Factors contributing to stress in clinical practices: A proposed structural equation model.

Autor: Sánchez de Miguel M; Faculty of Psychology University of the Basque Country UPV/EHU San Sebastián Spain.; Biodonostia Health Research Institute San Sebastián Spain., Orkaizagirre-Gómara A; Faculty of Health Sciences (Nursing School) University of the Basque Country UPV/EHU San Sebastián Spain., Ortiz de Elguea J; Faculty of Health Sciences (Nursing School) University of the Basque Country UPV/EHU San Sebastián Spain.; Donostia University Hospital (Osakidetza) San Sebastián Spain., Izagirre Otaegi A; Faculty of Health Sciences (Nursing School) University of the Basque Country UPV/EHU San Sebastián Spain., Ortiz de Elguea-Oviedo A; Faculty of Science and Technology University of the Basque Country UPV/EHU Leioa Spain.
Jazyk: angličtina
Zdroj: Nursing open [Nurs Open] 2019 Oct 15; Vol. 7 (1), pp. 364-375. Date of Electronic Publication: 2019 Oct 15 (Print Publication: 2020).
DOI: 10.1002/nop2.397
Abstrakt: Aim: To propose a predictive model of procedural and emotional stress in clinical placements while testing self-efficacy as a possible mediator factor.
Design: The study used an exploratory correlational design.
Method: A total of 334 nursing students completed the KEZKAK-stress in clinical practice, AG-general self-efficacy and CEA-academic overload questionnaires, along with one about leadership. Sociodemographic information was also included.
Results: Confirmatory factor analyses and internal consistency reliabilities were satisfactory in all questionnaires. Procedural stress and emotional stress were confirmed by KEZKAK [χ 2 (674) = 1,555.58, p  = .001; χ 2 / df  = 2.308, CFI = .90, IFI = 91, RMSEA = .06]. The structural equation method for procedural stress and emotional stress had an acceptable fit. They revealed that academic level influenced the perception of leadership and academic overload in both procedural stress and emotional stress. General self-efficacy only mediated emotional stress. Hospital unit acted independently as a predictor of procedural stress.
Competing Interests: No conflict of interest has been declared by the authors. The authors meet the authorship criteria. They are in agreement with the content of the manuscript.
(© 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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