三宅　映子    Department   Kawasaki college of Health Professions  ,    Position   Associate Professor
Article types	原著
Language	Japanese
Peer review	Peer reviewed
Title	Stress Reaction and Stress Reaction Process During Clinical Practicums in Nursing Students with Different Types of Self-Expression
Journal	Formal name：Japanese Journal of International Nursing Care Research
Domestic / Foregin	Domestic
Volume, Issue, Page	pp.67-78
Total page number	12
Author and coauthor	Eiko Miyake, Kaori Inoue, Yuto Seki, Sakae Mikane
Publication date	2020/11/20
Summary	The present study aimed to examine differences in stress reaction and the stress reaction process among nursing students with different types of self-expression, for the purpose of obtaining implications for educational programs for developing appropriate communication skills and reducing stress during clinical practicums. Questionnaires were distributed to 514 nursing students at a four-year nursing university and we obtained valid responses from 281 students. The survey was composed of questions asking about basic attributes, type of self-expression, stress reaction and stress reaction process (stress cognition, reason for selection of a coping strategy, and coping). Self-expression skills were typified by hierarchical cluster analysis, and the significance of differences in stress reaction and stress reaction process among the self-expression types was verified by the Kruskal-Wallis test. Four self-expression types were identified: the insistent-aggressive type, balanced type, insistent-less assertive type, and less insistent-less aggressive type. Among the four types of self-expression, students with the less insistent-less aggressive type had significantly higher stress responses, suggesting the necessity of intervention for these students before the stage of stress cognition and before having a reason for selection of a coping strategy in the stress reaction process.