간호 대학생의 학업 성취도, 임상수행능력, 정신적 강인함이 실습 과정에서 경험하는 소진에 미치는 영향: 다중매개모형분석 = The Impact of Academic Achievement, Clinical Performance Ability, and Mental Toughness on Burnout Among Nursing College Students During Practicum: A Multiple Mediation Model Analysis

다국어 초록 (Multilingual Abstract)

Objectives This study examined the effects of academic achievement, clinical performance, and mental toughness on burnout experienced by nursing college students during their practicum period. Furthermore, We analysed the mediating effects of clinical performance and mental toughness on the relationship between academic achievement and burnout.
Methods A survey was conducted with 167 fourth-year nursing students enrolled in clinical training courses. The collected data were analyzed using SPSS and PROCESS macro programs, and the relationships between variables were examined through regression and mediation model analyses. Mediation model analysis was conducted by examining the significance of the mediation effect using bootstrapping according to the method suggested by Hayes (2013).
Results The results indicated that higher academic achievement was associated with higher clinical performance ability and mental toughness, but did not have a direct effect on burnout. Increased clinical performance was associated with increased mental toughness and decreased burnout. Additionally, higher mental toughness was associated with lower burnout. Mediation model analysis showed that clinical performance ability and mental toughness individually and sequentially significantly mediated the relationship between academic achievement and burnout.
Conclusions These findings suggest that academic achievement indirectly affects burnout by improving clinical performance and mental toughness. Therefore, clinical performance and mental toughness should be considered along with academic achievement to alleviate burnout among nursing students. This study emphasizes the need for interventions and programs to increase mental toughness in nursing education in order to support students' psychological stability and professional development.

참고문헌 (Reference)

1 장도진 ; 이도흥 ; 전현수, "축구선수 정신적 강인함의발달에 대한 근거이론 접근 : 선수-지도자 상호작용 과정 및 인식 차이 탐색" 33 (33): 188-202, 2022

2 안효연 ; 소영호, "체육고등학교 선수의 절실함과 정신적 강인함 및 회복탄력성의 관계" 63 (63): 261-277, 2024

3 김나라 ; 문창일, "정신적 강인함 척도의 신뢰도 타당도 연구" 13 (13): 43-53, 2011

4 홍윤경, "임상실습에서 간호대학생이 경험하는 무례함, 대처 및 소진" 부산대학교 대학원 2016

5 소영호, "엘리트 학생선수의 지각된 통제적 코칭행동과 정신적 강인함 및 운동 탈진의 구조적 관계" 35 (35): 15-30, 2024

6 Strycharczyk, D., "멘탈력: 정신적 강인함에 대한 최초의 이론적 접근" 한국코칭수퍼비전아카데미 2019

7 최미숙, "간호학생의 임상실습교육에 대한 교수효율성과 임상수행능력에 관한 연구" 이화여자대학교 임상보건과학대학원 2005

8 이원희, "간호대학생의 임상수행능력 측정 도구개발 연구" 13 : 17-29, 1991

9 김주연, "간호대학생의 메타인지와 긍정심리자본이학업성취도에 미치는 영향" 23 (23): 717-727, 2023

10 장은희, "간호대학생의 디지털 리터러시 역량이 학업성취도에 미치는 영향 : 자기주도학습의 매개효과" 23 (23): 273-283, 2023

11 한국간호교육평가원, "간호교육인증평가 기준집 (간호학 학사 학위과정)" 한국간호교육평가원 2021

12 Rella, S., "When does nursing burnout begin? An investigation of the fatigue experience of Australian nursing students" 17 (17): 886-897, 2009

13 Hasty, L. M., "When anxiety becomes my propeller : Mental toughness moderates the relation between academic anxiety and academic avoidance" 91 (91): 368-390, 2021

14 Jones, G., "What is this thing called mental toughness? An investigation of elite sport performers" 14 (14): 205-218, 2002

15 Blackman, I., "Undergraduate nurse variables that predict academic achievement and clinical competence in nursing" 8 (8): 222-236, 2007

16 Cyril, A. V., "Time management and academic achievement of higher secondary students" 10 (10): 38-43, 2015

17 Zhao, F. F., "The study of perceived stress, coping strategy and self-efficacy of C hinese undergraduate nursing students in clinical practice" 21 (21): 401-409, 2015

18 Soroush, F., "The relationship between nurses' clinical competence and burnout in neonatal intensive care units" 21 (21): 424-429, 2016

19 Poorchangizi, B., "The importance of professional values from nursing students' perspective" 18 : 26-, 2019

20 Michalec, B., "The calm before the storm? Burnout and compassion fatigue among undergraduate nursing students" 33 (33): 314-320, 2013

21 Chuan, O. L., "Student, tutor and staff nurse perceptions of the clinical learning environment" 12 (12): 192-197, 2012

22 Freudenberger, H. J., "Staff burnout" 30 (30): 159-165, 1974

23 Clough, P., "Solutions in Sport Psychology" Thompson 32-43, 2002

24 Thomas, L. J., "Resilience in nursing students : An integrative review" 36 : 457-462, 2016

25 Ahmady, S., "Relation between stress, time management, and academic achievement in preclinical medical education : A systematic review and metaanalysis" 10 (10): 10-32, 2021

26 Kong, L. N., "Prevalence and associated factors of burnout among nursing students : A systematic review and meta-analysis" 121 : 105706-, 2023

27 Alyahyan, E., "Predicting academic success in higher education : Literature review and best practices" 17 (17): 1-21, 2020

28 Dias, J. M., "Nursing students' stressors and coping strategies during their first clinical training : A qualitative study in the United Arab Emirates" 23 : 322-, 2024

29 Poorgholami, F., "Nursing students' clinical performance and professional self-concept" 15 (15): 57-61, 2016

30 Haririan, H., "Nursing students' attitude and preparedness for nurse prescribing and its relationship with self-efficacy" 54 : 103126-, 2021

31 Sharififard, F., "Motivation, self-efficacy, stress, and academic performance correlation with academic burnout among nursing students" 7 (7): 88-93, 2020

32 Connaughton, D., "Mental toughness research : Key issues in this area" 39 (39): 192-204, 2008

33 Madigan, D. J., "Mental toughness and burnout in junior athletes : A longitudinal investigation" 32 : 138-142, 2017

34 Maslach, C., "MBI Maslach Burnout Inventory" University of California Consulting Psychologists Press 1981

35 Walsh, P., "Learning and teaching approaches promoting resilience in student nurses : An integrated review of the literature" 45 : 102748-, 2020

36 Losty, L. S., "Leading through chaos : Perspectives from nurse executives" 45 (45): 118-125, 2021

37 Bakker, E. J., "Late dropout from nursing education : An interview study of nursing students' experiences and reasons" 39 : 17-25, 2019

38 Xie, J., "Job burnout and its influencing factors among newly graduated nurses : A cross-sectional study" 30 (30): 508-517, 2021

39 Maslach, C., "Job burnout" 52 (52): 397-422, 2001

40 Wolters, C. A., "Investigating grit and its relations with college students' self-regulated learning and academic achievement" 10 (10): 293-311, 2015

41 Wei, H., "Impacts of nursing student burnout on psychological well-being and academic achievement" 60 (60): 369-376, 2021

42 Pandian, P. R. S., "Impact of mental toughness on athlete's performance and interventions to improve" 34 (34): 409-418, 2023

43 Weurlander, M., "How do medical and nursing students experience emotional challenges during clinical placements?" 9 : 74-82, 2018

44 Cooper, K. B., "Fast talkers? : Investigating the influence of self-talk on mental toughness and finish times in 800-meter runners" 33 (33): 491-509, 2021

45 Pitt, V., "Factors influencing nursing students' academic and clinical performance and attrition : An integrative literature review" 32 (32): 903-913, 2012

46 Hwang, E., "Factors affecting academic burnout of nursing students according to clinical practice experience" 22 : 346-, 2022

47 Denovan, A., "Examining what mental toughness, ego resiliency, self-efficacy, and grit measure : An exploratory structural equation modelling bifactor approach" 42 (42): 22148-22163, 2023

48 Benjamin, L. J. M., "Examining the moderation and mediation effects of mental toughness on perceived stress and anxiety amongst athletes and non-athletes" 1 (1): 89-97, 2021

49 Schwirian, P. M., "Evaluating the performance of nurses : A multidimensional approach" 27 (27): 347-350, 1978

50 Bell, J. J., "Enhancing mental toughness and performance under pressure in elite young cricketers : A 2-year longitudinal intervention" 2 (2): 281-297, 2013

51 Li, C., "Emotional exhaustion and sleep problems in university students : Does mental toughness matter?" 163 : 110046-, 2020

52 Babenko-Mould, Y., "Effects of incivility in clinical practice settings on nursing student burnout" 11 (11): 145-154, 2014

53 Ajilchi, B., "Effect of a mindfulness programme training on mental toughness and psychological well-being of female athletes" 30 (30): 352-356, 2022

54 Haghighi, M., "Does mental toughness buffer the relationship between perceived stress, depression, burnout, anxiety, and sleep?" 26 (26): 297-305, 2019

55 Duckworth, A. L., "Development and validation of the Short Grit Scale(GRIT-S)" 91 (91): 166-174, 2009

56 Arthur, C. A., "Development and validation of a military training mental toughness inventory" 27 (27): 232-241, 2015

57 Komatsu, S., "Consideration on factors related to athletes' mental toughness" 12 (12): 595-606, 2021

58 Stamatis, A., "Conceptualizing, measuring, and training mental toughness in sport : Perspectives of master strength and conditioning coaches" 17 (17): 1-28, 2023

59 Moghaddam, R. H., "Challenges faced by nursing students to work with nursing personnel : A qualitative study" 11 (11): 313-319, 2020

60 Valero-Chillerón, M. J., "Burnout syndrome in nursing students : An observational study" 76 : 38-43, 2019

61 Rudman, A., "Burnout during nursing education predicts lower occupational preparedness and future clinical performance : A longitudinal study" 49 (49): 988-1001, 2012

62 Schaufeli, W. B., "Burnout and engagement in university students : A cross-national study" 33 (33): 464-481, 2002

63 Wang, M., "Academic burnout and professional self-concept of nursing students : A cross-sectional study" 77 : 27-31, 2019

64 Terry, D., "Academic and clinical performance among nursing students : What's grit go to do with it?" 88 : 104371-, 2020

65 Turkington, G. D., "A mixed-method exploration of mental toughness, perceived stress and quality of life in mental health workers" 30 (30): 1152-1169, 2023