<p>Perceived Stress Among Iranian Nursing Students in a Clinical Learning Environment: A Cross-Sectional Study</p>

Abstract

Background Nursing students experience a high level of stress in clinical settings. This study aimed to investigate the stress perceived by Iranian nursing students in the clinical learning environment and its relationship with the characteristics of students. Methods In this cross-sectional study, 430 nursing students who had passed at least 1 clinical training unit were recruited from universities in the Southeast of Iran using the census method. Data were collected by administering a demographic and researcher-made questionnaire to assess the perceived clinical stress. Demographic characteristics included age, sex, marital status, year of study, interest in the field, and previous semester average. Data were analyzed using independent t -test, ANOVA, and correlation coefficient test (α < 0.05). Results The mean score of overall stress experienced by the participants was 92.08±16.8 (out of 160), which was at a moderate level. Based on the study results, the most stress-inducing factors for students were instructors’ limited clinical competence and instructors’ inappropriate conduct. Gender (p = 0.01), fathers’ education (p = 0.01), mothers’ education (p = 0.01), interest in the field (p = 0.01), and year of study (p = 0.01) had a significant effect on the mean score of perceived clinical stress. Conclusion The results of this study showed a moderate level of stress among the students. Also, instructors’ limited clinical competence and inappropriate conduct were 2 factors that caused the highest perceived stress among nursing students more than other factors.

Stress and coping styles among nursing students during the initial period of the clinical practicum: A cross-section study

“…Nursing students with a greater sense of professional identity may have stronger motivations to learn and adapt to the clinical environment more quickly, so their stress levels during the clinical practicum are lower [ 32 ]. Moreover, it has been found that students who choose the nursing profession voluntarily have higher self-confidence, optimism, and a higher sense of professional gain and require less social support [ 35 , 36 ]. Therefore, they experienced lower stress levels than nursing students who did not voluntarily choose the nursing profession.…”

Prevalence of stress among nursing students: A protocol for systematic review and meta-analysis

“…Eighty-five complete pieces were eliminated from these, such as unable to obtain the complete text, duplicate content or incomplete data, inconsistent research object and content, and noncross-sectional research type. Finally, 27 studies [16–42] met the inclusion criteria in Figure 2.…”

“…There were 17 high stress level studies. [17–26,28,30,32,34,36,41,42] Meta analysis of random-effects model showed that the prevalence of low, medium and high level of stress before 2010 were 0.22% [0.22 to 0.22], 0.42% [0.42 to 0.42], 0.02% [0.02 to 0.02], respectively. After 2010, the prevalence of low, medium and high level of stress were 0.25 [0.25 to 0.25], 0.35 [0.35 to 0.35], 0.15 [0.15 to 0.15] respectively.…”

Validity and reliability of the Turkish version of Stressors in Nursing Students Scale

“…The nursing staff in a clinical environment and teaching staff found to trigger stress among nursing students as well (Waled & Badria, 2019). Limited clinical competence of teaching staff and inappropriate conduct of instructors have a great influence on stress in nursing students (Rafati et al, 2020). Thus, it should be considered that stress caused by educators can end up with negative learning experiences and a lack of motivation among students (Aşçı et al, 2015).…”