Assessment of Nursing Students' Stress Levels and Coping Strategies During First Clinical Experience

Year 2021, Volume: 11 Issue: 3, 437 - 443, 27.09.2021

Şebnem Bilgiç Ülfiye Çelikkalp

https://doi.org/10.33808/clinexphealthsci.777904

Cited By: 3

Abstract

Objective: This study was performed to examine the stress levels of freshmen in the nursing students during their first clinical experience, their styles of coping with stress, and the relationship of those with each other and certain variables.
Methods: This descriptive study was performed with 91 freshmen in the nursing department of a university who experienced clinical placements for the first time. Data was collected using a student identification form, the clinical stress questionnaire and the stress-coping patterns scale.
Results: Ninety-one students participated with the mean age of 19.94+2.91. The mean stress score of the students during their first clinical experience was found to be 29.16±7.92. When the stress coping styles of the students were examined, their mean self-confidence approach score was found to be 2.93±0.54, their seeking social support score was found to be 2.73±0.48, their optimistic approach score was found to be 2.68±0.61, their helpless/self-accusatory approach score was found to be 2.17±0.50, and their submissive approach score was found to be 1.84±0.44. The clinical stress levels of the students were found to be low and the students were found to use the confident approach most in coping with stress.
Conclusion: Nursing students should be taught stress coping methods to decrease the stress experienced during clinical placements and increasing the effectiveness of education.

Keywords

clinical stress, coping with stress, nursing student

Supporting Institution

no

Project Number

no

References

• 1. Khater W, Akhu-Zaheya L, Shaban I. Sources of stress and coping behaviours in clinical practice among baccalaureate nursing students. International Journal of Humanities and Social Science 2014; 4(6): 194-202.
• 2. Asadizaker M, Abedi ZH, Alijanirenani H, Moradi M, Jahani S. Improvement of the first training for baccalaureate nursing students –a mutual approach. Global Journal of Health Science 2015; 7(7): 79–92.
• 3. 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 2012; 12(4): 204-209.
• 4. Karabacak Ü, Uslusoy E, Şenturan L, Alpar ŞE, Yavuz D. First day in clinical practice: evaluating stress of nursing students and their ways to cope with it. HealthMED 2012; 6(2): 596-602.
• 5. Levett-Jones T, Pitt V, Courtney-Pratt H, Harbrow G, Rossiter R. What are the primary concerns of nursing students as they prepare for and contemplate their first clinical placement experience?. Nurse Education in Practice 2015; 15(4); 304-309.
• 6. O'Mara L, McDonald J, Gillespie M, Brown H, Miles L. Challenging clinical learning environments: Experiences of undergraduate nursing students. Nurse Education in Practice 2014; 14(2): 208-213.
• 7. Cooper J, Courtney-Pratt H, Fitzgerald M. Key influences identified by first year undergraduate nursing students as impacting on the quality of clinical placement: A qualitative study. Nurse Education Today 2015; 35(9): 1004-1008.
• 8. Tasdelen S, Zaybak A. The Determination The Level of Stress of Nursing Students During Their First Clinical Experience. Florence Nightingale Journal of Nursing 2013; 21(2): 101-106. (Turkish)
• 9. Al-Gamal E, Alhosain A, Alsunaye K. Stress and coping strategies among Saudi nursing students during clinical education. Perspectives in Psychiatric Care 2018; 54:198–205.
• 10. Al‐Zayyat AS, Al‐Gamal E. Perceived stress and coping strategies among Jordanian nursing students during clinical practice in psychiatric/mental health courses. International Journal of Mental Health Nursing 2014; 23(4): 326-335.
• 11. Chan CKL, So WKW, Fong DYT. Honk Kong baccalaureate nursing students' stress and their coping strategies in clinical practice. Journal of Professional Nursing 2009; 25: 307-313.
• 12. Lee MH, Holzemer WL, Faucett J. Psychometric evaluation of the Nursing Stress Scale (NSS) among Chinese nurses in Taiwan. Journal of Nursing Measurement 2007; 15(2): 133.
• 13. Pulıdo-Martos M, Augusto-Landa JM. Lopez-Zafra E. Sources of stress in nursing students: a systematic review of quantitative studies. International Nursing Review 2012; 59: 15–25.
• 14. Findik ÜY, Ozbas A, Cavdar İ, Topcu SY, Onler E. Assessment of nursing students' stres levels and coping strategies in operating room practice. Nurse Education in Practice 2015; 15: 192-195.
• 15. Turkum AS. The Development of Coping with Stress Scale: Validity and Reliabilty Studies. Turkish Psychological Counseling and Guidance Journal 2016; 2(18): 25-34. (Turkish)
• 16. Gibbons C. Stress, coping and burn-out in nursing students. International Journal of Nursing Studies 2010; 47(10): 1299-1309.
• 17. Blomberg K, Bisholt B, Kullén Engström A, Ohlsson U, Sundler Johansson A, Gustafsson M. Swedish nursing students' experience of stress during clinical practice in relation to clinical setting characteristics and the organisation of the clinical education. Journal of Clinical Nursing 2014; 23(15-16): 2264-2271.
• 18. Acıksoz S, Uzun Ş, Arslan F. Assessment of relationship between nursing students’ self-efficacy and levels of their anxiety and stress about clinical practice. Gülhane Medical Journal 2016; 58: 129-135. (Turkish)
• 19. Potur DC, Bilgin NÇ, Komurcu N. Evaluating nursing students clinic stress, and coping with stress during the clinic first day of the woman health and diseases nursing clinical course. International Journal of Human Sciences 2015; 12(1):1169-1181.
• 20. Atay S, Yılmaz F. The First Stress Levels of The Students of Vocational Higher School of Healt. Journal of Anatolia Nursing and Health Sciences 2011; 14 (4): 32-37. (Turkish)
• 21. Temel E, Bahar A, Cuhadar D. Determination of Coping Attitude with Stress and Depression Level of Nursing Students. Journal of Fırat Health Services 2007; 2: 108-118. (Turkish)
• 22. Sendir M, Acaroglu, R. Reliability and validity of Turkish version of clinical stress questionnaire. Nurse Education Today. 2008; 28: 737-743.
• 23. Hampel P, Petermann F. Perceived stress, coping, and adjustment in adolescents. Journal of Adolescent Health 2006; 38(4): 409-415.
• 24. Sharif F, Masoumi S. A qualitative study of nursing student experiences of clinical practice. BMC Nursing 2005; 4 (6): 1-7.
• 25. Sheu S, Lin HS, Hwang SL. Perceived stress 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 2002; 39(2): 165-175.
• 26. Melincavage SM. Student nurses' experiences of anxiety in the clinical setting. Nurse Education Today 2011; 31(8): 785-789. 27. Karagözoğlu Ş, Özden D, Tok Yıldız F. Clinical Stress Levels Of Nursing Students Participating In An Integrated Program And The Factors Affecting The Levels. Journal of Anatolia Nursing and Health Sciences 2013; 16(2): 89-95. (Turkish)
• 28. Burnard P, HajiAbd Rahim HT, Hayes D, Edwards D. A descriptive study of Brunei an student nurses' perception of stress. Nurse Education Today 2007; 27: 808-818.
• 29. Zhao FF, Lei XL, He W, Gu YH, Li DW. The study of perceived stress, coping strategy and self-efficacy of Chinese undergraduate nursing students in clinical practice. International Journal of Nursing Practice 2015; 21. 401–409.
• 30. Tully A. Stress, sources of stressandways of coping among psychiatric nursing students. Journal of Psychiatric and Mental Health Nursing 2004; 11: 43-47.
• 31. Lee AK, You HS, Park IH. Affecting factors on stress of clinical practice in nursing students. Journal of Korean Academy of Nursing Administration 2015; 21(2): 154-163.
• 32. Kaya M, Genç, M, Kaya B, Pehlivan E. Prevalence of Depressive Symptoms, Ways of Coping, and Related Factors Among Medical School and Health Services Higher Education Students. Turkish Journal of Psychiatry. 2007; 18: 137-146. (Turkish)
• 33. Yamac Ö. The relationship between perceived social support and stress coping styles of university students. Doctoral dissertation, Selcuk University Institute of Social Sciences, 2009. Konya. (Turkish)