Academic and clinical stress, stress resources and ways of coping among Turkish first-year nursing students in their first clinical practice

Abstract

Nursing students face both physical and psychosocial risks such as job stress at work during the training period. The aim of the study was to determine the academic and clinical stress, and the ways first-year nursing students cope in their first clinical practice. Methods: A descriptive, cross-sectional design was used. This study was carried out in the nursing department of Giresun University in Giresun, Turkey. The sampling consisted of 109 nursing students who agreed to participate in this study in the 2014-2015 academic spring term. A Personal Information Form, Ways of Coping Inventory (WCI) and Nursing Education Stress Scale (NESS) were used for gathering data. Results: Students generally had moderate levels of academic and clinical stress. Among the academic stressors, the highest frequencies were given to the preparing for the exam (67.9%). Among the clinical stressors, the highest frequencies were given to being criticized by teachers in clinical environments (56.0%), followed by encountering a dying patient (52.3%) and the fear of making practice errors (51.4%). While students mostly used self-confident and optimistic approaches, the social support seeking approach was employed less. The nursing education stress level varied in students according to gender (p < 0.05). Conclusion: In summary, the academic and clinical practice stress levels of nursing students were moderate in the first clinical practice. Therefore, it is suggested that a mentoring programme should be used to manage and regulate their academic and clinical practice stress level and to increase their positive coping strategies in nursing schools.

Gambaran Stress Akademik dan Strategi Koping Pada Mahasiswa Keperawatan

“…Menurut Yang and Smith (2016) salah satu yang menjadi masalah akademik adalah ketakutan kegagalan, lingkungan yang kompetitif dan beban yang berat. Sumber stres pada bidang akademik adalah banyaknya tugas yang harus dikerjakan, kurikulum dengan beban yang tinggi, persaingan antar teman untuk mendapatkan nilai yang tinggi dan banyaknya bahan materi yang harus dipelajari dan dikuasai oleh mahasiswa perawat (Bahadir, 2016;Zhang et al, 2017).…”

“…Karakteristik individu merupakan masalah personal yang berkontribusi terhadap stres akademik. Karakteristik individu terdiri dari jenis kelamin, kondisi psikologis, ketahanan atau kekuatan diri, tingkat spiritual serta kecerdasan emosional dan ketahanan (Bahadir, 2016). Mahasiswa yang mampu beradaptasi terhadap lingkungan yang baru yaitu klinik akan bisa menyesuaikan diri dan bertahan terhadap lingkungan klinik.…”

“…Menurut Wolf et al (2015) praktek klinik merupakan sumber stres utama pada mahasiswa keperawatan. Mahasiswa keperawatan yang praktek klinik tidak hanya stres karena hubungan interpersonal dengan pembimbing klinik dan staf namun mahasiswa juga stres karena kurangnya pengetahuan yang dimiliki, ketrampilan klinis yang tidak aman, merawat pasien yang sekarat, takut gagal, penempatan klinik, kurangnya kompetensi klinik, ketakutan membuat kesalahan, konflik interpersonal dengan pasien, staf dan beberapa relasi lain yang ada di lingkungan praktek, perbedaan antara teori dengan praktek serta kurangnya supervisi klinik (Gibbons, 2010;Wolf et al, 2015;Turner and Mccarthy, 2016;Yang and Smith, 2016;Bahadir, 2016).…”

Relationship between depression, anxiety, cognitive distortions, and psychological well‐being among nursing students

“…1 These academic and clinical stressors can be triggered by examination preparation, course workload, paying course fees, not meeting personal needs, heavy workload, taking care of patients, being criticized by teachers, encountering a dying patient, the fear of making practice errors and experiencing bullying and discrimination in clinical settings. [1][2][3][4] It has been demonstrated that nursing students use a variety of both adaptive and maladaptive coping strategies to manage these academic and clinical problems. 5 Particularly in relation to stress and coping, the psychological well-being of nursing students is an important focus of nurse education research.…”

Based on Work Value to Discuss the Effect of College Students’ Corporate Internship on the Employability

“…better time management, communication skills, better self-training, high activeness, and comprehensive selfconcept, and better promote the employability after the graduation. Yilmaz (2016) indicated that a student with internship could faster fi nd a job, after the graduation, than those without internship; students could acquire working experience in real world to further enhance the employability. In this case, the following hypothesis is proposed in this study.…”