Journal List > J Korean Acad Nurs Adm > v.21(4) > 1051816

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



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


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.


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.


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.

Figures and 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)


Dummy variables: Motivation for choice of nursing (Thinking of aptitude=1, Others=0).

Table 5

Predictors of Anxiety (N=210)


Dummy variables: Gender (F=1, M=0), Family income (Less than 3 million won=1, More than 3 million won=0).


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


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