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The Perceived Stress Level of Nursing Students Regarding The Clinical Practices in the Covid-19 Pandemic

Year 2021, Volume: 11 Issue: 3, 592 - 599, 31.12.2021

Abstract

This descriptive cross-sectional study was conducted to determine the perceived stress levels of nursing students regarding the clinical
practice during the Covid-19 pandemic.
The study was conducted between May 20 and June 20, 2020, with 252 students studying in all classes in the Nursing Departments of
Necmettin Erbakan University. The data were collected using the Information Form and the Perceived Stress Scale for Nursing Students
(PSSNS).
52.0% of the students felt uncomfortable thinking about Covid-19, and 62.2% stated that their anxiety increased when they thought they
were infected with Covid-19. The study further revealed that 57.9% of the nursing students were afraid to provide care to the individuals
diagnosed with Covid-19 and 82.1% stated that they did not have enough knowledge to provide care to those individuals. Our study
revealed that there is a statistically significant difference between the mean scores of the Perceived Stress Scale for Nursing Students and
the students’ gender (p<0.01), the status of willingly choosing the nursing profession (p<0.01), the interest in the nursing profession
during the Covid-19 pandemic (p<0.01), having enough knowledge to provide care to individuals diagnosed with Covid-19 (p<0.01),
being uncomfortable thinking about Covid-19 (p<0.01), being afraid to provide care to individuals diagnosed with Covid-19 (p<0.01),
and the increased anxiety level thinking that they were infected with Covid-19 (p<0.01).
In this study, female nurses and nurses who did not choose the nursing profession willingly, whose interests in the nursing profession were
negatively affected during the pandemic period, who believe that they do not have the knowledge or who do not want to provide care to
individuals diagnosed with Covid-19, who are afraid to provide care, and who are uncomfortable thinking about Covid-19 were found to
have higher perceived stress levels. It is recommended to offer training and counseling to the nursing students with high perceived stress
levels.

References

  • 1- Lai C, Shih T, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. İnternational Journal of Antimicrobial Agents 2020;55:1-9 DOI: 10.1016/j.ijantimicag.2020.105924
  • 2- Subba R.,Subba HK., Singh JP, Mehta RK. Psychologica lImpact and Coping Strategies of Nursing Students during the Outbreak of Coronavirus Disease in Nepal. Asian Journal of Multidisciplinary Studies 2020;(8): 9. http://www.ajms.co.in/sites/ajms2015/index.php/ajms/article/view/3864
  • 3- Goni-Fuste B, Wennberg L, Martin-Delgado L, Alfonso-Aria C, Martin-Ferreres ML, Monforte-Royo, C. Experiences and Needs of Nursing Students During Pandemic Outbreaks: A Systematic Overview of the Literature. Journal of Professional Nursing 2020; 37(1) :53-64
  • 4- Deo P, K. Budhathoki, S Raut, J, Adhikari B, Shrestha J. Factors Associated with Perceived Stress, Anxiety, Depression, Insomnia during COVID-19 Outbreak among Nursing Students. 2020;17(19):426-32
  • 5- Cao W, Fang Z, Hou G, Han M, Xu X, Dong, J, Zheng J. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research 2020;287. http://doi.org/10.1016/j.psychres.2020.112934 6- Ekiz T, Ilıman E, Dönmez E. Bireylerin Sağlık Anksiyetesi Düzeyleri İle Covıd‐19 Salgını Kontrol Algısının Karşılaştırılması. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi 2020;6(1):139‐54.
  • 7- Elrggal ME, Nedaa AK, Rafea B, Alahmadi L, Shehri AA, Alamoudi R, Koshak H, ET AL. ‘Evaluation of preparedness of health care student volunteers against Middle East respiratory syndrome coronavirus (MERS-CoV) in Makkah, SaudiArabia: a cross-sectionalstudy’, Journal of Public Health (Germany). Journal of Public Health 2018; 26(6):607–12.
  • 8- Yurdakoş A. Stres Fizyolojisi;; 2018:1-6 Available from: http://www.ctf.edu.tr/stek/pdfs/47/4711.pdf
  • 9- Parker H. Management of stress. In: Parker H.,editor. Stress management. First Ed. Delhi: Global Media 2007: 1-30.
  • 10- Altıok HÖ, Üstün B. Hemşirelik öğrencilerinin stres kaynakları. Kuram ve Uygulamada Eğitim Bilimleri 2013; (2): 747–66.
  • 11- Edwards D, Burnard P, Bennett K, Hebden U. A longitudinal study of stressand self-esteem in studentnurses. Nurse Education Today 2010; 30(1):78-84.
  • 12- Ergin E, Çevik K, Çetin SP. Hemşirelik Öğrencilerinin Eğitimlerine İlişkin Algıladığı Stres ve Stresle Baş Etme Davranışlarının İncelenmesi. Hemşirelikte Eğitim Ve Araştırma Dergisi 2018;15(1):16-22.
  • 13- Jimenez C, Osorio PMN, Diaz CV. Stress and health in novice and experienced nursing students. Journal of Advanced Nursing 2010; 66(2):442-55
  • 14- Carolan C, Davies, CL, Crookes P, McGhee S, Roxburgh M. COVID 19: Disruptive impacts and transformative opportunities in undergraduate nurse education. Nurse Education in Practice 2020; 6: 46. doi: 10.1016/j.nepr.2020.102807.
  • 15- Kotrlik JW K. J W, Higgins CCHCC. (2001). Organizational research: Determining appropriate sample size in survey research appropriate sample size in survey research. Information technology, learning, and performance journal 2001;19(1):43.
  • 16- Sheu SL, Lin HS, Hwang SL, Yu PJ, PJ, Hu WY, Lou MF. The development and testing of perceived stresss cale of clinical practice. Nursing Research 1997;5:341–51
  • 17- Karaca A, Yildirim N, Ankarali H, Acikgoz F, Akkus D. The Turkish Adaptaion of Perceived Stress Scale, Bio-Psycho-Social Response and Coping Behaviours of Stress Scales For Nursing Students Journal of Psychiatric Nursing 2015;6(1):15–25.
  • 18- (Google LLC, MountainView, California, ABD)
  • 19- Zhang L J, Lu PJ, Gao YX. A study on the emotional and behavioral experiences of nursing students during the SARS epidemic. Journal of Nurses Training 2004;19 (7): 601–3
  • 20- Gao WB, Chen ZY, Wang YN. (2003). Analysis on the influence and changetrend of public mentality during Sars epidemic. Chinese Mental Health Journal 2003; 17(9): 594–96.
  • 21- Savitsky B, YifatFindling, AE, Tova H. Anxiety and coping strategies among nursing students during the covid-19 Pandemic. Nurse Education in Practice 2020;46 https://doi.org/10.1016/j.nepr.2020.102809
  • 22- Aslan H, Pekince H. Nursing students' views on the COVID‐19 pandemic and their percieved stress levels. Perspect Psychiatr Care 2020;1–7. doi: 10.1111/ppc.12597
  • 23- Sanad HM. Stress and anxiety among junior nursing students during the initial clinical Training : a descriptive study at college of healthsciences. University of Bahrain’. American Journal of Nursing Research. 2019;7 (6): 995–99.
  • 24- Lemyre A, Gauthier‐Légaré A, Bélanger RE. Shyness, social anxiety, social anxiety disorder, and substance use among normative adolescent populations: a systematic review. The American Journal of Drug Alcohol Abuse 2019; 45(3):1‐18.
  • 25- Merikangas KR, He JP, Burstein M. Life time prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS‐A). Journal of the American Academy of Child and Adolescent Psychiatry 2010;49(10):980‐89.
  • 26- Mclean CP, Hofmann SG. Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatric Research 2012; 45 (8): 1027–35.
  • 27- Gender Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. (2020). Immediate psychologica lresponses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Researchand Public Health 2020;17(5). https:// doi.org/10.3390/ijerph17051729
  • 28- Cöplü M, Tekinsoy P. Kartın.Professional self-concept and professional values of senior students of the nursing department. Nursing Ethics 2019; 26(5):1387–97
  • 29- Jiloha RC. COVID-19 and mental health. Epidemiology International 2020; 5(1):7–9.
  • 30- Li J, B Yang A, Dou K, Cheung, RY. Self control moderates the association between perceived severity of the coronavirus disease 2019 (COVID-19) and mental health problems among the Chinese public. International Journal of Environmental Research and Public Health 2020; https://doi. org/10.31234/osf.io/2xadq.
  • 31- Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responsesto the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry and Clinical Neurosciences 2020; 74: 281–82. https://doi.org/10.1111/pcn.12988
  • 32- (MHA) ülkemizde Mental Health Association. (2020). https://ruhsagligidernegi.org/etiket/korona‐virusu/. AccessedMarch 25, 2020.
  • 33- Turkish Psychiatric Association. COVID‐19 and Mental Health https://www.psikiyatri.org.tr/menu/161/cov%C4%B1d-19-veruh-sagligi. Accessed May 10, 2020.
  • 34- Sögüt S, Dolu İ, Cangöl E. The relationship between COVID‐19 knowledge levels and anxiety states of midwifery students during the outbreak: A cross‐sectional web‐based survey. Perspect Psychiatr Care. 2020;1–7. doi: 10.1111/ppc.12555

Covid-19 Pandemisinde Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Algıladıkları Stres Düzeyi

Year 2021, Volume: 11 Issue: 3, 592 - 599, 31.12.2021

Abstract

Bu tanımlayıcı kesitsel çalışma, Covid-19 pandemisinde hemşirelik öğrencilerinin klinik uygulamalara yönelik algıladıkları stres düzeyini
belirlemek amacıyla yapılmıştır.
Çalışma Necmettin Erbakan Üniversitesi Hemşirelik Bölümlerinde 2019-2020 bahar döneminde tüm sınıflarda öğrenim gören 252
öğrenci ile 20 Mayıs-20 Haziran 2020 tarihleri arasında yapılmıştır. Veriler; Bilgi formu ve Hemşirelik Öğrencileri için Algılanan Stres
Ölçeği (HÖASÖ) ile toplanmıştır.
Öğrencilerin %52,0’ı Covid-19 hakkında düşünmekten rahatsız olduğunu, %62,2’si kendisinin Covid-19 ile enfekte olduğunu
düşündüğünde anksiyetesinin arttığını, %57,9’u Covid-19 tanısı almış bireye bakım vermekten korktuğunu ve %82,1’i Covid-19 tanısı
almış bireye bakım verebilecek yeterli bilgiye sahip olmadığını belirtmiştir. Bu çalışmada HÖASÖ toplam puan ortalaması ile öğrencilerin
cinsiyeti (p<0.01), hemşirelik mesleğini isteyerek seçme durumu (p<0.01), Covid-19 pandemisinde hemşirelik mesleğine duyulan ilgi
durumu (p<0.01), Covid-19 tanısı almış bireye bakım verebilecek bilgiye sahip olma durumu (p<0.01), Covid-19 hakkında düşünmekten
rahatsız olma durumu (p<0.01), Covid-19 tanısı almış bireye bakım vermekten korkma durumu (p<0.01) ve Covid-19 ile enfekte
olduğunu düşündüğünde anksiyete düzeyinde artma durumu arasında istatistiksel olarak anlamlı bir fark olduğu belirlenmiştir (p<0.01).
Bu çalışmada kadın, hemşirelik mesleğini isteyerek seçmeyen, pandemi döneminde hemşirelik mesleğine ilgileri olumsuz şekilde etkilenen,
Covid-19 tanısı almış bireye bakım verebilecek bilgiye sahip olduğunu düşünmeyen/bakım vermek istemeyen ve bakım vermekten korkan
ayrıca Covid-19 hakkında düşünmekten rahatsız olan öğrencilerin algıladıkları stres düzeyinin yüksek olduğu bulunmuştur. Algılanan
stres düzeyi yüksek olan öğrencilere eğitim ve danışmanlık verilmesi önerilebilir.

References

  • 1- Lai C, Shih T, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. İnternational Journal of Antimicrobial Agents 2020;55:1-9 DOI: 10.1016/j.ijantimicag.2020.105924
  • 2- Subba R.,Subba HK., Singh JP, Mehta RK. Psychologica lImpact and Coping Strategies of Nursing Students during the Outbreak of Coronavirus Disease in Nepal. Asian Journal of Multidisciplinary Studies 2020;(8): 9. http://www.ajms.co.in/sites/ajms2015/index.php/ajms/article/view/3864
  • 3- Goni-Fuste B, Wennberg L, Martin-Delgado L, Alfonso-Aria C, Martin-Ferreres ML, Monforte-Royo, C. Experiences and Needs of Nursing Students During Pandemic Outbreaks: A Systematic Overview of the Literature. Journal of Professional Nursing 2020; 37(1) :53-64
  • 4- Deo P, K. Budhathoki, S Raut, J, Adhikari B, Shrestha J. Factors Associated with Perceived Stress, Anxiety, Depression, Insomnia during COVID-19 Outbreak among Nursing Students. 2020;17(19):426-32
  • 5- Cao W, Fang Z, Hou G, Han M, Xu X, Dong, J, Zheng J. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research 2020;287. http://doi.org/10.1016/j.psychres.2020.112934 6- Ekiz T, Ilıman E, Dönmez E. Bireylerin Sağlık Anksiyetesi Düzeyleri İle Covıd‐19 Salgını Kontrol Algısının Karşılaştırılması. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi 2020;6(1):139‐54.
  • 7- Elrggal ME, Nedaa AK, Rafea B, Alahmadi L, Shehri AA, Alamoudi R, Koshak H, ET AL. ‘Evaluation of preparedness of health care student volunteers against Middle East respiratory syndrome coronavirus (MERS-CoV) in Makkah, SaudiArabia: a cross-sectionalstudy’, Journal of Public Health (Germany). Journal of Public Health 2018; 26(6):607–12.
  • 8- Yurdakoş A. Stres Fizyolojisi;; 2018:1-6 Available from: http://www.ctf.edu.tr/stek/pdfs/47/4711.pdf
  • 9- Parker H. Management of stress. In: Parker H.,editor. Stress management. First Ed. Delhi: Global Media 2007: 1-30.
  • 10- Altıok HÖ, Üstün B. Hemşirelik öğrencilerinin stres kaynakları. Kuram ve Uygulamada Eğitim Bilimleri 2013; (2): 747–66.
  • 11- Edwards D, Burnard P, Bennett K, Hebden U. A longitudinal study of stressand self-esteem in studentnurses. Nurse Education Today 2010; 30(1):78-84.
  • 12- Ergin E, Çevik K, Çetin SP. Hemşirelik Öğrencilerinin Eğitimlerine İlişkin Algıladığı Stres ve Stresle Baş Etme Davranışlarının İncelenmesi. Hemşirelikte Eğitim Ve Araştırma Dergisi 2018;15(1):16-22.
  • 13- Jimenez C, Osorio PMN, Diaz CV. Stress and health in novice and experienced nursing students. Journal of Advanced Nursing 2010; 66(2):442-55
  • 14- Carolan C, Davies, CL, Crookes P, McGhee S, Roxburgh M. COVID 19: Disruptive impacts and transformative opportunities in undergraduate nurse education. Nurse Education in Practice 2020; 6: 46. doi: 10.1016/j.nepr.2020.102807.
  • 15- Kotrlik JW K. J W, Higgins CCHCC. (2001). Organizational research: Determining appropriate sample size in survey research appropriate sample size in survey research. Information technology, learning, and performance journal 2001;19(1):43.
  • 16- Sheu SL, Lin HS, Hwang SL, Yu PJ, PJ, Hu WY, Lou MF. The development and testing of perceived stresss cale of clinical practice. Nursing Research 1997;5:341–51
  • 17- Karaca A, Yildirim N, Ankarali H, Acikgoz F, Akkus D. The Turkish Adaptaion of Perceived Stress Scale, Bio-Psycho-Social Response and Coping Behaviours of Stress Scales For Nursing Students Journal of Psychiatric Nursing 2015;6(1):15–25.
  • 18- (Google LLC, MountainView, California, ABD)
  • 19- Zhang L J, Lu PJ, Gao YX. A study on the emotional and behavioral experiences of nursing students during the SARS epidemic. Journal of Nurses Training 2004;19 (7): 601–3
  • 20- Gao WB, Chen ZY, Wang YN. (2003). Analysis on the influence and changetrend of public mentality during Sars epidemic. Chinese Mental Health Journal 2003; 17(9): 594–96.
  • 21- Savitsky B, YifatFindling, AE, Tova H. Anxiety and coping strategies among nursing students during the covid-19 Pandemic. Nurse Education in Practice 2020;46 https://doi.org/10.1016/j.nepr.2020.102809
  • 22- Aslan H, Pekince H. Nursing students' views on the COVID‐19 pandemic and their percieved stress levels. Perspect Psychiatr Care 2020;1–7. doi: 10.1111/ppc.12597
  • 23- Sanad HM. Stress and anxiety among junior nursing students during the initial clinical Training : a descriptive study at college of healthsciences. University of Bahrain’. American Journal of Nursing Research. 2019;7 (6): 995–99.
  • 24- Lemyre A, Gauthier‐Légaré A, Bélanger RE. Shyness, social anxiety, social anxiety disorder, and substance use among normative adolescent populations: a systematic review. The American Journal of Drug Alcohol Abuse 2019; 45(3):1‐18.
  • 25- Merikangas KR, He JP, Burstein M. Life time prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS‐A). Journal of the American Academy of Child and Adolescent Psychiatry 2010;49(10):980‐89.
  • 26- Mclean CP, Hofmann SG. Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatric Research 2012; 45 (8): 1027–35.
  • 27- Gender Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. (2020). Immediate psychologica lresponses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Researchand Public Health 2020;17(5). https:// doi.org/10.3390/ijerph17051729
  • 28- Cöplü M, Tekinsoy P. Kartın.Professional self-concept and professional values of senior students of the nursing department. Nursing Ethics 2019; 26(5):1387–97
  • 29- Jiloha RC. COVID-19 and mental health. Epidemiology International 2020; 5(1):7–9.
  • 30- Li J, B Yang A, Dou K, Cheung, RY. Self control moderates the association between perceived severity of the coronavirus disease 2019 (COVID-19) and mental health problems among the Chinese public. International Journal of Environmental Research and Public Health 2020; https://doi. org/10.31234/osf.io/2xadq.
  • 31- Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responsesto the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry and Clinical Neurosciences 2020; 74: 281–82. https://doi.org/10.1111/pcn.12988
  • 32- (MHA) ülkemizde Mental Health Association. (2020). https://ruhsagligidernegi.org/etiket/korona‐virusu/. AccessedMarch 25, 2020.
  • 33- Turkish Psychiatric Association. COVID‐19 and Mental Health https://www.psikiyatri.org.tr/menu/161/cov%C4%B1d-19-veruh-sagligi. Accessed May 10, 2020.
  • 34- Sögüt S, Dolu İ, Cangöl E. The relationship between COVID‐19 knowledge levels and anxiety states of midwifery students during the outbreak: A cross‐sectional web‐based survey. Perspect Psychiatr Care. 2020;1–7. doi: 10.1111/ppc.12555
There are 33 citations in total.

Details

Primary Language Turkish
Subjects Studies on Education
Journal Section Research Articles
Authors

Işın Cantekin 0000-0003-2685-0831

Sibel Arguvanlı Çoban 0000-0002-8844-4153

Hatice Dönmez 0000-0001-5005-4953

Publication Date December 31, 2021
Published in Issue Year 2021 Volume: 11 Issue: 3

Cite

APA Cantekin, I., Arguvanlı Çoban, S., & Dönmez, H. (2021). Covid-19 Pandemisinde Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Algıladıkları Stres Düzeyi. Yükseköğretim Ve Bilim Dergisi, 11(3), 592-599. https://doi.org/10.5961/higheredusci.1002215
AMA Cantekin I, Arguvanlı Çoban S, Dönmez H. Covid-19 Pandemisinde Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Algıladıkları Stres Düzeyi. J Higher Edu Sci. December 2021;11(3):592-599. doi:10.5961/higheredusci.1002215
Chicago Cantekin, Işın, Sibel Arguvanlı Çoban, and Hatice Dönmez. “Covid-19 Pandemisinde Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Algıladıkları Stres Düzeyi”. Yükseköğretim Ve Bilim Dergisi 11, no. 3 (December 2021): 592-99. https://doi.org/10.5961/higheredusci.1002215.
EndNote Cantekin I, Arguvanlı Çoban S, Dönmez H (December 1, 2021) Covid-19 Pandemisinde Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Algıladıkları Stres Düzeyi. Yükseköğretim ve Bilim Dergisi 11 3 592–599.
IEEE I. Cantekin, S. Arguvanlı Çoban, and H. Dönmez, “Covid-19 Pandemisinde Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Algıladıkları Stres Düzeyi”, J Higher Edu Sci, vol. 11, no. 3, pp. 592–599, 2021, doi: 10.5961/higheredusci.1002215.
ISNAD Cantekin, Işın et al. “Covid-19 Pandemisinde Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Algıladıkları Stres Düzeyi”. Yükseköğretim ve Bilim Dergisi 11/3 (December 2021), 592-599. https://doi.org/10.5961/higheredusci.1002215.
JAMA Cantekin I, Arguvanlı Çoban S, Dönmez H. Covid-19 Pandemisinde Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Algıladıkları Stres Düzeyi. J Higher Edu Sci. 2021;11:592–599.
MLA Cantekin, Işın et al. “Covid-19 Pandemisinde Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Algıladıkları Stres Düzeyi”. Yükseköğretim Ve Bilim Dergisi, vol. 11, no. 3, 2021, pp. 592-9, doi:10.5961/higheredusci.1002215.
Vancouver Cantekin I, Arguvanlı Çoban S, Dönmez H. Covid-19 Pandemisinde Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Algıladıkları Stres Düzeyi. J Higher Edu Sci. 2021;11(3):592-9.