Abstract
This study aims to clarify what kinds of resilience and coping strategies students employ to successfully complete their clinical practicum and provide suggestions for instruction that will allow students to carry out effective learning activities. The study subjects were 86 students enrolled at Nursing University A for the 2019 school year and planning to take the integrated nursing practicum. The survey was conducted using an anonymous, self-administered questionnaire. The Wilcoxon signed-rank test was used to determine the amount of change in resilience factors from the surveys before and after the practicum. Subsequently, multiple regression analysis was carried out with stress coping behaviors that were significantly associated with resilience factors in univariate analysis as independent variables and the amount of change in resilience factors before and after the practicum as dependent variables. A total of 56 responses were received (response rate 65.8%) from the 85 survey subjects. Innate resilience factors increased significantly from 41 pre-practicums to 44 post-practicums. Acquired resilience factors also increased significantly from 32 pre-practicums to 35 post-practicums (p −0.456, p < 0.01) were significantly associated with innate resilience factors. Examining the relationship between the amount of change in student resilience and stress coping behaviors revealed that the stress coping behavior of “changing point of view” was associated with innate resilience. This finding suggests that resilience may be increased by changing one’s perspective on an event by taking on a new way of thinking. The results suggested that helping students transform realizations made during reflection into learning and create a sense of meaning may lead to fostering innate resilience during integrated nursing practicums.
Highlights
Clinical practicums are often accompanied by greater psychological strain and difficulty than lectures or practice exercises in the classroom
This study aims to clarify what kinds of resilience and coping strategies students employ to successfully complete their clinical practicum and provide suggestions for instruction that will allow students to carry out effective learning activities
The results suggested that helping students transform realizations made during reflection into learning and create a sense of meaning may lead to fostering innate resilience during integrated nursing practicums
Summary
Clinical practicums are often accompanied by greater psychological strain and difficulty than lectures or practice exercises in the classroom. These practicums include stressors, such as reporting to teachers or mentors and communicating with patients and their families [1]. The ability to overcome and adapt to challenges, in other words, resilience, is a trait demanded by nurses [5]. It is vital that learning support offered to students during clinical practice focuses on the human trait of overcoming difficult situations rather than the specific stresses or challenges the student is facing
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