COVID-19 Pandemisinde Hemşirelik Öğrencilerinin Stres Düzeyi ve Başa Çıkma Davranışları ile Mesleki Hayata İlişkin Düşüncelerinin İncelenmesi
Year 2023,
, 26 - 37, 15.06.2023
Belkız Kızıltan
,
Nurgül Kaplan
,
Seda Uzunali
Abstract
Diğer sağlık disiplinlerinde okuyan öğrencilere göre hemşirelik öğrencilerinin daha fazla stres algıladığı bilinmektedir. Pandemi dönemi, hemşirelik öğrencilerine ek stres yükü getirmiş ve bu dönem onların mesleğe yönelik düşüncelerini olumsuz etkilemiş olabilir. COVID-19 pandemisinde hemşirelik öğrencilerinin stres düzeyinin belirlenmesi, öğrencilerin stresle baş etmede davranışlarının ve bu süreçte gelecek mesleki yaşamları ile ilgili düşüncelerinin araştırılması amaçlanmaktadır. Araştırma, 226 hemşirelik lisans öğrencisi ile tanımlayıcı ve kesitsel tipte bir çalışma olarak gerçekleştirildi. Veriler, Türkiye'deki COVID-19 pandemisinin ilk dalgasını takiben Haziran-Temmuz 2020'de Google Formu aracılığıyla toplandı. Öğrenciler bu süreçte stresi ortalamanın üzerinde algılamış ve algıladıkları stres düzeyi arttıkça da kendine güvenen ve iyimser yaklaşımı benimseme eğilimleri azalmış, çaresiz yaklaşımı benimseme eğilimleri ise artmıştır. COVID-19 gibi bir salgın durumunda pandemi servisinde çalışmak istemeyen öğrenci sayısı (n=119) yüksek olduğu gibi, COVID-19 salgın sürecinin meslek seçiminde pişmanlık duymalarına neden olduğunu belirten öğrenci sayısı da (n=195) fazladır. COVID-19, hemşirelik öğrencilerinin stres düzeyini artırmıştır. Öğrenciler bu stresle etkili bir şekilde baş edememiş ve gelecekteki meslek hayatları hakkındaki düşünceleri olumsuz etkilenmiştir.
References
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- Brooks, S. K., Dunn, R., Amlôt, R., Rubin, G. J., & Greenberg, N. (2018). A Systematic, Thematic Review of Social and Occupational Factors Associated with Psychological Outcomes in Healthcare Employees during an Infectious Disease Outbreak. Journal of Occupational and Environmental Medicine, 60(3), 248–257. https://doi.org/10.1097/JOM.0000000000001235
- Bublitz, S., Guido, L. de A., Lopes, L. F. D., & Freitas, E. de O. (2016). Associação entre estresse e características sociodemográficas e acadêmicas de estudantes de enfermagem. Texto e Contexto Enfermagem, 25(4), 1–7. https://doi.org/10.1590/0104-07072016002440015
- Cohen, A. K., Hoyt, L. T., & Dull, B. (2020). A Descriptive Study of COVID-19–Related Experiences and Perspectives of a National Sample of College Students in Spring 2020. Journal of Adolescent Health, 67(3), 369–375. https://doi.org/10.1016/j.jadohealth.2020.06.009
- Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404
- de Los Santos, J. A. A., Labrague, L. J., & Falguera, C. C. (2022). Fear of COVID‐19, poor quality of sleep, irritability, and intention to quit school among nursing students: A cross‐sectional study. Perspectives in Psychiatric Care, 58(1), 71–78. https://doi.org/10.1111/PPC.12781
- Eastin, C., & Eastin, T. (2020). Clinical Characteristics of Coronavirus Disease 2019 in China. The Journal of Emergency Medicine, 58(4), 711–712. https://doi.org/10.1016/j.jemermed.2020.04.004
- Eskin, M., Harlak, H., Demirkiran, F., & Dereboy, Ç. (2013). The adaptation of the perceived stress scale into Turkish: A reliability and validity analysis. Yeni Symposium, 51(3).
- Fitzgerald, A., & Konrad, S. (2021). Transition in learning during COVID-19: Student nurse anxiety, stress, and resource support. Nursing Forum, 56(2). https://doi.org/10.1111/nuf.12547
- Gössling, S., Scott, D., & Hall, C. M. (2020). Pandemics, tourism and global change: a rapid assessment of COVID-19. Journal of Sustainable Tourism, 1–20. https://doi.org/10.1080/09669582.2020.1758708
- Hamaideh, S. H., Al-Modallal, H., Tanash, M., & Hamdan-Mansour3, A. (2022). Depression, anxiety and stress among undergraduate students during COVID-19 outbreak and “home-quarantine.” Nursing Open, 9(2), 1423–1431. https://doi.org/10.1002/NOP2.918
- Huang, L., Lei, W., Xu, F., Liu, H., & Yu, L. (2020). Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PLoS ONE, 15(8 August). https://doi.org/10.1371/JOURNAL.PONE.0237303
- ICN & Nursing. (2019). International Council of Nurses and Nursing Now welcome 2020 as International Year of the Nurse and Midwife. https://www.icn.ch/news/international-council-nurses-and-nursing-now-welcome-2020-international-year-nurse-and-midwife
- Jenkins, E. K., Slemon, A., O’Flynn-Magee, K., & Mahy, J. (2019). Exploring the implications of a self-care assignment to foster undergraduate nursing student mental health: Findings from a survey research study. Nurse Education Today, 81, 13–18. https://doi.org/10.1016/J.NEDT.2019.06.009
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- King, K. A., Vidourek, R. A., Merianos, A. L., & Singh, M. (2014). A study of stress , social support , and perceived happiness among college students Üniversite öğrencileri arasında stres , sosyal destek ve algılanan mutluluk üzerine bir. The Journal of Happiness & Well-Being, 2(2), 132–144.
- Labrague, L. J., Alexis, J., De Los Santos, A., & Falguera, C. (2021). Social and emotional loneliness among college students during the COVID-19 pandemic: the predictive role of coping behaviours, social support, and personal. https://doi.org/10.21203/rs.3.rs-93878/v2
- Labrague, L. J., McEnroe-Petitte, D. M., de Los Santos, J. A. A., & Edet, O. B. (2018). Examining stress perceptions and coping strategies among Saudi nursing students: A systematic review. In Nurse Education Today (Vol. 65, pp. 192–200). https://doi.org/10.1016/j.nedt.2018.03.012
- Lazarus, R., & Folkman, S. (1984). Stress, appraisal, and coping. https://www.google.com/books?hl=tr&lr=&id=i-ySQQuUpr8C&oi=fnd&pg=PR5&dq=Stress,+Appraisal+and+Coping&ots=DgHSisilUg&sig=0kB43P5lKnc4lR_KelNnuckhmMQ
- Lee, J. (2020). Mental health effects of school closures during COVID-19. The Lancet Child and Adolescent Health, 4(6), 421. https://doi.org/10.1016/S2352-4642(20)30109-7
- Lovrić, R., Farčić, N., Mikšić, Š., & Včev, A. (2020). Studying During the COVID-19 Pandemic: A Qualitative Inductive Content Analysis of Nursing Students’ Perceptions and Experiences. Education Sciences 2020, Vol. 10, Page 188, 10(7), 188. https://doi.org/10.3390/EDUCSCI10070188
- Martínez-Lorca, M., Martínez-Lorca, A., Criado-Álvarez, J. J., Armesilla, M. D. C., & Latorre, J. M. (2020). The fear of COVID-19 scale: Validation in spanish university students. In Psychiatry Research (Vol. 293). https://doi.org/10.1016/j.psychres.2020.113350
- Mashaal, D., Rababa, M., & Shahrour, G. (2020). Distance learning-related stress among undergraduate nursing students during the covid-19 pandemic. Journal of Nursing Education, 59(12), 666–674. https://doi.org/10.3928/01484834-20201118-03
- Nie, S., Sun, C., Wang, L., & Wang, X. (2021). The Professional Identity of Nursing Students and Their Intention to Leave the Nursing Profession During the Coronavirus Disease (COVID-19) Pandemic. The Journal of Nursing Research : JNR, 29(2), e139. https://doi.org/10.1097/jnr.0000000000000424
- Öz, F., & Bahadır Yılmaz, E. (2009). A Significant Concept in Protecting Mental Health: Resilience. Hacettepe University Faculty of Health Sciences Nursing Journal, 16(3), 82–89.
- Özdemir, G., & Kaya, H. (2013). Midwifery and Nursing Students’ Communication Skills and Life Orientation: Correlation with Stress Coping Approaches. Nursing and Midwifery Studies, 1(4), 198–205. https://doi.org/10.5812/nms.10281
- Pan, P. J. D., Chang, S. H., & Yu, Y. Y. (2005). A support group for home-quarantined college students exposed to SARS: Learning from practice. Journal for Specialists in Group Work, 30(4), 363–374. https://doi.org/10.1080/01933920500186951
- Pender, N. J., Barkauskas, V. H., Hayman, L., Rice, V. H., & Anderson, E. T. (1992). Health promotion and disease prevention: toward excellence in nursing practice and education. Nursing Outlook, 40(3), 106–112; 120.
- Reyes, A. T., Andrusyszyn, M. A., Iwasiw, C., Forchuk, C., & Babenko-Mould, Y. (2015). Nursing students’ understanding and enactment of resilience: a grounded theory study. Journal of Advanced Nursing, 71(11), 2622–2633. https://doi.org/10.1111/JAN.12730
- Şahin G., & Buzlu S. (2017). The mediating role of perceived stress on relationship of resilience with self efficacy social support and the effective coping skills in nursing students. Journal of Anatolia Nursing and Health Sciences, 20(2), 2–15. https://dergipark.org.tr/en/pub/ataunihem/issue/31359/342626
- Şahin, N. H., & Durak, A. (1995). A brief coping styles inventory for university students. Turkish Journal of Psychology, 10(34), 56–73.
https://www.psikolog.org.tr/tr/yayinlar/dergiler/1031828/tpd1300443319950000m000291.pdf
- Savitsky, B., Findling, Y., Ereli, A., & Hendel, T. (2020). Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Education in Practice, 46, 102809. https://doi.org/10.1016/J.NEPR.2020.102809
- Sun, Y., Wang, D., Han, Z., Gao, J., Zhu, S., & Zhang, H. (2020). Disease prevention knowledge, anxiety, and professional identity during covid-19 pandemic in nursing students in zhengzhou, china. Journal of Korean Academy of Nursing, 50(4), 533–540. https://doi.org/10.4040/jkan.20125
- Sveinsdóttir, H., Flygenring, B. G., Svavarsdóttir, M. H., Thorsteinsson, H. S., Kristófersson, G. K., Bernharðsdóttir, J., & Svavarsdóttir, E. K. (2021). Predictors of university nursing students burnout at the time of the COVID-19 pandemic: A cross-sectional study. Nurse Education Today, 106. https://doi.org/10.1016/J.NEDT.2021.105070
- Swift, A., Banks, L., Baleswaran, A., Cooke, N., Little, C., McGrath, L., Meechan-Rogers, R., Neve, A., Rees, H.,Tomlinson, A., & Williams, G. (2020). COVID‐19 and student nurses: A view from England. Journal of Clinical Nursing, 29(17–18), 3111–3114. https://doi.org/10.1111/JOCN.15298
- Tercan, B. (2020). Biyolojik Afetler ve COVID-19. Paramedik ve Acil Sağlık Hizmetleri Dergisi, 1 (1), 41-50.
- Wallace, S., Schuler, M. S., Kaulback, M., Hunt, K., & Baker, M. (2021). Nursing student experiences of remote learning during the COVID-19 pandemic. Nursing Forum, 56(3), 612–618. https://doi.org/10.1111/NUF.12568
World Health Organization. (2020). Archived: WHO Timeline- COVID-19. Wold Health Organization, June, 2020. https://www.who.int/news-room/detail/08-04-2020-who-timeline---COVID-19
- Worthington, M., Salamonson, Y., Weaver, R., & Cleary, M. (2013). Predictive validity of the Macleod Clark Professional Identity Scale for undergraduate nursing students. Nurse Education Today, 33(3), 187–191. https://doi.org/10.1016/J.NEDT.2012.01.012
Investigation of the Stress Level and Coping Behaviors of Nursing Students, and Their Thoughts on Professional Life in COVİD-19 Pandemic
Year 2023,
, 26 - 37, 15.06.2023
Belkız Kızıltan
,
Nurgül Kaplan
,
Seda Uzunali
Abstract
It is known that nursing students perceive more stress than the students who are studying in other health disciplines. The pandemic period brought additional stress to nursing students and this period may have negatively affected their thoughts about the profession. It is aimed to determine the stress level of nursing students in the COVID-19 pandemic, to investigate the behaviors of students in coping with stress and their thoughts about their future professional life in this process. The study was carried out as a descriptive and cross-sectional study on the 226 undergraduate nursing students. The data were collected via Google Form in June-July 2020 following the first wave of the COVID-19 pandemic in Turkey. The students perceived stress above the average. As the perceived stress level increases, the tendency to adopt the self-confident and optimistic approach decreases, and the tendency to adopt the helpless approach increases. The number of students who did not want to work in the pandemic service in the event of an epidemic such as COVID-19 was high (n=119), as well as the number of students (n=195) who stated that the COVID-19 epidemic process caused them to regret their career choice was. The COVID-19 has increased to the stress level of nursing students. The students did not cope with this stress effectively and their thoughts on future professional life affected in negatively.
References
- 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
- Barton, A. J., Murray, T. A., & Spurlock, D. R. (2020). An open letter to members of the nursing education community. In Journal of Nursing Education 59(4), 183. https://doi.org/10.3928/01484834-20200323-01
- Brooks, S. K., Dunn, R., Amlôt, R., Rubin, G. J., & Greenberg, N. (2018). A Systematic, Thematic Review of Social and Occupational Factors Associated with Psychological Outcomes in Healthcare Employees during an Infectious Disease Outbreak. Journal of Occupational and Environmental Medicine, 60(3), 248–257. https://doi.org/10.1097/JOM.0000000000001235
- Bublitz, S., Guido, L. de A., Lopes, L. F. D., & Freitas, E. de O. (2016). Associação entre estresse e características sociodemográficas e acadêmicas de estudantes de enfermagem. Texto e Contexto Enfermagem, 25(4), 1–7. https://doi.org/10.1590/0104-07072016002440015
- Cohen, A. K., Hoyt, L. T., & Dull, B. (2020). A Descriptive Study of COVID-19–Related Experiences and Perspectives of a National Sample of College Students in Spring 2020. Journal of Adolescent Health, 67(3), 369–375. https://doi.org/10.1016/j.jadohealth.2020.06.009
- Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404
- de Los Santos, J. A. A., Labrague, L. J., & Falguera, C. C. (2022). Fear of COVID‐19, poor quality of sleep, irritability, and intention to quit school among nursing students: A cross‐sectional study. Perspectives in Psychiatric Care, 58(1), 71–78. https://doi.org/10.1111/PPC.12781
- Eastin, C., & Eastin, T. (2020). Clinical Characteristics of Coronavirus Disease 2019 in China. The Journal of Emergency Medicine, 58(4), 711–712. https://doi.org/10.1016/j.jemermed.2020.04.004
- Eskin, M., Harlak, H., Demirkiran, F., & Dereboy, Ç. (2013). The adaptation of the perceived stress scale into Turkish: A reliability and validity analysis. Yeni Symposium, 51(3).
- Fitzgerald, A., & Konrad, S. (2021). Transition in learning during COVID-19: Student nurse anxiety, stress, and resource support. Nursing Forum, 56(2). https://doi.org/10.1111/nuf.12547
- Gössling, S., Scott, D., & Hall, C. M. (2020). Pandemics, tourism and global change: a rapid assessment of COVID-19. Journal of Sustainable Tourism, 1–20. https://doi.org/10.1080/09669582.2020.1758708
- Hamaideh, S. H., Al-Modallal, H., Tanash, M., & Hamdan-Mansour3, A. (2022). Depression, anxiety and stress among undergraduate students during COVID-19 outbreak and “home-quarantine.” Nursing Open, 9(2), 1423–1431. https://doi.org/10.1002/NOP2.918
- Huang, L., Lei, W., Xu, F., Liu, H., & Yu, L. (2020). Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PLoS ONE, 15(8 August). https://doi.org/10.1371/JOURNAL.PONE.0237303
- ICN & Nursing. (2019). International Council of Nurses and Nursing Now welcome 2020 as International Year of the Nurse and Midwife. https://www.icn.ch/news/international-council-nurses-and-nursing-now-welcome-2020-international-year-nurse-and-midwife
- Jenkins, E. K., Slemon, A., O’Flynn-Magee, K., & Mahy, J. (2019). Exploring the implications of a self-care assignment to foster undergraduate nursing student mental health: Findings from a survey research study. Nurse Education Today, 81, 13–18. https://doi.org/10.1016/J.NEDT.2019.06.009
- Kaya, Y., & Akın Işık, R. (2021). The Contribution and Challenges of the Implemented Compulsory Distance Education System to Nursing Education in the First Period of the COVID-19 Pandemic: A Qualitative Study. Journal of Education and Research in Nursing, 18(Supp1), S76–S84. https://doi.org/10.5152/jern.2021.67365
- King, K. A., Vidourek, R. A., Merianos, A. L., & Singh, M. (2014). A study of stress , social support , and perceived happiness among college students Üniversite öğrencileri arasında stres , sosyal destek ve algılanan mutluluk üzerine bir. The Journal of Happiness & Well-Being, 2(2), 132–144.
- Labrague, L. J., Alexis, J., De Los Santos, A., & Falguera, C. (2021). Social and emotional loneliness among college students during the COVID-19 pandemic: the predictive role of coping behaviours, social support, and personal. https://doi.org/10.21203/rs.3.rs-93878/v2
- Labrague, L. J., McEnroe-Petitte, D. M., de Los Santos, J. A. A., & Edet, O. B. (2018). Examining stress perceptions and coping strategies among Saudi nursing students: A systematic review. In Nurse Education Today (Vol. 65, pp. 192–200). https://doi.org/10.1016/j.nedt.2018.03.012
- Lazarus, R., & Folkman, S. (1984). Stress, appraisal, and coping. https://www.google.com/books?hl=tr&lr=&id=i-ySQQuUpr8C&oi=fnd&pg=PR5&dq=Stress,+Appraisal+and+Coping&ots=DgHSisilUg&sig=0kB43P5lKnc4lR_KelNnuckhmMQ
- Lee, J. (2020). Mental health effects of school closures during COVID-19. The Lancet Child and Adolescent Health, 4(6), 421. https://doi.org/10.1016/S2352-4642(20)30109-7
- Lovrić, R., Farčić, N., Mikšić, Š., & Včev, A. (2020). Studying During the COVID-19 Pandemic: A Qualitative Inductive Content Analysis of Nursing Students’ Perceptions and Experiences. Education Sciences 2020, Vol. 10, Page 188, 10(7), 188. https://doi.org/10.3390/EDUCSCI10070188
- Martínez-Lorca, M., Martínez-Lorca, A., Criado-Álvarez, J. J., Armesilla, M. D. C., & Latorre, J. M. (2020). The fear of COVID-19 scale: Validation in spanish university students. In Psychiatry Research (Vol. 293). https://doi.org/10.1016/j.psychres.2020.113350
- Mashaal, D., Rababa, M., & Shahrour, G. (2020). Distance learning-related stress among undergraduate nursing students during the covid-19 pandemic. Journal of Nursing Education, 59(12), 666–674. https://doi.org/10.3928/01484834-20201118-03
- Nie, S., Sun, C., Wang, L., & Wang, X. (2021). The Professional Identity of Nursing Students and Their Intention to Leave the Nursing Profession During the Coronavirus Disease (COVID-19) Pandemic. The Journal of Nursing Research : JNR, 29(2), e139. https://doi.org/10.1097/jnr.0000000000000424
- Öz, F., & Bahadır Yılmaz, E. (2009). A Significant Concept in Protecting Mental Health: Resilience. Hacettepe University Faculty of Health Sciences Nursing Journal, 16(3), 82–89.
- Özdemir, G., & Kaya, H. (2013). Midwifery and Nursing Students’ Communication Skills and Life Orientation: Correlation with Stress Coping Approaches. Nursing and Midwifery Studies, 1(4), 198–205. https://doi.org/10.5812/nms.10281
- Pan, P. J. D., Chang, S. H., & Yu, Y. Y. (2005). A support group for home-quarantined college students exposed to SARS: Learning from practice. Journal for Specialists in Group Work, 30(4), 363–374. https://doi.org/10.1080/01933920500186951
- Pender, N. J., Barkauskas, V. H., Hayman, L., Rice, V. H., & Anderson, E. T. (1992). Health promotion and disease prevention: toward excellence in nursing practice and education. Nursing Outlook, 40(3), 106–112; 120.
- Reyes, A. T., Andrusyszyn, M. A., Iwasiw, C., Forchuk, C., & Babenko-Mould, Y. (2015). Nursing students’ understanding and enactment of resilience: a grounded theory study. Journal of Advanced Nursing, 71(11), 2622–2633. https://doi.org/10.1111/JAN.12730
- Şahin G., & Buzlu S. (2017). The mediating role of perceived stress on relationship of resilience with self efficacy social support and the effective coping skills in nursing students. Journal of Anatolia Nursing and Health Sciences, 20(2), 2–15. https://dergipark.org.tr/en/pub/ataunihem/issue/31359/342626
- Şahin, N. H., & Durak, A. (1995). A brief coping styles inventory for university students. Turkish Journal of Psychology, 10(34), 56–73.
https://www.psikolog.org.tr/tr/yayinlar/dergiler/1031828/tpd1300443319950000m000291.pdf
- Savitsky, B., Findling, Y., Ereli, A., & Hendel, T. (2020). Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Education in Practice, 46, 102809. https://doi.org/10.1016/J.NEPR.2020.102809
- Sun, Y., Wang, D., Han, Z., Gao, J., Zhu, S., & Zhang, H. (2020). Disease prevention knowledge, anxiety, and professional identity during covid-19 pandemic in nursing students in zhengzhou, china. Journal of Korean Academy of Nursing, 50(4), 533–540. https://doi.org/10.4040/jkan.20125
- Sveinsdóttir, H., Flygenring, B. G., Svavarsdóttir, M. H., Thorsteinsson, H. S., Kristófersson, G. K., Bernharðsdóttir, J., & Svavarsdóttir, E. K. (2021). Predictors of university nursing students burnout at the time of the COVID-19 pandemic: A cross-sectional study. Nurse Education Today, 106. https://doi.org/10.1016/J.NEDT.2021.105070
- Swift, A., Banks, L., Baleswaran, A., Cooke, N., Little, C., McGrath, L., Meechan-Rogers, R., Neve, A., Rees, H.,Tomlinson, A., & Williams, G. (2020). COVID‐19 and student nurses: A view from England. Journal of Clinical Nursing, 29(17–18), 3111–3114. https://doi.org/10.1111/JOCN.15298
- Tercan, B. (2020). Biyolojik Afetler ve COVID-19. Paramedik ve Acil Sağlık Hizmetleri Dergisi, 1 (1), 41-50.
- Wallace, S., Schuler, M. S., Kaulback, M., Hunt, K., & Baker, M. (2021). Nursing student experiences of remote learning during the COVID-19 pandemic. Nursing Forum, 56(3), 612–618. https://doi.org/10.1111/NUF.12568
World Health Organization. (2020). Archived: WHO Timeline- COVID-19. Wold Health Organization, June, 2020. https://www.who.int/news-room/detail/08-04-2020-who-timeline---COVID-19
- Worthington, M., Salamonson, Y., Weaver, R., & Cleary, M. (2013). Predictive validity of the Macleod Clark Professional Identity Scale for undergraduate nursing students. Nurse Education Today, 33(3), 187–191. https://doi.org/10.1016/J.NEDT.2012.01.012