Fatores de estresse percebidos e comportamentos de enfrentamento de estudantes de enfermagem na prática clínica: um estudo transversal / The perceived stress factors and coping behaviors of nursing students in clinical practice: a cross-sectional study
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v17.13587Keywords:
Stress, Coping Behaviors, Nursing Student, Clinical PracticeAbstract
Objective: the objective of this study was to determine the level of stress experienced by nursing students in clinical practice, the stressors that contribute to this stress, and the coping behaviors that nursing students employ to manage stress Method: the study employed a descriptive design. The data were collected via Google Forms between December 8, 2022, and June 2, 2023. Result: the mean age of the participants was 20.83±1.62 years and 28.1% were second-year nursing students. The most prevalent form of stress reported by the participants was the stress from taking care of patients, which was followed by the stress from teachers and nursing personnel and The most frequently reported coping strategies among the participants were avoidance. Conclusions: educators and nurses should recognize that errors are an inherent part of the learning process, understand the stress experienced by students, and provide support to enable them to focus on positive learning.
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References
Kurt Ş, Öztürk H. Hemşirelik birinci sınıf öğrencilerinin klinik uygulama yaşantıları: günlük incelemesi-nitel bir araştırma. Hemşirelikte Araştırma Geliştirme Dergisi. [Internet]. 2019 [cited 2022 aug 19];21(3). Available from: https://dergipark.org.tr/tr/pub/hemarge/issue/73049/1190687.
Khater WA, Akhu-Zaheya L, Shaban IA. Sources of stress and coping behaviours in clinical practice among baccalaureate nursing students. International Journal of Humanities and social science. [Internet]. 2014 [cited 2022 aug 11];4(6). Available from: https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=a03ee600f177437e65676652f893a4f4910e17ba.
Bayır B, Özdemir D, Palaz G, Kaleli HB, Özcan SK, Ayvaz S. Konya ilinde okuyan hemşirelik lisans öğrencilerinin klinik uygulamalarda karşılaştıkları zorlukların belirlenmesi. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi. [Internet]. 2020 [cited 2022 aug 19]; 1(2). Available from: https://dergipark.org.tr/tr/pub/ktokusbd/issue/56866/785676.
Alanazi MR, Aldhafeeri NA, Salem SS, Jabari TM, Khalid Al MR. Clinical environmental stressors and coping behaviors among undergraduate nursing students in Saudi Arabia: A cross-sectional study. International Journal of Nursing Sciences. [Internet]. 2023 [cited 2024 mar18,];10(1). Available from: https://doi.org/10.1016/j.ijnss.2022.12.007.
Özsaban A, Bayram A. Türkiye’de hemşirelik öğrencilerinin klinik uygulama deneyimlerini etkileyen faktörler: sistematik derleme. Ankara Sağlık Bilimleri Dergisi. [Internet]. 2020 [cited 2023 aug 19];9(2). Available from: https://www.doi.org/10.46971/ausbid.750585.
Onieva-Zafra MD, Fernández-Muñoz JJ, Fernández-Martínez E, García-Sánchez FJ, Abreu-Sánchez A, Parra-Fernández ML. Anxiety, perceived stress and coping strategies in nursing students: a cross-sectional, correlational, descriptive study. BMC Medical Education. [Internet]. 2020 [cited 2023 aug 19];20(1). Available from: https://doi.org/10.1186/s12909-020-02294-z.
Karaca A, Yıldırım N, Ankaralı H, Açıkgöz F, Akkuş D. Hemşirelik öğrencileri için algılanan stres, biyo-psiko-sosyal cevap ve stresle başetme davranışları ölçeklerinin türkçe’ye uyarlanması. Psikiyatri Hemşireliği Dergisi. [Internet]. 2015 [cited 2024 aug 20];6(1). Available from: https://doi.org/10.5505/phd.2015.40316.
Öner H, Karabudak S. Hemşirelik öğrencilerinin klinik uygulamalar sırasında yaşadıkları olumsuz duygular ve baş etme deneyimleri: Odak Grup Görüşmesi: Psikiyatri Hemşireliği Dergisi. [Internet]. 2021 [cited 2023 aug 20];12(3). Available from: https://dx.doi.org/10.14744/phd.2021.59480.
Wang W, Xu H, Wang B, Zhu E. The mediating effects of learning motivation on the association between perceived stress and positive-deactivating academic emotions in nursing students undergoing skills training. Journal of Korean Academy of Nursing. [Internet]. 2019 [cited 2023 aug 20];49(4). Available from: https://doi.org/10.4040/jkan.2019.49.4.495.
Çakar M, Şişman YN, Oruç D. Hemşirelik öğrencilerinin klinik uygulamalarında karşılaştıkları sağlık riskleri. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. [Internet]. 2019 [cited 2024 aug 19];12(2). Available from: https://dergipark.org.tr/en/pub/deuhfed/issue/54241/735038.
Ulutaşdemir N, Şahan O, Tuna H. Hemşirelik öğrencilerinin uygulamada karşılaştıkları risk faktörlerinin anksiyete düzeyine etkisi. Sağlık ve Hemşirelik Yönetimi Dergisi. [Internet]. 2020 [cited 2024 Mar 10];7(2). Available from: https://doi.org/10.5222/SHYD.2020.02411.
McCarthy B, Trace A, O’Donovan M, Brady-Nevin C, Murphy M, O'Shea M, O'Regan P. Nursing and midwifery students' stress and coping during their undergraduate education programmes: An integrative review. Nurse Education Today. [Internet]. 2018 [cited 2024 mar 10];61. Available from: https://doi.org/10.1016/j.nedt.2017.11.029.
Wang AH, Lee CT, Espin S. Undergraduate nursing students' experiences of anxiety-producing situations in clinical practicums: A descriptive survey study. Nurse Education Today. [Internet]. 2019 [cited 2024 mar 10];76. Available from: https://doi.org/10.1016/j.nedt.2019.01.016.
Hamaideh SH, Al-Omari H, Al-Modallal H. Nursing students’ perceived stress and coping behaviors in clinical training in Saudi Arabia. Journal of Mental Health. [Internet]. 2017 [cited 2024 aug 19]; 26(3). Available from: https://doi.org/10.3109/09638237.2016.1139067.
Shaban IA, Khater WA, Akhu-Zaheya LM. Undergraduate nursing students’ stress sources and coping behaviours during their initial period of clinical training: A Jordanian perspective. Nurse Education in Practice. [Internet]. 2012 [cited 2023 aug 19];12(4). Available from: https://doi.org/10.1016/j.nepr.2012.01.005.
Admi H, Moshe-Eilon Y, Sharon D, Mann M. Nursing students' stress and satisfaction in clinical practice along different stages: A cross-sectional study. Nurse Education Today. [Internet]. 2018 [cited 2023 aug 19];68. Available from: https://doi.org/10.1016/j.nedt.2018.05.027.
Edwards H, Smith S, Courtney M, Finlayson K, Chapman H. The impact of clinical placement location on nursing students’ competence and preparedness for practice. Nurse Education Today. [Internet]. 2004 [cited 2024 aug 19];24(4). Available from: https://doi.org/10.1016/j.nedt.2004.01.003.
Zhao FF, Lei XL, He W, Gu YH, Li DW. The study of perceived stress, coping strategy and self‐efficacy of C hinese undergraduate nursing students in clinical practice. International journal of nursing practice. [Internet]. 2015 [cited 2023 aug 19];21(4). Available from: https://doi.org/10.1111/ijn.12273.
Ab Latif R, Nor MZM. Stressors and coping strategies during clinical practice among diploma nursing students. The Malaysian Journal of Medical Sciences. [Internet]. 2019 [cited 2024 aug 19];26(2). Available from: https://doi.org/10.21315/mjms2019.26.2.10.
Chaabane S, Chaabna K, Bhagat S, Abraham A, Doraiswamy S, Mamtani R, Cheema S. Perceived stress, stressors, and coping strategies among nursing students in the Middle East and North Africa: an overview of systematic reviews. Systematic reviews. [Internet]. 2021 [cited 2023 aug 19];10(1). Available from: https://doi.org/10.1186/s13643-021-01691-9.
Sheu S, Lin H, Hwang S, Yu P, Hu W, Lou M. The development and testing of perceived stress scale of clinical practice. Nursing Research. [Internet]. 1997 [cited 2023 aug 19];5. Available from: https://api.semanticscholar.org/CorpusID:202281700.
Sheu S, Lin HS, Hwang S-Li. Perceived stres and physio-psycho- social status of nursing students during their initial period of clinical practice: the effect of coping behaviors. International Journal of Nursing Studies. [Internet]. 2002 [cited 2023 aug 19];39(2). Available from: https://doi.org/10.1016/S0020-7489(01)00016-5.
Ergin E, Çevik K, Çetin SP. Hemşirelik öğrencilerinin eğitimlerine ilişkin algıladığı stres ve stresle baş etme davranışlarının incelenmesi. Hemşirelikte Eğitim ve Araştırma Dergisi. [Internet]. 2018 [cited 2024 sep 11];15(1). Available from: https://doi.org/10.5222/HEAD.2018.016.
Liu J, Yang Y, Chen J, Zhang Y, Zeng Y, Li J. Stress and coping styles among nursing students during the initial period of the clinical practicum: A cross-section study. International journal of nursing sciences. [Internet]. 2022 [cited 2024 sep 11];9(2). Available from: https://doi.org/10.1016/j.ijnss.2022.02.004.
Yan ATC. Prediction of perceived stress of Hong Kong nursing students with coping behaviors over clinical practicum: a cross-sectional study. Journal of Biosciences and Medicines. [Internet]. 2019 [cited 2024 sep 11];7(5). Available from: https://doi.org/10.4236/jbm.2019.75008.
Sun FK, Long A, Tseng YS, Huang HM, You JH, Chiang CY. Undergraduate student nurses' lived experiences of anxiety during their first clinical practicum: A phenomenological study. Nurse Education Today. [Internet]. 2016 [cited 2024 sep 11];37. Available from: https://doi.org/10.1016/j.nedt.2015.11.001.
Devkota R, Shrestha S. Stress among bachelor level nursing students. Nepal Med Coll J. [Internet]. 2018 [cited 2024 sep 11];20(1-3). Available from: https://www.researchgate.net/publication/329522489_Stress_among_bachelor_level_nursing_students.
Labrague LJ, McEnroe-Petitte DM, Gloe D, Thomas L, Papathanasiou IV, Tsaras K. A literature review on stress and coping strategies in nursing students. Journal of Mental Health. [Internet]. 2017 [cited 2024 aug 19];26(5). Available from: https://doi.org/10.1080/09638237.2016.1244721.
Graham MM, Lindo J, Bryan VD, Weaver S. Factors associated with stress among second year student nurses during clinical training in Jamaica. Journal of Professional Nursing. [Internet]. 2016 [cited 2024 aug 19];32(5). Available from: https://doi.org/10.1016/j.profnurs.2016.01.004.
Al Rasheed F, Naqvi AA, Ahmad R, Ahmad N. Academic stress and prevalence of stress-related self-medication among undergraduate female students of health and non-health cluster colleges of a public sector university in Dammam, Saudi Arabia. Journal of Pharmacy and Bioallied Sciences. [Internet]. 2017 [cited 2024 aug 19];9(4). Available from: https://doi.org/10.4103/jpbs.JPBS_189_17.
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