Table 2: Factor Analysis of Clinical Training-Related Stress.
Note. Factor loadings, using principal factor analysis with promax rotation
α = Cronbach's alpha coefficient for each factor
Factor loadings
F1 F2 F3 F4 F5 F6 F7
F1: Relationships with teachers and clinical instructors (α = 0.85)
Debriefing the clinical instructor 0.82 -0.06 0.32 0.39 0.43 0.41 0.32
Debriefing the teacher 0.81 0.21 0.22 0.32 0.35 0.36 0.35
Guidance from the clinical instructor 0.75 0.15 0.19 0.26 0.29 0.33 0.35
Guidance from the teacher 0.68 -0.04 0.40 0.30 0.44 0.39 0.44
F2: Lack of knowledge and skills (α = 0.77)
Insufficient nursing skills 0.09 0.81 0.15 0.15 0.12 0.03 0.23
Insufficient knowledge about diseases or treatments 0.12 0.74 0.05 0.08 0.12 -0.01 0.33
Disparity between skills used in classroom practice and skills used in clinical practice 0.33 0.43 0.07 0.17 0.08 0.24 0.38
F3: Reflecting on patient-care experiences (α = 0.65)
Case report 0.28 0.10 0.75 0.18 0.35 -0.04 0.32
Process records 0.15 -0.02 0.69 0.20 0.39 0.14 0.29
Time restraints with clinical practice 0.25 0.12 0.49 0.14 0.14 0.30 0.16
F4: Relationships with patients, families, and health care staff(α = 0.73)
Encourage a personal relationship with patients and family 0.26 0.05 0.16 0.82 0.113 0.13 0.32
Communication with patients 0.33 0.08 0.22 0.74 0.35 0.30 0.35
Practice of nursing skills 0.47 0.27 0.26 0.52 0.46 0.25 0.56
Develop a personal relationships with health care staff 0.46 0.33 0.16 0.50 0.12 0.29 0.32
F5: Conferences(α = 0.70)
Presentations of conference 0.47 0.10 0.38 0.24 0.82 0.24 0.34
Preparation of documents for conferences 0.23 0.10 0.44 0.23 0.49 0.01 0.39
F6: Peer relationships(α = 0.62)
Cooperation with group members 0.40 0.05 0.14 0.22 0.19 0.76 0.21
Ward facilities and environment 0.50 -0.02 0.16 0.36 0.21 0.57 0.32
F7: Daily planning in clinical practice(α = 0.69)
Preliminary review of knowledge and skills related to clinical practice 0.19 0.36 0.17 0.26 0.20 0.12 0.63
Daily action plans and care plans 0.42 0.06 0.44 0.31 0.30 0.13 0.56
Contribution rate (%) 25.1 8.2 6.6 5.5 3.0 2.5 2.2
Cumulative contribution rate (%) 25.1 33.3 39.8 45.3 48.4 50.9 53.1
Correlations between factors F1 1.00
F2 0.23 1.00
F3 0.27 0.13 1.00
F4 0.45 0.26 0.23 1.00
F5 0.42 0.17 0.41 0.33 1.00
F6 0.49 0.09 0.20 0.37 0.22 1.00
F7 0.33 0.36 0.30 0.39 0.30 0.24 1.00