Open AccessFactors contributing to stress in clinical practices: A proposed structural equation model
Author(s) -
Sánchez de Miguel Manuel,
OrkaizagirreGómara Aintzane,
Ortiz de Elguea Javier,
Izagirre Otaegi Andrea,
Ortiz de ElgueaOviedo Amaia
Publication year - 2020
Publication title -
nursing open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.55
H-Index - 12
ISSN - 2054-1058
DOI - 10.1002/nop2.397
Subject(s) - structural equation modeling , psychology , confirmatory factor analysis , stress (linguistics) , clinical psychology , exploratory factor analysis , psychometrics , statistics , mathematics , philosophy , linguistics
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.