The Difficulties and Educational Stress of Nursing Students in Clinical Practice during the Covid

Year 2022, , 191 - 201, 11.11.2022

Esma Akgül , Canan Birimoğlu Okuyan Filiz Polat

https://doi.org/10.31458/iejes.1118081

Cited By: 1

Abstract

The present study aims to determine the challenges and educational stresses of nursing students in clinical practices during the COVID-19 pandemic and to offer solutions for these issues. The research was conducted at two universities in Turkey between December 2021 and February 2022. Data were collected using a Sociodemographic Diagnostic Form and the Nursing Education Stress Scale. Of the nursing students who participated in our study, 58.2% were 20 years old or younger, 74% were female, and 48.5% were sophomores. In addition, 43.9% of participants had lower expenses than their income. Our results showed that students' total score average on the nursing education stress scale was 61.74±23.58. We found a statistically significant difference between the total score on the Nursing Education Stress Scale and the mean scores of the sub-dimensions of Practice Stress and Academic Stress according to the class and income level of the students. Furthermore, we observed a statistically significant difference by gender between the mean scores of the Practical Stress and Academic Stress sub-dimensions (p<0.05). The nursing students experienced moderate stress during their nursing education. The stress level was higher in female sophomore students whose income was equal to their expenses and whose income was less than their expenses. We suggest that the nursing students’ behaviours of problem-solving, decision-making and coping with stress should be improved.

Keywords

Nursing students, clinical practice, educational stress, clinical stress, Covid-19

References

• Achmad, B. F., Sutono, S., Setiyarini, S., Kusumawati, H. I., & Alim, S. (2021). Nursing students’ challenges and experiences of undergoing clinical rotation program during coronavirus disease 2019 pandemic. Open Access Macedonian Journal of Medical Sciences, 9(G), 231-237. https://doi.org/10.3889/oamjms.2021.7295
• Admi, H., Moshe-Eilon, Y., Sharon, D., & Mann, M. (2018). Nursing students stress and satisfaction in clinical practice along different stages: A cross-sectional study. Nurse Education Today, 68, 86-92. https://doi.org/10.1016/j.nedt.2018.05.027
• Arkan, B., Ordin, Y., & Yılmaz, D. (2018). Undergraduate nursing students' experience related to their clinical learning environment and factors affecting to their clinical learning process. Nurse Education in Practice, 29, 127-132. https://doi.org/10.1016/j.nepr.2017.12.005
• Aslan, H., & Pekince, H. (2021). Nursing students' views on the Covid‐19 pandemic and their percieved stress levels. Perspectives in Psychiatric Care, 57(2), 695-701. https://doi.org/10.1111/ppc.12597
• Baluwa, M. A., Lazaro, M., Mhango, L., & Msiska, G. (2021). Stress and coping strategies among Malawian undergraduate nursing students. Advances in Medical Education and Practice, 12, 547. https://doi.org/10.2147/AMEP.S300457
• Blackley, L.S., Morda, R., & Gill, P.R. (2019, October). Stressors and rewards experienced by men in nursing: A qualitative study. In Nursing Forum, 54(4), 690-697. https://doi.org/10.1111/nuf.12397
• Büyükbayram, Z., & Ayık, D.B. (2020). Hemşirelik öğrencilerinin hemşirelik eğitimi ile ilgili stres düzeylerinin belirlenmesi [Determination of nursing students' stress levels related to nursing education]. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 4(2), 90-99. https://doi.org/10.46237/amusbfd.562097
• Can, A., Çuvalci, B., & Hintistan, S. (2019). İç hastalıkları hemşireliği dersini alan ikinci sınıf öğrencilerinin stres düzeylerinin belirlenmesi [Determination of stress levels of second year students taking ınternal medicine nursing course]. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 2(1), 22-32.
• Cantekin, I., Arguvanlı-Çoban, S., & Dönmez, H. (2021). Covid-19 pandemisinde hemşirelik öğrencilerinin klinik uygulamalara yönelik algıladıkları stres düzeyi [The stress level perceived by nursing students towards clinical practices in the Covid-19 pandemic]. Yükseköğretim ve Bilim Dergisi, 11(3), 592-599.
• Çelik-Eren, D., Korkmaz, M., Öz-Yıldırım, Ö., & Aydın-Avci, İ. (2021). Covid-19 pandemi sürecinde hemşirelik öğrencilerinin uzaktan eğitime karşı tutum ve memnuniyet düzeyleri [Attitudes and satisfaction levels of nursing students towards distance education during the Covid-19 pandemic process]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 24(2), 246-254. https://doi.org/10.17049/ataunihem.862820
• Demirbağ, B.C., Bulut, H.K., & Çalık, K.Y. (2021). Hemşirelik öğrencilerinin eğitim streslerinin değerlendirilmesi [Evaluation of educational stress of nursing students]. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 11(2), 159-164. https://doi.org/10.33631/duzcesbed.749779
• Ergin, E., Çevik, K., & Pakiş, Ç.S. (2018). Hemşirelik öğrencilerinin eğitimlerine ilişkin algıladığı stres ve stresle başetme davranışlarının incelenmesi [Investigation of the stress and coping behaviors of nursing students regarding their education]. Hemşirelikte Eğitim ve Araştırma Dergisi, 15, 16-22.
• Fırat-Kılıç, H. (2018). Hemşirelik öğrencilerinin eğitim stresi ve mesleki benlik saygısı arasındaki ilişki [The relationship between nursing students’ educational stress and professional self-esteem]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 5(1), 49-59. https://doi.org/10.31125/hunhemsire.431130
• Gray-Toft, P., & Anderson, J. G. (1981). The nursing stress scale: Development of an instrument. Journal of Behavioral Assessment, 3(1), 11-23. https://doi.org/10.1007/BF01321348
• Jasemi, M., Whitehead, B., Habibzadeh, H., Zabihi, R.E., & Rezaie, S.A. (2018). Challenges in the clinical education of the nursing profession in Iran: A qualitative study. Nurse Education Today, 67, 21-26. https://doi.org/10.1016/j.nedt.2018.04.010
• Karabulut, N., Gurcayir, D., & Yildiz, B.Z. (2021). Effect of stress on academic motivation and achievement of students in nursing education. International Journal of Caring Sciences, 14(1), 370.
• Karaca, A., Yıldırım, N., Ankaralı, H., Açıkgöz, F., & Akkuş, D. (2014). Hemşirelik eğitimi stres ölçeğinin Türkçeye uyarlanması [Adaptation of the nursing education stress scale into Turkish]. Hemşirelikte Araştırma Geliştirme Dergisi, 16(2), 29-40.
• Karaman, F., Çakmak. S., & Yerebakan, A.N. (2021). Covid-19 pandemisinde hemşirelik öğrencilerinin eğitimi: Uzaktan eğitim süreci ve etkileri [Education of nursing students in the Covid-19 pandemic: Distance education process and effects]. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, (15), 571-580. https://doi.org/10.38079/igusabder.982350
• Kaya, Y. & Işık, R. (2021). Covid-19 pandemisi’nin ilk döneminde uygulanan zorunlu uzaktan eğitim sisteminin hemşirelik eğitimine katkısı ve zorlukları: Nitel bir çalışma [The contribution and challenges of the compulsory distance education system applied in the first period of the Covid-19 pandemic to nursing education: A qualitative study]. Journal of Education and Research in Nursing, 18(1), 76-84.
• Köse, G., Ayhan, H., Taştan, S., İyigün, E., & Özçakır, A.N. (2021). Hemşirelik öğrencilerinde eğitim stresi algısı ile internet bağımlılığı arasındaki ilişki [The relationship between perception of educational stress and internet addiction in nursing students]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 8(1), 58-64. https://doi.org/10.31125/hunhemsire.907830
• Kürtüncü, M., & Kurt, A. (2020). Covid-19 pandemisi döneminde hemşirelik öğrencilerinin uzaktan eğitim konusunda yaşadıkları sorunlar [Problems of nursing students experience in distance education during the Covid-19 pandemic]. Avrasya Sosyal ve Ekonomi Araştırmaları Dergisi, 7(5), 66-77.
• Michel, A., Ryan, N., Mattheus, D., Knopf, A., Abuelezam, N.N., Stamp, K., Branson, S., Hekel, B., & Fontenot, H.B. (2021). Undergraduate nursing students’ perceptions on nursing education during the 2020 Covid-19 pandemic: A national sample. Nurs Outlook, 69(5), 903-912. https://doi.org/10.1016/j.outlook.2021.05.004
• Oducado, R.M. & Estoque, H. (2021). Online learning in nursing education during the Covıd-19 pandemic: Stress, satisfaction, and academic performance. Journal Of Nursing Practice, 4(2), 143-153. https://doi.org/10.30994/jnp.v4i2.128
• Özkan, İ., Taylan, S., & İlaslan, E. (2021). The experiences of nursing students towards distance education during the Covid-19 pandemic. International e-Journal of Educational Studies, 5(10), 106-117. https://doi.org/10.31458/iejes.942443
• Rhead, M. M. (1995). Stress among student nurses: Is it practical or academic?. Journal of Clinical Nursing, 4(6), 369-376. https://doi.org/10.1111/j.1365-2702.1995.tb00038.x
• Shariff, N.M. & Azlan, M.R.M.M. (2021). Perceived stress level and its stressors among Malaysian undergraduate nursing students during Covid-19 pandemic. International Journal of Care Scholars, 4(1), 26-31. https://doi.org/10.31436/ijcs.v4iSupplementary%201.215
• Suarez-Garcia, J.M., Maestro-González, A., Zuazua-Rico, D., Sánchez-Zaballos, M., & Mosteiro-Diaz, M.P. (2018). Stressors for Spanish nursing students in clinical practice. Nurse Education Today, 64, 16-20. https://doi.org/10.1016/j.nedt.2018.02.001
• Senturk, S., & Dogan, N. (2018). Determination of the stress experienced by nursing students’ during nursing education. International Journal of Caring Sciences, 11(2), 896-904.
• Yağan, S.A. (2021). Üniversite öğrencilerinin Covid-19 salgını sürecinde yürütülen uzaktan eğitime yönelik tutum ve görüşleri [Attitudes and opinions of university students towards distance education conducted during the Covid-19 pandemic]. Akademik Platform Eğitim ve Değişim Dergisi, 4(1), 147-174.
• Yılmaz-Karabulutlu, E., Oruç, F.G., & Turan, G.B. (2019). Öğrencilerin hemşirelik eğitimi sürecinde yaşadıkları stresin profesyonel benlik gelişimlerine etkisi [The effect of the stress experienced by students in the nursing education process on their professional self-development]. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 8(1), 10-17.
• Yılmaz, Ş., & Büyüköztürk, M. (2021). Son sınıf hemşirelik öğrencilerinin koronavirüs salgını sürecinde klinik uygulamalarda yaşadıkları kaygılar [Concerns experienced by senior nursing students in clinical practice during the coronavirus pandemic process]. Black Sea Journal of Health Science, 4(3), 257-263. https://doi.org/10.19127/bshealthscience.906194
• Yılmaz, M., Yaman, Z., & Erdoğan, S. (2017). Öğrenci hemşirelerde stres yaratan durumlar ve baş etme yöntemleri [Situations that cause stress in student nurses and coping methods]. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 10(2), 88-99. https://doi.org/10.26559/mersinsbd.285766