Initial Clinical Practicum Stress among Nursing Students: A Cross-Sectional Study on Coping Styles
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Participants
2.3. Data Collection and Ethical Considerations
2.4. Measures
2.4.1. Stress Related to Clinical Practicum
2.4.2. Stress-Coping Style
2.5. Data Analysis
3. Results
3.1. Subjects’ General Characteristics
3.2. Clinical Practicum Stress and Stress-Coping Styles
3.3. Differences in Stress Related to Clinical Practicum according to General Characteristics
3.4. Differences in Stress Related to Clinical Practicum according to Stress-Coping Styles
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Doyle, K.; Sainsbury, K.; Cleary, S.; Parkinson, L.; Vindigni, D.; McGrath, I.; Cruickshank, M. Happy to help/happy to be here: Identifying components of successful clinical placements for undergraduate nursing students. Nurse Edu. Today 2017, 49, 27–32. [Google Scholar] [CrossRef]
- Nishioka, V.M.; Coe, M.T.; Hanita, M.; Moscato, S.R. Dedicated education unit: Nurse perspectives on their clinical teaching role. Nurs. Educ. Perspect. 2014, 35, 294–300. [Google Scholar] [CrossRef]
- Löfmark, A.; Wikblad, K. Facilitating and obstructing factors for development of learning in clinical practice: A student perspective. J. Adv. Nurs. 2001, 34, 43–50. [Google Scholar] [CrossRef] [PubMed]
- Musso, L.B.; Vargas, B.A.; Torres, M.B.; Canovas Del Canto, M.J.; Melendez, C.G.; Balloqui, M.F.K.; Cornejo, A.S. Factors derived from the intrahospitable laboratories that cause stress in student nurses. Rev. Latino-Am. Enfermagem. 2008, 16, 805–811. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Chan, C.K.; So, W.K.; Fong, D.Y. Hong Kong baccalaureate nursing students’ stress and their coping strategies in clinical practice. J. Prof. Nurs. 2009, 25, 307–313. [Google Scholar] [CrossRef]
- Jimenez, C.; Navia-Osorio, P.M.; Diaz, C.V. Stress and health in novice and experienced student nurses. J. Adv. Nurs. 2010, 66, 442–455. [Google Scholar] [CrossRef] [PubMed]
- Pulido-Martos, M.; Augusto-Landa, J.M.; Lopez-Zafra, E. Sources of stress in nursing students: A systematic review of quantitative studies. Intern. Nurs. Rev. 2012, 59, 15–25. [Google Scholar] [CrossRef]
- Sharif, F.; Masoumi, S. A qualitative study of nursing student experiences of clinical practice. BMC Nurs. 2005, 4, 6. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Lazarus, R.S.; Folkman, S. Transactional theory and research on emotions and coping. Eur. J. Personal. 1987, 1, 141–169. [Google Scholar] [CrossRef]
- Khater, W.A.; Akhu-Zaheya, L.M.; Shaban, I.A. Sourses of stress and coping behaviours in clinical practice among bacca-laureate nursing students. Int. J. Humanit. Soc. Sci. 2014, 4, 194–202. [Google Scholar]
- Shaban, I.A.; Khater, W.A.; Akhu-Zaheya, L.M. Undergraduate nursing students’ stress sources and coping behaviors during their initial period of clinical training: A Jordanian perspective. Nurse Educ. Pract. 2012, 12, 204–209. [Google Scholar] [CrossRef] [PubMed]
- Younas, A. Levels of stress and coping strategies used by nursing students in Asian countries: An integrated literature re-view. J. Middle East N. Afr. Sci. 2016, 2, 50–57. [Google Scholar] [CrossRef] [Green Version]
- Karaca, A.; Yildirim, N.; Ankarali, H.M.; Acikgoz, F.; Akkus, D. Nursing students’ perceived levels of clinical stress, stress responses and coping behaviors. J. Psychiatr. Nurs. 2017, 8, 32–39. [Google Scholar] [CrossRef]
- Wright, K.B. Researching internet-based populations: Advantaged and disadvantages of online survey research, online questionnaire authoring software packages, and web survey services. J. Comput-Mediat. Comm. 2005, 10. [Google Scholar] [CrossRef]
- Beck, D.L.; Srivastava, R. Perceived level and sources of stress in baccalaureate nursing students. J. Nurs. Educ. 1991, 30, 127–133. [Google Scholar] [CrossRef]
- Kim, S.L.; Lee, J.E. Relationship among stress, coping strategies, and self-esteem in nursing students taking clinical. J. Korean Acad. Soc. Nurs. Educ. 2005, 11, 98–106. [Google Scholar]
- Folkman, S.; Lazarus, R.S. If it changes in must be a process: A study of emotion and coping during three stages of a college examination. J. Pers. Soc. Psychol. 1985, 48, 150–170. [Google Scholar] [CrossRef]
- Kim, J.H. Relations of Perceived Stress, Cognitive Set, and Coping Behaviors to Depression. Ph.D. Thesis, Department of Psychology, Seoul National University, Seoul, Korea, 1987. [Google Scholar]
- Kim, E.Y.; Yang, S.H. Effects of clinical learning environment on clinical practice stress and anxiety in nursing students. J. Korean Acad. Nurs Adm. 2015, 21, 417–425. [Google Scholar] [CrossRef] [Green Version]
- Labrague, L.J.; McEnroe-Petitte, D.M.; Gloe, D.; Thomas, L.; Papathanasiou, I.V.; Tsaras, K. A literature review on stress and coping strategies in nursing students. J. Ment. Health. 2017, 25, 471–480. [Google Scholar] [CrossRef]
- Perng, S.J.; Sung, H.C.; Chen, C.J.; Lee, T.Y.; Koo, M. Low interest in clinical practicum placement is associated with increased stress in nursing students in Taiwan: A cross-sectional survey study. Nurse Educ. Today 2019, 84, 104241. [Google Scholar] [CrossRef]
- Sheu, S.; Lin, H.S.; Hwang, S.L. Perceived stress and physio-psycho-social status of nursing students during their initial period of clinical practice: The effect of coping behaviors. Int. J. Nurs. Stud. 2002, 39, 165–175. [Google Scholar] [CrossRef]
- Kaihlanen, A.-M.; Haavisto, E.; Strandell-Laine, C.; Salminen, L. Facilitating the transition from a nursing student to a registered nurse in the final clinical practicum: A scoping literature review. Scand. J. Caring Sci. 2018, 32, 466–477. [Google Scholar] [CrossRef] [PubMed]
- Bhurtun, H.D.; Azimirad, M.; Saaranen, T.; Turunen, H. Stress and coping among nursing students during clinical training: An integrative review. J. Nurs. Educ. 2019, 57, 266–272. [Google Scholar] [CrossRef] [PubMed]
- Jeong, Y.J.; Koh, C.K. Effects of personality and coping behavior on clinical practice stress among one college nursing students. Korean J. Stress Res. 2016, 24, 296–302. [Google Scholar] [CrossRef] [Green Version]
- Al-Gamal, E.; Alhosain, A.; Alsunaye, K. Stress and coping strategies among Saudi nursing students during clinical education. Perspect. Psychiatr. Care 2018, 54, 198–205. [Google Scholar] [CrossRef] [PubMed]
- Elsayes, H.A.; Obied, H.K. Association between senior nursing students’ perceived stress and learning environmental in clinical practice. J. Nurs. Educ. Pract. 2018, 8, 126–136. [Google Scholar] [CrossRef] [Green Version]
- Gurkova, E.; Zelemikova, R. Nursing students’ perceived stress, coping strategies, health and supervisory approaches in clinical practice: A Slovak and Czech perspective. Nurse Educ. Today. 2018, 65, 4–10. [Google Scholar] [CrossRef]
Variables | Response Categories | n (%) or Mean ± SD | t or χ2 | p | |
---|---|---|---|---|---|
Active Coping Group (n = 104) | Passive Coping Group (n = 80) | ||||
Sex | Male Female | 10 (9.6) 94 (90.4) | 5 (6.3) 75 (93.8) | 0.68 | 0.408 |
Age (years) | 22.5 ± 1.64 | 22.4 ± 0.79 | 0.80 | 0.426 | |
Perceived interpersonal relationships | Not good Moderate Good | 1 (1.0) 18 (17.3) 85 (81.7) | 3 (3.8) 24 (30.0) 53 (66.2) | 6.25 | 0.044 * |
GPA reported by subjects | A (≥4.0) B (3.0–3.99) Less than C (<3.0) | 17 (16.3) 73 (70.2) 14 (13.5) | 15 (18.8) 46 (57.5) 19 (23.8) | 3.95 | 0.139 |
Having a mentor | Yes No | 32 (30.8) 72 (69.2) | 22 (27.5) 58 (72.5) | 0.23 | 0.629 |
Satisfied with their major | Dissatisfied Moderate Satisfied No response | 4 (3.9) 32 (31.4) 66 (64.7) 2 | 9 (11.3) 21 (26.3) 50 (62.4) | 3.81 | 0.149 |
Satisfied with clinical practicum | Dissatisfied Moderate Satisfied No response | 15 (14.7) 29 (27.4) 58 (56.9) 2 | 15 (18.8) 30 (37.4) 35 (43.8) | 3.09 | 0.213 |
Intention to change major | Yes No | 5 (4.8) 99 (95.2) | 6 (7.5) 74 (92.5) | 0.58 | 0.445 |
Variables | Sub-Categories | Mean (SD) n (%) | Min | Max |
---|---|---|---|---|
Stress related to clinical practicum | Total stress score Practicum education environment Undesirable role model Practical work burden Interpersonal conflicts Conflict with patients | 3.1 (0.57) 3.5 (0.80) 3.1 (0.71) 3.5 (0.74) 2.6 (0.64) 3.0 (0.69) | 2.00 2.00 2.00 2.00 2.00 2.00 | 5.00 5.00 5.00 5.00 5.00 5.00 |
Stress-coping style | Active coping Passive coping | 104 (56.5) 80 (43.5) |
Variables | Response Categories | Mean (SD) | t or F | p | LSD |
---|---|---|---|---|---|
Sex | Male Female | 2.8 (0.57) 3.1 (0.57) | −1.99 | 0.048 * | |
Perceived interpersonal relationships | Not good Moderate Good | 3.2 (0.63) 3.2 (0.52) 3.1 (0.59) | 0.25 | 0.776 | |
GPA reported by subjects | A (≥4.0) B (3.0–3.99) Less than C (<3.0) | 3.3 (0.51) 3.0 (0.57) 3.2 (0.61) | 2.64 | 0.074 | |
Having a mentor | Yes No | 3.1 (0.64) 3.1 (0.54) | −0.03 | 0.978 | |
Satisfied with their major | Dissatisfied Moderate Satisfied | 3.4 (0.66) 3.1 (0.53) 3.1 (0.58) | 1.39 | 0.251 | |
Satisfied with clinical practicum | Dissatisfied a Moderate b Satisfied c | 3.5 (0.57) 3.2 (0.45) 2.9 (0.56) | 16.22 | <0.001 * | a > b > c |
Intention to change major | Yes No | 3.6 (0.65) 3.1 (0.55) | 2.86 | 0.005 * |
Clinical Practicum Stress | Stress-Coping Style | t | p | |
---|---|---|---|---|
Active Coping Style (n = 104) | Passive Coping Style (n = 68) | |||
Total stress related to clinical practicum | 3.0 (0.58) | 3.2 (0.55) | −2.36 | 0.020 |
Practicum education environment | 3.3 (0.80) | 3.6 (0.77) | −2.68 | 0.008 |
Undesirable role model | 3.0 (0.69) | 3.2 (0.72) | −2.14 | 0.034 |
Practical work burden | 3.4 (0.74) | 3.5 (0.74) | −0.86 | 0.391 |
Interpersonal conflicts | 2.5 (0.59) | 2.7 (0.70) | −1.78 | 0.077 |
Conflict with patients | 2.9 (0.72) | 3.1 (0.65) | −1.81 | 0.073 |
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Hwang, E.; Kim, M.; Shin, S. Initial Clinical Practicum Stress among Nursing Students: A Cross-Sectional Study on Coping Styles. Int. J. Environ. Res. Public Health 2021, 18, 4932. https://doi.org/10.3390/ijerph18094932
Hwang E, Kim M, Shin S. Initial Clinical Practicum Stress among Nursing Students: A Cross-Sectional Study on Coping Styles. International Journal of Environmental Research and Public Health. 2021; 18(9):4932. https://doi.org/10.3390/ijerph18094932
Chicago/Turabian StyleHwang, Eunhee, Mijung Kim, and Sujin Shin. 2021. "Initial Clinical Practicum Stress among Nursing Students: A Cross-Sectional Study on Coping Styles" International Journal of Environmental Research and Public Health 18, no. 9: 4932. https://doi.org/10.3390/ijerph18094932