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Hyoung, Ju, and Im: A Concept Mapping Study on Clinical Stress for Nursing Students during Clinical Practice
Original Article

Journal of Korean Academy of Nursing Administration 2014; 20(4): 394-404.

Published online: 30 September 2014

DOI: https://doi.org/10.11111/jkana.2014.20.4.394

A Concept Mapping Study on Clinical Stress for Nursing Students during Clinical Practice

Hee Kyoung Hyoung1, Youn Sook Ju2, Shin Il Im1

1College of Nursing, Jesus University, Korea.

2Graduate School, College of Nursing, Chonbuk National University, Korea.

Corresponding author: Ju, Youn Sook. Graduate School, College of Nursing, Chonbuk National University, 383 Seowon-ro, Wansan-gu, Jeonju 560-714, Korea. Tel: +82-63-230-7767, Fax: +82-63-231-7790, ju720313@hanmail.net

Received 1 May 2014       Revised 11 August 2014       Accepted 3 September 2014

Copyright © 2014 Korean Academy of Nursing Administration

(open-access):

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 the conceptual structure of stressors experienced by nursing students during clinical practice.

Methods

Ten men and 10 women nursing college students were interviewed. The results were 208 ideas. By synthesizing and editing these ideas, the final statement was trimmed down to 39 questions. The next step was to have the participants classify these 39 final questions. They were asked to rate stress scores using a five-point scale. Through multidimensional scaling analysis and hierarchical cluster analysis yielded dimensions and clusters.

Results

Results of the study showed 2 dimensions which were classified as 'interpersonal relationship-practice system' and 'identity-practice environment'. It also yielded 8 clusters which were classified as 'role confusion', 'gender discrimination', 'attitudes of medical personnel and patients', 'comparison between fellow students', 'difference between theory and practice', 'disestablishing the role of practice guide', 'interference with training', and 'problems of the practice environment'. Further, stress factors and stress levels were differentiated depending on the gender of the student.

Conclusion

The results of the study indicate that educators who are developing clinical practice programs and clinical practitioners should consider stressors during clinical practice and the educational implications to nursing students.

Keywords: Nursing students, Clinical practice stress, Concept mapping

Figures and Tables

Figure 1
Concept map of stress in clinical practice.
jkana-20-394-g001
Figure 2
Comparison of stress in clinical practice between men and women nursing students.
jkana-20-394-g002
Table 1
Average Scores for Stress in Clinical Practice - a Comparison of Men and Women Students
jkana-20-394-i001

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