Stress and Coping Among Nursing Students During Clinical Training: An Integrative Review

Abstract Background: Although nursing students generally have lesser responsibility in the care of patients compared to professional nurses, clinical training is recognized as being a stressful experience for many students. The study objective was to investigate the relationship between anxiety, perceived stress and coping strategies used by nursing students during their clinical training. Methods: A cross-sectional correlational descriptive study. The sample consisted of 190 nursing students enrolled in the Nursing Faculty of Ciudad Real University in Spain. Participants provided data on background characteristics and completed the following instruments: the Perceived Stress Scale; the State-Trait Anxiety Inventory and the Coping Behavior Inventory. Relationships between scores were examined using Spearman’s rho. Results: The mean age of participants was 20.71+ 3.89 years (range 18-46 years). Most students (47.92%) indicated a moderate level of stress with a mean PSS score of 22.78 (±8.54). Veteran nursing students perceived higher levels of stress than novice students. The results showed a significant correlation for perceived stress and state anxiety (r= 0.463, p<.000) and also for trait anxiety (r=0.718, p<.000). There was also a significant relationship between the total amount of perceived stress and the following domains of the Coping Behavior Inventory: problem solving, self-criticism, wishful thinking, social support, cognitive restructuring and social withdrawal. In the current study, the coping strategy most frequently used by students was problem-solving, followed by social support and cognitive restructuring. Conclusions: Nursing teachers and clinical preceptors/mentors should be encouraged to develop programs that could help prepare nursing students to cope with the challenges they are about to face during their clinical placements.

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Examining stress and coping: Program improvements of pre-licensure nursing students

Journal of Nursing Education and Practice ◽

10.5430/jnep.v9n9p131 ◽

2019 ◽

Vol 9 (9) ◽

pp. 131

Author(s):

Krysia W. Hudson ◽

George R. Kim ◽

Grace T. Osipowicz ◽

Nicole L. Mollenkopf ◽

Nikki E. Akparewa ◽

...

Keyword(s):

Nursing Students ◽

Clinical Training ◽

Well Being ◽

Stress And Coping ◽

Emergency Department Visits ◽

Improve Performance ◽

First Semester ◽

Related Absenteeism ◽

Health Related ◽

And Coping

In a pre-licensure program, an unexpected number of episodes of student distress occurred during clinical training (resulting in emergency department visits and health-related absenteeism) in the first semester. To understand the underlying reasons for these episodes, investigators retrospectively explored how these students perceived and approached the stresses associated prior to and after their first semester work (as a part of program to improve performance and student well-being). Program innovations were employed, and student distress has dramatically decreased.

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Nursing students' stress and coping strategies during clinical training in KSA

Journal of Taibah University Medical Sciences ◽

10.1016/j.jtumed.2019.02.002 ◽

2019 ◽

Vol 14 (2) ◽

pp. 116-122

Author(s):

Waled A.M. Ahmed ◽

Badria M.A. Mohammed

Keyword(s):

Nursing Students ◽

Coping Strategies ◽

Clinical Training ◽

Stress And Coping ◽

And Coping

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Nursing students’ perceived stress and coping behaviors in clinical training in Saudi Arabia

Journal of Mental Health ◽

10.3109/09638237.2016.1139067 ◽

2016 ◽

Vol 26 (3) ◽

pp. 197-203 ◽

Cited By ~ 25

Author(s):

Shaher H. Hamaideh ◽

Hasan Al-Omari ◽

Hanan Al-Modallal

Keyword(s):

Saudi Arabia ◽

Nursing Students ◽

Perceived Stress ◽

Clinical Training ◽

Stress And Coping ◽

Coping Behaviors ◽

And Coping

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Anxiety, Perceived Stress and Coping Strategies in Nursing Students: A Cross-Sectional Correlational Descriptive Study

10.21203/rs.2.10722/v2 ◽

2020 ◽

Author(s):

María Dolores Onieva-Zafra ◽

Juan José Fernández-Muñoz ◽

Elia Fernández-Martínez ◽

Francisco José García-Sánchez ◽

Ana Abreu-Sánchez ◽

...

Keyword(s):

Social Support ◽

Nursing Students ◽

Perceived Stress ◽

Clinical Training ◽

Coping Behavior ◽

Cognitive Restructuring ◽

Descriptive Study ◽

Stress And Coping ◽

Cross Sectional ◽

And Coping

Abstract Background: Clinical training is recognized as being a stressful experience for many nursing students. The levels of stress and anxiety may increase or decrease during their educational training depending on coping behavior strategies and other factors. The objective of this was to investigate the relationship between anxiety, perceived stress and coping strategies used by nursing students during their clinical training. Methods: A cross-sectional correlational descriptive study. The sample consisted of 190 nursing students enrolled in the Nursing Faculty of Ciudad Real University in Spain. Participants provided data on background characteristics and completed the following instruments: the Perceived Stress Scale; the State-Trait Anxiety Inventory and the Coping Behavior Inventory. Relationships between scores were examined using Spearman’s rho.Results: The mean age of participants was 20.71± 3.89 years (range 18-46 years). One half of the students (47.92%) indicated a moderate level of stress with a mean PSS score of 22.78 (±8.54). Veteran nursing students perceived higher levels of stress than novice students. The results showed a significant correlation for perceived stress and state anxiety (r= 0.463, p<.000) and also for trait anxiety (r=0.718, p<.000). There was also a significant relationship between the total amount of perceived stress and the following domains of the Coping Behavior Inventory: problem solving (r =-.452, p<.01), self-criticism(r =.408 p<.01), wishful thinking(r =.459, p<.01), social support(r =-.220, p<.01), cognitive restructuring(r =-.375, p<.01), and social withdrawal(r =.388, p<.01). In the current study, the coping strategy most frequently used by students was problem-solving, followed by social support and cognitive restructuring.Conclusions: Nursing teachers and clinical preceptors/mentors should be encouraged to develop programs that could help prepare nursing students to cope with the challenges they are about to face during their clinical placements.

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Stress and Coping Strategies Among Nursing Students

Global Journal of Health Science ◽

10.5539/gjhs.v10n5p33 ◽

2018 ◽

Vol 10 (5) ◽

pp. 33 ◽

Cited By ~ 1

Author(s):

Emad Adel Shdaifat ◽

Aysar Jamama ◽

Mohammed Al-Amer

Keyword(s):

Nursing Students ◽

Coping Strategies ◽

Clinical Skills ◽

Demographic Data ◽

Skills Training ◽

Coping Mechanisms ◽

Stress And Coping ◽

Moderate Level ◽

Cross Sectional ◽

And Coping

INTRODUCTION: Nursing students suffer from high levels of stress related to academic assignments in addition to clinical skills training. As a psychosocial phenomenon, stress affects students’ academic achievement and wellbeing. Coping mechanisms help students deal with the challenges arising from stress.AIMS: To illustrate the level of stress and common stressors among nursing students; to describe the difference in stress level related to demographic data; and to identify coping mechanisms used by nursing students.METHODS: A descriptive cross-sectional study was carried out to determine the type of stress and coping strategies among nursing students. The level of stress was evaluated through Perceived Stress Scale (PSS) and type of coping strategies were assessed by use of Coping Behaviours Inventory (CBI).RESULTS: Students perceived moderate level of stress, most commonly attributed to assignments and workload, teachers and nursing staff, peers and daily life, and taking care of patients. The most frequently used coping mechanism was problem solving. The study found that age, GPA, education level and residence are good predictors of the use of transference as a coping behaviour.CONCLUSION: A moderate level of stress among students illustrates the need for stress management programs and the provision of suitable support.

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