Stress In Nursing Students Research Articles

Evaluation of stress, bio-psycho-social response and coping strategies during the practical training in nursing students: a cross sectional study

BackgroundThe aim of the study was to identify stress level, bio-psycho-social response and coping behavior of nursing students during the practical training.MethodsA cross-sectional study was carried out with the 1st, 2nd, 3rd, 4th-year nursing students (n = 1181) between September 2018-may 2019. Data was collected using by Socio-Demographic Questionnaire, The Student Nurse Stress Index, The Bio-Psycho-Social Response Scale and Coping Behavior Inventory.ResultsThe fourth-grade nursing students’ stress level was found to be statistically significantly higher than of other graders. Nursing students have shown emotional symptoms and social-behavioral symptoms the most. To cope with stress, nursing students used the strategies transference, staying optimistic, problem-solving and avoidance, respectively.ConclusionsThese findings highlight the need to routinely evaluate nursing students for stress, bio-psycho-social response, and coping strategies during practical training. Thus, counseling units can be constituted by the nursing schools, and nursing students who have higher stress levels and inadequate coping strategies benefit from these units.

Hemşirelik Öğrencilerinde Stresle İlgili Faktörlerin Değerlendirilmesi

Introduction: It is commonly accepted that educational stress affects students' academic achievement, self-esteem, and coping efficacy, which can lead to changes in physiological and psychological health. Nursing students experience greater stress related to the intensity and complexity of nursing programs, including academic, clinical, and personal stressors than students in other health-related fields. Aim: To investigate undergraduate nursing students’ stress levels and factors affecting these during their education. Materials and methods: This was a descriptive and cross-sectional study involving 319 students. A Sociodemographic Characteristics Form and the Student Nurse Stress Index (SNSI) were used for data collection. The Cronbach alpha coefficient of the scale was 0.86. Results: Of the participants, 26.6% were in the third year of study, 67.4% were female and 55.5% of the students thought of themselves as moderately successful academically. The overall SNSI mean score was 43.85±10.58 (min=15, max=75). According to the analysis, there was a statistically significant difference between some of the students’ sociodemographic features and the Student Nurse Stress Index mean scores. The students' academic year was directly associated with stress levels (p < 0.05). The academic load was the most common source of stress reported by students. Conclusion and suggestions: It was found that the stress levels of the senior students were higher than those of other students. Nursing students' mental health must be protected to continue to provide adequate care and treatment to patients. Stress management interventions should be provided, especially in the final year of study, when the students experience the most intense stress.

Impact of time management program on stress and coping strategies adopted by nursing students with regard to academic performance

Because nurses must interact with a variety of people in a variety of situations, nursing is an emotionally taxing and extremely stressful vocation on various times of the day and circumstances. To look at the coping mechanisms nursing students use to deal with the stress of their studies and clinicals. High levels of stress can have negative effects on learning, coping, academic performance, and retention in nursing students as well as memory, focus, and problem-solving skills. There have been no studies explicitly involving nursing students, but college students with higher levels of learnt resourcefulness tend to be more motivated, self-assured, and academically persistent.At a chosen health science university in Mangalore, 320 undergraduate students participated in a descriptive-correlative study. Utilizing disproportionate stratified sampling approaches, the samples were chosen. Researcher used various tool such as time management questionnaire, Student Nurse Stress Index and self-prepared tool for academic performance. The mean post-test stress score (65.79±8.79) ranging from 31 to 86 was lower than the mean pre-test stress score (70.77±9.01) ranging from 36 to 95. The mean time management during post-test (110.88±15.08) was higher than that of pre-test (98.14±11.46). The mean stress score during post-test (65.79 ± 8.79) was lower than that of pre-test (70.75±9.02). The mean academic performance score during post-test (26.52±4.84) was higher than that of pre-test (22.79±3.90). Majority of samples (71.6%) were having good level of time management followed by 27.5% having average and 0.9% having excellent time management score during pre-test. Where as in post-test, most of the samples had (83.8%) good time management score followed by 8.8 % having excellent and 7.5 % having average The results also showed that 65.6% were having moderate level of stress followed by 31.9% having high and 2.5 % having low stress level, where as in post-test, most of the samples had (81.9%) moderate stress score followed by 13.1 % having high and 5% having low stress score. The data regarding academic performance states that 73.4% were having average academic performance score followed by 24.7 % having poor and 1.9% having good academic performance. Where as in post-test, majority of the samples had (64.1%) average academic performance score followed by 23.4 % having good and 12.5 % having poor academic performance score.This study reveals that the stress load is directly related to poor academic performances and a good strategy adaptation will definitely bring a fruitful result in nursing students for their carrier development.

Factors contributing to depressive symptoms among undergraduate nursing students: A cross-sectional study.

To investigate predictive factors of student's academic year, interest in the field of nursing, stress, self-efficacy, and problem-focused and emotion-focused coping on the depressive symptoms among undergraduate nursing students. As the burden of depression among students has increased worldwide, depressive symptoms have become a standard part of mental health problems in college and university students. Among the various fields of medical sciences, nursing students face more stressors during their study period and are more at risk of suffering depressive symptoms than other students. A cross-sectional design. A total of 230 undergraduate nursing students from a university in Myanmar were recruited from August to September 2021. The data were collected using standard research instruments, including a Demographic Questionnaire, Student Nurse Stress Index Questionnaire, General Self-efficacy Scale, Brief COPE Inventory, and Center for Epidemiology Studies Depression Scale (CES-D). Descriptive statistics were used to describe the sociodemographic characteristics of the participants. Inferential statistics were used to identify the predictive effect of academic year, interest in the field of nursing, stress, self-efficacy, problem-focused coping, and emotion-focused coping on depressive symptoms, using multiple linear regression analysis. Academic year, interest in the field of nursing, stress, self-efficacy, and problem-focused and emotion-focused coping accounted for 31.5% of the variance of depressive symptoms (F(8, 221) =12.704, p<.001) with an R2 =.315. Stress was the factor that most influenced student's depressive symptoms (β =.407, p<.001). Self-efficacy (β =-.244, p<.001) and emotion-focused coping (β =.199, p<.05) were also critical factors contributing to depressive symptoms among undergraduate nursing students. The results of this study provide insight and knowledge about depressive symptoms and factors that can contribute to depressive symptoms among undergraduate nursing students. Results suggest that nurse educators and community mental health nurses should focus on reducing stress, increasing self-efficacy, and enhancing proper coping strategies among students to prevent depressive symptoms.

Stress Levels and Sleep Disorders among Undergraduate Nursing Students During COVID-19 Pandemic: A Cross-Sectional Study from Indonesia

The COVID-19 pandemic has forced universities to change their teaching and learning activities using online methods, which can impact students' stress problems, including undergraduate nursing students. This study aims to identify the relationship between stress levels and sleep disorders among nursing students in online learning during the COVID-19 pandemic. A cross-sectional study included 253 nursing students from the Faculty of Nursing at Universitas Padjadjaran between 2018 and 2021, and completed the Student Nurse Stress Index (SNSI) questionnaire and the Pittsburgh Sleep Quality Index (PSQI) questionnaire from June 2022 to July 2022. Study findings, all individuals reported experiencing moderate to severe stress levels and had an impact on sleep disorders, with a sig. (2-tailed) namely 0.001 (&lt;0.05) and correlation (r) 0.290. The majority reported moderate stress, i.e. less disturbed sleep (70.6%), disturbed (63.2%), and very disturbed (52.6%). Meanwhile, severe stress, namely disturbed sleep (33%) and very disturbed (47.4%). Although, there were 14.3% had mild stress and slept less disturbed. The highest levels of stress and sleep disorders were reported by women (85.4%), 17-21 years old (78.7%), and lived with their family (77.1%). This study highlights that the COVID-19 pandemic related to stress and sleep disorders has a significant relationship. Therefore, future studies using meta-regression are needed to investigate the factors influencing and exacerbating stress and sleep disorder among nursing students in online learning during the COVID-19 pandemic to minimize results bias.

Perceived Incivility and Stress of Final Year Nursing Students

Background: Incivility is disruptive behavior that can cause physiological or psychological distress to those involved and can escalate into a potentially dangerous situation such as serious suicidal tendency and engage in self-injury if left untreated. Incivility can be caused by a variety of factors, one of which is stress; however, stress can also be a cause of incivility. Objective: This study aimed to examine the relationship between incivility and stress among final-year nursing students. Methods: This study employed a quantitative research method using a correlation approach. The study used a simple random sampling. The data were analyzed using descriptive statistics and Spearman rank test. The instruments used in this study were the INE-R/Incivility in Nursing Education-Revision (Cronbach Alpha 0.881-0.876) and the PSS/Perceived Stress Scale (Cronbach Alpha 0.684). This study recruited 200 students, the majority of whom were female (87.5%). Result: This study revealed students' perceived levels of incivility (Mean 20.93, SD 6.67); perceived frequency of incivility (Mean 18.01, SD 5.18); and perceived stress (Mean 22.01, SD 4.01). Additionally, this study discovered significant relationships between students' perceived levels of incivility and stress (p value 0.010, r 0.283) as well as their perceived frequency of incivility and stress (p value 0.001, r 0.269). Conclusion: Incivility has been associated with stress levels in nursing students. It is critical for nursing education to foster a positive learning environment. This study provides evidence for a correlation between incivility and stress in nursing students who transitioned from blended to fully online learning due to the Covid-19 pandemic.

Adult Personality and Its Relationship with Stress Level, Coping Mechanism and Academic Performance among Undergraduate Nursing Students

Background: Stress related to nursing education and clinical placement encounters by students since the beginning of their nursing course has been an issue of concern. This study aims to examine the prevalence of adult personality traits and their relationship with stress levels, coping mechanisms and academic performance among nursing students. Methods: This cross-sectional study was conducted among 92 nursing students at Universiti Kebangsaan Malaysia (UKM). The Big Five Inventory (BFI), Student Nurse Stress Index and Brief COPE instruments were used to measure the respondents’ personality traits, stress level and coping mechanisms, respectively. Data were analysed using IBM SPSS version 26. Results: The most prevalent personality trait of the students was openness (mean = 33.58). Conscientiousness (r = –0.226, P = 0.030) and neuroticism (r = 0.326, P = 0.002) are significantly related to stress level. Extraversion (r = 0.219, P = 0.036), conscientiousness (r = 0.206, P = 0.049) and openness (r = 0.219, P = 0.036) show significant relationships with the approach coping mechanism, while agreeableness (r = –0.257, P = 0.013) and neuroticism (r = 0.297, P = 0.004) show significant relationships with the avoidant coping mechanism. However, no significant relationship was noted between personality traits and academic performance (r = 1.000, P &gt; 0.05). Conclusion: Knowledge of ones’ personality traits may benefit students in understanding themselves and in using the best ways to cope with their stress while studying nursing.

Adult Personality and Its Relationship with Stress Level, Coping Mechanism and Academic Performance among Undergraduate Nursing Students.

Stress related to nursing education and clinical placement encounters by students since the beginning of their nursing course has been an issue of concern. This study aims to examine the prevalence of adult personality traits and their relationship with stress levels, coping mechanisms and academic performance among nursing students. This cross-sectional study was conducted among 92 nursing students at Universiti Kebangsaan Malaysia (UKM). The Big Five Inventory (BFI), Student Nurse Stress Index and Brief COPE instruments were used to measure the respondents' personality traits, stress level and coping mechanisms, respectively. Data were analysed using IBM SPSS version 26. The most prevalent personality trait of the students was openness (mean = 33.58). Conscientiousness (r = -0.226, P = 0.030) and neuroticism (r = 0.326, P = 0.002) are significantly related to stress level. Extraversion (r = 0.219, P = 0.036), conscientiousness (r = 0.206, P = 0.049) and openness (r = 0.219, P = 0.036) show significant relationships with the approach coping mechanism, while agreeableness (r = -0.257, P = 0.013) and neuroticism (r = 0.297, P = 0.004) show significant relationships with the avoidant coping mechanism. However, no significant relationship was noted between personality traits and academic performance (r = 1.000, P > 0.05). Knowledge of ones' personality traits may benefit students in understanding themselves and in using the best ways to cope with their stress while studying nursing.

The effect of online laughter therapy on depression, anxiety, stress, and loneliness among nursing students during the Covid-19 pandemic

BackgroundNursing students experienced mental symptoms when they switched to distance education due to the pandemic. AimsThis study was conducted to evaluate the effects of online laughter therapy sessions on depression, anxiety, stress, and loneliness levels in first-year nursing students. MethodsIn this randomized controlled trial, 61 healthy nursing students were randomly assigned to intervention (n = 32) and control groups (n = 29). The intervention group received online laughter therapy twice weekly for four weeks. The control group received no intervention. The data were collected using a demographic questionnaire, the Depression Anxiety Stress Scale, and the De Jong Gierveld Loneliness Scale at the study initiation and week four in both groups. ResultsThere was no difference between the mean scores of the groups in the pre-test (p > 0.05). There was a statistically significant difference between groups in terms of depression after online laughter therapy sessions (p < 0.05), but there was no significant difference between anxiety, stress, and loneliness levels (p > 0.05). ConclusionsOnline laughter therapy sessions significantly reduced depression but had no effect on anxiety, stress, and loneliness. During the COVID-19 pandemic, online laughter therapy can be organized to reduce depression levels.

Nursing students' burnout, stress, and coping during the COVID-19 Pandemic

Nursing students are not immune to the stress that comes with being a student nurse. Despite the fact that there is a lot of literature on the issue, there has been little attention paid to stress in student nurses. This study examined a number of scientific papers on nursing student burnout, stress, and coping techniques. This was done through the use of a systematic review and the collection of publications. This systematic study relied on the databases CINAHL, PubMed, Medline, and Google Scholar. These databases were selected for bibliographic information for publications on the study topic: burnout syndrome, stress, and coping skills, all of which were considered. Searches in English, during the previous two years (2020 &amp; 2021). This systematic review revealed that nursing students were experiencing moderate to severe stress as a result of a shift in the way they were taught, a lack of clinical skills, and a concern of getting COVID 19. Nursing students, on the other hand, dealt with stress in a variety of ways. The review findings might help nursing educators build stress management strategies that are both scientifically verified and culturally suitable for their students.

Stress Factors Among Nursing Students

Stress is a health epidemic of the 21st Century. It can affect anyone at any time, altering or impairing their general health (WHO). The study utilized the quantitative-descriptive correlational research design to determine the stress factors among the two hundred randomly selected nursing students of the University of Bohol, aided by a self-made questionnaire adopted from the Student Nurse Stress Index (SNSI) by Jones and Johnston 1999. The tool underwent Cronbach's Alpha test with a reliable result. The instrument was distributed online. Findings revealed that most respondents were young adults from 20-21 years old, female, and single. The respondents were moderately stressed with academic concerns and internet connectivity, followed by interpersonal and interpersonal problems. When the data were subjected statistically using SPSS with Spearman's rho test and chi-square, it was found that the year level had a significant relationship to stress levels.

Stress levels and coping strategies among undergraduate nursing students in Greece during economic recession: a cross-sectional study

AimTo identify factors contributing to Greek nursing students’ stress and the coping strategies used. BackgroundStress experienced by nursing students in the context of ongoing economic recession is as yet unexplored. DesignA cross-sectional study . MethodologyUndergraduate nursing students (n = 424) completed the Student Nurse Stress Index (short version) and the Brief COPE questionnaires during the year 2017. ResultsMost of the participants stated that their current financial status (81.7%) contributed towards their experience of stress, and they had higher scores on the interface worries subscale (p < 0.001). Female gender (p < 0.001) seniority (p = 0.005) and stress of transportation from home to university (p = 0.019) significantly increased the SNSI total score as well as most of the stress subscales scores. As far as coping subscales were concerned, higher means were shown in active/positive coping (mean 2.95), seeking support (mean 2.84), expression of negative feelings (mean 2.71) and avoidance (2.47). However, the use of higher maladaptive coping strategies was noted in cases presenting higher SNSI Total score, interface worries and personal problems. ConclusionThe introduction of stress management training and conflict management skills ought to be considered. Fund raising initiatives should be considered to provide financial assistance to those in need.

Development and validation of a brief version of the traditional Chinese Stressors in Nursing Students scale among college nursing students in Taiwan.

ABSTRACTObjective:The 43-item Stressors in Nursing Students (SINS) scale has been evaluated among nursing students in several countries, including China, Hong Kong, Japan, Pakistan, and Spain. However, the original four-factor structure has not been consistently replicated in all of these populations. The aim of this study was to develop a brief version of the traditional Chinese SINS (TC-SINS) scale and to validate it in Taiwanese nursing students.Materials and Methods:Data obtained from a cross-sectional survey study of 814 nursing students in a nursing college and a university in Taiwan were randomly divided into two parts. The first part was used to conduct an exploratory factor analysis using principal axis factoring with oblique rotation. After the removal of cross-loading items, the resulting scale was validated with the data from the second part using confirmatory factor analysis.Results:A three-factor solution (social, clinical, and education) with 23 items accounting for 54.5% of variance was obtained in the exploratory factor analysis. The confirmatory factor analysis further reduced the number of items to 20. The goodness-of-fit indexes were good (Root Mean Square Error of Approximation = 0.075 and Comparative Fit Index = 0.90).Conclusions:The number of items in the TC-SINS could be reduced from 43 to 20, without sacrificing its psychometric properties. The brief version of TC-SINS might be able to reduce respondent burden.

Stress, workplace bullying, and career decision of male nursing students: a qualitative inquiry of male undergraduate nursing students

Background: This study aims to understand and explore the relationships between stress, workplace bullying, and experiences of male nursing students in South Korea. A shortage of nursing professionals is currently a significant problem in the health and social care system. Although the government has established enrolment plans and scholarships for potential nursing students, long-term solutions still have not been found. The number of newly registered male nursing professionals is still significantly low. Based on the self-efficacy approach and social cognitive career and motivation theory, three research questions guided this study: (1) What are the sources of stress for male nursing students in South Korea? (2) How would male nursing students describe their position, role, and experience as male individuals in South Korea? (3) Do gender role, gender discrimination, gender bias, and gender inequality influence the experience of male nursing students in South Korea? Method: With the qualitative inquiry, 20 male nursing undergraduate students were invited. The results indicated that stress from the gender role, discrimination and social bias due to their gender and nursing position caused the relationships between stress, workplace bullying, and career decision. Results: Based on the results, male nursing students face stress, burnout, pressure, and gender bias, which may influence their career decision and long-term development. Conclusion: Therefore, government departments, university leaders, medical facilities managers, and human resource planners should take this study as the opportunity to reform and polish the government policies and regulations to answer the gender discrimination and bias in the health and social care profession.

Assessment of the psychological impact of vaccination on COVID-19 pandemic stress among B. Sc nursing students

Background: In January 2020 the world health organisation (WHO) declared the outbreak of a new coronavirus disease, COVID-19, to be a public health emergency of international concern. WHO stated that there is a high risk of COVID-19 spreading to other countries around the world. In March 2020, WHO made the assessment that COVID-19 can be characterized as a pandemic. WHO and public health authorities around the world are acting to contain the COVID-19 outbreak. To assess the level of COVID-19 pandemic stress before and after vaccination and to find out the association of COVID-19 pandemic stress scores with selected demographic variables of B. Sc nursing students. Methods: A pre-experimental study was done on 150 Nursing students in selected various nursing colleges at Meerut. The convenience sampling technique was used. Nursing Students stress were assessed by using standardized Sheldon Cohen modified stress scale. Results: The result showed that mean score before and after vaccination of stress with SD for was (0.237) nursing students was 13.20±2.202, 6.20±1.202 and correlation of patient with COVID-19 suggesting a negative significant correlation between the stress ‘r’ value was less than table value (0.273) with df 149. At (0.05) level of significance. Conclusions: there was no significant association between level of stress and demographic variables among Nursing students. It is inferred that there is moderate to severe level of stress before and moderate to mild level of stress after vaccination.

Testing the impact of an online mindfulness program on prelicensure nursing students stress and anxiety.

Fourth-year nursing students are under stress due to internal, external, and situational stressors. The purpose of this study was to evaluate the impact of an online mindfulness intervention on fourth-year nursing students' depression, anxiety, stress, and coping. Lazarus and Folkman's Transactional Model of Stress and Coping was used to guide the proposed intervention using a quasi-experimental pretest-posttest one-group design. Students took the pretest at the start of the semester, 2 weeks later they started the intervention for 4 weeks. The posttest was administered 2 weeks after completion of the intervention. Nursing students who completed the 4-week online mindfulness intervention reported decreased anxiety and stress. Open-ended questions revealed the intervention was beneficial, and the time spent practicing mindfulness was valuable. The online mindfulness intervention resulted in lowered anxiety and stress in nursing students' engaged in clinical courses and warrants further study.

Sources of Stress among Saudi Arabian Nursing Students: A Cross-Sectional Study.

Introduction: Nursing students experience higher levels of stress than those in other health-related disciplines; however, there are limited data exploring stress among these students in a Saudi context. Aim: This study examines sources of stress among nursing students at an academic institution in Jeddah, Saudi Arabia, using a descriptive quantitative cross-sectional research design. Methods: Data were collected from a convenience sample of 500 undergraduate nursing students, with a response rate of 71.8%, using an adapted Stress in Nursing Students (SINS) questionnaire. Results: Nursing student sources of stress fell into three categories: academic concerns, clinical practice, and social factors. Discussion: The results demonstrate commonality between other countries’ sources of stress for nursing students but highlight cultural factors unique to Saudi Arabia. This study shows opportunities for cross-cultural learning and areas needing cultural tailoring to reduce stress among nursing students.

Female gender and low physical activity are risk factors for academic stress in incoming nursing students.

Nursing students suffer from stress more frequently than other students. The objective was to analyze the academic stressors that most affect new nursing students. A cross-sectional study on new nursing students. Two hundred and eighty-twostudents, 78% women, mean age of 21.46 (6.1) years. Giving presentations in class and lack of time for homework are the items that cause the greatest academic stress. Women had higher levels of academic stress, and higher levels of physical activity are related to lower academic stress. Women have a higher level of academic stress. Doing sport is a protective factor that diminishes academic stress the more it is practiced. Encouraging nursing students to play sports could be beneficial in reducing their academic stress, with women benefiting the most.

Nursing students' adverse childhood experience scores: a national survey.

To determine the adverse childhood experience scores (ACES) of nursing students in the United States. Utilized the standardized Family Health History Questionnaire to determine the ACES of a national sample of nursing students. Simple descriptive statistics were used to analyze the findings. Nursing students ACES indicate that they enter academia with a much higher baseline of childhood trauma versus the general population. Over 40% of nursing students surveyed had an ACES of 4 or more versus the national average of 12.5-13.3% of the general population having an ACES of 4 or more. This data provides support for Conti-O'Hare's theory of nurses as wounded healer. Nursing faculty should consider nursing students to be members of a vulnerable population and revise curricula to support nursing students stress resileince.

Therapy Dog Effects on Nursing Student Stress: A Mixed Methods Study.

Nursing students experience stress levels that may interfere with success in rigorous nursing programs. While evidence indicates therapy dogs can decrease stress, no intervention standards exist, and outcomes are usually measured with questionnaires. The purpose of this research was to enhance empirical evidence supporting a campus therapy dog by explaining the therapy dog's effect on nursing student stress. The research used an embedded mixed-methods design. Introductory-level students interacted with a therapy dog on designated days. They measured stress using a smartphone application and Cohen's Perceived Stress Scale. Focus group discussion and program graduate surveys provided qualitative data explaining quantitative results. Results supported use of a campus therapy dog to decrease nursing student stress. The therapy dog's regular presence on campus may have improved student outcomes by decreasing stress and improving focus.