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:: Volume 11, Issue 2 (May-June 2018) ::
Educ Strategy Med Sci 2018, 11(2): 48-56 Back to browse issues page
The Rate and Resources of Stress in Clinical Education and its Relationship with Some Characteristics of Students, Instructors and Clinical Environment
Behrooz Rezaei Dr 1, Raziyeh Beheshtizadeh Mis2, Juliana Falahati Miss3
1- Department of Health Services Management, Nursing & Midwifery School, Falavarjan Branch, Islamic Azad University, Isfahan, Iran , beh.rezaei@gmail.com
2- Department of Psychology, Isfahan Health Center, Isfahan University of Medical Sciences, Isfahan, Iran
3- Department of Midwifery, Nursing and Midwifery School, Falavarjan Branch, Islamic Azad University, Isfahan, Iran
Abstract:   (1086 Views)
Introduction: Nursing students experience multiple stressors in their clinical education which can reduce their clinical learning and performance. The purpose of this study was to measure stress and stressful resources in nursing students and its relation with some characteristics of students, instructors and clinical environment
Methods: In a descriptive and cross-sectional study, a sample of 256 subjects was selected by stratified random sampling among nursing students of Islamic Azad University, Falavarjan Branch in 2016. The instrument of this study consist three questionnaires including individual information, Cohen perceived stress scale and stressful sources of clinical education questionnaire. Data were analyzed by independent t-test, ANOVA and Pearson correlation coefficient tests at a significant level of 0.05, using SPSS/21 software.
Results: The majority of students (96.1%) reported moderate and high levels of stress. Age of students had a significant positive correlation with stress level (P = 0.037). The most and least stressful sources, respectively, relate to areas of unpleasant feelings and interpersonal communication. Most stressors were related to "distressing sick patients", "cleaning the patient after stool deification", " instructor note in the presence of doctors and personnel" and "communicating with the instructor" respectively. The scores of stress-related sources had a significant negative correlation with the clinical work experience (P = 0.014) and the age of instructors (P = 0.029).
Conclusions: High levels of stress can reduce the students learning and quality of clinical education. Therefore, providing stress management training courses, especially during the internship course for the students and communication skills courses for the clinical instructors are recommended.
Keywords: Clinical Education, Stress, Nursing Education, Nursing Students, Perceived Stressors
Full-Text [PDF 959 kb]   (264 Downloads)    
Article Type: Original Research | Subject: Health
Received: 2017/10/31 | Accepted: 2017/12/20 | Published: 2018/05/12
1. Mohammadinia N, Rezaei M, Heydarikhayat N, Sharifipoor H, Darban F. [Assessing stressors and coping styles in medical sciences students]. Q J Nurs Manage. 2012;1(1).
2. Orujlu S, Hemmati Maslak Pak M, Ghavipanjeh S. [Sources of Nursing Clinical Education Stressors and Students' Coping Styles against Them]. Educ Strategy Med Sci. 2015;8(5):287-94.
3. Abbasi M, Dargahi S, Mehrabi A. [The role of student stressors in predicting procrastination and academic burnout among nursing students]. Iranian J Med Educ. 2015;15:293-303.
4. Dehghani H, Farmanbar R, Pakseresht S, Kazem Nezhad Leili E. [Effect of regular exercise on methods of problem centered stress coping mechanism]. J Holist Nurs Midwifery. 2012;22(2):33-9.
5. Mohammadpoory Z, Hosseini MA, Abbasi A, Biglarian A, Khankeh H. [The Effect of Mentorship on Stress of Nursing Students]. J Nurs Educ. 2017;6(3):31-6. [DOI:10.21859/jne-06035]
6. Rezaei B. [Quality of clinical education (A case study in the viewpoints of nursing and midwifery students in Islamic Azad University, Falavarjan Branch)]. Educ Strategy Med Sci. 2016;9(2):106-17.
7. Hemmati Maslakpak M, Bagherieh F, Khalkhali H. [The Effect of Peer Mentoring Program on Nursing Students' Stressors in Clinical Environment]. Iranian J Med Educ. 2013;13(4):280-90.
8. Saki M, Asti P, Jariani M, Gholami M. The study of stressful factors in clinical education for nursing students studying in Nursing and Midwifery college in KhorramAbad. J Urmia Nurs Midwifery Fac. 2012;10(2):219-25.
9. Najafi Doulatabad S, Mohamadhosaini S, Ghafarian Shirazi HR, Mohebbi Z. Nursing students in Iran identify the clinical environment stressors. Int J Nurs Pract. 2015;21(3):297-302. [DOI:10.1111/ijn.12276] [PMID]
10. Amr A, El-Gilany AH, El-Moafee H, Salama L, Jimenez C. Stress among Mansoura (Egypt) baccalaureate nursing students. Pan Afr Med J. 2011;8:26. [DOI:10.4314/pamj.v8i1.71083] [PMID] [PMCID]
11. Blomberg K, Bisholt B, Kullen Engstrom A, Ohlsson U, Sundler Johansson A, Gustafsson M. Swedish nursing students' experience of stress during clinical practice in relation to clinical setting characteristics and the organisation of the clinical education. J Clin Nurs. 2014;23(15-16):2264-71. [DOI:10.1111/jocn.12506] [PMID]
12. Deasy C, Coughlan B, Pironom J, Jourdan D, Mannix-McNamara P. Predictors of health of pre-registration nursing and midwifery students: Findings from a cross-sectional survey. Nurse Educ Today. 2016;36:427-33. [DOI:10.1016/j.nedt.2015.09.010] [PMID]
13. Khater W, Akhu-Zaheya L, Shaban I. Sources of stress and coping behaviours in clinical practice among baccalaureate nursing students. Int J Hum Soc Sci. 2014;4(6):194-202.
14. Pourafzal F, Seyedfatemi N, Inanloo M, Haghani H. [Relationship between Perceived Stress with Resilience among Undergraduate Nursing Students]. Hayat. 2013;19(1):41-52.
15. Abazary F, Abbaszadeh A, Arab M. [A study on level and sources of stress in nursing students]. Strides Dev Med Educ. 2004;1(1):23-31.
16. Parvan K, Ebrahimi H, Ghoja Zadeh M, Hoseinpour A. Studying Nursing Students' Tension and Its Relationship to Perception of Nurse Educators' Effectiveness in Clinical Setting–Tabriz University of Medical Sciences, 2010. Future Med Educ J. 2015;5(2):26-32.
17. Ziaee S. [Relationship of Clinical Instruction Stress with Life Events Stress, Self-Efficiency, Social Support, Stress Coping Strategies and Academic Performance in Midwifery Students]. Educ Strategy Med Sci. 2014;7(4):249-56.
18. Rasuli D, Zareie F, Safaei Z, Smaeilhajinejad M, Rokhafrooz D. [Survey of students 'expectations of instructor and perceived stressors during clinical and theoretical education at Urmia nursing and midwifery faculty in 2013]. Educ Dev Jundishapur. 2015;6(2):165-75.
19. Haresabadi M, Tabatabaeichehr M, Rezaeian SM, Mehrabi Bardar M, Khakshor fariman S. Stress sources and its related factors in clinical training of midwifery students in North Khorasan University of Medical Sciences in 2011. J North Khorasan Univ Med Sci. 2014;5(5):969-76. [DOI:10.29252/jnkums.5.5.S5.969]
20. Moridi G, Valiee S, Khaledi S, Fathi M, Shafiean M, Gharibi F. [Clinical Education Stressors from the Perspective of Students of Nursing, Midwifery, and Operating Room: A Study in Kurdistan University of Medical Sciences]. Iranian J Med Educ. 2012;11(7):675-84.
21. Nazari R, Beheshti Z, Arzani A, Haji Hosseini F, Saat Saz S, Bizhani A. [Stressor agents in clinical education of nursing students in Amol nursing and midwifery faculty]. J Babol Univ Med Sci. 2007;9(2):45-50.
22. Akhu-Zaheya L, Shaban I, Khater W. Nursing students' perceived stress and influences in clinical performance. Int J Adv Nurs Stud. 2015;4(2):44. [DOI:10.14419/ijans.v4i2.4311]
23. Moreira DP, Furegato ARF. Stress and depression among students of the last semester in two nursing courses. Rev Latino Am Enfermagem. 2013;21(spe):155-62.
24. Jimenez C, Navia-Osorio PM, Diaz CV. Stress and health in novice and experienced nursing students. J Adv Nurs. 2010;66(2):442-55. [DOI:10.1111/j.1365-2648.2009.05183.x] [PMID]
25. Graham MM, Lindo J, Bryan VD, Weaver S. Factors Associated With Stress Among Second Year Student Nurses During Clinical Training in Jamaica. J Profes Nurs. 2016;32(5):383-91. [DOI:10.1016/j.profnurs.2016.01.004] [PMID]
26. Eswi AS, Radi S, Youssri H. Stress/stressors as perceived by baccalaureate Saudi nursing students. Middle-East J Sci Res. 2013;14(2):193-202.
27. Lee Y. The relationship of spiritual well-being and involvement with depression and perceived stress in Korean nursing students. Glob J Health Sci. 2014;6(4):169-76. [DOI:10.5539/gjhs.v6n4p169] [PMID] [PMCID]
28. Yildiz Findik U, Ozbas A, Cavdar I, Yildizeli Topcu S, Onler E. Assessment of nursing students' stress levels and coping strategies in operating room practice. Nurse Educ Pract. 2015;15(3):192-5. [DOI:10.1016/j.nepr.2014.11.008] [PMID]
29. Ratanasiripong P, Park JF, Ratanasiripong N, Kathalae D. Stress and Anxiety Management in Nursing Students: Biofeedback and Mindfulness Meditation. J Nurs Educ. 2015;54(9):520-4. [DOI:10.3928/01484834-20150814-07] [PMID]
30. Moridi G, Khaledi S, Valiee S. Clinical training stress-inducing factors from the students' viewpoint: a questionnaire-based study. Nurse Educ Pract. 2014;14(2):160-3. [DOI:10.1016/j.nepr.2013.08.001] [PMID]
31. Shafie F, Holakouie M, Abdoli F, Shafie M. Clinical education stressors from views of nursing students in Rafsanjan nursing and midwifery school. J Commun Health. 2013;7(1):28-34.
32. Sercekus P, Baskale H. Nursing students' perceptions about clinical learning environment in Turkey. Nurse Educ Pract. 2016;17:134-8. [DOI:10.1016/j.nepr.2015.12.008] [PMID]
33. Tahery N, Kaiali M, Yaghoobi M, Koleini Z. [The stressors of clinical training in nursing students-Abadan nursing faculty (2009)]. Mod Care J. 2011;8(3):159-65.
34. Foster DA. [The effects of mindfulness training on perceived level of stress and performance-related attributes in baccalaureate nursing students] [Doctoral dissertation]: Regent University; 2017
35. Smith GD, Yang F. Stress, resilience and psychological well-being in Chinese undergraduate nursing students. Nurse Educ Today. 2017;49:90-5. [DOI:10.1016/j.nedt.2016.10.004] [PMID]
36. Al-Gamal E, Alhosain A, Alsunaye K. Stress and coping strategies among Saudi nursing students during clinical education. Perspect Psychiatr Care. 2018;54(2):198-205. [DOI:10.1111/ppc.12223] [PMID]
37. Bagcivan G, Cinar FI, Tosun N, Korkmaz R. Determination of nursing students' expectations for faculty members and the perceived stressors during their education. Contemp Nurse. 2015;50(1):58-71. [DOI:10.1080/10376178.2015.1010259] [PMID]
38. Madhavanpraphakaran GK, Shukri RK, Balachandran S. Preceptors' perceptions of clinical nursing education. J Contin Educ Nurs. 2014;45(1):28-34. [DOI:10.3928/00220124-20131223-04] [PMID]
39. Ross JG, Carney H. The Effect of Formative Capstone Simulation Scenarios on Novice Nursing Students' Anxiety and Self-Confidence Related to Initial Clinical Practicum. Clin Simul Nurs. 2017;13(3):116-20. [DOI:10.1016/j.ecns.2016.11.001]
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Rezaei B, Beheshtizadeh R, Falahati J. The Rate and Resources of Stress in Clinical Education and its Relationship with Some Characteristics of Students, Instructors and Clinical Environment. Educ Strategy Med Sci. 2018; 11 (2) :48-56
URL: http://edcbmj.ir/article-1-1378-en.html

Volume 11, Issue 2 (May-June 2018) Back to browse issues page
دوماهنامه علمی- پژوهشی راهبــردهای آموزش در علوم پزشکی Education Strategies in Medical Sciences
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