臨床実習におけるストレス感情の経時的変化の検討

• Published in: 日本看護研究学会雑誌 Vol. 17; no. 4; pp. 4_27 - 4_38
• Main Author: 堤 由美子
• Format: Journal Article
• Language: Japanese
• Published: Japan Society of Nursing Research 1994; 一般社団法人 日本看護研究学会
• ISSN: 2188-3599; 2189-6100
• DOI: 10.15065/jjsnr.19940901003

The purpose of this study was to examine the changing process of students' appraisal of stress during their clinical training as threatening, challenging, or harmful. We used a revised edition of the Pagana's Clinical Stress Questionnaire (CSQ), which can be applied to Japanese nursing students. This revised edition was designed to measure challenging, threatening and harmful emotions. The inventory consists of 17-items and every item has a 5-point rating scale.The subjects of nursing students were rotated in seven wards every three weeks and the investigations were carried out on the first day and every Thursday of the first, third and fifth cycles of their rotations.Results were as followed. Factor analysis confirmed three factors. Each factor was named the emotion of threat (Factor 1), challenge (Factor 2), and harm (Factor 3). Concerning changes in scores during one rotation cycle, the score of Factor 1 was the highest on the first day and gradually decreased in later, and Factor 2 was the highest on the first day and decreased significantly in the next investigation (Thursday of the first week) and didn't change later, and Factor 3 was low and didn't change in all investigation. On the other hand. concerning changes in scores among cycles, the scores of Factor 1 and Factor 2 were highest at the fist cycle and decreased later, and the score of Factor 3 didn't change during changes of cycles. 本研究の目的は，Paganaの臨床実習用ストレス質問紙（以下CSQ）の日本語による改訂版である鹿大版CSQを用いて，学生の臨床実習に対する脅威・挑戦・有害に関するストレスの感情の変化を検討することであった。　 鹿大版CSQは，ストレス感情（脅威，挑戦，有害）を測定する17の質問項目によって構成され，各項目に５段階評定尺度で答えるように作成されている。　 対象の看護学生は，１病棟３週間，計７回のローテーションで成人看護学実習を行なったが，CSQはローテーションの１・３・５番目の実習時期において，各実習初日と各週の木曜日の４回，計12回これを２年間にわたって実施された。　 本CSQの因子分析では，「脅威」「挑戦」「有害」の３つの因子が確認された。病棟実習の経過で見ると，「脅威」の平均値は，実習初日が最も高くその後順次減少していた。また「挑戦」は，実習初日が高く１週目木から３週目木まで変化しなかった。さらに「有害」は，全ての調査の段階で低く変化していなかった。実習全期の経過で見ると，「脅威」・「挑戦」の平均値は１番目のローテーションの時が最も高く，その後は減少したまま変化しなかった。「有害」はローテーションの間変化しなかった。