Elsevier

Nurse Education Today

Volume 33, Issue 4, April 2013, Pages 419-424
Nurse Education Today

Perceived stress and social support in undergraduate nursing students' educational experiences

https://doi.org/10.1016/j.nedt.2012.11.009Get rights and content

Summary

Background

Nursing students experience high levels of stress. Coping mechanisms such as utilization of social support are effective in managing the effects of stress and promoting individual well-being. The use of social support from faculty members and peers in nursing programs has not been studied sufficiently. Faculty members who can perceive and understand student emotions add to the students' positive perception of the educational environment, making it more conducive to learning.

Objectives

To identify the stress experience and use of social support as a coping mechanism in traditional and second degree nursing students' educational experiences.

Design

A mixed method study was conducted.

Setting

Undergraduate nursing students at a private university.

Participants

107 baccalaureate nursing students enrolled in either a traditional (n = 49) or second degree (n = 58) program during the Fall 2011 semester.

Method

Five instruments were combined to develop the quantitative and qualitative questions for an online survey.

Results

Traditional and second degree nursing students report high levels of anxiety, worry and depression in response to stress, resulting in feelings of rejection and inadequacy. Respondents used faculty members for support less frequently than they used their peers, spouse/significant other or parents. Second degree students and traditional students differ in their level of alcohol consumption with traditional students more likely to drink heavily than second degree students. In addition, traditional students are more likely to use fellow nursing students and other friends as social support, whereas second degree students rely more on their spouse/significant other.

Conclusion

Students' high levels of maladaptive reactions to stress should encourage educators to help students develop positive coping strategies. Educators have the potential to impact the development of their students as they transition into nurses capable of handling the rigors of the profession.

Introduction

Nursing students experience high levels of stress (Gibbons, 2010, Goff, 2011, Moscaritolo, 2009). As senior level traditional nursing students and their faculty, we are aware of the extremely high level of stress students experience and the diversity of responses used to cope with stress. We are concerned about how the stress experience of undergraduates will impact their future careers as nurses. It is imperative that faculty support nursing students to help them develop adaptive coping mechanisms that they can employ in stressful situations. Development of adaptive coping mechanisms by nursing students will result in students who are less likely to use maladaptive strategies such as drinking, separating self from others, ignoring stress, anxiety and depression. Faculty members must be willing to assist future generations of nurses survive the rigors of nursing school and thrive in the face of challenges presented in the nursing profession. This study aimed to identify the stress experience of undergraduate nursing students, the coping mechanisms utilized by these students, and their reliance on various social support systems.

Section snippets

Background

It has long been perceived by nursing faculty and students that nursing students experience higher levels of stress than other college students (Beck and Srivastava, 1991, Goff, 2011). Nursing students believe that they have little free time due to the demands of studying, with assignments for didactic and clinical work. Another factor contributing to high levels of stress is that clinical assignments require nursing students to spend considerable time away from campus and also requires them to

Design

An institutional review board (IRB) approved this mixed method survey research administered in October 2011 to baccalaureate nursing students in both the traditional and the second degree programs at a private university.

Participants

Participants were 107 traditional and second degree undergraduate nursing students enrolled in one of five required nursing courses. One hundred seventy-five students were invited to participate and 107 students completed the survey (61.1% response rate). Participants included

Reaction to Stress

The students surveyed were asked to select all feelings that they experienced in stressful situations, including fear, anxiety, worry, anger, guilt, grief, or depression. The most commonly selected feelings were anxiety, worry and anger. In addition to the top three, fear and depression were frequently selected (Table 1).

Of the respondents, 95.7% (n = 102) reported feeling anxiety in stressful situations. In addition, worry ranked extremely high for many respondents, with 87.8% (n = 94) of students

Qualitative Findings

Survey participants were asked to respond with a short answer to the following prompt: “please describe the most stressful clinical experience you have had to date.” This question generated responses from 27 second degree students and 35 traditional students, 62 responses in total, 57.9% of the participants. The answers were coded for common phrases and overarching themes were identified. Overall, students identified feelings consistent with rejection and inadequacy. However, when asked to

Discussion

The rates of anxiety, worry and depression students experienced were indicative of an extremely high burden of stress in all participants. Traditional students and second degree students experienced similar reactions to stress, but utilized different coping mechanisms. Stress level findings are inconsistent with the results of Goff (2011), which found that second degree students have greater stress than traditional students yet they have higher levels of learned resourcefulness which can

Conclusions and Recommendations

Nursing students experience high levels of stress due to the rigorous academic and emotional demands placed on them when they begin to take responsibility for patient care. That stress impacts the student experiences while they are in school and may later impact their lives and journeys as professional nurses. Gibbons, Dempster and Moutray concluded that the well being of nursing students “has a direct bearing on their fitness to practice and on patient safety” (2010, p. 630).

Faculty can

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