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<article xml:lang="KO" article-type="research-article">

<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Perspect Nurs Sci</journal-id>
<journal-id journal-id-type="publisher-id">PNS</journal-id>
<journal-title-group>
<journal-title>Perspectives in Nursing Science</journal-title>
</journal-title-group>
<issn pub-type="ppub">2288-2898</issn>
<issn pub-type="epub">2288-7687</issn>
<publisher>
<publisher-name>The Research Institute of Nursing Science, Seoul National University</publisher-name>
</publisher>
</journal-meta>

<article-meta>
<article-id pub-id-type="doi">10.16952/pns.2017.14.2.81</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Levels of Clinical Practice Stress and Coping Strategies according to Nursing Students' Personality/Behavior Types</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author">
<name>
<surname>Jang</surname>
<given-names>Suyeon</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>So Jeong</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Yeong Ji</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Suh</surname>
<given-names>In Young</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Song</surname>
<given-names>Chearim</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Oh</surname>
<given-names>Hong Kum</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>In Jae</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Ji Yun</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Ji Eun</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<name>
<surname>Hong</surname>
<given-names>Da Hye</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author" corresp="yes">
<name>
<surname>Kim</surname>
<given-names>Jeongeun</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>

</contrib-group>

<aff id="A1"><label>1</label>Undergraduate Student, College of Nursing, Seoul National University, Seoul, Korea.</aff>
<aff id="A2"><label>2</label>Professor, College of Nursing &#x00B7; Research Institute of Nursing Science, Seoul National University, Seoul, Korea.</aff>

<author-notes>
<corresp>Corresponding author: Kim, Jeongeun. College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea. Tel: +82-2-740-8483, Fax: +82-2-747-3948, <email>kim0424@snu.ac.kr</email></corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>10</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>10</month>
<year>2017</year>
</pub-date>
<volume>14</volume>
<issue>2</issue>
<fpage>81</fpage>
<lpage>89</lpage>

<history>
<date date-type="received">
<day>08</day>
<month>10</month>
<year>2017</year>
</date>
<date date-type="rev-recd">
<day>23</day>
<month>10</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>23</day>
<month>10</month>
<year>2017</year>
</date>
</history>

<permissions>
<copyright-statement>&#x00A9; 2017 The Research Institute of Nursing Science Seoul National University</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>The Research Institute of Nursing Science Seoul National University</copyright-holder>
</permissions>

<abstract>
<sec>
<title>Purpose</title>
<p>This study was performed to identify levels of clinical practice stress and coping strategies according to the personality/behavior types of nursing students.</p>
</sec>
<sec>
<title>Methods</title>
<p>The subjects of this study were 143 third- and fourth-grade nursing students in 14 nursing colleges who had experienced clinical practice. The questionnaire consisted of instruments to identify Dominance, Influence, Steadiness, and Conscientiousness (DISC) personality/behavior types, clinical stress, and stress coping strategies. The data were analyzed using Cronbach's &#x03B1;, descriptive statistics, and ANOVA, using the SPSS 24.0 program.</p>
</sec>
<sec>
<title>Results</title>
<p>The DISC pattern showed high priority in Steadiness (48.3%), followed by Conscientiousness (21.0%), Influence (16.1%), and Dominance (14.7%), in that order. The steadiness type showed the lowest level of stress among four patterns.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>This study found that the personality/behavior types of nursing students differ. Additionally, different personality/behavior types can be attributed to stress levels and stress coping behaviors. Based on these results, different personality and behavior types of nursing students should be considered to manage their stress levels related to the clinical practicum experience.</p>
</sec>
</abstract>

<kwd-group>
<kwd>Nursing students</kwd>
<kwd>Clinical practicum</kwd>
<kwd>Psychological stress</kwd>
<kwd>Coping</kwd>
</kwd-group>


</article-meta>
</front>

<back>

    <ref-list>

  <ref id="B1">
    <label>1</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Yee</surname>
          <given-names>JA</given-names>
        </name>
      </person-group>
      <article-title>A study on the image of nurses and the professional self-concept perceived by nursing students</article-title>
      <source>J Korean Acad Nurs Adm</source>
      <year>2004</year>
      <volume>10</volume>
      <issue>3</issue>
      <fpage>325</fpage>
      <lpage>334</lpage>
    </element-citation>
  </ref>

  <ref id="B2">
    <label>2</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Park</surname>
          <given-names>HJ</given-names>
        </name>
        <name>
          <surname>Jang</surname>
          <given-names>IS</given-names>
        </name>
      </person-group>
      <article-title>Stress, depression, coping styles and satisfaction of clinical practice in nursing students</article-title>
      <source>J Korean Acad Soc Nurs Educ</source>
      <year>2010</year>
      <volume>16</volume>
      <issue>1</issue>
      <fpage>14</fpage>
      <lpage>23</lpage>
      <pub-id pub-id-type="doi">10.5977/JKASNE.2010.16.1.014</pub-id>
    </element-citation>
  </ref>

  <ref id="B3">
    <label>3</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Bell</surname>
          <given-names>ML</given-names>
        </name>
      </person-group>
      <article-title>Learning a complex nursing skill: student anxiety and the effect of preclinical skill evaluation</article-title>
      <source>J Nurs Educ</source>
      <year>1991</year>
      <volume>30</volume>
      <issue>5</issue>
      <fpage>222</fpage>
      <lpage>226</lpage>
    </element-citation>
  </ref>

  <ref id="B4">
    <label>4</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Lee</surname>
          <given-names>YR</given-names>
        </name>
        <name>
          <surname>Kim</surname>
          <given-names>SH</given-names>
        </name>
        <name>
          <surname>Chu</surname>
          <given-names>MS</given-names>
        </name>
      </person-group>
      <article-title>Stress, stress coping, and school adaptation according to Myers-Briggs Type Indicator (MBTI) personality type in freshmen nursing students</article-title>
      <source>J Korean Acad Soc Nurs Educ</source>
      <year>2013</year>
      <volume>19</volume>
      <issue>2</issue>
      <fpage>172</fpage>
      <lpage>182</lpage>
      <pub-id pub-id-type="doi">10.5977/jkasne.2013.19.2.172</pub-id>
    </element-citation>
  </ref>

  <ref id="B5">
    <label>5</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Jung</surname>
          <given-names>M</given-names>
        </name>
      </person-group>
      <article-title>Effect of MBTI growth program on the state anxiety of nursing students before initial clinical experience</article-title>
      <source>J Korean Acad Psych Ment Health Nurs</source>
      <year>1997</year>
      <volume>6</volume>
      <issue>1</issue>
      <fpage>70</fpage>
      <lpage>81</lpage>
    </element-citation>
  </ref>

  <ref id="B6">
    <label>6</label>
    <element-citation publication-type="book">
      <person-group person-group-type="author">
        <name>
          <surname>Lazarus</surname>
          <given-names>RS</given-names>
        </name>
        <name>
          <surname>Folkman</surname>
          <given-names>S</given-names>
        </name>
      </person-group>
      <source>A stress, appraisal and coping</source>
      <publisher-loc>New York</publisher-loc>
      <publisher-name>Springer</publisher-name>
      <year>1984</year>
    </element-citation>
  </ref>

  <ref id="B7">
    <label>7</label>
    <element-citation publication-type="thesis">
      <person-group person-group-type="author">
        <name>
          <surname>Park</surname>
          <given-names>CS</given-names>
        </name>
      </person-group>
      <source>An analysis of the difference of the technical high school students' stress coping behavior in MBTI personality type [dissertation]</source>
      <publisher-loc>Seoul</publisher-loc>
      <publisher-name>Konkuk University</publisher-name>
      <year>2001</year>
    </element-citation>
  </ref>

  <ref id="B8">
    <label>8</label>
    <element-citation publication-type="book">
      <person-group person-group-type="author">
        <name>
          <surname>Eysenck</surname>
          <given-names>HJ</given-names>
        </name>
      </person-group>
      <chapter-title>Stress disease and personality: the inoculation effect</chapter-title>
      <person-group person-group-type="editor">
        <name>
          <surname>Cooper</surname>
          <given-names>CL</given-names>
        </name>
      </person-group>
      <source>Stress research</source>
      <publisher-loc>New York</publisher-loc>
      <publisher-name>John Wiley &#x0026; Sons</publisher-name>
      <year>1983</year>
      <fpage>121</fpage>
      <lpage>146</lpage>
    </element-citation>
  </ref>

  <ref id="B9">
    <label>9</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Han</surname>
          <given-names>AK</given-names>
        </name>
        <name>
          <surname>Kim</surname>
          <given-names>OS</given-names>
        </name>
        <name>
          <surname>Won</surname>
          <given-names>JS</given-names>
        </name>
      </person-group>
      <article-title>A study on job stress and coping method by the personality types of clinical nurses</article-title>
      <source>J Korean Clin Nurs Res</source>
      <year>2007</year>
      <volume>13</volume>
      <issue>2</issue>
      <fpage>125</fpage>
      <lpage>136</lpage>
    </element-citation>
  </ref>

  <ref id="B10">
    <label>10</label>
    <element-citation publication-type="thesis">
      <person-group person-group-type="author">
        <name>
          <surname>Nam</surname>
          <given-names>SH</given-names>
        </name>
      </person-group>
      <source>A study on stress in practice and coping style according to the personality types of nursing students [dissertation]</source>
      <publisher-loc>Daegu</publisher-loc>
      <publisher-name>Kyungpook National University</publisher-name>
      <year>2008</year>
    </element-citation>
  </ref>

  <ref id="B11">
    <label>11</label>
    <element-citation publication-type="book">
      <person-group person-group-type="author">
        <name>
          <surname>Marston</surname>
          <given-names>WM</given-names>
        </name>
      </person-group>
      <source>Emotions of normal people</source>
      <publisher-loc>Minnesota</publisher-loc>
      <publisher-name>Persona Press</publisher-name>
      <year>1979</year>
    </element-citation>
  </ref>

  <ref id="B12">
    <label>12</label>
    <element-citation publication-type="thesis">
      <person-group person-group-type="author">
        <name>
          <surname>Lee</surname>
          <given-names>YH</given-names>
        </name>
      </person-group>
      <source>Beauty services satisfaction and revisit purpose following customer's personality types-in center of DISC behavior type- [dissertation]</source>
      <publisher-loc>Seoul</publisher-loc>
      <publisher-name>SeoKyung University</publisher-name>
      <year>2012</year>
    </element-citation>
  </ref>

  <ref id="B13">
    <label>13</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Whang</surname>
          <given-names>SJ</given-names>
        </name>
      </person-group>
      <article-title>The relationship between clinical stress, self-efficacy, and self-esteem of nursing college students</article-title>
      <source>J Korean Acad Soc Nurs Educ</source>
      <year>2006</year>
      <volume>12</volume>
      <issue>2</issue>
      <fpage>205</fpage>
      <lpage>213</lpage>
    </element-citation>
  </ref>

  <ref id="B14">
    <label>14</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Beck</surname>
          <given-names>DL</given-names>
        </name>
        <name>
          <surname>Srivastava</surname>
          <given-names>R</given-names>
        </name>
      </person-group>
      <article-title>Perceived level and sources of stress in baccalaureate nursing students</article-title>
      <source>J Nurs Educ</source>
      <year>1991</year>
      <volume>30</volume>
      <issue>3</issue>
      <fpage>127</fpage>
      <lpage>133</lpage>
    </element-citation>
  </ref>

  <ref id="B15">
    <label>15</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Kim</surname>
          <given-names>SL</given-names>
        </name>
        <name>
          <surname>Lee</surname>
          <given-names>JE</given-names>
        </name>
      </person-group>
      <article-title>Relationship among stress coping strategies, and self-esteem in nursing students taking clinical experience</article-title>
      <source>J Korean Acad Soc Nurs Educ</source>
      <year>2005</year>
      <volume>11</volume>
      <issue>1</issue>
      <fpage>98</fpage>
      <lpage>106</lpage>
    </element-citation>
  </ref>

  <ref id="B16">
    <label>16</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Kim</surname>
          <given-names>SM</given-names>
        </name>
        <name>
          <surname>Hwang</surname>
          <given-names>TY</given-names>
        </name>
      </person-group>
      <article-title>Comparison of stress levels arising in clinical settings, stress coping mechanisms and clinical competency between male and female nursing students</article-title>
      <source>J Korean Acad Soc Nurs Educ</source>
      <year>2014</year>
      <volume>20</volume>
      <issue>4</issue>
      <fpage>606</fpage>
      <lpage>616</lpage>
      <pub-id pub-id-type="doi">10.5977/jkasne.2014.20.4.606</pub-id>
    </element-citation>
  </ref>

  <ref id="B17">
    <label>17</label>
    <element-citation publication-type="webpage">
      <source>Roncaglia I. Retirement transition in ballet dancers: &#x201C;coping within and coping without&#x201D;. Forum Qual Sozialforschung/ Forum Qual Soc Res [Internet]</source>
      <year>2010</year>
      <month>05</month>
      <date-in-citation content-type="access-date">cited 2017 May 20</date-in-citation>
      <volume>11</volume>
      <issue>2</issue>
      <comment>Available from: <ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://nbn-resolving.de/urn:nbn:de:0114-fqs100210">http://nbn-resolving.de/urn:nbn:de:0114-fqs100210</ext-link></comment>
      <pub-id pub-id-type="doi">10.17169/fqs-11.2.1348</pub-id>
    </element-citation>
  </ref>

  <ref id="B18">
    <label>18</label>
    <element-citation publication-type="thesis">
      <person-group person-group-type="author">
        <name>
          <surname>Lee</surname>
          <given-names>HJ</given-names>
        </name>
      </person-group>
      <source>The study of verification of stress-coping-adaptation model for unwed mother and comparative study on each groups classified by the decision on the future of their baby; based on Lazarus and Folkman's stress-coping-adaptation model [dissertation]</source>
      <publisher-loc>Seoul</publisher-loc>
      <publisher-name>Sungkyunkwan University</publisher-name>
      <year>2012</year>
    </element-citation>
  </ref>

  <ref id="B19">
    <label>19</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Folkman</surname>
          <given-names>S</given-names>
        </name>
        <name>
          <surname>Lazrus</surname>
          <given-names>RS</given-names>
        </name>
      </person-group>
      <article-title>If it changes it must be a process: a study of emotion and coping during three stages of collage examination</article-title>
      <source>J Pers Soc Psychol</source>
      <year>1985</year>
      <volume>48</volume>
      <issue>1</issue>
      <fpage>150</fpage>
      <lpage>170</lpage>
    </element-citation>
  </ref>

  <ref id="B20">
    <label>20</label>
    <element-citation publication-type="thesis">
      <person-group person-group-type="author">
        <name>
          <surname>Kim</surname>
          <given-names>B</given-names>
        </name>
      </person-group>
      <source>Communication competence and satisfaction in interpersonal relationship based on DISC behavior patterns [dissertation]</source>
      <publisher-loc>Seoul</publisher-loc>
      <publisher-name>Kyung Hee Univereity</publisher-name>
      <year>2008</year>
    </element-citation>
  </ref>

  <ref id="B21">
    <label>21</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Park</surname>
          <given-names>HJ</given-names>
        </name>
        <name>
          <surname>Oh</surname>
          <given-names>JW</given-names>
        </name>
      </person-group>
      <article-title>The relationships of the clinical practice stress and the major satisfaction with the nursing professionalism of nursing college students</article-title>
      <source>J Digit Converg</source>
      <year>2014</year>
      <volume>12</volume>
      <issue>12</issue>
      <fpage>417</fpage>
      <lpage>426</lpage>
      <pub-id pub-id-type="doi">10.14400/JDC.2014.12.12.417</pub-id>
    </element-citation>
  </ref>

  <ref id="B22">
    <label>22</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Park</surname>
          <given-names>YM</given-names>
        </name>
        <name>
          <surname>Ju</surname>
          <given-names>HJ</given-names>
        </name>
      </person-group>
      <article-title>Personality types of nurses and the relation between self-efficacy and clinical performance ability</article-title>
      <source>J Digit Converg</source>
      <year>2016</year>
      <volume>14</volume>
      <issue>11</issue>
      <fpage>333</fpage>
      <lpage>345</lpage>
      <pub-id pub-id-type="doi">10.14400/JDC.2016.14.11.333</pub-id>
    </element-citation>
  </ref>

  <ref id="B23">
    <label>23</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Kang</surname>
          <given-names>HY</given-names>
        </name>
        <name>
          <surname>Choi</surname>
          <given-names>EY</given-names>
        </name>
      </person-group>
      <article-title>Stress, stress coping methods, and college adjustment according to behavioral styles in freshman nursing students</article-title>
      <source>J Korean Acad Soc Nurs Educ</source>
      <year>2015</year>
      <volume>21</volume>
      <issue>3</issue>
      <fpage>289</fpage>
      <lpage>297</lpage>
      <pub-id pub-id-type="doi">10.5977/jkasne.2015.21.3.289</pub-id>
    </element-citation>
  </ref>

  <ref id="B24">
    <label>24</label>
    <element-citation publication-type="journal">
      <person-group person-group-type="author">
        <name>
          <surname>Cha</surname>
          <given-names>SM</given-names>
        </name>
      </person-group>
      <article-title>Study on the differences in the stress and the strategies for coping with such stress arising from clinical fieldwork in accordance with the DISC behavioral style of some of the students of occupational therapy department</article-title>
      <source>J Digit Converg</source>
      <year>2016</year>
      <volume>14</volume>
      <issue>8</issue>
      <fpage>469</fpage>
      <lpage>478</lpage>
      <pub-id pub-id-type="doi">10.14400/JDC.2016.14.8.469</pub-id>
    </element-citation>
  </ref>

    </ref-list>

</back>

<floats-group>

<fig position="float" id="F1">
<label>Figure 1</label>
<caption>
  <title>DISC personality/behavior types and clinical practice stress score.</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="pns-14-81-g001"></graphic>
</fig>

<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption>
  <title>Participant Characteristics (<italic>N</italic>=143)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="pns-14-81-i001"></graphic>
<table-wrap-foot>
<fn>
  <p>D=Dominance; I=Influence; S=Steadiness; C=Conscientiousness.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption>
  <title>Clinical Practice Stress Score (<italic>N</italic>=143)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="pns-14-81-i002"></graphic>
<table-wrap-foot>
<fn>
  <p>D=Dominance; I=Influence; S=Steadiness; C=Conscientiousness.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption>
  <title>Stress Coping Strategy Score (<italic>N</italic>=143)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="pns-14-81-i003"></graphic>
<table-wrap-foot>
<fn>
  <p>D=Dominance; I=Influence; S=Steadiness; C=Conscientiousness.</p>
</fn>
</table-wrap-foot>
</table-wrap>

</floats-group>


</article>