Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Determining the Relationship Between Attitudes and Perceived Stress Levels of Nursing Students Towards Their First Clinical Practice: A Descriptive-Cross-Sectional Study
Hemşirelik Öğrencilerinin İlk Klinik Uygulamalarına Yönelik Tutum ve Algılanan Stres Düzeyleri Arasındaki İlişkinin Belirlenmesi: Tanımlayıcı-Kesitsel Çalışma
Necibe DAĞCAN ŞAHİNa , Burcu NALa , Selmin ŞENOLb
aKütahya University of Health Sciences, Faculty of Health Sciences, Department of Nursing, Department of Fundamentals of Nursing, Kütahya, Türkiye
bKütahya University of Health Sciences, Faculty of Health Sciences, Department of Nursing, Department of Pediatric Nursing, Retired Member, Kütahya, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(3):869-79
doi: 10.5336/nurses.2024-105982
Article Language: EN
Full Text
ABSTRACT
 Objective: Clinical practice has a key role in nursing education and offers students the opportunity to use and experience the scientific knowledge learned in theoretical courses in patient care. Students who enter an environment where real patients and healthcare teams are present during clinical practice experience many problems. Material and Methods: This study aims to determine the relationship between nursing students' attitudes toward their first clinical practice and their perceived stress levels. A descriptive, cross-sectional study. The study was conducted in the nursing department of a university between February 2023 and February 2024. 254 students going into clinical practice for the first time participated in the research. Data were collected through a face-to-face survey using the ''Descriptive Characteristics Form'', ''Attitude Towards Clinical Practice Scale'', and ''Perceived Stress Scale for Nursing Students''. Results: The total score average of the students' Attitude Towards Clinical Practice scale was 110.20±15.28. The total score average of the Perceived Stress scale is 71.32±26.15. The relationship between the Attitude Towards Clinical Practices and the Perceived Stress scale and its subscales was not statistically significant (p>0.05). Conclusion: Research findings show that nursing students develop positive attitudes and experience moderate levels of stress in their first clinical practice. It is stated that the increase in satisfaction with the nursing department positively affects the attitude towards clinical practice and reduces the stress level. In addition, for the first time, high school graduation and gender were found to be variables affecting stress during clinical practice.

Keywords: Nursing student; first clinical practice; perceived stress; attitude
ÖZET
 Amaç: Klinik uygulama, hemşirelik eğitiminde önemli bir role sahiptir ve öğrencilere teorik derslerde öğrendikleri bilimsel bilgiyi hasta bakımında kullanma ve deneyimleme fırsatı sunar. Klinik uygulama sırasında gerçek hastaların ve sağlık ekiplerinin bulunduğu bir ortama giren öğrenciler birçok sorun yaşarlar. Gereç ve Yöntemler: Bu çalışma, hemşirelik öğrencilerinin ilk klinik uygulamalarına yönelik tutumları ile algılanan stres düzeyleri arasındaki ilişkiyi belirlemeyi amaçlamaktadır. Tanımlayıcı, kesitsel bir çalışma. Çalışma, Şubat 2023 ile Şubat 2024 tarihleri arasında bir üniversitenin hemşirelik bölümünde yürütülmüştür. Araştırmaya ilk kez klinik uygulamaya giren 254 öğrenci katılmıştır. Veriler, ''Tanımlayıcı Özellikler Formu'', ''Klinik Uygulamaya Yönelik Tutum Ölçeği'' ve ''Hemşirelik Öğrencileri İçin Algılanan Stres Ölçeği'' kullanılarak yüz yüze anket yoluyla toplanmıştır. Bulgular: Öğrencilerin Klinik Uygulamaya Yönelik Tutum Ölçeği toplam puan ortalaması 110,20±15,28'dir. Algılanan Stres Ölçeği toplam puan ortalaması 71,32±26,15'tir. Klinik Uygulamaya Yönelik Tutum ile Algılanan Stres Ölçeği ve alt ölçekleri arasındaki ilişki istatistiksel olarak anlamlı değildir (p>0,05). Sonuç: Araştırma bulguları, hemşirelik öğrencilerinin ilk klinik uygulamalarında olumlu tutumlar geliştirdiklerini ve orta düzeyde stres yaşadıklarını göstermektedir. Hemşirelik bölümünden duyulan memnuniyetin artmasının klinik uygulamaya yönelik tutumu olumlu yönde etkilediği ve stres düzeyini azalttığı belirtilmektedir. Ayrıca, lise mezuniyeti ve cinsiyetin klinik uygulama sırasında stresi etkileyen değişkenler olduğu ilk kez bulunmuştur.

Anahtar Kelimeler: Hemşirelik öğrencisi; ilk klinik uygulama; algılanan stres; tutum
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