간호학생의 자아존중감과 정신간호학 실습 스트레스와의 관계 연구

Abstract

In psychiatric nursing practice, nurse students begin their practice with a hope of learning and growth, but they feel stress because of strange practice place and lacking understanding of behaviors and poor communication skills. It also affects quality of nursing and need of learning. Therefore, this study is to identify correlations between self-esteem and degree of psychiatric nursing practice stress to present basic data of practice education. The subjects consisted of 167 students : 128 from two 3-years' course college who completed psychiatric nursing practice at 1 psychiatric hospital located in N city and psychiatric unit of a general hospital located in S city, and 39 from three departments of 4-years' university. The period of the study was from March 14 to 30. 2006. The data collected were analysed through descriptive statistics, t-test, ANOVA, Sceffe? post hoc test and Pearson's Correlation with a use of SPSS. The results of the study were presented as follows: 1. The score of self-esteem of the subjects were: 3.14 of means, 0.41 of standard deviation. The score of psychiatric nursing practice stress were 2.78 of means and 0. 71 of standard deviation. 2. The area scores of psychiatric nurs-ⅳ-ing practice experienced by the subjects were 3.35 of low professional knowledge and skill means and 0.61 of standard deviation. 3. The self-esteem in accordance with general characteristics of the subjects showed statistically significant difference in age, satisfaction in nursing, recognition of psychiatric patients and subjective mental health. 4. Psychiatric stress in accordance with general characteristics of the subjects showed statistically significant difference in age, satisfaction in nursing, recognition of mental patients and subjective mental health. 5. The self-esteem and psychiatric nursing practice stress of the subjects showed statistically significant negative correlation, and self-esteem of the subjects and practice stress showed statistically significant correlations in esteem to low professional knowledge and skills, educational environment, undesirable role model, burden of practice, interpersonal conflicts and conflict with patients. It summarizes the result, nurse students with high self-esteem experienced less stress while doing practice. The stress experienced by nurse students in practice was highest due to low professional knowledge and skills. Therefore, to adopt nursing practice effectively, students should have satisfactory pre-training through which professional knowledge and skills can be acquired to mitigate stress.