scholarly journals Nursing students’ perceived stress and influences in clinical performance

2015 ◽  
Vol 4 (2) ◽  
pp. 44 ◽  
Author(s):  
Laila Akhu-Zaheya ◽  
Insaf Shaban ◽  
Wejdan Khater

<p><strong>Background:</strong> It is known that stress related to clinical training among nursing students could contribute to many physical and mental problems. However, little empirical evidence about the influence of stress in nurse students’ clinical performance<strong></strong></p><p><strong>Objective:</strong> The objective of this study was to assess the association between perceived stresses, stress related factors, and students’ clinical performance.</p><p><strong>Method</strong>: Using the perceived stress scale, 539 Jordanian nursing students from 2 public universities in Jordan participated in the study.</p><p><strong>Results</strong>: The results showed that the mean of stress perceived by students was 45.9. Students’ assignment were perceived as the main source of stress (M= 10.7, SD= 4.5) followed by stress related to patients’ care (M= 10.5, SD= 5.5) and stress from teachers and nursing staff (M= 9.6, SD= 5.3). The lowest source of stress is from students’ lack of professional knowledge and skills (M= 3.96; SD= 2.8). The mean of students’ clinical performance is 73.4%. Students’ perceived stress has a significant negative correlation with students’ clinical performance (<em>r</em>= -.09; <em>p</em> &lt;.05). The results also showed significant negative correlation between stress related to lack of professional knowledge and skills, and stress related to patient care and students’ clinical performance.</p><p><strong>Conclusion</strong>: This study expanded on students’ stress in clinical settings, and warrants further research in assessing its impact on their performance. Teachers should be aware of and help students to overcome and cope with said stress related factors in the clinical settings effectively.</p>

2019 ◽  
Vol 25 (1) ◽  
pp. 125-135
Author(s):  
Kyung Hee Yoo

Purpose: This study was conducted to determine the mediator effect of social support in the association between stress for college life and depression among nursing students. Methods: The participants of the study were 201 university students in A and C cities. Self-report questionnaires were used to measure the variables. In the data analysis, the SPSSWIN 25.0 program was utilized for descriptive statistics, Pearson's correlation, Sobel test and multiple regression analysis. Results: Mean scores of stress for college life, depression and social support were 2.56, 4.12 and 0.61, respectively. Stress for college life and depression showed a significant positive correlation (r=.60, p<.001), while depression and social support showed a significant negative correlation (r=-.46, p<.001). Lastly, stress for college life and social support showed a significant negative correlation (r=-.55, p<.001). The analysis of the mediator effect of social support in the association between stress for college life and depression showed that social support had a significant mediator effect. Conclusion: Among nursing students, social support may be a mediator in the association between stress for college life and depression. Therefore, strategies for nursing intervention to improve social support should be developed for nursing students.


1989 ◽  
Vol 56 (4) ◽  
pp. 665-668 ◽  
Author(s):  
María A. Esteban ◽  
Andrés Marcos

SummaryBy linear regression analysis, a highly significant negative correlation (r = −0·96) was found between the mean ash concentration values (g/100 g moisture) and water activity (aw) of six types of processed cheeses (low-fat, semi-fat, fat, extra-fat, double fat and special). The regression equation aw = 0·9951 − 0·0032* (ash), applied to 40 cheese samples, yielded aw values which differed by < 0·005 aw units from those measured experimentally in 75% of the samples. The maximum differences between the calculated and experimental aw values (found in only two samples) were ±0·01 aw units.


2016 ◽  
Vol 8 (4) ◽  
pp. 1931-1936
Author(s):  
Anchala Nautiyal ◽  
Neeta Gaur ◽  
Kamendra Singh ◽  
Preeti Sharma

The aim of the present investigation was to study the effect of soybean plant phenols and flavonoid content on the mean leaf area consumed by Spodopteralitura and Spilosoma obliqua larva. Phenols and flavonoid content in methanolic leaf extract of thirty three genotypes of soybean were determined by spectrophotometrically. Thehighest and lowest phenolic content were found in genotypes JS-20-41(2.2±0.073 mg/g) and CSB 904 (0.45 ±0.11 mg/g), respectively. While the highest and lowest flavonoid content was found in genotypes SL 979 4.686± 0.062 mg QE/ g, respectively. In correlation study a highly significant negative correlation was observed between mean leaf area consumed (cm2) by S. litura, phenol content (-0.741 ) and flavonoid content (-0.737) similarly a highly significant negative correlation was observed between mean leaf area consumed by S. obliqua, phenol content (-0.728) and flavonoid content (-0.736) in leaves. Hence it can be concluded that, the genotypes which were having higher phenol and flavonoid content in their leaves offered resistance against S. litura and S. boliqua in soybean.


Author(s):  
Scott Richardson ◽  
Jordan Auvinen ◽  
Brennan Bonnett ◽  
Lucas Takeuchi ◽  
Erin Thompson

Purpose/Hypothesis: Students in graduate level DPT programs function at varying levels. Some students thrive and others struggle to maintain required minimum levels of academic performance. When considering admission of applicants, and when assisting enrolled students, consideration of factors contributing to academic success is of interest. Stress has been shown to be prevalent in a wide range of students and has many negative effects including poor life satisfaction, increased clinical burnout, and reduced academic performance. Research has shown a correlation between higher emotional intelligence (EI) and decreased stress levels in medical, nursing, and undergraduate students. The purpose of this study was to examine if emotional intelligence (EI) and/or extrovert bias correlates with perceived stress levels in Doctor of Physical Therapy (DPT) students. It was hypothesized that students with higher emotional intelligence and more extroverted personalities would experience lower levels of perceived stress. Participants: After providing consent, a convenience sample of 60 first and second year DPT students (33 female) with age range 23 to 38 participated in the current study. Participation was voluntary and 60 of a possible 72 students chose to participate. Materials/Methods: After obtaining informed consent, participants completed Goldberg’s IPIP-Neo questionnaire (extraversion), Perceived Stress Scale (PSS) and Assessing Emotions Scale (emotional intelligence). Each of these tools have demonstrated validity and reliability for the respective areas measured. Surveys were administered to students and results were analyzed for possible relationships between extraversion and stress levels as well as EI and stress levels using a Spearman Correlation test. Results: Spearman Correlation analyses were conducted with a significant negative correlation between EI and perceived stress rs = -0.291, p= 0.026 and a non-significant negative correlation between extraversion and perceived stress rs = -1.36, p= 0.305. Discussion: In the current sample, EI had a significant negative relationship with perceived stress levels, with higher EI scores correlating to lower levels of stress. The relationship between extraversion and perceived stress was non-significant. Clinical Relevance: Doctorate level graduate programs can be considered intense and very stressful. Admission of qualified students equipped to meet the demands of a DPT program has great importance. Establishing a correlation between EI, introversion/extraversion bias, and stress may help DPT programs further assess prospective students. Consideration of factors correlated with higher perceived stress may be useful when providing resources to admitted students to facilitate academic success.


2021 ◽  
Vol 4 (1) ◽  
pp. 43-51
Author(s):  
G. N. Egbunike ◽  
J. Steinbach

488 gestations (309 Large White and 179 Landrace) and the size of all litters resulting from services which occurred between January 1967 and March 1970 were analysed. The mean gestation length was 113.96 days for the Large White and 113.74 days for the Landrace while the mean values for the litter size were 9.14 and 9.58 respectively. There was a significant negative correlation between these two traits in both breeds (P 0.01). A slight and non-significant seasonal effect (P 0.10) was shown with the highest and lowest gestation lengths being recorded in July (114.38 days) and in January and February (113.40 days). Breed effect and interaction between breed and season were also not significant.


1978 ◽  
Vol 42 (3_suppl) ◽  
pp. 1335-1338
Author(s):  
William Ray Pope ◽  
Glenn E. Littlepage ◽  
Don E. Ellis

20 recruits and 23 veteran police officers were administered the Philosophies of Human Nature Scale. Compared with recruits, veteran officers showed a stronger tendency to believe others were altruistic. A significant negative correlation (—.49) was found between length of police experience and the Strength of Will and Rationality subscale, indicating police officers with many years of experience believed others were less self-determined and rational. Years of experience was also negatively related to the Independence subscale (—.49), implying that with increasing years of experience, veterans see others as less independent. However, age and years of experience correlated .90 and these relationships could be an artifact of age or age-related factors rather than years of experience. Other subscales did not differ for recruits and veterans and were not related to length of police experience. The mixed results are consistent with suggestions that, once established, philosophies of human nature are reasonably resistant to change.


2003 ◽  
Vol 88 (3) ◽  
pp. 1389-1393 ◽  
Author(s):  
Gabriela Guercio ◽  
Marco A. Rivarola ◽  
Eduardo Chaler ◽  
Mercedes Maceiras ◽  
Alicia Belgorosky

The aim of this study was to analyze the possible implication of changes in the GH/IGF-I axis and in insulin sensitivity for the regulation of adrenal androgen secretion of normal prepubertal and adolescent girls. A total of 61 normal girls were evaluated in prepuberty [Group (Gr)1, n = 33; early (Gr1A, n = 16) and late (Gr1B, n = 17)]; puberty (Gr3, n = 28), early (Gr3A, n = 9) and late (Gr3B, n = 19); and during the transition between prepuberty and puberty (Gr2, n = 26). Insulin sensitivity was estimated by the fasting glucose/insulin ratio (G/I). In Gr1, G/I was significantly higher, and the mean serum IGF-I and serum dehydroepiandrosterone sulfate (DHEAS) were significantly lower than in Gr3 (P &lt; 0.0001). Mean G/I in Gr1A and Gr3A was significantly higher than in Gr1B (P &lt; 0.01) and Gr3B (P &lt; 0.02), respectively, and ratios in Gr1B were also significantly higher than in Gr3A (P &lt; 0.02). However, body mass index (BMI) in Gr1A, Gr1B, and Gr3A was not significantly different, although a significant increment was observed between late prepuberty (Gr1B) and late puberty (Gr3B; P &lt; 0.0001). On the other hand, serum IGF-I levels in Gr1A and Gr3A were significantly lower than those in Gr1B (P &lt; 0.01) and Gr3B (P &lt; 0.02), respectively. The mean serum DHEAS level in Gr1A and Gr3A was significantly lower than in Gr1B (P &lt; 0.01) and Gr3B (P &lt; 0.02), respectively, and the level in Gr1B was also significantly lower than in Gr3A (P &lt; 0.02). Correlation studies within Gr1, Gr2, and Gr3 were also performed. There was a significant positive correlation between serum DHEAS and age and a significant negative correlation between serum DHEAS and G/I in the three groups. However, a significant positive correlation between serum DHEAS and serum IGF-I was only found in Gr1. Furthermore, a significant negative correlation between BMI and the G/I was found in Gr2 and Gr3. Therefore, changes in insulin sensitivity might be involved in adrenal androgen synthesis both in prepuberty and in puberty, as well as during the transition from prepuberty to puberty. Changes in BMI suggest that adiposity might be a mediator of this effect, particularly during late puberty. On the other hand, the GH/IGF axis might be an important metabolic signal involved in the maturational changes of human adrenal androgens during prepuberty, at the time of adrenarche. Indeed, a significant negative correlation between G/I and serum IGF-I was found in Gr1, as well as in Gr2. In conclusion, the findings of this study indicate that the GH/IGF-I axis and insulin resistance might be involved in the mechanism of adrenarche during prepuberty in normal girls. Because these relationships had not been seen in boys, we proposed that prepubertal ovarian estrogens might be responsible for the sex difference. The relationship between insulin resistance and adrenal androgens persists during the transition from prepuberty to puberty, as well as during puberty.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1113.1-1113
Author(s):  
A. Fazaa ◽  
H. Boussaa ◽  
K. Ouenniche ◽  
S. Miladi ◽  
M. Sellami ◽  
...  

Background:Fatigue is a common and debilitating symptom in patients with rheumatoid arthritis (RA). Fatigue in RA is poorly understood and appears to be multifactorial. Interactions between three factors were suggested: ‘personal’, ‘disease processes’, and ‘cognitive, behavioural’.Objectives:The aim of this study was to determine factors associated with fatigue and persistent fatigue in RA.Methods:We conducted a longitudinal study including patients with RA (ACR/EULAR 2010). Patients with other acute or chronic diseases that may induce fatigue (such as cancer, infection or depression) were excluded. Patients were evaluated at inclusion (T0) and 12 months later (T12). Demographic and disease-related data were collected: age, gender, professional status, physical activity, disease duration, Rheumatoid Factor (RF), Anti-citrullinated peptides antibodies (ACPA), pain Visual Analog Scale (VAS), Erythrocyte Sedimentation Rate (ESR), C Protein Reactive (CRP), Disease Activity Score 28 (DAS28), and Health Assessment Questionnaire (HAQ). Fatigue was assessed using the Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F) which is a short 13-item questionnaire validated in RA. The score FACIT-F ranges between 0 and 52. Fatigue was considered mild if the FACIT-F score was ≥40, moderate if 20≤FACIT-F<40 and severe if 0≤FACIT-F<20. We defined ‘persistent fatigue’ as reported fatigue at T0 and T12. A p value inferior to 0.05 was considered significant.Results:We included 100 patients (84 women and 16 men) with a mean age of 49.5±10 years old [18-65]. Among them, 25% were professionally active and 15% had a regular physical activity. At inclusion, the mean disease duration was 87.3 months [1-360]. RF and ACPA were positive in 75% and 72.6% of cases respectively. The mean pain VAS was 49 cm [0-100]. The mean levels of ESR and CRP were 38.1 mm [10-120] and 10.8 mg/l [2-61] respectively. The mean DAS28 ESR was 3.68 [1.90-8.33] and the mean HAQ score was 0.90 [0-2.75].The mean FACIT-F score was 27.1 [0-51] at T0. Fifty-seven percent of patients had moderate fatigue and 26% had severe fatigue. At T12, the mean FACIT-F score was 33.4 [5-50]. Persistent severe fatigue was noted in 17% of patients.A significant negative correlation was noted between FACIT-F score at T0 and the following variables: age (r=-0,258, p=0.01), pain VAS (r=-0,605, p<0.001), ESR (r=-0,621, p<0.001), DAS28 ESR (r=-0.744, p<0.001), and HAQ (r=-0.634, p<0.001).A significant negative correlation was noted between FACIT-F score at T12 and the following variables: age (r=-0,229, p=0.022), disease duration (r=-0,296, p=0.003), pain VAS (r=-0,754, p<0.001), ESR (r=-0,405, p<0.001), CRP (r=-0,468, p<0.001), DAS28 ESR (r=-0.744, p<0.001), and HAQ (r=-0.678, p<0.001).Fatigue and persistent fatigue were not associated with gender, professional status, physical activity, and immunological profile.Multivariable analysis showed that DAS28 ESR (OR=-0.157, 95% CI [-4.614;-0.153], p=0.036) and HAQ (OR=-0.563, 95% CI [-6.916;-2.995], p<0.001) were independently associated with persistent fatigue.Conclusion:Fatigue is a frequent and complex symptom in RA. Higher disease activity and greater disability are suggested as predictors of persistent fatigue.Disclosure of Interests:None declared


2021 ◽  
pp. 003022282110291
Author(s):  
Emine Kaplan Serin ◽  
Runida Doğan

Outbreaks caused by environmental effects such as COVID-19, MERS, SARS, or Ebola cause problems such as fear, anxiety, loneliness, depression, and hopelessness for people with or without a high risk of illness. This study aims to determine the levels of hopelessness and anxiety experienced by nursing students during the COVID-19 outbreak. This descriptive and cross-sectional study was conducted with students of a state university. In the collection of the data, Descriptive Characteristics Form prepared by the researchers, the Generalized Anxiety Disorder Test (GAD-7), and the Beck Hopelessness Scale (BHS) were used. The mean GAD-7 score of the students participating in the study was 6.65 ± 5.03 and the mean BHS score was 6.11 ± 4.91. It was determined that the score of GAD-7 and BHS were a significant positive high relationship between them (p < 0.001). Anxiety and hopelessness levels were found to be statistically significantly higher for those whose sleep and eating patterns affected negatively due to the pandemic, those who feared the pandemic and its economic effects, and those who did not want to work in the hospital during the pandemic period. There was a relationship between anxiety and hopelessness levels of nursing students participating in the study.


2021 ◽  
Vol 15 (5) ◽  
pp. 1623-1628
Author(s):  
Roghayeh Esmaeili ◽  
Mehrdad Esmaeili

Performance evaluation is vital in the nursing field due to the large numbers of nursing students, and the necessity of skill training as an internship in the field under the supervision of the nurses. Accordingly, this study is aimed at determining the current situation and clinical performance evaluation of nursing students. This is descriptive-analytical research. The study sample contains all nursing students of 7th and 8th semesters with an internship in the field (n=145), who participated in the study by personal consent. Nursing Clinical Performance Evaluation Checklist made by Esmaeili et al. (2013) was used as a research instrument. The questionnaire contains 28 items in 3 domains of the nursing process (12 items), professionalism (9 items), and ethical principles (7 items). The face and content validity of the instrument was confirmed, and the reliability was measured using internal consistency by Cronbach's Alpha (0.92). For the data analysis, SPSS-20 was used. Descriptive statistics were used to describe the data. The results showed that the mean value and standard deviation of performance evaluation of students of 7th and 8th semesters of nursing are obtained at 5±2.03, which is in average level. The highest mean value of performance evaluation was associated with the ethical principles of students (6±2.3), and the lowest mean value was associated with the range of the nursing process (5±2). The mean value of professionalism was 6±2.1. The results obtained from the study showed that the 7th and 8th-semester nursing students were at an average level in terms of performance evaluation. Keywords: evaluation, clinical performance evaluation, nursing students, clinical area


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