Journal of Japan Society of Nursing Research
Online ISSN : 2189-6100
Print ISSN : 2188-3599
ISSN-L : 2188-3599
Volume 17, Issue 4
Displaying 1-3 of 3 articles from this issue
  • Shin-ichi KIHARA, Nobuko TAGAWA, Kumie SAITO, Toshio SAKATA, Akitoshi ...
    1994 Volume 17 Issue 4 Pages 4_9-4_15
    Published: September 01, 1994
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    Subjective feeling of fatigue (SFF) associated with the clinical practice of nursing students was investigated in 15 volunteers who were juniors in the Department of Nursing, Faculty of Education, Kumamoto University. The most frequent SFF was physical fatigue (PF) followed by mental fatigue (MF) and then neurosensory fatigue (NSF) ; their incidences per practice day were 1.0, 0.5 and 0.4, respectively. Common complaints of PF were "general weakness," "weakness in the legs," "eye strain" and "tendency to lie down for a rest." For MF, the complains were "inconstant thinking," "emotional instability," "lack of concentration," "mistakes in performance" and "impatience." For NSF, students cited "headache," "lower backache," "dizziness" and "lack of energy." Out of 15 subjects, 11 (73.3%) showed a pattern of PF>MF>NSF, three a pattern of PF>NSF>MF, and one a pattern of MF>PF>NSF. The pattern and frequency of SFF in the first period (1st-3rd week) and the last period (7th-9th week) of the clinical practice were similar, whereas those in the middle period (4th-6th week) were quite different. This study shows that nursing students experience many forms of SFF in their clinical practice and that SFF varies with the individual and the period of clinical practice. PF is the most frequent in the first and last periods, and MF in the middle period.
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  • Yumiko Tsutsumi
    1994 Volume 17 Issue 4 Pages 4_17-4_26
    Published: September 01, 1994
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was:
    (1) to develop a revised edition of the Pagana's Clinical Stress Questionnaire (CSQ), which can be applied to Japanese nursing students, and (2) to elucidate that the students were simultaneously feeling the emotion of threatening and challenging for their clinicalpractice training.
    This new inventory 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 questionnaire was given to 82 senior nursing students on first day evening of their clinical practice training of adult nursing on the ward.
    Analysis of these results revealed that, (1) Significant correlation was found between scores of every item and those of total items in all except one item. (2) The internal consistency was elucidated (α=0.78). (3) Factor analysis confirmed three factors, and each factor agreed with the theoretical concept. (4) A significant positive correlation was found between "situational anxiety" in the State Anxiety Inventory (STAI) and "threatening" in the Revised CSQ (r=0.76). (5) Mean scores of all students exceeded the middle valu (2.0) in three items in "threatening" and one item in "challenging".
    There was no significant correlation between factors of "threatening" and those of "challenginig".
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  • Yumiko Tsutsumi
    1994 Volume 17 Issue 4 Pages 4_27-4_38
    Published: September 01, 1994
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    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.
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