Nursing education and stress

Abstract

It is necessary to provide a nursing education that includes sufficient theoretical and practical education in order to respond to the health problems and needs of the society and to train nurses who are open to learning and are aware of their social responsibility. During their nursing education, students may face various interpersonal and environmental stressors that affect their learning and performance. Students experience different levels of anxiety and stress during their nursing education. Nursing students' fear of failing exams and problems caused by the professor, team conflicts in the clinical environment, difficulties experienced during patient care, pain and suffering of patients, lack of knowledge, inability to cope in emergency situations, the attitude of clinical staff to the student, theoretical training in the clinic Problems such as incompatibility are cited as a source of stress. Students can give physiological, emotional and behavioral reactions due to the stress they experience. Stress in the nursing education process can negatively affect students' learning and performance. Individuals use different methods of coping with stress, depending on their individual characteristics. Effective use of methods of coping with stress contributes to the successful coping of stressful situations that individuals encounter in their life. This review was conducted in order to draw attention to the stress experienced by students during their nursing education and the approaches to control this stress.

Keywords

• nursing education
• stress
• coping with stress Introduction

References

1. Kaya H, Ulupınar S, Şenyuva E, Bodur G, Küçük N. Hemşi̇reli̇kte Eği̇ti̇m Süreci̇. İstanbul Üniversitesi Açık ve Uzaktan Eğitim Fakültesi Ders Notu. Available at: http://auzef kitap.istanbul.edu.tr/kitap/hemsirelik_ao/hemsirelikteegitimsureci.pdf. Accessed February 10, 2021.
2. Karaca A, Yıldırım N, Ankaralı H, Açıkgöz F, Akkuş D. Perceived level of clinical stress, stress responses and coping behaviors among nursing students. J Psy Nurs. 2017;8(1):32-9. doi: 10.14744/phd.2017.22590.
3. Van Hoek G, Portzky M, Franck E. The influence of sociodemographic factors, resilience and stress reducing activities on academic outcomes of undergraduate nursing students: A cross-sectional research study. Nurse Educ Today. 2019 Jan;72:90-6. doi: 10.1016/j.nedt.2018.10.013.
4. Çapık C, Durmaz H, Öztürk M. Nursing students’ styles of coping with stress and factors that affect them: The case of Nicosia. Journal of Anatolia Nursing and Health Sciences. 2017;20(3):208-16 (in Turkish). Turk J Int Med 2021 Karacan & Yildiz
5. Reeve KL, Shumaker CJ, Yearwood EL, Crowell NA, Riley JB. Perceived stress and social support in undergraduate nursing students’ educational experiences. Nurse Educ Today. 2013 Apr;33(4):419-24. doi: 10.1016/j.nedt.2012.11.009.
6. Alkan SA, Özdelikara A, Boğa NM. Determination of nursing students’ health perception. GümüĢhane University Journal of Health Sciences. 2017;6(2):11-21 (in Turkish).
7. Abdollahi A, Abu Talib M, Yaacob SN, Ismail Z. Hardiness as a mediator between perceived stress and happiness in nurses. J Psychiatr Ment Health Nurs. 2014;21(9):789-96. doi: 10.1111/jpm.12142.
8. Akdogan B, Yalcın B. The prediction of subjective well-being by psychological resilience and conflict resolution behavior in high school students. Mehmet Akif Ersoy Üniversitesi Eğitim Fakültesi Dergisi. 2018;46:174-97 (in Turkish).

9. Jackson D, Hutchinson M, Everett B, Mannix J, Peters K, Weaver R, Salamonson Y. Struggling for legitimacy: nursing students’ stories of organizational aggression, resilience, and resistance. Nurs Inq. 2011 Jun;18(2):102-10. doi: 10.1111/j.1440-1800.2011.00536.x.
10. Smith GD, Yang F. Stress, resilience and psychological wellbeing in Chinese undergraduate nursing students. Nurse Educ Today. 2017 Feb;49:90-5. doi: 10.1016/j.nedt.2016.10.004.
11. McMullin NN. Exploring resiliency during the nursing student clinical experience. The Organizational Improvement Plan at Western University, 150. 27 May 2020. Available at: https://ir.lib.uwo.ca/oip/150/. Published 2020. Accessed February 12, 2021.
12. Taylor H, Reyes H. Self-efficacy and resilience in baccalaureate nursing students. Int J Nurs Educ Scholarsh. 2012 Feb 17;9:Article 2. doi: 10.1515/1548-923X.2218.
13. Turgut N. Psychological resilience academic achievement, and self-efficacy levels in nursing student. 2018. http://docs.neu.edu.tr/library/6689569321.pdf.
14. Timmins F, Kaliszer M. Aspects of nurse education programmes that frequently cause stress to nursing students - fact-finding sample survey. Nurse Educ Today. 2002 Apr;22(3):203-11. doi: 10.1054/nedt.2001.0698.
15. Çam O, Büyükbayram A. Nurses’ resilience and effective factors. Journal of Psychiatric Nursing. 2017;8(2):118-26. doi:10.14744/phd.2017.75436.
16. Kaygısız F, Traş Z. A review on adolescents’ resilience in terms of submissive behaviors and self-compassion. Research on Education and Psychology (REP). 2019;3(2):127-41.
17. Gizir CA. Psikolojik sağlamlık, ri̇sk faktörleri̇ ve koruyucu faktörler üzeri̇ne bi̇r derleme çalışması. Türk Psikolojik Danışma ve Rehberlik Dergisi. 2006;3(28):113-28 (in Turkish).
18. Gomathi S, Jasmindebora S, Baba V. Impact of stress on nursing students. IJIRAS. 2017;4(4):107-10.
19. He FX, Turnbull B, Kirshbaum MN, Phillips B, Klainin-Yobas P. Assessing stress, protective factors and psychological wellbeing among undergraduate nursing students. Nurse Educ Today. 2018 Sep;68:4-12. doi: 10.1016/j.nedt.2018.05.013.
20. Silva S, Frag S. Qualitative research in epidemiology. Epidemiology - Current Perspectives on Research and Practice. 2012;4:63-84. doi: 10.5772/32986.
21. Ekinci M, Sahin Altun O, Can G. Examination of the coping style with stress and the assertiveness of the nursing students in terms of some variables. Journal of Psychiatric Nursing. 2013;4(2):67-74. doi: 10.5505/phd.2013.85856.
22. Akkaya G, Babacan Gümüş A, Akkuş Y. Determining the factors affecting the education stress of nursing students. Journal of Education and Research in Nursing. 2018;15(4):202-8. doi: 10.5222/head.2018.202.
23. Canadian Association of Schools of Nursing. Practice Domain for Baccalaureate Nursing Education: Guidelines for Clinical Placements and Simulation. 2015:1-15. Available at: https://www.casn.ca/wp-content/uploads/2015/11/Draftclinical-sim-2015.pdf. Accessed February 8, 2021.
24. Durham CF, Alden KR. Enhancing patient safety in nursing education through patient simulation. In: Hughes RG, ed. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 51. Available at: https://www.ncbi.nlm.nih.gov/books/NBK2628/. Accessed September 10, 2021.
25. Grealish L, van de Mortel T, Brown C, Frommolt V, Grafton E, Havell M, Needham J, Shaw J, Henderson A, Armit L. Redesigning clinical education for nursing students and newly qualified nurses: A quality improvement study. Nurse Educ Pract. 2018 Nov;33:84-9. doi: 10.1016/j.nepr.2018.09.005.