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Stress Experienced by Turkish Nursing Students and Related Factors

Year 2016, Volume: 6 Issue: 3, 121 - 128, 27.10.2016

Abstract

Objective: This study was determined Turkish nursing undergraduates may affect stress levels and stress they experience during their studies to determine the socio-demographic variables.

Methods: This study, which descriptive cross-sectional in design study was completed with 821 students. The data was collected using the, information, forms and Stress in Nurse Education Questionnaire-SINE are collected.

Results: Although average total scores of academic stress and practical stress, which are subdimensions of SINE, were close to each other, the score of academic stress was found to be a bit higher. Monitoring a suffering patient with regard to clinical stress was determined as the most stress-inducing situation. Being criticized by an instructor in clinic practice and fear of making a mistake while providing care were among other clinic stressors mostly reported by students. The difference between average subdimension and total scores for SINE according to universities in which students studied, gender, and perceived academic achievement was found to be significant (p<0.001).

Conclusion: Preparing for exams, sitting for exams, and anxiety for being evaluated were the major academic stressors of nursing students. Monitoring a suffering patient, being criticized by an instructor, and fear of making a mistake while providing care were determined as clinic stressors.

References

  • Jones MC, Johnston D. Distress, stress and coping in first-year student nurses. J Adv Nurs 1997; 26: 475-82. [CrossRef]
  • Seyedfatemi N, Tafreshi M, Hagani H. Experienced stressors and coping strat- egies among Iranian nursing students. BMC Nurs 2007; 13: 11. [CrossRef]
  • Luo Y, Wang H. Correaltion research on psychologicial health impact on nursing students against stres, coping way and social support. Nurs Educ Today 2009; 29: 5-9. [CrossRef]
  • Edwards D, Burnard P, Bennett K, Hebden U. A longitudinal study of stress and self-esteem in student nurses. Nurs Educ Today 2010; 30: 78- 84. [CrossRef]
  • Timmins F, Corroon AM, Byrne G, Mooney B. The challenge of contem- porary nurse education programmes. Perceived stressors of nursing stu- dents: Mental health and related lifestyle issues. J Psychiatr Ment Health Nurs 2011; 18: 758-66. [CrossRef]
  • Rhead M. Stress among student nurses: is it practical or academic? J Clin Nurs 1995; 4: 369-76. [CrossRef]
  • Parkes KR. Occupational stress among student nurses. A comparison of medical and surgical wards. Nursing Times 1980; 76: 113-6.
  • Parkes KR. Locus of control, cognitive appraisal, and coping in stressful episodes. J Pers Soc Psychol 1984; 46: 655-68. [CrossRef]
  • Kleehammer K, Hart AL, Keck JF. Nursing students’ perceptions of anxiety producing situations in the clinical setting. J Nurs Educ 1990; 29: 183-7.
  • Lees S, Ellis N. The design of a stress-managementprogramme for nurs- ing personnel. J Adv Nurs 1990; 15: 946-61. [CrossRef]
  • Jack B. Ward changes and stress in student nurses. Nurs Times 1992; 88: 51.
  • Oermann MH, Standfest KM. Differences in stress and challenge in clin- ical practice among ADN and BSN students in varying clinical courses. J Nurs Educ 1997; 36: 228-32.
  • Saxena S. Organisational role stress amongst nursing students. Nurs J India 2001; 92: 269-70.
  • Lo R. A longitudinal study of perceived level of stress, coping and self-es- teem of undergraduate nursing students: An Australian case study. J Adv Nurs 2002; 39: 119-26. [CrossRef]
  • Shipton S. The process of seeking stress-care: Coping as experienced by senior baccalaureate nursing students in response to appraised clinical stress. J Nurs Educ 2002; 41: 243-56.
  • Pryjmachuk S, Richards DA. Predicting stress in preregistration nursing students. Br J Health Psychol 2007; 12: 125-44. [CrossRef]
  • Levett-Jones T, Lathlean J, Higgins I, McMillan M. Staff–student relation- ships and their impact on nursing students’ belongingness and learning. J Adv Nurs 2009; 65: 316-24. [CrossRef]
  • Guler O, Cinar S. Hemşirelik öğrencilerinin algıladıkları stresörler ve kul- landıkları baş etme yöntemlerinin belirlenmesi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi Sempozyum Special 2010; 253-60.
  • Pulıdo-Martos M, Augusto-Landa JM, Lopez-Zafra E. Sources of stress in nursing students: A systematic review of quantitative studies. Interna- tional Nursing Review 2011; 59: 15-25. [CrossRef]
  • Altiok HO, Ustun B. Hemşirelik öğrencilerinin stres kaynakları. Kuram ve Uygulamada Eğitim Bilimleri 2013; 13: 747-66.
  • Beck DL, Srivastava R. Perceived levels and sources of stress in baccalau- reate nursing students. J Nurs Educ 1991; 30: 127-33.
  • Maville J, Huerta CG. Stress and social support among Hispanic student nurses: Implications for retention. J Cult Divers 1997; 4: 18-25.
  • Lazarus R. & Folkman S. Stress, Appraisal and Coping. New York: Springer; 1984.
  • Sheu SL, Lin HS, Hwang SL. Perceived stress and physio–psycho–social sta- tus of nursing students during their initial period of clinical practice: The effect of coping behaviors. Int J Nurs Stud 2002; 39: 165-75. [CrossRef]
  • Shirom A. The effects of work stress on health. In: Schabracq MJ, Win- nubst JAM, Cooper CL (Eds.), The Handbook of Work and Health Psychol- ogy. 2nd ed. New York: Wiley; 2003: 63-82.
  • Evans W, Kelly B. Pre-registration diploma student nurse stress and cop- ing measures. Nurse Educ Today 2004; 24: 473-82. [CrossRef]
  • Gray-Toft P, Anderson J. The nursing stress scale: development of an in- strument. Journal of Behavioural Assessment.1981;3(1):11-23 In: Rhead M, 1995. Stress among student nurses: is it practical or academic? J Clin Nurs 1995; 4: 369-76.
  • Karaca A, Yıldırım N, Ankaralı H, Açıkgöz F, Akkuş D. Hemşirelik Öğren- cileri İçin Algılanan Stres, Biyo-psiko-sosyal Cevap ve Stresle Başetme Davranışları Ölçeklerinin Türkçeye Uyarlanması. Psikiyatri Hemşireliği Dergisi 2015; 6: 5-25.
  • Burnard P, Edwards D, Bennett K, Thiabah H, Tothova V, Baldacchino D, et al. A comparative, longitudinal study of stress in student nurses in five countries: Albania, Brunei, the Czech Republic, Malta and Wales. Nurs Educ Today 2008; 28: 134-45. [CrossRef]
  • Jimenez C, Navia-Osorio PM & Diaz CV. Stress and health in novice and experienced nursing students. J Adv Nurs 2010; 66: 442-55. [CrossRef]
  • Alparslan N, Yaşar S, Dereli E, Turan NF. Sağlık yüksekokulu ve teknik eği- tim fakültesi öğrencilerinde görülen depresif belirtiler ve bunu etkileyen faktörlerin incelenmesi. Hemşirelikte Araştırma Geliştirme Dergisi 2008; 10: 48-57.
  • Dinc S, Kaya O, Simsek Z. Harran üniversitesi sağlık yüksekokulu öğren- cilerinin hemşirelik mesleği hakkındaki bilgi, düşünce ve beklentileri. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2007; 10: 1-9.
  • Pagana KD. Stresses and threats reported by baccalaureate students in relation to an initial clinical experience. J Nurs Educ 1988; 27: 418-24.
  • Chan CKL, So WKW, Fong DYT. Hong Kong baccalaureate nursıng stu- dents’ stres and their copingstrategies in clinical practice. J Prof Nurs 2009; 25: 307-13. [CrossRef]
  • Ni C, Liu X, Hua Q, Lv A, Wang B, Yan Y. Relationship between coping, self-esteem, individual factors and mental health among Chinese nurs- ing students: A matched case-control study. Nurse Educ Today 2010; 30: 338-43. [CrossRef]
  • Lindop E. A comparative study of stress between preand post-Project 2000 students. J Adv Nurs 1999; 29: 967-73. [CrossRef]
  • Acharya S. Factors affecting stress among Indian dental students. J Dent Educ 2003; 67: 1140-8.
  • Sawatzky JA. Understanding nursing students’ stress: A proposed frame- work. Nurse Educ Today 1998; 18: 108-15. [CrossRef]
  • Maville JA, Kranz PL, Tucker BA. Perceived stress reported by nurse prac- titioner students. J Am Acad Nurse Pract 2004; 16: 257-62. [CrossRef]
  • Shaban IA, Khater WA, Akhu-Zaheya LM. Undergraduate nursing students’ stress sources and copingbehaviours during their initial period of clinical train- ing: A Jordanian perspective. Nurse Educ Pract 2012; 12: 204-9. [CrossRef]
  • Timmins F, Kaliszer M. Aspects of nurse education programmes that fre- quently cause stress to nursing students – Fact-Şnding sample survey. Nurs Educ Today 2002; 22: 203-11. [CrossRef]
  • Büyükyılmaz F, Asti T, Cakmak E. Hemşirelik Yüksekokulu öğrencilerinin sınav kaygısı düzeyleri ve bunu etkileyen etmenler. İstanbul Üniversitesi Florence Nightingale Hemşirelik Yüksek Okulu Dergisi 2009; 17: 10-5.
  • Kececi A. Tasocak G. Communication skills of faculty’s: an example of a college of nursing. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elek- tronik Dergisi 2009; 2: 131-6.
  • Kececi A, Arslan S. Nurse faculty members’ communication skills: From stu- dent perspective. International Journal of Human Sciences. 2012; 9: 34-45.
  • Clarke VA, RufŞn CL. Perceived sources of stres among student nurses. Contemp Nurse: 1992; 1: 35-40.
  • Mahat G. Stress and coping: Junior baccalaureate nursing students in clinical settings. Nursing Forum 1998; 33: 11-9. [CrossRef]

Hemşirelik Öğrencilerinin Yaşadıkları Stres ve İlişkili Faktörler

Year 2016, Volume: 6 Issue: 3, 121 - 128, 27.10.2016

Abstract

Amaç: Bu çalışma Türk hemşirelik lisans öğrencilerinin eğitimleri sırasında yaşadıkları stres düzeylerini ve stresi etkileyebilecek bazı sosyodemografik değişkenleri belirlemek amacıyla yapılmıştır.

Yöntemler: Araştırma tanımlayıcı kesitsel olarak 821 öğrenci ile yapılmıştır. Veriler, bilgi formu ve Hemşirelik Eğitimi Stres Ölçeği (Stress in Nurse Education Questionnaire-SINE) ile toplanmıştır.

Bulgular: SINE’nin alt boyutları olan akademik stres ve uygulama stresi toplam puan ortalamaları birbirine yakın olmasına karşın akademik stres biraz daha yüksek çıkmıştır. Klinik stresle ilgili de acı çeken bir hastayı izlemek en çok stres yaratan durum olarak belirlenmiştir. Klinik uygulamada öğretim elemanı tarafından eleştirilmek ve bakım verirken hata yapma korkusu öğrencilerin en çok raporladığı diğer klinik stres faktörleri arasındadır. Öğrencilerin okudukları okullara, cinsiyete göre ve algılanan akademik başarıya göre SINE toplam ve alt boyutları puan ortalamaları arasındaki farkın anlamlı olduğu bulunmuştur (p<0,001).

Sonuç: Hemşirelik öğrencilerinin akademik stresleri arasında en çok sınavlara hazırlanmak, sınavlara girmek ve değerlendirilme endişesi gelmektedir. Klinik stresleri olarak acı çeken bir hastayı izlemek, öğretim elemanı tarafından eleştirilmek ve bakım verirken hata yapma korkusu belirlenmiştir. 

References

  • Jones MC, Johnston D. Distress, stress and coping in first-year student nurses. J Adv Nurs 1997; 26: 475-82. [CrossRef]
  • Seyedfatemi N, Tafreshi M, Hagani H. Experienced stressors and coping strat- egies among Iranian nursing students. BMC Nurs 2007; 13: 11. [CrossRef]
  • Luo Y, Wang H. Correaltion research on psychologicial health impact on nursing students against stres, coping way and social support. Nurs Educ Today 2009; 29: 5-9. [CrossRef]
  • Edwards D, Burnard P, Bennett K, Hebden U. A longitudinal study of stress and self-esteem in student nurses. Nurs Educ Today 2010; 30: 78- 84. [CrossRef]
  • Timmins F, Corroon AM, Byrne G, Mooney B. The challenge of contem- porary nurse education programmes. Perceived stressors of nursing stu- dents: Mental health and related lifestyle issues. J Psychiatr Ment Health Nurs 2011; 18: 758-66. [CrossRef]
  • Rhead M. Stress among student nurses: is it practical or academic? J Clin Nurs 1995; 4: 369-76. [CrossRef]
  • Parkes KR. Occupational stress among student nurses. A comparison of medical and surgical wards. Nursing Times 1980; 76: 113-6.
  • Parkes KR. Locus of control, cognitive appraisal, and coping in stressful episodes. J Pers Soc Psychol 1984; 46: 655-68. [CrossRef]
  • Kleehammer K, Hart AL, Keck JF. Nursing students’ perceptions of anxiety producing situations in the clinical setting. J Nurs Educ 1990; 29: 183-7.
  • Lees S, Ellis N. The design of a stress-managementprogramme for nurs- ing personnel. J Adv Nurs 1990; 15: 946-61. [CrossRef]
  • Jack B. Ward changes and stress in student nurses. Nurs Times 1992; 88: 51.
  • Oermann MH, Standfest KM. Differences in stress and challenge in clin- ical practice among ADN and BSN students in varying clinical courses. J Nurs Educ 1997; 36: 228-32.
  • Saxena S. Organisational role stress amongst nursing students. Nurs J India 2001; 92: 269-70.
  • Lo R. A longitudinal study of perceived level of stress, coping and self-es- teem of undergraduate nursing students: An Australian case study. J Adv Nurs 2002; 39: 119-26. [CrossRef]
  • Shipton S. The process of seeking stress-care: Coping as experienced by senior baccalaureate nursing students in response to appraised clinical stress. J Nurs Educ 2002; 41: 243-56.
  • Pryjmachuk S, Richards DA. Predicting stress in preregistration nursing students. Br J Health Psychol 2007; 12: 125-44. [CrossRef]
  • Levett-Jones T, Lathlean J, Higgins I, McMillan M. Staff–student relation- ships and their impact on nursing students’ belongingness and learning. J Adv Nurs 2009; 65: 316-24. [CrossRef]
  • Guler O, Cinar S. Hemşirelik öğrencilerinin algıladıkları stresörler ve kul- landıkları baş etme yöntemlerinin belirlenmesi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi Sempozyum Special 2010; 253-60.
  • Pulıdo-Martos M, Augusto-Landa JM, Lopez-Zafra E. Sources of stress in nursing students: A systematic review of quantitative studies. Interna- tional Nursing Review 2011; 59: 15-25. [CrossRef]
  • Altiok HO, Ustun B. Hemşirelik öğrencilerinin stres kaynakları. Kuram ve Uygulamada Eğitim Bilimleri 2013; 13: 747-66.
  • Beck DL, Srivastava R. Perceived levels and sources of stress in baccalau- reate nursing students. J Nurs Educ 1991; 30: 127-33.
  • Maville J, Huerta CG. Stress and social support among Hispanic student nurses: Implications for retention. J Cult Divers 1997; 4: 18-25.
  • Lazarus R. & Folkman S. Stress, Appraisal and Coping. New York: Springer; 1984.
  • Sheu SL, Lin HS, Hwang SL. Perceived stress and physio–psycho–social sta- tus of nursing students during their initial period of clinical practice: The effect of coping behaviors. Int J Nurs Stud 2002; 39: 165-75. [CrossRef]
  • Shirom A. The effects of work stress on health. In: Schabracq MJ, Win- nubst JAM, Cooper CL (Eds.), The Handbook of Work and Health Psychol- ogy. 2nd ed. New York: Wiley; 2003: 63-82.
  • Evans W, Kelly B. Pre-registration diploma student nurse stress and cop- ing measures. Nurse Educ Today 2004; 24: 473-82. [CrossRef]
  • Gray-Toft P, Anderson J. The nursing stress scale: development of an in- strument. Journal of Behavioural Assessment.1981;3(1):11-23 In: Rhead M, 1995. Stress among student nurses: is it practical or academic? J Clin Nurs 1995; 4: 369-76.
  • Karaca A, Yıldırım N, Ankaralı H, Açıkgöz F, Akkuş D. Hemşirelik Öğren- cileri İçin Algılanan Stres, Biyo-psiko-sosyal Cevap ve Stresle Başetme Davranışları Ölçeklerinin Türkçeye Uyarlanması. Psikiyatri Hemşireliği Dergisi 2015; 6: 5-25.
  • Burnard P, Edwards D, Bennett K, Thiabah H, Tothova V, Baldacchino D, et al. A comparative, longitudinal study of stress in student nurses in five countries: Albania, Brunei, the Czech Republic, Malta and Wales. Nurs Educ Today 2008; 28: 134-45. [CrossRef]
  • Jimenez C, Navia-Osorio PM & Diaz CV. Stress and health in novice and experienced nursing students. J Adv Nurs 2010; 66: 442-55. [CrossRef]
  • Alparslan N, Yaşar S, Dereli E, Turan NF. Sağlık yüksekokulu ve teknik eği- tim fakültesi öğrencilerinde görülen depresif belirtiler ve bunu etkileyen faktörlerin incelenmesi. Hemşirelikte Araştırma Geliştirme Dergisi 2008; 10: 48-57.
  • Dinc S, Kaya O, Simsek Z. Harran üniversitesi sağlık yüksekokulu öğren- cilerinin hemşirelik mesleği hakkındaki bilgi, düşünce ve beklentileri. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2007; 10: 1-9.
  • Pagana KD. Stresses and threats reported by baccalaureate students in relation to an initial clinical experience. J Nurs Educ 1988; 27: 418-24.
  • Chan CKL, So WKW, Fong DYT. Hong Kong baccalaureate nursıng stu- dents’ stres and their copingstrategies in clinical practice. J Prof Nurs 2009; 25: 307-13. [CrossRef]
  • Ni C, Liu X, Hua Q, Lv A, Wang B, Yan Y. Relationship between coping, self-esteem, individual factors and mental health among Chinese nurs- ing students: A matched case-control study. Nurse Educ Today 2010; 30: 338-43. [CrossRef]
  • Lindop E. A comparative study of stress between preand post-Project 2000 students. J Adv Nurs 1999; 29: 967-73. [CrossRef]
  • Acharya S. Factors affecting stress among Indian dental students. J Dent Educ 2003; 67: 1140-8.
  • Sawatzky JA. Understanding nursing students’ stress: A proposed frame- work. Nurse Educ Today 1998; 18: 108-15. [CrossRef]
  • Maville JA, Kranz PL, Tucker BA. Perceived stress reported by nurse prac- titioner students. J Am Acad Nurse Pract 2004; 16: 257-62. [CrossRef]
  • Shaban IA, Khater WA, Akhu-Zaheya LM. Undergraduate nursing students’ stress sources and copingbehaviours during their initial period of clinical train- ing: A Jordanian perspective. Nurse Educ Pract 2012; 12: 204-9. [CrossRef]
  • Timmins F, Kaliszer M. Aspects of nurse education programmes that fre- quently cause stress to nursing students – Fact-Şnding sample survey. Nurs Educ Today 2002; 22: 203-11. [CrossRef]
  • Büyükyılmaz F, Asti T, Cakmak E. Hemşirelik Yüksekokulu öğrencilerinin sınav kaygısı düzeyleri ve bunu etkileyen etmenler. İstanbul Üniversitesi Florence Nightingale Hemşirelik Yüksek Okulu Dergisi 2009; 17: 10-5.
  • Kececi A. Tasocak G. Communication skills of faculty’s: an example of a college of nursing. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elek- tronik Dergisi 2009; 2: 131-6.
  • Kececi A, Arslan S. Nurse faculty members’ communication skills: From stu- dent perspective. International Journal of Human Sciences. 2012; 9: 34-45.
  • Clarke VA, RufŞn CL. Perceived sources of stres among student nurses. Contemp Nurse: 1992; 1: 35-40.
  • Mahat G. Stress and coping: Junior baccalaureate nursing students in clinical settings. Nursing Forum 1998; 33: 11-9. [CrossRef]
There are 46 citations in total.

Details

Journal Section Articles
Authors

Nuriye Yıldırım This is me

Aysel Karaca This is me

Handan Ankaralı This is me

Ferhan Açıkgöz

Dilek Akkuş This is me

Publication Date October 27, 2016
Submission Date September 23, 2016
Published in Issue Year 2016 Volume: 6 Issue: 3

Cite

APA Yıldırım, N., Karaca, A., Ankaralı, H., Açıkgöz, F., et al. (2016). Stress Experienced by Turkish Nursing Students and Related Factors. Clinical and Experimental Health Sciences, 6(3), 121-128.
AMA Yıldırım N, Karaca A, Ankaralı H, Açıkgöz F, Akkuş D. Stress Experienced by Turkish Nursing Students and Related Factors. Clinical and Experimental Health Sciences. September 2016;6(3):121-128.
Chicago Yıldırım, Nuriye, Aysel Karaca, Handan Ankaralı, Ferhan Açıkgöz, and Dilek Akkuş. “Stress Experienced by Turkish Nursing Students and Related Factors”. Clinical and Experimental Health Sciences 6, no. 3 (September 2016): 121-28.
EndNote Yıldırım N, Karaca A, Ankaralı H, Açıkgöz F, Akkuş D (September 1, 2016) Stress Experienced by Turkish Nursing Students and Related Factors. Clinical and Experimental Health Sciences 6 3 121–128.
IEEE N. Yıldırım, A. Karaca, H. Ankaralı, F. Açıkgöz, and D. Akkuş, “Stress Experienced by Turkish Nursing Students and Related Factors”, Clinical and Experimental Health Sciences, vol. 6, no. 3, pp. 121–128, 2016.
ISNAD Yıldırım, Nuriye et al. “Stress Experienced by Turkish Nursing Students and Related Factors”. Clinical and Experimental Health Sciences 6/3 (September 2016), 121-128.
JAMA Yıldırım N, Karaca A, Ankaralı H, Açıkgöz F, Akkuş D. Stress Experienced by Turkish Nursing Students and Related Factors. Clinical and Experimental Health Sciences. 2016;6:121–128.
MLA Yıldırım, Nuriye et al. “Stress Experienced by Turkish Nursing Students and Related Factors”. Clinical and Experimental Health Sciences, vol. 6, no. 3, 2016, pp. 121-8.
Vancouver Yıldırım N, Karaca A, Ankaralı H, Açıkgöz F, Akkuş D. Stress Experienced by Turkish Nursing Students and Related Factors. Clinical and Experimental Health Sciences. 2016;6(3):121-8.

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