J Korean Acad Nurs Adm.  2015 Sep;21(4):417-425. 10.11111/jkana.2015.21.4.417.

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

• Kim EY
• Yang SH

• KMID: 2069563
• DOI: http://doi.org/10.11111/jkana.2015.21.4.417

Abstract

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

Keyword

Clinical learning environment; Clinical practice stress; Anxiety; Nursing education

MeSH Terms

Anxiety*
Cooperative Behavior
Education, Nursing
Hospitals, Teaching
Humans
Learning*
Nursing*
Students, Nursing*