Perceptions of Clinical Stress in Baccalaureate Nursing Students
-
Linda Wallace
,
Mary P. Bourke
Abstract
The Nursing Students’ Clinical Stress Scale, a Likert-type survey by Whang (2002), translated from Korean into English, was used to identify perceptions of stress in baccalaureate nursing students. Data was collected from a convenience sample of baccalaureate nursing students at a Midwestern university. Students ranked their perceived stress level from clinical situations. One open-ended item asked students to describe their most stressful clinical experience. Rasch Model analysis/diagnostics were used to check the instrument for validity and reliability. Quantitative data were analyzed for descriptive statistics (means). Information from open-ended question was analyzed for themes. Qualitative themes were consistent with results from quantitative analysis and well-aligned with the literature. Students were stressed by incivility by healthcare staff and instructors, inconsistencies and time constraints. Research shows that stress can interfere with learning. It is imperative to determine causes of stress so educators can help decrease stress and improve student learning.
References
Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. San Francisco: Jossey-Bass.Search in Google Scholar
Berg, C., & Lindseth, G. (2004). Students’ perspectives of effective and ineffective nursing instructors. Journal of Nursing Education, 43(12), 565–568.10.3928/01484834-20041201-05Search in Google Scholar PubMed
Bourke, M. P., Wallace, L., Tormoehlen, L., & Poe-Greskamp, M. (2015). Improving objective measurement in nursing research: Rasch model analysis and diagnostics of the nursing students’ clinical stress scale. Journal of Nursing Measurement, 23(1). Article 14.10.1891/1061-3749.23.1.E1Search in Google Scholar PubMed
Clark, C. M. (2008). Student voices on faculty incivility in nursing education: A conceptual model. Nursing Education Perspectives, 29(5), 284–289.Search in Google Scholar
Edwards, D., Burnard, P., Bennett, K., & Hebden, U. (2010). A longitudinal study of stress and self-esteem in student nurses. Nurse Education Today, 30(1), 78–84.10.1016/j.nedt.2009.06.008Search in Google Scholar PubMed
Hegge, M., & Larson, V. (2008). Stressors and coping strategies of students in accelerated baccalaureate nursing programs. Nurse Educator, 33(1), 26–30.10.1097/01.NNE.0000299492.92624.95Search in Google Scholar PubMed
Institute of Medicine (IOM). (2011). The future of nursing: Leading change, advancing health. Washington, DC: The National Academic Press.Search in Google Scholar
Jimenez, C., Navia-Osorio, P. M., & Diaz, C. V. (2009). Stress and health in novice and experienced nursing students. Journal of Advanced Nursing, 66(2), 442–455.10.1111/j.1365-2648.2009.05183.xSearch in Google Scholar PubMed
Jones, M. C., & Johnston, D. W. (1997). Distress, stress and coping in first-year student nurses. Journal of Advanced Nursing, 26(3), 475–482.10.1046/j.1365-2648.1997.t01-5-00999.xSearch in Google Scholar PubMed
Levett-Jones, T., & Lathlean, J. (2008). Belongingness: A prerequisite for nursing students’ clinical learning. Nurse Education in Practice, 8(2), 103–111.10.1016/j.nepr.2007.04.003Search in Google Scholar PubMed
MacPhee, L. (n.d.). FlashLight basics: Online. Retrieved from http://jan.ucc.nau.edu/~lrm22/technology/flashlight_tutorial/flashlight.html on June 25, 2012.Search in Google Scholar
Marchiondo, K., Marchiondo, L. A., & Lasiter, S. (2010). Faculty incivility: Effects on program satisfaction of BSN students. Journal of Nursing Education, 49(11), 608–614.10.3928/01484834-20100524-05Search in Google Scholar PubMed
National League for Nursing. (2008). Final report of the 2008. NLN think tank on transforming clinical nursing education. Retrieved from http://www.readbag.com/nln-facultyprograms-pdf-think-tankSearch in Google Scholar
Oermann, M. H., & Lukomski, A. P. (2001). Experiences of students in pediatric nursing clinical courses. Journal of the Society of Pediatric Nurses, 6(2), 65–72.10.1111/j.1744-6155.2001.tb00123.xSearch in Google Scholar PubMed
Pulido-Martos, M., Augusto-Landa, J. M., & Lopez-Zafra, E. (2012). Sources of stress in nursing students: A systematic review of quantitative studies. International Nursing Review, 59, 15–22.10.1111/j.1466-7657.2011.00939.xSearch in Google Scholar
Ratanasiripong, P., Ratanasiripong, N., & Kathalae, D. (2012). Biofeedback intervention for stress and anxiety among nursing students: A randomized controlled trial. International Scholarly Research Network, ISRN Nursing, 2012(827972). doi:10.5402/2012/827972.Search in Google Scholar
Sharif, F., & Masoumi, S. (2005). A qualitative study of nursing student experiences of clinical practice. BMC Nursing, 4(6). Retrieved from http://www.biomedcentral.com/1472-6955/4/6.Search in Google Scholar
Steele, R. (2009). Gaining competence and confidence as a midwife. British Journal of Midwifery, 17(7), 441–447.10.12968/bjom.2009.17.7.43059Search in Google Scholar
Stowe, A. C. (2003). Baccalaureate nursing students’ experience of trust in clinical instructors. Ann Arbor, MI: ProQuest Information and Learning. (UMI Microform 3114031).Search in Google Scholar
Stress. (n.d.). In American Heritage® Stedman’s medical dictionary online. Retrieved June 19, 2012, from Dictionary.com website: http://dictionary.reference.com/browse/stress.Search in Google Scholar
Vannaja, N. (2005). Overcoming learning anxieties in clinical settings. Singapore Nursing Journal, 32(1), 4–7.Search in Google Scholar
Whang, S. (2002). Development and verification of nursing students’ clinical stress scale. Journal of the Margaret Pritchard College of Nursing, 14(1), 3–54.Search in Google Scholar
©2015 by De Gruyter
Articles in the same Issue
- Frontmatter
- Using “Think Aloud” to Capture Clinical Reasoning during Patient Simulation
- Translation and Evaluation of the Cultural Awareness Scale for Korean Nursing Students
- Making the Most of Simulated Learning: Understanding and Managing Perceptions
- Nursing Students’ Experiences with High-Fidelity Simulation
- An Integrative Review: Instructional Strategies to Improve Nurses’ Retention of Cardiopulmonary Resuscitation Priorities
- Effects of Team-Based Learning on Self-Regulated Online Learning
- Teaching Nursing Leadership: Comparison of Simulation versus Traditional Inpatient Clinical
- The Experience of Nursing Students Who Make Mistakes in Clinical
- Identification of the Learning Styles and “On-the-Job” Learning Methods Implemented by Nurses for Promoting Their Professional Knowledge and Skills
- Orientation, Evaluation, and Integration of Part-Time Nursing Faculty
- Perceptions of Clinical Stress in Baccalaureate Nursing Students
- The Flipped Classroom: Fertile Ground for Nursing Education Research
- Student Engagement: A Principle-Based Concept Analysis
- Assessment of High-Stakes Testing, Hopeful Thinking, and Goal Orientation among Baccalaureate Nursing Students
- Partners in Research: Developing a Model for Undergraduate Faculty-Student Collaboration
- Nursing Students Achieving Community Health Competencies through Undergraduate Clinical Experiences: A Gap Analysis
- Student Perceptions of Quality and Safety Competencies
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum: Part I. Impact on Students’ Career Resilience
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum. Part II. Outcomes for New Graduate Nurses 12 Months Post-Graduation
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum: Part III. Impact on Faculty’s Career Satisfaction and Confidence in Providing Student Career Coaching
Articles in the same Issue
- Frontmatter
- Using “Think Aloud” to Capture Clinical Reasoning during Patient Simulation
- Translation and Evaluation of the Cultural Awareness Scale for Korean Nursing Students
- Making the Most of Simulated Learning: Understanding and Managing Perceptions
- Nursing Students’ Experiences with High-Fidelity Simulation
- An Integrative Review: Instructional Strategies to Improve Nurses’ Retention of Cardiopulmonary Resuscitation Priorities
- Effects of Team-Based Learning on Self-Regulated Online Learning
- Teaching Nursing Leadership: Comparison of Simulation versus Traditional Inpatient Clinical
- The Experience of Nursing Students Who Make Mistakes in Clinical
- Identification of the Learning Styles and “On-the-Job” Learning Methods Implemented by Nurses for Promoting Their Professional Knowledge and Skills
- Orientation, Evaluation, and Integration of Part-Time Nursing Faculty
- Perceptions of Clinical Stress in Baccalaureate Nursing Students
- The Flipped Classroom: Fertile Ground for Nursing Education Research
- Student Engagement: A Principle-Based Concept Analysis
- Assessment of High-Stakes Testing, Hopeful Thinking, and Goal Orientation among Baccalaureate Nursing Students
- Partners in Research: Developing a Model for Undergraduate Faculty-Student Collaboration
- Nursing Students Achieving Community Health Competencies through Undergraduate Clinical Experiences: A Gap Analysis
- Student Perceptions of Quality and Safety Competencies
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum: Part I. Impact on Students’ Career Resilience
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum. Part II. Outcomes for New Graduate Nurses 12 Months Post-Graduation
- Integrating a Career Planning and Development Program into the Baccalaureate Nursing Curriculum: Part III. Impact on Faculty’s Career Satisfaction and Confidence in Providing Student Career Coaching
