Abstract
Objective:to evaluate the impact of the “Strengthening Self-Esteem” intervention proposed by the Nursing Interventions Classification, conducted through the use of Facebook, on the self-esteem and self-efficacy levels of nursing undergraduates.Method: quasi-experimental study carried out in two Higher Education Institutions. The sample consisted of 74 students. Two data collection tools were applied before and after the intervention: Rosenberg Self-Esteem Scale and General and Perceived Self-Efficacy Scale. The students were submitted to the intervention for ten sessions. Posts were made in private profile created on Facebook and consisted of positive messages, reflective texts and pictures, all supported by the persuasive resources of Bandura’s theoretical framework. Results: of the 264 students who answered the pretest, 74 (28.03%) participated in the interventions and the post-test. Rosenberg self-esteem (p=0.026) and self-efficacy (p=0.001) scores after the intervention were significantly higher than those obtained before, confirming the effectiveness of the intervention. Conclusion: the “Strengthening Self-Esteem” intervention was effective for improving students’ self-esteem and self-efficacy levels. Such interventions help spread knowledge and build mentally healthier individuals.
Highlights
Recent studies have reported that undergraduate nursing students have high stress levels[1,2,3], low selfesteem[4,5], low coping with adversities[2] and high prevalence of suicidal ideation and behavior[6]
There is little clinical research on mental health promotion using Facebook as a social network within the Internet or another technological resource. We consider this social network a favorable and prosperous strategy for positive outcomes, as studies have shown that shy people with relationship problems, lonely or with low self-esteem consider it a comfortable place to connect with others[24]. This study addresses these gaps in the literature, proposing to test the Nursing Interventions Classification (NIC)(25), “Strengthening Self-Esteem”, applied through the social network Facebook
The results showed that most undergraduate Nursing students were female (232; 87.88%), without a partner (167; 63.26%), students from a private institution (142; 53.79%), attending the second year of undergraduate school (83; 31.44%), from the municipality where the Higher Education Institutions (HEI) is located (152; 57.58%), living in the same city as their family (192; 72.73%) and not employed (167; 63.26%)
Summary
Recent studies have reported that undergraduate nursing students have high stress levels[1,2,3], low selfesteem[4,5], low coping with adversities[2] and high prevalence of suicidal ideation and behavior[6]. This scenario warns us that these students are part of a population vulnerable to mental imbalance or crisis arising from stressors related to the undergraduate course. Low self-esteem is an important risk factor for several mental illnesses, especially anxiety and depression[9,10]. Self-esteem is the basis for an individual’s psychic construction. Liking yourself, feeling appreciation and valuing yourself is a condition associated with the development of mentally healthier young people and adults[11]
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