İntörn Hemşirelerin İki Yıllık Çevrimiçi Eğitim Sonrası Eğitim Stresi ve Yetkinliklerinin Belirlenmesi: Kesitsel Bir Çalışma
Year 2026,
Volume: 9 Issue: 1, 83 - 92, 13.01.2026
Fatma Dursun Ergezen
,
Ayşe Yacan Kök
,
Emine Kol
Abstract
Amaç: Bu çalışma, iki yıllık çevrimiçi eğitim sonrasında intörn hemşirelerin eğitim stresini ve yetkinliğini belirlemeyi amaçlamaktadır.
Yöntem: Tanımlayıcı kesitsel tipte olan çalışma Türkiye’ nin güneyindeki bir üniversitede198 intörn hemşire ile yürütülmüştür. Veriler “Katılımcı Bilgi Formu”, “Hemşirelik Eğitimi Stres Ölçeği” ve “Hemşirelik Öğrencilerinde Yetkinlik Ölçeği” içeren çevrim içi anket şeklinde toplanmıştır. İstatistiksel analiz SPSS sürüm 23.0 kullanılmıştır.
Bulgular: Eğitim süreçlerinde öğrencilerin yaşadıkları en sık görülen stresli durumlar; 'bir hastanın acı çekmesini izlemek', 'hastanın bakımında hata yapma korkusu' ve 'bir günlük çalışmanın ardından ders çalışmak zorunda kalmak'tır. İntörn hemşirelerin yetkinlik puan ortalamaları iyi ile çok iyi arasında belirlenmiştir. Kadın intörn hemşirelerin etik ve hesap verebilirlik alt boyut puanları daha yüksektir. Meslekten memnun olma, mesleği kişiliği ile uyumlu bulma ve iletişim becerine ilişkin olumlu algıya sahip olan intörn hemşirelerin yetkinlik puanları daha yüksektir. İntörn hemşirelerin eğitim stres düzeyleri azaldıkça klinik biyomedikal bilim yetkinlik algısı düşük düzeyde artma eğiliminde olduğu görülmüştür.
Sonuç: Bu çalışma, hemşirelik eğitiminde stresin ele alınmasının ve yetkinliğin desteklenmesinin önemini vurgulamaktadır. Hemşirelik eğitimi programları, öğrencilere stresi etkili bir şekilde yönetebilmeleri için araç ve kaynaklar sağlayarak, destekleyici bir öğrenme ortamını teşvik etmelidir. Öğrencilerin eğitim stresi ve yetkinlik algılarının belirlenmesi ile gelecekteki sağlık profesyonellerinin rollerine daha iyi hazırlanmalarına destek olacaktır.
References
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Akkaya G, Babacan Gümüş A, Akkuş Y. (2018). Determining the factors affecting the education stress of nursing students. Journal of Education and Research in Nursing, 15, 202-208.
-
Aloufi M.A, Jarden RJ, Gerdtz MF, Kapp S. (2021). Reducing stress, anxiety and depression in undergraduate nursing students: Systematic review. Nurse Education Today, 102, 104877.
-
Aslan H, Pekince H. (2021). Nursing students' views on the COVID‐19 pandemic and their percieved stress levels. Perspectives in Psychiatric Care, 57, 695-701.
-
Ayaz-Alkaya S, Simones J. (2022). Nursing education stress and coping behaviors in Turkish and the United States nursing students: A descriptive study. Nurse Education in Practice, 59, 103292.
-
Barisone M, Ghirotto L, Busca E, Crescitelli MED, Casalino M, Chilin G, Milani S, Sanvito P, Suardi B, Follenzi A. (2022). Nursing students’ clinical placement experiences during the Covid-19 pandemic: A phenomenological study. Nurse Education in Practice, 59, 103297.
-
Carnesten H, Wiklund Gustin L, Skoglund K, von Heideken Wågert P. (2023). Caring through barriers—Newly graduated registered nurses' lived experiences in emergency departments during the COVID‐19 pandemic. Journal of Advanced Nursing, 79(6), 2269-2279.
-
Chung SK, Kim J, Bhandari P. (2023). Factors Related to Clinical Competence among Graduating Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study. Journal of Korean Academy of Nursing, 53, 145-154.
-
Ergezen FD, Akcan A, Kol E. (2022). Nursing students’ expectations, satisfaction, and perceptions regarding clinical learning environment: A cross-sectional, profile study from Turkey. Nurse Education in Practice, 61,
103333.
-
Flinkman M, Leino-Kilpi H, Numminen O, Jeon Y, Kuokkanen L, Meretoja R. (2017). Nurse Competence Scale: a systematic and psychometric review. Journal of Advanced Nursing, 73, 1035-1050.
-
Forsman H, Jansson I, Leksell J, Lepp M, Andersson CS, Engstrom M, Nilsson J. (2020). Clusters of competence: Relationship between self-reported professional competence and achievement on a national examination among graduating nursing students. Journal of Advanced Nursing, 76, 199-208.
-
Immonen K, Oikarainen A, Tomietto M, Kaariainen M, Tuomikoski AM, Kaucic BM, et al. (2019). Assessment of nursing students' competence in clinical practice: A systematic review of reviews. International Journal of Nursing Studies, 100, 103414.
-
Kacan CY, Pallos A. (2021). Global problem of nursing students: nursing education stress: a sample from Turkey. International Journal of Caring Sciences, 14, 1193-1203.
-
Kajander‐Unkuri S, Koskinen S, Brugnolli A, Cerezuela Torre MA, Elonen I, Kiele V, Lehwaldt D, Löyttyniemi E, Nemcová J, de Oliveira CS. (2021). The level of competence of graduating nursing students in 10 European countries—Comparison between countries. Nursing Open, 8, 1048-1062.
-
Kang Y, Hwang H. (2023). The impact of changes in nursing practicum caused by COVID-19 pandemic on new graduate nurses. Nurse Education Today, 121, 105675.
-
Karaca A, Yildirim N, Ankarali H, Açikgöz F, Akkuş D. (2014). Hemşirelik eğitimi stres ölçeği’nin Türkçeye uyarlanması. Hemşirelikte Araştırma Geliştirme Dergisi, 16, 29-40.
-
Kruk ME, Gage AD, Joseph NT, Danaei G, García-Saisó S, Salomon JA. (2018). Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. The Lancet, 392, 2203-2212.
-
Köse G, Ayhan H, Taştan S, İyigün E, Özçakır AN.(2021). Hemşirelik Öğrencilerinde Eğitim Stresi Algısı ile İnternet Bağımlılığı Arasındaki İlişki. HUHEMFAD; 8(1), 58-64.
-
Labrague LJ, McEnroe-Petitte DM, Gloe D, Thomas L, Papathanasiou IV, Tsaras K. (2017). A literature review on stress and coping strategies in nursing students. Journal of Mental Health, 26, 471-480.
-
Liu Y, Sun X, Zhang P, Han P, Shao H, Duan X, Jiang J. (2023). Generation Z nursing students’ online learning experiences during COVID-19 epidemic: A qualitative study. Heliyon, 9.
-
Luo W, Mao A. (2022). Impacts of COVID-19 pandemic on professional identity development of intern nursing students in China: A scoping review. Plos One, 17, e0275387.
-
Mazalová L, Gurková E, Štureková L. (2022). Nursing students’ perceived stress and clinical learning experience. Nurse Education in Practice, 64, 103457.
-
Mian A, Khan S. (2020). Medical education during pandemics: a UK perspective. BMC Medicine, 18, 1-2.
-
World Health Organisation(WHO) (2015). Roles and responsibilities of government chief nursing and midwifery officers: a capacity-building manual. Access date: 01.11.2023
-
Palese A, Brugnolli A, Achil I, Mattiussi E, Fabris S, Kajander-Unkuri S, Dimonte V, Grassetti L, Danielis M. (2022). The first COVID-19 new graduate nurses generation: findings from an Italian cross-sectional study. BMC Nursing, 21, 1-14.
-
Rhead M. (1995). Stress among student nurses: is it practical or academic? Journal of Clinical Nursing, 4, 369-376.
-
Saifan A, Devadas B, Daradkeh F, Abdel-Fattah H, Aljabery M, Michael LM. (2021). Solutions to bridge the theory-practice gap in nursing education in the UAE: a qualitative study. BMC Medical Education, 21, 1-11.
-
Serafin L, Danilewicz D, Chyla P, Czarkowska-Pączek B. (2020). What is the most needed competence for newly graduated generation z nurses? Focus groups study. Nurse Education Today, 94, 104583.
-
Shorey S, Pereira TLB, Zhou TW, Ang E, Ching LT, Samarasekera DD. (2022). Navigating nursing curriculum change during COVID-19 pandemic: A systematic review and meta-synthesis. Nurse Education in Practice, 103483.
-
BK, Torbergsen H, Paulsby TE, Haugan G. (2022). Nursing Students' Emotional State and Perceived Competence During the COVID-19 Pandemic: The Vital Role of Teacher and Peer Support. Frontiers in
Psychology, 12, 793304.
-
Takmak Ş, Arslan S, Fidan Ö, Zeyrek AŞ. (2024). İki Farklı Hemşirelik Uygulama Programındaki Son Sınıf Hemşirelik Öğrencilerinin Eğitim Stresi ve Gelecek Tutumu Arasındaki İlişki: Kesitsel Çalışma. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 11(3), 227-235.
-
Ülker T, Korkmaz, F. (2022). Hemşirelik Öğrencilerinin Kendi Mesleki Yetkinliklerini Değerlendirme Aracının Geçerlik ve Güvenirlik Çalışması: Metodolojik Çalışma. Turkiye Klinikleri Journal of Nursing Sciences, 14, 3,788-797.
-
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. (2014). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. International Journal of Surgery, 12, 1495-1499.
-
Wang W, Xu HY, Wang BM, Zhu EZ. (2019). The Mediating Effects of Learning Motivation on the Association between Perceived Stress and Positive-Deactivating Academic Emotions in Nursing Students Undergoing
Skills Training. Journal of Korean Academy of Nursing, 49, 495-504.
-
Welch SR. (2023). Clinical Stress and Clinical Performance in Prelicensure Nursing Students: A Systematic Review. Journal of Nursing Education, 62, 36-41.
-
Wilson ST, Urban R, Smith, JG. (2023). Online prelicensure nursing students' experiences of academic incivility during COVID‐19: A qualitative inquiry. Journal of Advanced Nursing, 79(9), 3370-3381.
-
Zheng YX, Jiao JR, Hao WN. (2022). Stress levels of nursing students: A systematic review and meta-analysis. Medicine, 101.
Exploring Educational Stress and Competence of Intern Nurses' Following Two Years of Online Education: A Cross-Sectional Study
Year 2026,
Volume: 9 Issue: 1, 83 - 92, 13.01.2026
Fatma Dursun Ergezen
,
Ayşe Yacan Kök
,
Emine Kol
Abstract
Objective: This study aimed to explore the educational stress and competence of intern nurses following two years of online education.
Method: A descriptive cross-sectional study was conducted with 198 intern nurses at a university in South of Türkiye. The data was collected using the Participant Information Form, the Nursing Education Stress Scale and the Competency Inventory of Nursing Students. Statistical analysis was performed using SPSS version 23.0.
Results: The three stressful situations during their education process were ‘watching a patient suffer’, ‘fear of making mistake in caring for a patient’ and ‘having to study after a day’s work’. The mean score of competence was good to very good. Female intern nurses have higher scores on the ethics and accountability sub-dimensions. Intern nurses who are satisfied with their profession, find their profession compatible with their personality, and have a positive perception of their communication skills have higher competence scores. The perception of clinical biomedical science competence tends to increase at a low level as intern nurses' education stress levels decrease.
Conclusion: This study underscores the importance of addressing stress and promoting competence in nursing education. By providing students with tools and resources to manage stress effectively and by fostering a supportive learning environment, nursing education programs can better prepare students for their future roles as healthcare professionals.
References
-
Akkaya G, Babacan Gümüş A, Akkuş Y. (2018). Determining the factors affecting the education stress of nursing students. Journal of Education and Research in Nursing, 15, 202-208.
-
Aloufi M.A, Jarden RJ, Gerdtz MF, Kapp S. (2021). Reducing stress, anxiety and depression in undergraduate nursing students: Systematic review. Nurse Education Today, 102, 104877.
-
Aslan H, Pekince H. (2021). Nursing students' views on the COVID‐19 pandemic and their percieved stress levels. Perspectives in Psychiatric Care, 57, 695-701.
-
Ayaz-Alkaya S, Simones J. (2022). Nursing education stress and coping behaviors in Turkish and the United States nursing students: A descriptive study. Nurse Education in Practice, 59, 103292.
-
Barisone M, Ghirotto L, Busca E, Crescitelli MED, Casalino M, Chilin G, Milani S, Sanvito P, Suardi B, Follenzi A. (2022). Nursing students’ clinical placement experiences during the Covid-19 pandemic: A phenomenological study. Nurse Education in Practice, 59, 103297.
-
Carnesten H, Wiklund Gustin L, Skoglund K, von Heideken Wågert P. (2023). Caring through barriers—Newly graduated registered nurses' lived experiences in emergency departments during the COVID‐19 pandemic. Journal of Advanced Nursing, 79(6), 2269-2279.
-
Chung SK, Kim J, Bhandari P. (2023). Factors Related to Clinical Competence among Graduating Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study. Journal of Korean Academy of Nursing, 53, 145-154.
-
Ergezen FD, Akcan A, Kol E. (2022). Nursing students’ expectations, satisfaction, and perceptions regarding clinical learning environment: A cross-sectional, profile study from Turkey. Nurse Education in Practice, 61,
103333.
-
Flinkman M, Leino-Kilpi H, Numminen O, Jeon Y, Kuokkanen L, Meretoja R. (2017). Nurse Competence Scale: a systematic and psychometric review. Journal of Advanced Nursing, 73, 1035-1050.
-
Forsman H, Jansson I, Leksell J, Lepp M, Andersson CS, Engstrom M, Nilsson J. (2020). Clusters of competence: Relationship between self-reported professional competence and achievement on a national examination among graduating nursing students. Journal of Advanced Nursing, 76, 199-208.
-
Immonen K, Oikarainen A, Tomietto M, Kaariainen M, Tuomikoski AM, Kaucic BM, et al. (2019). Assessment of nursing students' competence in clinical practice: A systematic review of reviews. International Journal of Nursing Studies, 100, 103414.
-
Kacan CY, Pallos A. (2021). Global problem of nursing students: nursing education stress: a sample from Turkey. International Journal of Caring Sciences, 14, 1193-1203.
-
Kajander‐Unkuri S, Koskinen S, Brugnolli A, Cerezuela Torre MA, Elonen I, Kiele V, Lehwaldt D, Löyttyniemi E, Nemcová J, de Oliveira CS. (2021). The level of competence of graduating nursing students in 10 European countries—Comparison between countries. Nursing Open, 8, 1048-1062.
-
Kang Y, Hwang H. (2023). The impact of changes in nursing practicum caused by COVID-19 pandemic on new graduate nurses. Nurse Education Today, 121, 105675.
-
Karaca A, Yildirim N, Ankarali H, Açikgöz F, Akkuş D. (2014). Hemşirelik eğitimi stres ölçeği’nin Türkçeye uyarlanması. Hemşirelikte Araştırma Geliştirme Dergisi, 16, 29-40.
-
Kruk ME, Gage AD, Joseph NT, Danaei G, García-Saisó S, Salomon JA. (2018). Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. The Lancet, 392, 2203-2212.
-
Köse G, Ayhan H, Taştan S, İyigün E, Özçakır AN.(2021). Hemşirelik Öğrencilerinde Eğitim Stresi Algısı ile İnternet Bağımlılığı Arasındaki İlişki. HUHEMFAD; 8(1), 58-64.
-
Labrague LJ, McEnroe-Petitte DM, Gloe D, Thomas L, Papathanasiou IV, Tsaras K. (2017). A literature review on stress and coping strategies in nursing students. Journal of Mental Health, 26, 471-480.
-
Liu Y, Sun X, Zhang P, Han P, Shao H, Duan X, Jiang J. (2023). Generation Z nursing students’ online learning experiences during COVID-19 epidemic: A qualitative study. Heliyon, 9.
-
Luo W, Mao A. (2022). Impacts of COVID-19 pandemic on professional identity development of intern nursing students in China: A scoping review. Plos One, 17, e0275387.
-
Mazalová L, Gurková E, Štureková L. (2022). Nursing students’ perceived stress and clinical learning experience. Nurse Education in Practice, 64, 103457.
-
Mian A, Khan S. (2020). Medical education during pandemics: a UK perspective. BMC Medicine, 18, 1-2.
-
World Health Organisation(WHO) (2015). Roles and responsibilities of government chief nursing and midwifery officers: a capacity-building manual. Access date: 01.11.2023
-
Palese A, Brugnolli A, Achil I, Mattiussi E, Fabris S, Kajander-Unkuri S, Dimonte V, Grassetti L, Danielis M. (2022). The first COVID-19 new graduate nurses generation: findings from an Italian cross-sectional study. BMC Nursing, 21, 1-14.
-
Rhead M. (1995). Stress among student nurses: is it practical or academic? Journal of Clinical Nursing, 4, 369-376.
-
Saifan A, Devadas B, Daradkeh F, Abdel-Fattah H, Aljabery M, Michael LM. (2021). Solutions to bridge the theory-practice gap in nursing education in the UAE: a qualitative study. BMC Medical Education, 21, 1-11.
-
Serafin L, Danilewicz D, Chyla P, Czarkowska-Pączek B. (2020). What is the most needed competence for newly graduated generation z nurses? Focus groups study. Nurse Education Today, 94, 104583.
-
Shorey S, Pereira TLB, Zhou TW, Ang E, Ching LT, Samarasekera DD. (2022). Navigating nursing curriculum change during COVID-19 pandemic: A systematic review and meta-synthesis. Nurse Education in Practice, 103483.
-
BK, Torbergsen H, Paulsby TE, Haugan G. (2022). Nursing Students' Emotional State and Perceived Competence During the COVID-19 Pandemic: The Vital Role of Teacher and Peer Support. Frontiers in
Psychology, 12, 793304.
-
Takmak Ş, Arslan S, Fidan Ö, Zeyrek AŞ. (2024). İki Farklı Hemşirelik Uygulama Programındaki Son Sınıf Hemşirelik Öğrencilerinin Eğitim Stresi ve Gelecek Tutumu Arasındaki İlişki: Kesitsel Çalışma. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 11(3), 227-235.
-
Ülker T, Korkmaz, F. (2022). Hemşirelik Öğrencilerinin Kendi Mesleki Yetkinliklerini Değerlendirme Aracının Geçerlik ve Güvenirlik Çalışması: Metodolojik Çalışma. Turkiye Klinikleri Journal of Nursing Sciences, 14, 3,788-797.
-
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. (2014). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. International Journal of Surgery, 12, 1495-1499.
-
Wang W, Xu HY, Wang BM, Zhu EZ. (2019). The Mediating Effects of Learning Motivation on the Association between Perceived Stress and Positive-Deactivating Academic Emotions in Nursing Students Undergoing
Skills Training. Journal of Korean Academy of Nursing, 49, 495-504.
-
Welch SR. (2023). Clinical Stress and Clinical Performance in Prelicensure Nursing Students: A Systematic Review. Journal of Nursing Education, 62, 36-41.
-
Wilson ST, Urban R, Smith, JG. (2023). Online prelicensure nursing students' experiences of academic incivility during COVID‐19: A qualitative inquiry. Journal of Advanced Nursing, 79(9), 3370-3381.
-
Zheng YX, Jiao JR, Hao WN. (2022). Stress levels of nursing students: A systematic review and meta-analysis. Medicine, 101.