Abstract

This study identifies the factors that cause stress for students who engage in practical training for pediatric nursing, clarifies these stressors’ relationship with the students’ stress-coping ability and stress-coping behavior, and considers how practical training should be conducted for nursing students. For this study, an anonymous questionnaire survey was conducted among 109 students at four nursing colleges and vocational schools in the Kanto Koshinetsu and Tokai regions. The students were enrolled in practical training for pediatric nursing during the 2019 and 2020 academic years. Three stressors were identified as a result of a factor analysis of the students’ stress. These stressors were then examined with a focus on their relationship with the students’ stress-coping ability and stress-coping behavior. It was found that, among the three stressors, “autonomous care of pediatric patients and their families” and “coordination of practical training with ward nurses” correlated with the “sense of meaningfulness,” which contributes to the students’ stress-coping ability. It was also found that “autonomous care of pediatric patients and their families,” “coordination of practical training with ward nurses,” and the “implementation process of nursing for pediatric patients” correlated with “emotional expression involving others,” a subordinate concept of the Brief Scales for Coping Profile for workers (BSCP). Instructors should encourage students to reflect on their coursework and approach students in an empathetic manner.

Highlights

  • Recent years have witnessed the closure of many pediatric wards in Japan because of a decline in the number of hospitalized children and a shortage of pediatricians, a development that transformed the practical training environment for pediatric nursing

  • This study identifies the factors that cause stress for students who engage in practical training for pediatric nursing, clarifies these stressors’ relationship with the students’ stress-coping ability and stress-coping behavior, and considers how practical training should be conducted for nursing students

  • This study found that the total stress-coping ability score for students in practical training for pediatric nursing was 54.7 ± 8.5, similar to the score for students in practical training for adult nursing (Yamanaka et al, 2018) and those in practical training for psychiatric nursing (Oosawa & Toshiko, 2012), which belong to “specialization II.”

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Summary

Introduction

Recent years have witnessed the closure of many pediatric wards in Japan because of a decline in the number of hospitalized children and a shortage of pediatricians, a development that transformed the practical training environment for pediatric nursing. Practical training for pediatric nursing is a valuable learning opportunity for students who grew up amid the nation’s falling birthrate. They have little experience dealing with children, and some even have trouble in communicating with members of their own families, whether they be children or adults. Prior studies regarding the feeling of stress experienced by students of basic nursing include those focusing on practical training for basic nursing in “specialization I” (Hongo, Yukari, & Kiyomi, 2011; Kaneko & Kanae, 2015; Momino & Sayuri, 2016; Usui, Sayuri, & Kanae, 2014) and those on practical training for adult nursing in “specialization II” (Kikuchi, Saori, Mitsue, & Tatsuko, 2018). There are only a few, if any, articles on stressors with respect to practical training for pediatric nursing

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