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Mediation effects of clinical practice stress between clinical education environment and satisfaction with clinical practice

Korean Journal of Medical Education 2021년 33권 1호 p.27 ~ 36
박영순, 천경희, 권미혜,
소속 상세정보
박영순 ( Park Young-Soon ) - Konyang University College of Medicine Department of Medical Education
천경희 ( Chun Kyung-Hee ) - Konyang University College of Medicine Department of Medical Education
권미혜 ( Kwon Mi-Hye ) - Konyang University College of Medicine Department of Internal Medicine

Abstract


Purpose: The purpose of this study was to identify the possible correlations of ‘satisfaction with clinical practice (SA)’ with ‘clinical learning environment (EN)’ and ‘clinical practice stress (ST).’ We searched for the mediating effect of ‘clinical practice stress’ on ‘satisfaction with clinical practice’ when the clinical learning environment influences ‘satisfaction with clinical practice.’

Method: This research investigated 208 medical and nursing students attending the school of medicine and nursing in Korea. The total number of nursing students was 135 (64.9%); 73 medical students participated (35.1%). We used the Korean-Undergraduate Clinical Education Environment in 24 questions for EN, ST scale in 24 questions, and SA scale in 10 questions. We performed measurement structural equation model analysis to identify a path of the model.

Results: Medical students had significantly higher levels of ST. EN had a significant negative correlation with ST and a significant positive correlation with SA. The ST had a significant negative correlation with SA. The results of the goodness of fit index have fulfilled the criteria of goodness of fit. There was a significant mediating effect of ST on SA when EN influences SA.

Conclusion: The clinical learning environment affected satisfaction with the clinical practice directly or indirectly mediated by clinical practice stress. Therefore, educational institutes should try to increase satisfaction with clinical practice by continuously monitoring and improving the clinical learning environment in addition to taking measures for decreasing the clinical practice stress.

키워드

Clinical learning environment; Student satisfaction; Stress; Mediation effect

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