임상실습 중 간호대학생의 폭력 경험과 대처 행동

국문 초록 (Abstract)

본 연구는 임상실습 중 간호대학생이 경험하는 폭력과 폭력 경험 후 대처 행동을 파악하고자 시행된 서술적 조사연구이다. 2014년 11월 10일부터 12월 10일까지 250명의 간호대학생을 대상으로 설문지를 이용하여 자료수집 하였다. 설문지에 응답한 231명의 자료를 서술적 분석, t-test, one-way ANOVA를 이용하여 분석하였다. 연구결과, 대상자의 98.7%가 임상실습 중 폭력 경험을 했고, 폭력 발생 장소로 정신과 병동, 폭력 가해자로 환자가 가장 많았다. 폭력의 유형 중 언어폭력이 가장 많았고(97.4%), 다음으로 신체적 위협(76.2%)이었다. 폭력 경험 후 대처행동으로 ‘반응하지 않고 임상실습을 지속함’이 87.8%로 가장 높았고, ‘대처 없이 묵인하고 가해자로부터 피함’이 83.2%로 그 다음 순으로 높았다. 본 연구에서 대부분의 학생들이 임상실습 동안 폭력을 경험하였다. 이에 임상실습 중 발생할 수 있는 폭력으로부터 학생들을 보호하기 위해 교육기관과 실습기관의 대책 마련이 시급하며, 또한 폭력 예방과 대처 능력을 향상할 수 있는 다양한 프로그램이 강구되어야 한다.

다국어 초록 (Multilingual Abstract)

This study was conducted to investigate violence experiences and coping behaviors of nursing students when they were doing clinical practice. Data were collected from 250 nursing students from 10th of November to 10th of December in 2014 using questionnaires. 231 questionnaires were analyzed by descriptive statistics, t-test, and one-way ANOVA. 98.7% of the subject have experienced violence. Most frequently mentioned setting where violences were experienced was psychiatric unit, abusers were patient. Most frequent violence type was verbal abuse(97.4%) followed by physical threatening(76.2%). Most frequent coping behavior was enduring(87.8%) followed by avoiding(83.2%). In this study, most of nursing students experienced violence during the clinical practice. They need to be better protected from violence during the clinical practice. It is needed various active effort and programs to prevent violence and to help students cope more against violence in their practice.

참고문헌 (Reference)

1 박현정, "중환자실 간호사의 폭력 경험과 대처" 정신간호학회 20 (20): 291-301, 2011

2 박은옥, "제주 지역 병원 간호사의 직장 폭력 경험 실태" 한국직업건강간호학회 20 (20): 212-220, 2011

3 정효주, "임상실습 중 간호대학생이 경험한 언어폭력과정서적 반응 및 대처 행동" 대한의료커뮤니케이션학회 8 (8): 99-108, 2013

4 송은주, "의사소통 훈련 프로그램이 실습 간호학생의 의사소통, 대인관계에 미치는 효과" 기본간호학회 13 (13): 467-473, 2006

5 권혜진, "의료기관내에서의 언어폭력에 관한 연구" 병원간호사회 13 (13): 113-124, 2007

6 최웅지, "응급실 폭력의 실태와 폭력 예방교육의 효과" 대한응급의학회 16 (16): 221-228, 2005

7 조윤희, "병원 근무 중 간호사가 경험한 언어폭력과 정서적 반응 및 대처방안" 한국직업건강간호학회 20 (20): 270-278, 2011

8 N. Magnavita, "Workplace violence against nursing students and nurses: An Italian experience" 43 (43): 203-210, 2011

9 National Institute for Occupational Safety and Health, "Violence: Occupational hazards in hospitals"

10 M. Sohn, "Violence in the emergency department: A study on the experiences of ED nurses" Hanyang University 1997

11 A. Çelebioglu, "Violence experienced by Turkish nursing students in clinical settings: Their emotions and behaviors" 30 (30): 687-691, 2010

12 Patricia A. Hinchberger, "Violence Against Female Student Nurses in the Workplace" Wiley-Blackwell 44 (44): 37-46, 2009

13 S. H. Kim, "Verbal abuse, verbal abuse response, and stress on verbal abuse of nursing student in clinical setting" 10 : 249-266, 2011

14 T. Ferns, "Verbal abuse experienced by nursing students" 61 (61): 436-444, 2007

15 P. Serap, "Turkish nursing students’ perceptions and experiences of bullying behavior in nursing education" 3 (3): 23-29, 2013

16 S. Kisa, "Turkish nurses’ experiences of verbal abuse work" 22 (22): 200-207, 2008

17 C. M. Thomas, "Teaching nursing students and newly registered nurses strategies to deal with violent behaviors in the professional practice environment" 41 (41): 299-308, 2010

18 Korea Health & Medical Workers’ Union, "Survey on emotional labor, verbal abuse, physical violence"

19 The Korea Occupational Safety and Health Agency, "Occupational health guideline in nurses"

20 J. E. Park, "Nursing student’s experience, their response and coping method of violence in clinical setting" Pusan National University 2013

21 J. W. Park, "Nursing students' clinical experience" 12 (12): 27-35, 2013

22 K. G. Speroni, "Incidence and cost of nurse workplace violence perpetrated by hospital patients or patient visitors" 40 (40): 218-222, 2014

23 H. J. Moon, "A study on nursing students experience in verbal abuse" Catholic University 2013

24 J. S. Yun, "A study of violence experiences from patients and their families and job satisfaction of emergency department nurses" University of Ulsan 2004

25 S. S. Celik, "A study of nursing student abuse in Turkey" 43 (43): 330-336, 2004

26 M. J. Hong, "A Study on nurses' experiences of violence" Eulji University 2009