Abstract
Purpose
This study was conducted to develop assertiveness training applying Dongsasub training for junior nursing students, and to verify effectiveness of the training on assertiveness behavior, self-esteem, clinical practice stress, and clinical competence.
Methods
The study design was a non-equivalent control group non-synchronized design. Participants were 63 nursing students in clinical training (31 students in the experimental group and 32 students in the control group). The assertiveness training applying Dongsasub training consisted of four sessions. Outcome variables included assertiveness behavior, self-esteem, clinical practice stress, and clinical competence. Data were analyzed using Chi-square, Fisher's exact test and independent samples t-test with SPSS/WIN 21.0.
Figures and Tables
References
1. Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press;1965.
2. Sung KW, Kwag OG, Lee WH. Comparison of anger expression, assertive behavior, and self-esteem between a nursing student group and an educational student group. J Korean Acad Community Health Nurs. 2010; 21(1):1–11. DOI: 10.12799/jkachn.2010.21.1.1.
3. Park JW, Ha NS. Nursing students' clinical experiences. J Korean Acad Psychiatr Ment Health Nurs. 2003; 12(1):27–35.
4. Edwards D, Burnard P, Bennett K, Hebden U. A longitudinal study of stress and self-esteem in student nurses. Nurse Educ Today. 2010; 30(1):78–84. DOI: 10.1016/j.nedt.2009.06.008.
5. Kim HS. A study on relationship between stress of clinical practice and clinical competency in nursing students. J Korean Public Health Nurs. 2002; 16(1):64–76.
6. Park GO, Kim YS. Stress of clinical practice, self-concept, mental health of nursing students. J Korean Data Anal Soc. 2013; 15(4):2149–2163.
7. 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.
8. Jung M, Kang H. Nursing students' self esteem, assertiveness and interpersonal relationship according to their style of conflict management. J Korean Acad Soc Nurs Educ. 2014; 20(3):345–352. DOI: 10.5977/jkasne.2014.20.3.345.
9. Park SY. The effects of assertiveness traning and value clarification training on nurse's conflict and conflict management mode. J Muscle Joint Health. 1995; 2(1):41–72.
10. Jang IS, Kim JN. Effects of assertiveness training on assertiveness behavior, problem solving ability, and interpersonal relationships of nursing college students. J Korean Community Nurs. 2002; 13(2):239–248.
11. Rhee IS. The effects of assertive training on assertive behavior, self-esteem and interpersonal stress of nursing students[master's thesis]. Daejeon: Chungnam National University;1990. 1–51.
12. Ünal S. Evaluating the effect of self-awareness and communication techniques on nurses' assertiveness and self-esteem. Contemp Nurse. 2012; 43(1):90–98. DOI: 10.5172/conu.2012.43.1.90.
13. Cho YA, Kim KS. Effects of assertiveness training for ICU nurses. J Korean Clin Nurs Res. 2013; 19(2):255–264.
14. Nishina Y, Tanigaki S. Trial and evaluation of assertion training involving nursing students. Yonago Acta Med. 2013; 56(3):63–68.
15. Park SH. Dongsasub counseling. Seoul: Hakjisa Corp.;2007.
16. Kim M, Song M. Effects of self-management program applying Dongsasub training on self-efficacy, self-esteem, self-management behavior and blood pressure in older adults with hypertension. J Korean Acad Nurs. 2015; 45(4):576–586. DOI: 10.4040/jkan.2015.45.4.576.
17. Yang JJ. The effectiveness of assertive training on the state anxiety and assertive behavior of nursing students experiencing clinical practice training. J Korean Acad Soc Nurs Educ. 2001; 7(1):54–67.
18. Kirkpatrick H, Forchuk C. Assertiveness training: Does it make a difference? J Nurs Staff Dev. 1992; 8(2):60–65.
19. Chang HC. A study on self-esteem through dong-sa-sub, spiritual group counseling program[master's thesis]. Seoul: Yonsei University;2003. 1–70.
20. Rakos RF, Schroeder HE. Self-directed assertiveness training. New York, NY: Bio Monitoring Applications;1980.
21. Kim SH. The effects of assertiveness training on assertiveness· behavior of high school students. J Stud Guid. 1982; 15(2):1–30.
22. Jon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974; 11(1):107–130.
23. Beck DL, Srivastava R. Perceived level and sources of stress in baccalaureate nursing students. J Nurs Educ. 1991; 30(3):127–133.
24. Lee WH, Kim CJ, Yoo JS, Her HJ, Kim KS, Lim SM. Development of a clinical competency measurement tool for student. Yonsei J Nurs Sci. 1990; 13:17–29.
25. Choi MS. A study on the relationship between teaching effectiveness of clinical education and clinical competency in nursing students[master's thesis]. Seoul: Ehwa Womans University;2005. 1–70.
26. Lee S, Crockett MS. Effect of assertiveness training on levels of stress and assertiveness experienced by nurses in Taiwan, Republic of China. Issues Ment Health Nurs. 1994; 15(4):419–432.
27. Park HS, Bae YJ. A study on self-esteem, self-efficacy, coping methods, and the academic and job-seeking stress of nursing students. J Korean Acad Psychiatr Ment Health Nurs. 2002; 11(4):621–631.
28. Seo BM, Park HJ. Factors affecting clinical competence among nursing students. Korean J Health Serv Manag. 2014; 8(4):149–161. DOI: 10.12811/kshsm.2014.8.4.149.
29. Park JH, Chung SK. The relationship among self-esteem, empathy, communication skill and clinical competency of nursing students. J Korea Acad Ind Coop Soc. 2015; 16(11):7698–7707. DOI: 10.5762/KAIS.2015.16.11.7698.
30. Kukulu K, Buldukoğlu K, kulakaç Ö, Köksal CD. The effects of locus of control, communication skills and social support on assertiveness in female nursing students. Soc Behav Pers. 2006; 34(1):27–40. DOI: 10.2224/sbp.2006.34.1.27.