임상실습 중 폭력 경험에 따른 간호대학생의 진로정체감 영향 요인 비교연구: 임상실습 스트레스, 학업적 자기효능감을 중심으로

Abstract

Purpose : This study aimed to compare the effect of violence experience during clinical practice, clinical practice stress, and academic self-efficacy on career identity among nursing students. Methods : A total of 216 nursing students participated in an online survey from April 9 to 17, 2025. Participants were categorized into two groups, those who had experienced violence during clinical practice (n = 91) and those who had not (n = 125). Data were analyzed using descriptive statistics, chi-square tests, independent t-tests, ANOVA, Pearson’s correlation, and stepwise multiple regression. Results : In the violence-experienced group, career identity was positively correlated with academic self-efficacy (r=.47, p<.001) and negatively with clinical practice stress (r=-.29, p=.004). In the non-experienced group, career identity also showed significant correlations with clinical practice stress(r=-.28, p=.001) and academic self-efficacy (r=.27, p=.002). The regression model for the experienced group was significant (F=15.74, p<.001) with an explanatory power of 32.9%. Major predictors included being ‘very satisfied’ with clinical practice(β=.36, p<.001), academic self-efficacy(β =.35, p<.001), and being ‘satisfied’(β=.31, p=.001). In the non-experienced group, the regression model was also significant(F=8.74, p<.001), explaining 15.8% of the variance. The Main predictors were major satisfaction and clinical practice stress(β=-.20, p=.020). Conclusion : To enhance career identity in nursing students, it is necessary to improve academic self-efficacy, reduce clinical practice stress, and increase satisfaction with clinical training.