiatr Ment Health Nurs 2003;12(1):27–35.
      1. Kim JS, Sun JJ, Kim HS. Clinical practice experiences of nursing students. Qual Res 2009;10(1):63–76.
      1. Song JH, Kim MW. Study on clinical education for nursing in hospitals in Korea. J Korean Acad Soc Nurs Educ 2013;19(2):251–264. [doi: 10.5977/jkasne.2013.19.2.251]
      1. Hyoung HK, Ju YS, Im SI. A concept mapping study on clinical stress for nursing students during clinical practice. J Korean Acad Nurs Adm 2014;20(4):394–404. [doi: 10.11111/jkana.2014.20.4.394]
      1. Papp I, Markkanen M, von Bonsdorff M. Clinical environment as a learning environment: Student nurses' perceptions concerning clinical learning experiences. Nurse Educ Today 2003;23(4):262–268. [doi: 10.1016/S0260-6917(02)00185-5]
      1. Dunn SV, Burnett P. The development of a clinical learning environment scale. J Adv Nurs 1995;22(6):1166–1173. [doi: 10.1111/j.1365-2648.1995.tb03119.x]
      1. Midgley K. Pre-registration student nurses perception of the hospital-learning environment during clinical placements. Nurse Educ Today 2006;26(4):338–345. [doi: 10.1016/j.nedt.2005.10.015]
      1. Choi GY. The relationship between perceptions of nursing college students regarding clinical practice environment and related variables. J Korean Acad Adult Nurs 2009;21(1):129–139.
      1. Whang SJ. The relationship between clinical stress, self-efficacy, and self-esteem of nursing college students. J Korean Acad Soc Nurs Educ 2006;12(2):205–213.
      1. Park IS, Kim CS, Kim R, Kim YJ, Park MH. Stress, anxiety and fatigue of nursing students in clinical practice. J Korean Acad Soc Nurs Educ 2005;11(2):151–160.
      1. Lee AK, You HS, Park IH. Affecting factors on stress of clinical practice in nursing students. J Korean Acad Nurs Adm 2015;21(2):154–163. [doi: 10.11111/jkana.2015.21.2.154]
      1. Han JY. Nursing students' perceptions of clinical learning environment. J Korean Data Anal Soc 2010;12(5):2595–2607.
      1. Han JY, Park HS. Effects of teaching effectiveness and clinical learning environment on clinical practice competency in nursing students. J Korean Acad Fundam Nurs 2011;18(3):365–372.
      1. Kim SL, Lee JE. Relationship among stress, coping strategies, and self-esteem in nursing students taking clinical experience. J Korean Acad Soc Nurs Educ 2005;11(1):98–106.
      1. Yang YK, Han KS, Bae MH, Yang SH. Social support, academic stress, clinical practice stress in college student of nursing. Korean J Stress Res 2014;22(1):23–34. [doi: 10.17547/kjsr.2014.22.1.23]
      1. Braskamp LA, Wise SL, Hengstler DD. Student satisfaction as a measure of departmental quality. J Educ Psychol 1979;71(4):494.
      1. Kim KH, Ha HS. A study of department satisfaction factors of undergraduate students. Korean J Couns 2000;1(1):7–20.
      1. Brandt PA, Weinert C. The PRQ: A social support system. Nurs Res 1981;30(5):277–280.
      1. Suh MH, Oh KS. A study of well - being in caregivers caring for chronically ill family members. J Nurs Acad Soc 1993;23(3):467–486.
      1. Beck DL, Srivastava R. Perceived level and sources of stress in baccalaureate nursing students. J Nurs Educ 1991;30(3):127–133.
      1. Spielberger CD, Gorsuch RL, Lushene RE. In: STAI manual for the state-trait anxiety inventory("Self-evaluation questionnaire"). Palo Alto, CA: Consulting Psychologists Press; 1970.
      1. Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. New Med J 1978;21(11):69–75.
      1. Saarikoski M, Leino-Kilpi H. The clinical learning environment and supervision by staff nurses: Developing the instrument. Int J Nurs Stud 2002;39(3):259–267.
      1. Han SY, Lee YM. The relationship between anxiety, anger and fatigue among stress factor of nursing students in clinical practice. J Korea Acad Ind Coop Soc 2012;13(2):554–561. [doi: 10.5762/KAIS.2012.13.2.554]
      1. Koo HY, IM HS. Comparison of factors influencing satisfaction of clinical practice between associate and bachelor nursing students. J Korea Contents Assoc 2013;13(1):311–321. [doi: 10.5392/JKCA.2013.13.01.311]
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    MeSH Terms
    Anxiety*
    Cooperative Behavior
    Education, Nursing
    Hospitals, Teaching
    Humans
    Learning*
    Nursing*
    Students, Nursing*
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