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Perceived stress, physiological stress reactivity, and exit exam performance in a prelicensure Bachelor of Science nursing program

  • Lisa Brodersen ORCID logo EMAIL logo and Rebecca Lorenz
Published/Copyright: June 23, 2020

Abstract

Objectives

High-stakes exams are a source of chronic stress that may adversely affect nursing students’ thinking, behavior, and overall health. The purpose of this study was to explore the relationships of perceived stress, physiological stress reactivity, and exit exam performance.

Methods

A within-subjects design allowed measurement of perceived stress, salivary cortisol, and salivary alpha amylase in pre-licensure nursing students under two different conditions: a high-stakes exit exam and a low-stakes homework assignment.

Results

Perceived stress and salivary alpha amylase were significantly higher after the high-stakes exam compared to the homework condition. Perceived stress after the exam was correlated with lower exam score.

Conclusion

Study findings suggest that in response to a high-stakes exam, prelicensure nursing students experience high levels of perceived stress coupled with sympathetic activation but not activation of the hypothalamic-pituitary adrenal axis.


Corresponding author: Lisa Brodersen, EdD, PhD, RN, CNE, Allen College, Waterloo, Iowa, USA, E-mail:

Award Identifier / Grant number: National League for Nursing Foundation for Nursing

Funding source: Iowa League for Nursing

Award Identifier / Grant number: Iowa League for Nursing Scholarship

Award Identifier / Grant number: Midwest Nursing Research Society-National League f

Acknowledgement

The authors acknowledge Dr. Helen Lach, Dr. Andrew Mills, and Dr. John Taylor of Saint Louis University School of Nursing for advice regarding study methodology and statistical analyses. They also wish to recognize the faculty in the study setting for its support and assistance with data collection.

  1. Author contribution: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Competing interests: Authors state no conflict of interest.

  3. Informed consent: Informed consent was obtained from all individuals included in this study.

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Supplementary Material

The online version of this article offers supplementary material (https://doi.org/10.1515/ijnes-2019-0121).

Received: 2019-11-19
Accepted: 2020-04-16
Published Online: 2020-06-23

© 2020 Walter de Gruyter GmbH, Berlin/Boston

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