Objective: This study was conducted to determine the factors affecting nursing students' perceived stress levels and their competency. Material and Methods: This study was a descriptive, crosssectional study with 198 nursing students in Türkiye. A Student Identification Form completed by students, the Competency Inventory of Nursing Students and the Student Nurse Stress Index were used to collect data. The data were evaluated in the IBM SPSS 21 statistical program using mean, standard deviation, range, number and percentage, and the Mann-Whitney U and Kruskal-Wallis tests. Results: The results showed that stress experienced by nursing students was moderate and that they evaluated their competence as good. While there was a significant difference between the students' Competency Inventory of Nursing Students mean scores and the variables of class, family income, and general weighted grade point average, there was a significant difference between Student Nurse Stress Index mean scores and the gender and class variables. Conclusion: The nursing students experienced moderate stress while maintaining high levels of competency, ethics, and responsibility. It was concluded that the female students had higher stress levels than male students, and that the stress levels of students whose income was lower than their expenses were higher than those of students whose income and expenses were equal. It was determined that fourth-year students, third-year students, and students whose income was higher than their expenses and whose grade point average was higher felt more competent.
Keywords: Clinical competence; education; nursing students; psychological stress
Amaç: Bu araştırma, hemşirelik öğrencilerinin algıladıkları stres düzeylerini ve yetkinliklerini etkileyen faktörlerin belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Bu araştırma, Türkiye'de 198 hemşirelik öğrencisi ile tanımlayıcı, kesitsel bir çalışma olarak yapılmıştır. Verilerin toplanmasında Öğrenci Tanılama Formu, Hemşirelik Öğrencileri Yetkinlik Ölçeği ve Öğrenci Hemşire Stres İndeksi kullanıldı. Verilerin değerlendirilmesi IBM SPSS 21 istatistik programında ortalama, standart sapma, aralık, sayı ve yüzdelik, Mann-Whitney U ve Kruskal-Wallis testi ile gerçekleştirildi. Bulgular: Hemşirelik öğrencilerinin yaşadıkları stresin orta düzeyde olduğu ve mesleki yeterliliklerini iyi olarak değerlendirdikleri görülmüştür. Öğrencilerin Yetkinlik Ölçeği puan ortalamaları ile sınıf, aile gelir durumu, genel ağırlıklı not ortalaması değişkenleri arasında anlamlı fark bulunurken, Öğrenci Hemşire Stres İndeksi puan ortalamaları ile cinsiyet, sınıf değişkeni arasında anlamlı fark olduğu saptandı. Sonuç: Hemşirelik öğrencilerinin yüksek mesleki yeterlilik, etik ve sorumluluk düzeyleri göz önüne alındığında orta düzeyde stres yaşadıkları belirlenmiştir. Kız öğrencilerin stres düzeylerinin erkeklere göre daha yüksek olduğu, geliri giderinden düşük olanların stres düzeylerinin ise; geliri gideri eşit olan öğrencilerden daha yüksek olduğu sonucuna ulaşılmıştır. Dördüncü sınıf öğrencilerinin, üçüncü sınıf öğrencilerinin ve geliri giderinden yüksek olan ve genel not ortalaması yüksek olan öğrencilerin kendilerini daha yetkin hissettikleri belirlenmiştir.
Anahtar Kelimeler: Klinik yetkinlik; eğitim; hemşirelik öğrencileri; psikolojik stres
- Teo I, Chay J, Cheung YB, Sung SC, Tewani KG, Yeo LF, et al. Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: a 6-month multi-centre prospective study. PLoS One. 2021;16(10):e0258866. [Crossref] [PubMed] [PMC]
- Turner K, McCarthy VL. Stress and anxiety among nursing students: a review of intervention strategies in literature between 2009 and 2015. Nurse Educ Pract. 2017;22:21-9. [Crossref] [PubMed]
- López-Pérez B, Ambrona T, Hanoch Y. Influence of the type of patient in the emotional response of nurses and nursing students. Nurse Educ Pract. 2016;19:7-11. [Crossref] [PubMed]
- Ma H, Zou JM, Zhong Y, Li J, He JQ. Perceived stress, coping style and burnout of Chinese nursing students in late-stage clinical practice: a cross-sectional study. Nurse Educ Pract. 2022;62:103385. [Crossref] [PubMed]
- Oner Altiok H, Ustun B. The stress sources of nursing students. Educational Sciences: Theory and Practice. 2013;13(2):760-6. [Link]
- Fan JY, Wang YH, Chao LF, Jane SW, Hsu LL. Performance evaluation of nursing students following competency-based education. Nurse Educ Today. 2015;35(1):97-103. [Crossref] [PubMed]
- Grande RAN, Berdida DJE, Susanto T, Khan A, Waelveerakup W, Saad Z. Nursing competency inventory and professional competence of graduating students in six Asian countries: a cross-sectional study. Nurse Educ Today. 2022;116:105470. [Crossref] [PubMed]
- Koç Z, Çınarlı T, Şener A, Kızıltepe SK. Patricia benner: hemşirelik uygulamalarında klinik bilgelik ve beceri edinimi [Patricia benner: clinical wisdom and skill acquisition in nursing practices]. ACU Sağlık Bilimleri Dergisi. 2018;9(1):1-12. [Link]
- Reebals C, Wood T, Markaki A. Transition to practice for new nurse graduates: barriers and mitigating strategies. West J Nurs Res. 2022;44(4):416-29. [Crossref] [PubMed]
- Forsberg E, Ziegert K, Hult H, Fors U. Clinical reasoning in nursing, a think-aloud study using virtual patients - a base for an innovative assessment. Nurse Educ Today. 2014;34(4):538-42. [Crossref] [PubMed]
- Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Griffiths P, Busse R, et al; RN4CAST consortium. Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Lancet. 2014;383(9931):1824-30. [Crossref] [PubMed] [PMC]
- Cho E, Sloane DM, Kim EY, Kim S, Choi M, Yoo IY, et al. Effects of nurse staffing, work environments, and education on patient mortality: an observational study. Int J Nurs Stud. 2015;52(2):535-42. [Crossref] [PubMed] [PMC]
- Mazalová L, Gurková E, ?tureková L. Nursing students' perceived stress and clinical learning experience. Nurse Educ Pract. 2022;64:103457. [Crossref] [PubMed]
- Labrague LJ, McEnroe-Petitte DM, Gloe D, Thomas L, Papathanasiou IV, Tsaras K. A literature review on stress and coping strategies in nursing students. J Ment Health. 2017;26(5):471-80. [Crossref] [PubMed]
- Bhurtun HD, Turunen H, Estola M, Saaranen T. Changes in stress levels and coping strategies among Finnish nursing students. Nurse Educ Pract. 2021;50:102958. [Crossref] [PubMed]
- Jones MC, Johnston DW. The derivation of a brief student nurse stress index. Work & Stress. 1999;13(2):162-81. [Crossref]
- Sarikoc G, Bayram Demiralp M, Oksuz E, Pazar B. Turkish Version of the Student Nurse Stress Index: validity and reliability. Asian Nurs Res (Korean Soc Nurs Sci). 2017;11(2):128-33. [Crossref] [PubMed]
- Hsu LL, Hsieh SI. Development and psychometric evaluation of the competency inventory for nursing students: a learning outcome perspective. Nurse Educ Today. 2013;33(5):492-7. [Crossref] [PubMed]
- Ülker T. Hemşirelik öğrencilerinin kendi mesleki yetkinliklerini değerlendirme aracının geçerlik ve güvenirlik çalışması [Yüksek lisans tezi]. Ankara: Hacettepe Üniversitesi; 2018. [Erişim tarihi: 9 Şubat 2024]. Erişim linki: [Link]
- Liu J, Yang Y, Chen J, Zhang Y, Zeng Y, Li J. Stress and coping styles among nursing students during the initial period of the clinical practicum: a cross-section study. Int J Nurs Sci. 2022;9(2):222-9. [Crossref] [PubMed] [PMC]
- He FX, Turnbull B, Kirshbaum MN, Phillips B, Klainin-Yobas P. Assessing stress, protective factors and psychological well-being among undergraduate nursing students. Nurse Educ Today. 2018;68:4-12. [Crossref] [PubMed]
- Ribeiro FMSES, Mussi FC, Pires CGDS, Silva RMD, Macedo TTS, Santos CAST. Stress level among undergraduate nursing students related to the training phase and sociodemographic factors. Rev Lat Am Enfermagem. 2020;28:e3209. [Crossref] [PubMed] [PMC]
- Tung YJ, Lo KKH, Ho RCM, Tam WSW. Prevalence of depression among nursing students: a systematic review and meta-analysis. Nurse Educ Today. 2018;63:119-29. [Crossref] [PubMed]
- Zhao FF, Lei XL, He W, Gu YH, Li DW. The study of perceived stress, coping strategy and self-efficacy of Chinese undergraduate nursing students in clinical practice. Int J Nurs Pract. 2015;21(4):401-9. [Crossref] [PubMed]
- Ching SSY, Cheung K, Hegney D, Rees CS. Stressors and coping of nursing students in clinical placement: a qualitative study contextualizing their resilience and burnout. Nurse Educ Pract. 2020;42:102690. [Crossref] [PubMed]
- American Psychological Association-APA. Stress in America: Coping with Change. Stress in America? Survey. 2017. [Link]
- Alghamdi S, Aljabri S, Jafari G, Alzebali R, Alkunaidiri N, & Kalantan N. Sources of stress among undergraduate nursing students. Global Journal of Health Science. 2019;11(9):116-22. [Crossref]
- Yu M, Tong H, Li S, Wu XV, Hong J, Wang W. Clinical competence and its association with self-efficacy and clinical learning environments among Chinese undergraduate nursing students. Nurse Educ Pract. 2021;53:103055. [Crossref] [PubMed]
- Nehrir B, Vanaki Z, Mokhtari Nouri J, Khademolhosseini SM, Ebadi A. Competency in nursing students: a systematic review. International Journal of Travel Medicine and Global Health. 2016;4(1):3-11. [Crossref]
- Ulker T, Korkmaz. Hemşirelik öğrencilerinin kendi mesleki yetkinliklerini değerlendirme aracının geçerlik ve güvenirlik çalışması: metodolojik çalışma [Nursing students' self-assessment of professional competence scale' validity and reliability: methodological study]. Turkiye Klinikleri J Nurs Sci. 2022;14(3):788-97. [Crossref]
- Vasli P, Shahsavari A, Estebsari F, AsadiParvar-Masouleh H. The predictors of nursing students' clinical competency in pre-internship objective structured clinical examination: the roles of exam anxiety and academic success. Nurse Educ Today. 2021;107:105148. [Crossref] [PubMed]
- Heydari A, Kareshki H, Armat MR. Is nurses' professional competence related to their personality and emotional intelligence? A cross-sectional study. J Caring Sci. 2016;5(2):121-32. [Crossref] [PubMed] [PMC]
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