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Kumi R, Quartey J, Kwakye SK, Oppong ED. Students' perceptions and experiences of remote learning amid covid-19 pandemic in Ghana. Hong Kong Physiother J 2024; 44:103-118. [PMID: 38510159 PMCID: PMC10949108 DOI: 10.1142/s1013702524500070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 09/24/2023] [Accepted: 10/03/2023] [Indexed: 03/22/2024] Open
Abstract
Background The COVID-19 pandemic had a significant impact on students, instructors, and educational organisations all around the world. Remote learning was an emergency response by most universities in Ghana during this pandemic to ensure the continuation of their academic calendar. Conducting this study among Ghanaian undergraduate students is crucial because factors like socioeconomic status, technological resources, and individual learning preferences can significantly impact their experience and the perception of remote learning, which may differ from studies conducted elsewhere. Objective To determine the perceptions and experiences of remote learning among allied health sciences students during the COVID-19 pandemic. Methods This cross-sectional study involved 218 second, third, and final year Allied Health Sciences students in the University of Ghana. A questionnaire was used to obtain data concerning health professions students' perception and experience of remote learning. The readiness of students in respect to the emergency remote learning, attitudes towards remote learning, perception of remote learning, satisfaction, and the level of anxiety was calculated using mean and mean percentages. Kruskal-Wallis test was used to analyse differences between programmes of study and the perceptions and experiences of remote learning. Results One hundred and fifteen (53.1%) of the participants had moderate perceptions of independence and responsibility in their learning experiences while 80 (36.7%) students reported that their satisfaction levels regarding remote learning was high. Seventy-seven (38.4%) students reported that they had a burden of anxiety. There was no statistically significant difference between anxiety level and programme of study. Conclusion Ghana Allied Health Sciences students had positive perceptions and experiences towards remote learning. They could adapt to the new teaching method with appropriate technology integration. Despite a number of students who were anxious about using remote learning. Adequate support towards transitioning into the use of technology may be a good consideration.
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Affiliation(s)
- Rockson Kumi
- Physiotherapy Department, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Jonathan Quartey
- Department of Physiotherapy, School of Biomedical and Allied Health Sciences, College of Health Sciences, University of Ghana, Accra, Ghana
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Çunkuş Köktaş N, Keskin G, Taşdemir Yiğitoğlu G. Evaluation of Internet Addiction and Relational Variables Among Nursing Students in Turkey During the COVID-19 Pandemic. HEALTH EDUCATION & BEHAVIOR 2024; 51:388-399. [PMID: 38345029 DOI: 10.1177/10901981241230497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2024]
Abstract
It is known that individuals use the internet more to escape from the psychological problems they encounter in daily life during the pandemic. Besides, it is also known that individuals with personality traits such as neuroticism and extraversion might be prone to internet addiction due to poor communication skills. It is important to determine the relationship between the internet usage characteristics and the mental state of nursing students so that students can provide better quality health services in their education and professional processes. The present study aimed to determine the relationship between internet addiction and personality traits, stress, and obsessive-compulsive symptoms among nursing students during the pandemic. This study includes 528 nursing students. The Young's Internet Addiction Test (YIAT), the Vancouver Obsessive-Compulsive Inventory (VOCI), the Eysenck Personality Inventory (EPI), and the Perceived Stress Scale (PSS) were used for data collection between August and October 2021. It was found that there was a statistically significant and positive correlation between the students' YIAT mean scores and the EPI neuroticism sub-dimension, VOCI all sub-dimensions, and PSS mean scores (p < .05). In addition, the mean scores of the PSS and EPI were predictors of the YIAT total score (R = .550, R2 = .233, p < .05). Considering these results, it is necessary to prevent the negative effects of the COVID-19 pandemic on the psychosocial health of individuals. Psychological counseling can be offered to provide protective factors during the pandemic period.
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Lindsay J, Cropley S, Benton A, Thompson M, Clary K. The COVID-19 Lived Experience Through the Eyes of Nursing and Social Work Students. Creat Nurs 2024; 30:145-153. [PMID: 38629129 DOI: 10.1177/10784535241247093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2024]
Abstract
Purpose: The purpose of this study was to explore the lived experiences of nursing and social work students who were taking courses during the COVID-19 pandemic. Focus group discussions gave students a chance to express the pandemic's effects on their education and life. Methods: A hermeneutic phenomenological approach using Van Manen's Four Lifeworld Existentials guided this study. Using an open-ended format, interviews were conducted in 6 small groups ranging from 2 to 9 individuals, in person or via Zoom. The study was conducted from May to August 2022 in a university setting with 23 participants. Results: Ten existential themes emerged: Being Behind, Groundhog Day, Trying to Keep Up, Loss of Community, Fear of COVID, Being Alone, What is Self-Care?, Is This Career Right for Me?, What is Healthy?, and Access to Counseling. Conclusions: Participants indicated that the COVID-19 pandemic negatively impacted educational delivery, limiting learning opportunities and increasing feelings of isolation, stress, and anxiety. Implications for Education and the Future Workforce: Projected health-care workforce shortages may be exacerbated by students departing from the health-care professions as a result of increased burnout. Resilience training while in school is necessary to help promote coping, self-care strategies, and retention in the health-care professions.
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Affiliation(s)
- Judith Lindsay
- St. David's School of Nursing, Texas State University, USA
| | - Stacey Cropley
- St. David's School of Nursing, Texas State University, USA
| | - Amy Benton
- School of Social Work, Texas State University, USA
| | | | - Kelly Clary
- School of Social Work, Texas State University, USA
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Sarman A, Tuncay S. Have the effects of Covid-19 been overcome? Levels of Covid-19 fear, Covid-19 anxiety and hopelessness in young adolescents: A structural equation modeling. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2024; 37:e12458. [PMID: 38488185 DOI: 10.1111/jcap.12458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Revised: 02/27/2024] [Accepted: 03/01/2024] [Indexed: 03/19/2024]
Abstract
OBJECTIVE This research aimed to determine the level of fear, anxiety, and hopelessness of Covid-19 in young adolescents' post Covid-19 period. DESIGN AND SAMPLES Young adolescents in the 17-24 age group were included in this study, which was conducted in a descriptive-cross-sectional design. MEASUREMENTS Sociodemographic characteristics questionnaire form and Coronavirus (Covid-19) Fear Scale, Coronavirus Anxiety Scale, and Beck Hopelessness Scale were used to collect data. RESULTS 90.8% of the participants had been vaccinated, 26.9% had previously caught in Covid-19, and 10.3% of those who had been caught in the disease had a severe course. 10.7% of young adolescents had to take medicines, 56.4% had a family history of Covid-19, and 18.7% had lost a relative as a result of Covid-19, was found. The level of fear, anxiety and hopelessness was higher among women, first-grade students, those who did not receive the Covid-19 vaccine, those who have caught in Covid-19 before, and those who have lost a family due to Covid-19. CONCLUSION It is thought that the increase in the awareness level of young adolescents about Covid-19 improves preventive health behaviors and enables the development of positive behaviors related to the disease.
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Affiliation(s)
- Abdullah Sarman
- Department of Pediatric Nursing, Bingöl University, Faculty of Health Science, Bingöl, Turkey
| | - Suat Tuncay
- Department of Pediatric Nursing, Bingöl University, Faculty of Health Science, Bingöl, Turkey
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Lee A, Kim S, Noh W. Learning Environments in Undergraduate Nursing Education During COVID-19: A Scoping Review. Nurse Educ 2024; 49:E136-E141. [PMID: 38235784 DOI: 10.1097/nne.0000000000001601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Abstract
BACKGROUND The COVID-19 pandemic radically changed nursing education. PURPOSE To map the existing literature on learning environments (LEs) in undergraduate nursing education during COVID-19 and identify the LE elements based on the 4 domains of Gruppen's conceptual framework: personal, social, organizational, and physical and virtual spaces. METHOD Eligible articles were reviewed using the Joanna Briggs framework. RESULTS The search retrieved 5003 articles, of which 80 met the inclusion criteria. Most studies were cross-sectional and conducted in the United States. Of the studies included, 68 studies focused on the personal component of students, 67 investigated physical and virtual space components, 19 examined the social domain, and 15 examined organizational aspects. CONCLUSIONS The COVID-19 pandemic significantly influenced the LE of nursing students. Based on the current review of LE in nursing education, nurse educators and researchers can develop interventions to maintain the quality and accessibility of nursing education in future crises.
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Affiliation(s)
- Anna Lee
- Author Affiliations: Assistant Professor (Dr Lee), Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Yonsei Evidence Based Nursing Centre of Korea, a JBI Affiliated Group, Seoul, Republic of Korea; Postdoctoral Research Associate (Dr Kim), School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill; and Associate Professor (Dr Noh), College of Nursing, Gachon University, Incheon, Republic of Korea
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Stubin CA, Ruth-Sahd L, Dahan TA. Promoting Nursing Student Mental Health Wellness: The Impact of Resilience-Building and Faculty Support. Nurse Educ 2024; 49:119-124. [PMID: 37797327 DOI: 10.1097/nne.0000000000001535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/07/2023]
Abstract
BACKGROUND Being aware of elevated levels of student psychological distress by nursing faculty, and subsequently responding to it, may diminish nursing students' experience of negative mental health well-being. PURPOSE Relationships between perceived faculty support, resiliency, and the prevalence of depression, anxiety, and stress among undergraduate nursing students were explored. METHODS An exploratory mixed-methods design was used for this descriptive, cross-sectional study. The Depression, Anxiety, and Stress Scale-21, Brief Resilience Scale, Perceived Faculty Support Scale, a demographic questionnaire, and open-ended questions were used to collect data. A convenience sample of 989 undergraduate baccalaureate nursing students from across the United States completed the surveys. RESULTS Study results revealed resilience strategies and psychological and functional supportive faculty behaviors and actions are substantial predictors of lower depression, anxiety, and stress in undergraduate baccalaureate nursing students. CONCLUSIONS Investments in faculty development to support nursing student resilience may reduce the degree of negative mental health well-being that students exhibit related to nursing education and promote their successful transition to nursing practice.
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Affiliation(s)
- Catherine A Stubin
- Author Affiliations: Assistant Professor (Dr Stubin) and Assistant Teaching Professor (Dr Dahan), Rutgers University School of Nursing-Camden, Camden, New Jersey; and Professor Emerita (Ms Ruth-Sahd), York College of PA, York, Pennsylvania
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Alghtany S, Madhuvu A, Fooladi E, Crawford K. Assessment of academic burnout and professional self-concept in undergraduate nursing students: A cross-sectional study. J Prof Nurs 2024; 52:7-14. [PMID: 38777528 DOI: 10.1016/j.profnurs.2024.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Revised: 03/03/2024] [Accepted: 03/04/2024] [Indexed: 05/25/2024]
Abstract
BACKGROUND Nursing turnover and shortage are an increasing phenomenon throughout the world; thus, it is critical to determine the factors that contribute to them. Nursing students' retention plans and turnover intentions are significantly influenced by academic burnout and professional self-concept. The COVID-19 pandemic could aggravate the study-associated stresses leading to burnout and jeopardize the nursing student's professional socialisation which is a key factor in their professional self-concept formation, it is important to investigate their relationship. PURPOSE To examine the relationship between professional self-concept and academic burnout among undergraduate Bachelor of Nursing students and identify predictors related to academic burnout. METHOD This cross-sectional study was conducted from May to June 2021. The participants were undergraduate Bachelor of Nursing students from two campuses of a large university in Victoria, Australia. Out of 1630 students, 198 participated in the study. The students were invited to complete an online survey through the university's online learning platform or flyers. Descriptive statistics, Pearson correlation, and Bootstrapping approaches were used to analyse the data. RESULTS The analysis found a significant positive correlation between the nursing students' total professional self-concept and academic burnout professional efficacy (r = 0.48; p < 0.01). A significant negative correlation was also detected between the total professional self-concept and academic burnout cynicism (r = - 0.21; p < 0.01). Moreover, the total nurse professional self-concept was a significant predictor of both academic burnout subscales cynicism and professional efficacy (p < 0.01). CONCLUSIONS Positive nursing professional self-concept may alleviate student's academic burnout, and it might contribute to the promotion of their professional efficacy.
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Affiliation(s)
- Safea Alghtany
- Monash Nursing and Midwifery, Monash University, Melbourne, VIC 3800, Australia.
| | - Auxillia Madhuvu
- Monash Nursing and Midwifery, Monash University, Melbourne, VIC 3800, Australia.
| | - Ensieh Fooladi
- Monash Nursing and Midwifery, Monash University, Melbourne, VIC 3800, Australia.
| | - Kimberley Crawford
- Monash Nursing and Midwifery, Monash University, Melbourne, VIC 3800, Australia.
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Tülüce D, Kaplan Serin E. Nursing Students' Opinions About Covid-19: A Qualitative Study. OMEGA-JOURNAL OF DEATH AND DYING 2024; 89:108-121. [PMID: 35050798 DOI: 10.1177/00302228211067041] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Healthcare professionals play important roles during the COVID-19 pandemic. This study aims to evaluate nursing students' opinions about COVID-19. This study was planned using a descriptive phenomenological design. The data were collected using a semi-structured interview form during individual interviews carried out through phone calls or online. After the interviews were recorded, they were documented. The study found that students experienced anxiety because of the pandemic, that they protect themselves through personal hygiene and isolation methods, that most of them found the social measures sufficient, that they were worried about their relatives, and that they wanted to go back to their social lives. Positive occupational value and investment in the health sector are positive effects of the pandemic on nursing, while an increased workload and the high risk of death are negative effects. Nursing students should be supported with both theoretical information and psychological support during the pandemic.
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Affiliation(s)
- Derya Tülüce
- Faculty of Health Sciences Nursing Department, Harran University, Şanlıurfa, Turkey
| | - Emine Kaplan Serin
- Faculty of Health Sciences Nursing Department, Gaziantep University, Gaziantep, Turkey
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Thorigny M, Didelot P, Bouazzi L, Pham BN, Barbe C. Reinforcement during the COVID-19 pandemic: Perception of nursing students and impact on intention to drop-out of nursing education. Heliyon 2024; 10:e29316. [PMID: 38638947 PMCID: PMC11024601 DOI: 10.1016/j.heliyon.2024.e29316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 04/03/2024] [Accepted: 04/04/2024] [Indexed: 04/20/2024] Open
Abstract
Background Although the COVID-19 pandemic's impact on students has already been studied, its impact on nursing students' perception of their training and their conception of their future profession is unknown. Aims To describe nursing students' perception of their involvement in reinforcement during the COVID-19 pandemic and the impact of working as reinforcement staff during the COVID-19 pandemic on nursing students. Design Cross-sectional, comparative case/non-case study. Setting nurse training institutions in France. Participants "Cases" defined as nursing students who worked as reinforcement staff during the COVID-19 pandemic; "non-cases" defined as people who were in final year of nursing studies in 2018-2019 or 2019-2020 and so did not work as reinforcement staff during their nursing studies. Methods questionnaire about representations of the nursing profession, role of the nurse in society, previous thinking of dropping out of nursing education. Results 534 subjects included (310 cases; 214 non-cases). Cases reported feeling useful (38.6%) or very useful (25.7%) as reinforcement workers, while 91.5% concurred that nurses had an important role in the management of COVID-19 patients. Cases more frequently reported that the nursing profession is one where you save lives (61.5% vs 52.5%, p = 0.05). The desire to work as a nurse for a whole life had been more frequently expressed by cases (45.3% vs 34.8%, p = 0.05). Nursing education drop-out has been considered by 63.4% of subjects, without difference between "cases" and "non-cases" (p = 0.63). Subjects who considered dropping out of nursing education were younger (p = 0.01) and less often prone to think that the nursing profession was a profession personally rewarding (p = 0.01) and a life-saving profession (p = 0.03). Conclusion The majority of nursing students reported feeling useful during the pandemic, and underlined the importance of the nurse's role in management of COVID-19 patients. Participation in reinforcement staff during the pandemic had no influence on dropping out of nursing education.
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Affiliation(s)
- Maxime Thorigny
- Laboratoire REGARDS, Université de Reims Champagne Ardenne, EA 6192, France
| | - Pascal Didelot
- Institut de Formation en Soins Infirmier Du CHU de Reims, Avenue Du Général Koening, 51100, Reims, France
| | - Leïla Bouazzi
- Comité Universitaire de Ressources pour La Recherche en Santé, Université de Reims Champagne-Ardenne, REIMS, UFR Médecine, 51 Rue Cognacq Jay, 51100, France
| | - Bach-Nga Pham
- Comité Universitaire de Ressources pour La Recherche en Santé, Université de Reims Champagne-Ardenne, REIMS, UFR Médecine, 51 Rue Cognacq Jay, 51100, France
| | - Coralie Barbe
- Comité Universitaire de Ressources pour La Recherche en Santé, Université de Reims Champagne-Ardenne, REIMS, UFR Médecine, 51 Rue Cognacq Jay, 51100, France
- Laboratoire C2S (Cognition, Santé, Société), Université de Reims Champagne Ardenne, EA 6291, France
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Masha’al D, Rababa M, Hayajneh A, Shahrour G. The mediating role of emotional intelligence on nursing students' coping strategies and anxiety during the COVID-19 pandemic. PLoS One 2024; 19:e0300057. [PMID: 38593137 PMCID: PMC11003628 DOI: 10.1371/journal.pone.0300057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2022] [Accepted: 02/21/2024] [Indexed: 04/11/2024] Open
Abstract
Anxiety among nursing students documented during the COVID-19 pandemic reflected their fear of contracting infections, adhering to the mandatory use of masks in public, engaging in the new experience of distance learning, having financial problems, and so on. The purpose of this study was to examine the mediating role of emotional intelligence (EI) on nursing students' coping strategies and anxiety during the pandemic. This cross-sectional correlational study was conducted in a university in Jordan. An online survey was used to obtain data from a sample of 282 nursing students who had returned to on-campus learning during the summer semester of 2019/2020. The survey held four parts: (a) questions about sociodemographics, (b) the General Anxiety Disorder-7 (GAD-7) scale, (c) the Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF), and (d) the Brief-Coping Behavior Questionnaire (Brief-COPE). The results showed that EI had a fully mediating role in the relationship between problem-focused coping strategies and anxiety, and it partially mediated the emotion-focused and avoidant/dysfunctional coping strategies and anxiety relationships. Nursing students who used the problem-focused coping strategies had high levels of EI, and with increasing levels of EI, anxiety levels decreased. Promoting the development of EI among nursing students would enable them to manage their emotions effectively and control their anxiety, particularly in new circumstances such as those that occurred during the COVID 19 pandemic.
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Affiliation(s)
- Dina Masha’al
- Adult Health Nursing Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, Ar Ramath, Irbid, Jordan
| | - Mohammad Rababa
- Adult Health Nursing Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, Ar Ramath, Irbid, Jordan
| | - Audai Hayajneh
- Adult Health Nursing Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, Ar Ramath, Irbid, Jordan
| | - Ghada Shahrour
- Comunity Health Nursing Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, Ar Ramath, Irbid, Jordan
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Barker S, Ford C, Flynn D, Tiplady S. A study of factors affecting pass rates of level 5 written assessments for undergraduate adult nursing students. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2024; 33:292-298. [PMID: 38512784 DOI: 10.12968/bjon.2024.33.6.292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
Nursing programmes were flexible during the COVID-19 pandemic, offering simulation to replace clinical hours and adjusting supervision and assessment. However, second-year students in two modules had lower results despite no changes to the material, team or delivery. OBJECTIVES A retrospective cohort study was conducted, on second-year adult nursing students who submitted written assignments, to analyse recurring patterns that could explain the failure rate. METHOD Data were analysed from 265 university students to identify patterns of association in demographics, module results and student engagement indicators. RESULTS A positive correlation was found between age and assignment results, with older students achieving higher grades. Clustering identified three patterns of student engagement. Students demonstrating engagement with all aspects of the course (30.2%) performed significantly better than those in other clusters (P<0.001). Students with disabled student support recommendations performed notably worse than those without. All sizeable differences were resolved following the return to campus and the implementation of additional writing support. DISCUSSION Age, cross-medium engagement and preparation were all shown to have an impact on marks. These findings can influence how higher education institutions drive and monitor engagement, as this study suggests that all parts of a blended learning approach are equally important.
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Affiliation(s)
- Stuart Barker
- School of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne
| | - Claire Ford
- School of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne
| | - Deborah Flynn
- School of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne
| | - Sue Tiplady
- School of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne
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Araújo AAC, de Godoy S, Maia NMFES, Trevelin MEB, Vedana KGG, Neufeld CB, Freire NP, Ventura CAA, McAleer P, Mendes IAC. Cultural adaptation and validity evidence of the Student Nurse Stressor-15 (SNS-15) Scale for Brazil. Rev Bras Enferm 2024; 77:e20230356. [PMID: 38511790 PMCID: PMC10941680 DOI: 10.1590/0034-7167-2023-0356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Accepted: 10/30/2023] [Indexed: 03/22/2024] Open
Abstract
OBJECTIVES to carry out the cultural adaptation and evaluation of validity evidence of the Student Nurse Stressor-15 (SNS-15) Scale for use in Brazil. METHODS psychometric study, conducted from the stages of translation, synthesis, back-translation, review by a committee of seven experts, pre-test and evaluation of measurement properties with 32 and 238 nursing students, respectively. Descriptive statistics, Exploratory Factor Analysis (EFA), and Confirmatory Factor Analysis (CFA) were performed. The reliability of the instrument was estimated using McDonald's Omega (ω). RESULTS EFA subsidized the distribution of the fifteen SNS-15 items into four factors. Using AFC, satisfactory fit indices were achieved (Comparative Fit Index = 0.94; Tucker-Lewis Index = 0.93; Root Mean Square Error of Approximation = 0.06; Standardized Root Mean Square Residual = 0.16) and ω = 0.86. CONCLUSIONS the Brazilian version of the SNS-15 presents evidence that confirms its validity and reliability.
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Affiliation(s)
| | - Simone de Godoy
- Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil
| | | | | | | | | | | | | | - Patricia McAleer
- NetwellCASALA, Dundalk Institute of Technology. Dundalk, County Louth, Ireland
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Song M, Zhang L, Ji Q, Ji P, Xu J, Chen Y, Guo L. Nursing students' emotions, educational concerns, and the impact of study careers and professional futures during the COVID-19 pandemic: a cross-sectional study. BMC MEDICAL EDUCATION 2024; 24:278. [PMID: 38481261 PMCID: PMC10938772 DOI: 10.1186/s12909-024-05231-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Accepted: 02/27/2024] [Indexed: 03/17/2024]
Abstract
BACKGROUND COVID-19 is a challenge to education systems worldwide. The aim of the study was to explore the impact of COVID-19-pandemic-related emotions and COVID-19-related concern for education on the study careers and professional futures of nursing students. METHODS The study was completed between March and June 2023 using a multi-stage sampling design. A total of 1126 nursing students were recruited to complete the questionnaire. The self-administered questionnaire consisted of basic characteristics of the subjects, the COVID-19-pandemic-related emotions scale, the COVID-19-related concern for education scale, and the impact of the COVID-19 on study careers and professional futures scale (SCPFI-19 S). One-way ANOVA/t-test, correlation coefficient analysis, and hierarchical linear regression analysis were used to explore factors influencing changes in study careers and professional futures, and the relationship between COVID-19-pandemic-related emotions and COVID-19-related concern for education. RESULTS Univariate analysis of variance indicated that residence, willingness, and whether to engage in nursing after graduation were related to SCPFI-19 S (P < 0.05). COVID-19-pandemic-related emotions and COVID-19-related concern for education were significantly and positively associated with SCPFI-19 S (r = 0.566, P < 0.01; r = 0.199, P < 0.01). Stratified multiple regression analysis showed that COVID-19-pandemic-related emotions and COVID-19-related concern for education of nursing students were significant predictors of SCPFI-19 S. CONCLUSION Overall, both COVID-19-pandemic-related emotions and COVID-19-related concern for education were significantly correlated with SCPFI-19 S. In future interventions, schools should consider structures and strategies to support students' mental health and educational trajectories during current and future epidemics or similar crises.
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Affiliation(s)
- Miaojing Song
- School of Nursing, Jinzhou Medical University, No. 40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, PR China
| | - Lin Zhang
- Department of Internal Medicine Nursing, School of Nursing, Wannan Medical College, 22 Wenchang West Road, Higher Education Park, Wuhu City, An Hui Province, PR China
| | - Qiqi Ji
- School of Nursing, Jinzhou Medical University, No. 40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, PR China
| | - Pengjuan Ji
- School of Nursing, Jinzhou Medical University, No. 40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, PR China
| | - Jiashuang Xu
- School of Nursing, Jinzhou Medical University, No. 40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, PR China
| | - Yian Chen
- School of Nursing, Jinzhou Medical University, No. 40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, PR China
| | - Leilei Guo
- School of Nursing, Jinzhou Medical University, No. 40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, PR China.
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Dong Y, Chen M, Wu Z, Zhang Z. Covid-19 psychological pressures, depression and FOMO: the mediating role of online social support and emotional regulation. BMC Psychol 2024; 12:116. [PMID: 38431605 PMCID: PMC10908053 DOI: 10.1186/s40359-024-01610-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 02/19/2024] [Indexed: 03/05/2024] Open
Abstract
BACKGROUND The spread of the coronavirus has led to significant anxiety among university students, resulting in various mental health problems that could potentially impact their academic performance. METHOD To examine the mediating role of emotional regulation and online social support in the relationships between COVID-19 psychological pressures, depression, and the fear of missing out (FoMO) among young adult university students, a cross-sectional research design was employed using an online survey. The sample consisted of 521 full-time university students from China, currently enrolled in undergraduate and postgraduate programs. RESULTS Findings revealed that more than half (55.09%, n=287) of the university students experienced COVID-19 psychological pressures. These pressures directly contributed to increased levels of depression (β = 0.339, p < .001) and fear of missing out (β = 0.236, p < .001). Moreover, online social support and emotional regulation exhibited partial mediating effects on the association between COVID-19 psychological pressures, depression, and the fear of missing out. The results indicated that COVID-19 psychological pressures were linked to higher levels of depressive symptoms and a greater fear of missing out among university students. CONCLUSIONS However, the provision of timely and adequate online social support, as well as the implementation of emotional regulation strategies, mitigated the negative effects of the pandemic on students' social and emotional well-being. Consequently, this led to reduced levels of depression and fear of missing out.
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Affiliation(s)
- Yuting Dong
- School of Education, Northwest Normal University, Lanzhou, 730070, Gansu, China.
- School of Energy and Mechanical Engineering, Jiangxi University of Science and Technology, Nanchang, 330000, Jiangxi, China.
| | - Min Chen
- School of Energy and Mechanical Engineering, Jiangxi University of Science and Technology, Nanchang, 330000, Jiangxi, China
| | - Zhigang Wu
- School of Energy and Mechanical Engineering, Jiangxi University of Science and Technology, Nanchang, 330000, Jiangxi, China
| | - Zilin Zhang
- Historic Building Division, China Construction First Division Group Huajiang Construction Co., Ltd, Jingdezhen, 333099, Jiangxi, China
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15
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Lin S, Chen S, Tu Q, Xu X, Xie S, Yang B, Zhang Q, Chen L. Barriers and facilitators to the formation of professional identity among nursing students: A four-year longitudinal qualitative study. NURSE EDUCATION TODAY 2024; 134:106087. [PMID: 38232627 DOI: 10.1016/j.nedt.2023.106087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 12/02/2023] [Accepted: 12/19/2023] [Indexed: 01/19/2024]
Abstract
BACKGROUND Nursing professional identity (NPI) is essential for nurses to develop their nursing profession. It reflects the competencies consistent with the professional practices of nurses and contributes to them providing better healthcare and public health. The formation process of NPI started with undergraduate nursing education and continued throughout the nursing career. OBJECTIVE To explore nursing students' perceptions of facilitators and barriers to the formation of NPI during their study. METHODS A 4-year longitudinal, qualitative research design with yearly semi-structured interviews undertaken from 2019 to 2022. The reflexive thematic analysis methodology was applied for the data analysis. RESULTS Ninety-three nursing students were recruited, joining a group or individual interview. The four-year nursing baccalaureate program revealed a dynamic formation process of NPI: "Outsider of nursing", "Entering the nursing courses", "Building nursing competence", and "Thinking and acting like a nurse". A total of 12 themes were identified to present the barriers and facilitators to the NPI formation at different stages. Specifically, the six barriers include conflict between their ideals and reality, sociocultural stereotypes about nursing, the negative impact of COVID-19, the pre-internship concerns, struggling to meet expectations, and potential danger and discrimination in the healthcare settings. The enablers were: self-motivation and inner belief towards the nursing profession, the power of role models, the improvement of nursing capacity, well integration into the healthcare professional teams, understanding of the clinical environment, and recognition and encouragement from others. CONCLUSIONS The formation of nursing students' NPI is an ever-changing process, with various intrinsic and extrinsic influences during their four-year study. Nursing educators are suggested to prepare and develop students' professional comportment in their theoretical and clinical practice to develop their professional identity as a nurse.
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Affiliation(s)
- Shuanglan Lin
- Nursing College of Chongqing Medical University, Chongqing, China
| | - Shucheng Chen
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong.
| | - Qiang Tu
- Faculty of Medicine and Health, The University of Sydney, Australia.
| | - Xinyu Xu
- Nursing College of Chongqing Medical University, Chongqing, China
| | - Shiqi Xie
- Nursing College of Chongqing Medical University, Chongqing, China.
| | - Bing Yang
- Department of Nursing, Stomatological Hospital of Chongqing Medical University, Chongqing, China.
| | - Quanzhi Zhang
- School of Nursing, Harbin Medical University, Heilongjiang Province, China
| | - Liping Chen
- Nursing College of Chongqing Medical University, Chongqing, China.
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16
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O'Connor S. Over twenty years of pedagogical research from Nurse Education in Practice: A bibliometric analysis from 2001 to 2023. Nurse Educ Pract 2024; 76:103912. [PMID: 38401344 DOI: 10.1016/j.nepr.2024.103912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Revised: 12/30/2023] [Accepted: 01/29/2024] [Indexed: 02/26/2024]
Abstract
AIM To present a bibliometric overview of pedagogical research from Nurse Education in Practice from its inception in 2001 up until 2023. BACKGROUND Bibliometric methods are useful in analysing and understanding the characteristics of scientific publications in a particular field and the influence of specific journals. However, no bibliometric analysis of a nurse education journal has been undertaken to date which would highlight important research trends in this area of nursing and midwifery. METHODS A total of 2231 publications (articles and reviews only) from Nursing Education in Practice were retrieved from the Scopus database between 2001 and 2023. Several software applications including Microsoft Excel and VOSviewer were used to undertake bibliometric analysis on this dataset. Publication trends such as country analysis, author analysis, keywords analyses (cluster, content and trend analysis) were generated to help understand the volume and scope of pedagogical nursing and midwifery research in this journal. RESULTS There has been a steady increase in pedagogical research from Nurse Education in Practice since its launch in 2001 up until 2018, with a dip in publications in 2022 most likely due to the impact of restrictions during the coronavirus pandemic. The most prolific institutions publishing in the journal are mainly from the United Kingdom, Australia and the United States, with over eighty countries represented demonstrating its global reach and impact. Nursing students, nursing education, simulation and learning are some of the most frequent author keywords. CONCLUSION The diversity of pedagogies in nursing and midwifery education, clinical learning and supervision in practice environments, and competence and confidence when transitioning to practice are the most popular research areas in Nurse Education in Practice. This study informs nurse and midwife educators and scholars about the volume and scope of pedagogical research in nursing and midwifery. It also makes recommendations on how to improve aspects of scholarship in education and areas for future pedagogical research.
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Affiliation(s)
- Siobhan O'Connor
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, United Kingdom.
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17
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Uluşen M, Özçoban FA, Çilesiz E. The effect of midwifery students' changing life conditions and e-learning experiences on the state of their anxiety and hopelessness during the Covid-19 pandemic. Afr Health Sci 2024; 24:76-90. [PMID: 38962358 PMCID: PMC11217822 DOI: 10.4314/ahs.v24i1.10] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/05/2024] Open
Abstract
Background Giving the existing formal education through the internet without a planned transition to distance education negatively affected the learning processes of the students. Objectives The study aims to identify the midwifery students' changing life conditions and e- learning experiences on the state of their anxiety and hopelessness during the Covid-19 pandemic. Methods Designed as cross-sectional research, the study was performed with the participation of 1,296 midwifery undergraduate students. The survey form comprised of questions that explored the students' demographic characteristics, life conditions changing during the Covid-19 pandemic and distance education experiences, the Generalized Anxiety Disorder Scale-7, and the Beck Hopelessness Scale were used in the data collection. Findings It was discerned that, of the participant midwifery students, 55.2% spent the period of the pandemic in the province center, 51.7% used smartphones to have access to the distance education, 50.3% had trouble in following up the courses due to the limited computer and internet access, 63.5% failed to follow up the courses because of the infrastructure problems related to the distance education. It was found that, of the participant midwifery students, 54.6% exhibited anxiety symptoms and 26.3% had hopelessness symptoms. It was identified that having trouble in following up the courses increased anxiety by 1.438 times (CI:1.103-1.875) and hopelessness by 1.980 times (CI:1.459-2.687), having tensions in the family relations increased anxiety by 2.362 times (CI:1.780-3.134) and hopelessness by 1.789 times (CI:1.235-2.594), and having psychological support for anxiety and worry increased anxiety by 2.914 times (CI:2.208-3.8477) and hopelessness by 1.875 times (CI:1.083-3.247). It was ascertained that hopelessness increased anxiety by 2.878 times (CI:2.075-3.991) whilst anxiety increased hopelessness by 2.755 times (CI:1.985-3.823) (p<0.05). Conclusion As well as the Covid-19 pandemic, health, social life, and economic changes; the digital separation that accompanies distance education also affects the students' mental health. Solving the technical problems experienced in distance education, facilitating the follow-up of the courses, and equipping the midwifery students with problem-solving and coping skills will be useful for reducing the midwifery students' hopelessness and anxiety levels.
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Affiliation(s)
- Mesude Uluşen
- Amasya University, Faculty of Health Sciences, Department of Midwifery, İpekköy, Campus, Amasya/Turkey
| | - Filiz Aslantekin Özçoban
- Balikesir University, Faculty of Health Sciences, Department of Midwifery, Çagiş Campus, 10100 Balikesir/ Turkey
| | - Elif Çilesiz
- Amasya University, Faculty of Health Sciences, Department of Midwifery, İpekköy, Campus, Amasya/Turkey
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18
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Zengin D, Uzsen H, Ardahan Sevgili S, Bal Yılmaz H. The effect of COVID-19 fear level on nursing students' attitudes towards E-learning. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2024; 34:874-884. [PMID: 36843001 DOI: 10.1080/09603123.2023.2182409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 02/15/2023] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic has affected the educational, social, and psychological lives of children and young people. Many countries have transitioned to online education because of the pandemic. This study aimed to examine the levels of fear of nursing students about COVID-19 and their attitudes towards e-learning. This study was designed as a cross-sectional and descriptive study. The data were collected using the COVID-19 Phobia Scale and the Attitude Scale Towards E-learning. This research was conducted with nursing students (n = 301) who received online education due to the COVID-19 pandemic. The students' mean COVID-19 Phobia Scale score was 49.26 ± 15.88; the mean Attitude Scale Towards E-learning score was 59.46 ± 17.00, and a significantly positive relationship was found between the participants' scores on both scales (r = 0.122; p < 0.034). The COVID-19 pandemic has caused students to experience psychological and social problems. It is essential to have sufficient infrastructure to effectively maintain online education.
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Affiliation(s)
- Dilek Zengin
- Department of Pediatric Nursing, Nursing Faculty, Ege University, İzmir, Turkey
| | - Hatice Uzsen
- Department of Pediatric Nursing, Health Sciences Faculty, Ondokuz Mayıs University, Samsun, Turkey
| | | | - Hatice Bal Yılmaz
- Department of Pediatric Nursing, Nursing Faculty, Ege University, İzmir, Turkey
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19
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Sheppard-Law S, Lamb A, Zeng L, Axisa C, Causby B, Matiuk S, Levett-Jones T. The measured impact of the COVID-19 pandemic on nursing students' wellbeing, clinical placement and learning experiences: a cross sectional study. Contemp Nurse 2024; 60:7-20. [PMID: 38193929 DOI: 10.1080/10376178.2023.2300414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 12/23/2023] [Indexed: 01/10/2024]
Abstract
Background: The epidemiological patterns of COVID-19 varied across Australia and differed from most other countries. Few studies describe the impact that the pandemic had on nursing student wellbeing, education and career.Aim: This study aimed to investigate how the COVID-19 pandemic impacted on nursing students' well-being, clinical placement and learning.Design: Cross-sectional survey.Setting: Sydney, Australia.Participants: Second- and third-year nursing students.Methods: Second- and third-year nursing degree students were asked to participate in an ethically approved study during March to May 2021. The de-identified on-line survey consisted of 63 closed end question and one open ended question. On completion, the dataset was exported from Redcap and imported into SPSS for analysis. Open ended text data were analysed by two researchers.Results: Of the 105 participating nursing students, a third (n = 26/83, 31%) thought about changing their degree to a non-nursing degree. The acknowledged risk of caring for a COVID-19 patient incrementally increased stress (β-coefficient = 0.6, p value = 0.009, 95% CI 0.2-0.9). Conversely students who intended to complete their degree were less likely to report stress. Students who had prior nursing experience were three times more likely to report an increased generalised anxiety level (OR 3.8, p-value = 0.02, 95% CI 1.2-12.2), yet they were less likely to experience personal accomplishment burnout compared to other students. Nursing students who contemplated a change of degree to a non-nursing degree were 15.7 times more likely to experience emotional exhaustion and were 3.5 times more likely to be report a risk of depersonalisation (p = 0.03, 95% CI, 1.3-11.5).Conclusion: The COVID-19 pandemic compromised nursing student well-being, and theoretical and practical learning. Findings have implications for healthcare and academic staff who teach nursing students. Implementation of student-centred evidence-based strategies to manage stress, burnout and anxiety, and to sustain a healthy student cohort is essential to retain the future nursing workforce.
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Affiliation(s)
- Suzanne Sheppard-Law
- Faculty of Health, School of Nursing and Midwifery, University of Technology Sydney, Level 7, Building 10, Jones St Broadway, Sydney, NSW, Australia
| | - Aimee Lamb
- Western Sydney University, Building 3, Level 4, Liverpool, NSW, Australia
| | - Ling Zeng
- Faculty of Health, School of Nursing and Midwifery, University of Technology Sydney, Level 7, Building 10, Jones St Broadway, Sydney, NSW, Australia
| | - Carmen Axisa
- Faculty of Health, School of Nursing and Midwifery, University of Technology Sydney, Level 7, Building 10, Jones St Broadway, Sydney, NSW, Australia
| | - Belinda Causby
- Faculty of Health, School of Nursing and Midwifery, University of Technology Sydney, Level 7, Building 10, Jones St Broadway, Sydney, NSW, Australia
- Clinical Nurse Specialist, Intensive Care Unit, St Vincent's Hospital, 390 Victoria St, Darlinghurst, 2010 NSW, Australia
| | - Sonia Matiuk
- Faculty of Health, School of Nursing and Midwifery, University of Technology Sydney, Level 7, Building 10, Jones St Broadway, Sydney, NSW, Australia
| | - Tracy Levett-Jones
- Faculty of Health, School of Nursing and Midwifery, University of Technology Sydney, Level 7, Building 10, Jones St Broadway, Sydney, NSW, Australia
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20
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Nkyi AK, Baaba B. Coping, health anxiety, and stress among health professionals during Covid-19, Cape Coast, Ghana. PLoS One 2024; 19:e0296720. [PMID: 38285712 PMCID: PMC10824413 DOI: 10.1371/journal.pone.0296720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 12/15/2023] [Indexed: 01/31/2024] Open
Abstract
The aim of this study is to investigate coping strategies, health anxiety and stress among healthcare professionals in selected hospitals in the Cape Coast Metropolis during the Covid 19 pandemic. This study adopted the Descriptive survey design. The Multistage sampling technique was used to select 322 health professionals. The health professionals included Medical Officers, Physician Assistants and Nurses. Data were gathered using the Health Anxiety Inventory (HAI-SF), Perceived Stress Scale (PSS), and the Brief-COPE Inventory. Analyses were conducted using mean and standard deviation, ANOVA as well as Independent Samples t-test. Results indicate that Health professionals adopted diverse coping strategies ranging from positive to negative coping style to overcome the negative impact of the COVID-19 pandemic. Results also indicate that coping strategies significantly influenced health anxiety levels of health professionals, and that Active Coping is a significant determinant of stress among health professionals. Male health professionals had significantly more health anxiety than females. However, gender was not a significant factor in the experiences of stress. Lastly, age of health professionals does not determine the type of coping strategy they adopted during the pandemic.
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Affiliation(s)
- Anthony K. Nkyi
- Department of Guidance and Counselling, College of Education Studies, University of Cape Coast, Cape Coast, Ghana
| | - Bridgette Baaba
- Counselling Center, College of Education Studies, University of Cape Coast, Cape Coast, Ghana
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21
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Lee H, Yoo HJ. Expectations and concerns about transitioning to face-to-face learning among Korean nursing students: A mixed methods study. PLoS One 2024; 19:e0296914. [PMID: 38236798 PMCID: PMC10795984 DOI: 10.1371/journal.pone.0296914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 12/21/2023] [Indexed: 01/22/2024] Open
Abstract
Owing to the coronavirus disease pandemic, nursing education materials were developed for online use. However, as nursing involves working with human beings, the experience of face-to-face learning is important. This study investigated the learning satisfaction and anxiety experienced by nursing students based on their learning methods, expectations, and concerns about transitioning entirely to face-to-face learning. Using a mixed-methods design, 120 and 14 third- and fourth-year nursing students in Korea completed an online survey and individual interviews, respectively. Data were collected from July to August 2022 to assess nursing students' learning satisfaction, anxiety, expectations, and concerns based on their learning method. Learning satisfaction was 3.96±0.68 out of 5; the students who experienced "online lectures only" had significantly higher overall satisfaction (F = 3.22, p = .002), nursing lectures satisfaction (F = 2.01, p = .046), and nursing practicum satisfaction (F = 2.19, p = .031). Anxiety was measured using the Generalized Anxiety Disorder-7 tool and was evaluated at the "minimal level," with an average score of 3.46 ± 4.80 out of 21. From the qualitative results obtained through interviews, we derived three categories and nine subcategories. These categories include: the burden of unfamiliar learning situations that are difficult to predict, considerations about face-to-face learning needed to improve learning satisfaction, and the turning point that offsets the sense of deprivation during college life. The qualitative results provided evidence for determining specific goals for face-to-face learning that reflected the opinions of nursing students. To successfully transition to face-to-face learning, it is essential to consider a combination of student efforts, professors' attention, and university-level support to develop a learning approach that combines the strengths of both online and face-to-face learning. Maximizing the benefits of online learning, such as integrating face-to-face and online learning through repetitive reviews of recorded videos of face-to-face sessions at their own time, can effectively reduce students' burdens and anxiety and increase their learning satisfaction.
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Affiliation(s)
- Hyeongsuk Lee
- College of Nursing, Gachon University, Incheon, Korea
| | - Hye Jin Yoo
- College of Nursing, Dankook University, Cheonan, Korea
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22
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Milić J, Skitarelić N, Majstorović D, Zoranić S, Čivljak M, Ivanišević K, Marendić M, Mesarić J, Puharić Z, Neuberg M, Čukljek S, Racz A, Puljak L. Levels of depression, anxiety and subjective happiness among health sciences students in Croatia: a multi-centric cross-sectional study. BMC Psychiatry 2024; 24:50. [PMID: 38218757 PMCID: PMC10787412 DOI: 10.1186/s12888-024-05498-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 01/03/2024] [Indexed: 01/15/2024] Open
Abstract
BACKGROUND Previous studies have shown that symptoms of depression and anxiety were highly prevalent among health sciences students. This may lead to other professional and personal difficulties and a decrease in individuals' well-being. This study aimed to analyze levels of depression, anxiety and subjective happiness among health sciences students in Croatia. METHODS We conducted a cross-sectional study in 10 higher education institutions in Croatia during March 2023. Eligible participants were health sciences students. Participants filled out an online survey consisting of sociodemographic questions and validated scales for determining the levels of depression (9-question Patient Health Questionnaire, PHQ-9), anxiety (General Anxiety Disorder 7-item scale, GAD-7), and happiness (Subjective Happiness Scale, SHS). RESULTS Of 7460 invited students, 2137 students participated in the study (29% response rate). There were 41.4% of students that exhibited at least mild depressive symptoms, with 8% of students exhibiting moderately severe symptoms and 1.8% severe depressive symptoms. Mild anxiety was found in 36.8%, moderate anxiety in 23.9% and severe anxiety in 15.8% of students. The median SHS score was 19 (15.25-22). Women students had significantly higher levels of depression (p < 0.001) and anxiety (p < 0.001) than their men peers. Students in earlier study years showed higher levels of depression, anxiety and lower levels of subjective happiness compared to those in later study years. Students with lower self-assessed financial status had higher levels of depression (p < 0.001) and anxiety (p < 0.001). Students that failed an academic year had higher levels of depression (p < 0.001), but lower levels of anxiety (p = 0.005). CONCLUSION In this study, we have shown that health sciences students exhibit high levels of depression and anxiety, at rates exceeding those in the general population reported in other studies. Our results may help educational institutions to put greater effort into the battle against mental health stigma, foster acceptance of mental health issues and encourage students to seek help when needed. Adequate mental health services are needed at universities to promote timely diagnosis and treatment of mental health problems.
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Affiliation(s)
- Jakov Milić
- Croatian Carmelite Province of St. Joseph, Zagreb, Croatia
- Catholic Faculty of Theology, University of Zagreb, Zagreb, Croatia
| | | | | | - Sanja Zoranić
- Department of Nursing, University of Dubrovnik, Dubrovnik, Croatia
| | - Marta Čivljak
- Centre for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Ilica 242, 10000, Zagreb, Croatia
| | - Kata Ivanišević
- Faculty of Health Studies, University of Rijeka, Rijeka, Croatia
| | - Mario Marendić
- University Department of Health Studies, University of Split, Split, Croatia
| | | | - Zrinka Puharić
- Department of Nursing, Bjelovar University of Applied Sciences, Bjelovar, Croatia
- Faculty of Dental Medicine and Health, Osijek, Croatia
| | | | - Snježana Čukljek
- Faculty of Health Studies, University of Rijeka, Rijeka, Croatia
- University of Applied Health Sciences, Zagreb, Croatia
| | - Aleksandar Racz
- Faculty of Health Studies, University of Rijeka, Rijeka, Croatia
- University of Applied Health Sciences, Zagreb, Croatia
| | - Livia Puljak
- Centre for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Ilica 242, 10000, Zagreb, Croatia.
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23
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Iskender MD, Gülsoy A, Özcan E, Uyan Y. The effect of fear of contagion/being contagious on depression, anxiety and stress levels of university students during the COVID-19 pandemic. J Clin Nurs 2024; 33:192-202. [PMID: 36536514 PMCID: PMC9877842 DOI: 10.1111/jocn.16602] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 10/28/2022] [Accepted: 11/28/2022] [Indexed: 12/24/2022]
Abstract
BACKGROUND University students are generally quite active in social life. It is thought that their fear of contagion/being contagious will affect their depression, anxiety and stress levels due to the removal of restrictions and the increase in individual responsibilities. This study aims to determine the effect of fear of contagion/being contagious on depression, anxiety and stress levels of university students during the COVID-19 pandemic. METHODS This study, descriptive and cross-sectional. Quantitative data were collected using the Demographic Information Form, the Fear of Contagion/Transmission Scale and the Depression-Anxiety-Stress Scale. The sample included 3500 participants. Descriptive statistics were used for the presentation of the results. The STROBE checklist for cross-sectional studies was used in this study. RESULTS This study revealed that the depression, anxiety and stress levels of university students were above normal, and these results were mostly associated with females, those with a chronic disease and high fear of contagion/being contagious. CONCLUSION The findings of this study may be useful for precautionary plans to support the psychological health of university students after the COVID-19 pandemic and in the fight against possible new pandemics. Considering the findings of our study, educational programs should be planned for youth in general and university students in particular to deal with depression, anxiety, stress and fears. RELEVANCE TO CLINICAL PRACTICE The depression, anxiety and stress levels of university students were above normal. As the fear of contamination and contagion increases, the level of depression, anxiety and stress increases. Those with chronic diseases have high levels of depression, anxiety and stress. PATIENT OR PUBLIC CONTRIBUTION Research data were collected through an online questionnaire. Data collection tools were prepared on Google Forms, and then, links were shared with student groups over social media. Students shared the link on their social platforms, allowing it to reach wider audiences.
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Affiliation(s)
| | - Ahmet Gülsoy
- Department of First and Emergency Aid, Taşköprü Vocational SchoolKastamonu UniversityKastamonuTurkey
| | - Ebru Özcan
- Department of First and Emergency Aid, Taşköprü Vocational SchoolKastamonu UniversityKastamonuTurkey
| | - Yusuf Uyan
- Department of First and Emergency Aid, Taşköprü Vocational SchoolKastamonu UniversityKastamonuTurkey
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24
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Heinrich DS, O'Connell KA. The Effects of Mindfulness Meditation on Nursing Students' Stress and Anxiety Levels. Nurs Educ Perspect 2024; 45:31-36. [PMID: 37404039 DOI: 10.1097/01.nep.0000000000001159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/06/2023]
Abstract
AIM The aim of this study was to evaluate the effects of a virtual mindfulness meditation intervention on stress and anxiety levels of 145 nursing students. BACKGROUND Because of the twin demands of classroom and clinical workloads, nursing students experience greater amounts of stress and anxiety than the average college student. Mindfulness meditation is a promising method to alleviate stress and anxiety. METHOD A pretest-posttest randomized controlled design was used. Participants received either weekly mindfulness meditation recordings or recordings on nursing information. Participants completed the Perceived Stress Scale and the Generalized Anxiety Disorder-7 Scale. RESULTS A two-way mixed analysis of variance and follow-up simple main effects tests revealed that participants in the experimental group, who received meditation recordings, experienced significantly lower levels of stress and anxiety on posttest surveys than the control group. CONCLUSION Mindfulness meditation can reduce stress and anxiety levels in nursing students. This can improve students' overall mental and physical well-being.
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Affiliation(s)
- Debra S Heinrich
- About the Authors Debra S. Heinrich, EdD, RN, is a nurse educator, Nurses International, Anoka, Minnesota. Kathleen A. O'Connell, PhD, RN, FAAN, is Isabel Maitland Stewart Professor of Nursing Education, Teachers College Columbia University, New York, New York. The authors wish to thank Shohini Holden, EdD, for her invaluable contribution to this study and all the nursing students who participated. For more information, contact Dr. Heinrich at
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25
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Ford J. Yoga for Health and Well-Being in Nursing Students: An Integrative Review. J Nurs Educ 2024; 63:17-23. [PMID: 38227321 DOI: 10.3928/01484834-20231112-02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2024]
Abstract
BACKGROUND Undergraduate nursing students currently face unprecedented challenges and experience suboptimal health and well-being. Transformative changes are necessary within nursing education curricula. This integrative review describes the current literature on yoga for health and well-being in nursing education for use by educators. METHOD The framework by Whittemore and Knafl guided this review. The electronic database search included CINAHL Complete, MEDLINE, ProQuest, PubMed, and Scopus. RESULTS Seventeen articles were identified for inclusion. CONCLUSION This review provides important strategies for nursing educators to use to improve the health and well-being of undergraduate nursing students. Yoga is a feasible, evidence-based intervention that can be implemented to support students and meet recommendations set forth by nursing organizations. Findings also indicate yoga is an effective tool for promoting positive changes in this population. There are opportunities for educators to further explore the benefits of yoga for those entrusted with the profession's future. [J Nurs Educ. 2024;63(1):17-23.].
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Candan HD, Yıldırım N. Factors Associated With Psychological Distress of Individuals With COVID-19 Isolating at Home: A Cross-Sectional Correlational Study. J Psychosoc Nurs Ment Health Serv 2023; 61:27-36. [PMID: 37256743 DOI: 10.3928/02793695-20230524-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The purpose of the current study was to clarify the effects of illness perceptions, coping styles, and social support on psychological distress of individuals with coronavirus disease 2019 (COVID-19) isolating at home. A cross-sectional study was performed in a state hospital in Turkey with 112 individuals with confirmed cases of COVID-19. Data were collected online using self-report scales between June 8, 2020, and December 25, 2020. Regression models were used to determine predictors of psychological distress. Significant predictors were cognitive and emotional illness representations, self-blame, and positive reinterpretation coping methods. Health care providers should consider individuals' illness perceptions and coping methods and their effect on psychological distress when providing in-home and follow-up care. [Journal of Psychosocial Nursing and Mental Health Services, 61(12), 27-36.].
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Paredes-Ruvalcaba N, Kim AW, Ndaba N, Cele L, Swana S, Bosire E, Moolla A. Coping mechanisms during the COVID-19 pandemic and lockdown in metropolitan Johannesburg, South Africa: A qualitative study. Am J Hum Biol 2023; 35:e23958. [PMID: 37427489 PMCID: PMC10776812 DOI: 10.1002/ajhb.23958] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 06/26/2023] [Accepted: 06/27/2023] [Indexed: 07/11/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has caused prolonged stress on numerous fronts. While the acute health impacts of psychosocial stress due to the pandemic are well-documented, less is known about the resources and mechanisms utilized to cope in response to stresses during the pandemic and lockdown. OBJECTIVE The aim of this study was to identify and describe the coping mechanisms adults utilized in response to the stressors of the COVID-19 pandemic during the 2020 South African lockdown. METHODS This study included adults (n = 47: 32 female; 14 male; 1 non-binary) from the greater Johannesburg region in South Africa. Interviews with both closed and open-ended questions were administered to query topics regarding the COVID-19 pandemic. Data were coded and thematically analyzed to identify coping mechanisms and experiences. RESULTS Adults engaged in a variety of strategies to cope with the pandemic and the ensued lockdown. The ability to access or engage in multiple coping mechanisms were either enhanced or constrained by financial and familial situations. Participants engaged in seven major coping mechanisms: interactions with family and friends, prayer and religion, staying active, financial resources, mindset reframing, natural remedies, and following COVID-19 prevention protocols. CONCLUSIONS Despite the multiple stressors faced during the pandemic and lockdown, participants relied on multiple coping strategies which helped preserve their well-being and overcome pandemic-related adversity. The strategies participants engaged in were impacted by access to financial resources and family support. Further research is needed to examine the potential impacts these strategies may have on people's health.
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Affiliation(s)
| | - Andrew Wooyoung Kim
- Department of Anthropology, University of California, Berkeley, Berkeley, CA, USA
- SAMRC Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Nokubonga Ndaba
- SAMRC Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Lindile Cele
- SAMRC Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Someleze Swana
- SAMRC Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Edna Bosire
- Brain and Mind Institute, Aga Khan University, Nairobi, Kenya
| | - Aneesa Moolla
- Health Economics and Epidemiology Research Office, Wits Health Consortium, Johannesburg, South Africa
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Çürük GN, Özgül E, Karadağ S. The effect of COVID-19 on fear, anxiety, and sleep in nursing students. Ir J Med Sci 2023; 192:3125-3131. [PMID: 36780096 PMCID: PMC9923649 DOI: 10.1007/s11845-023-03308-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 02/02/2023] [Indexed: 02/14/2023]
Abstract
PURPOSE This research was conducted to determine the effect of COVID-19 on fear, anxiety, and sleep in nursing students. METHODS The sample of the study consisted of 1222 students in the 2019-2020 academic year who were members of the student nurses association. The data were collected online via Google Form between June and August 2020 using the student information form containing socio-demographic characteristics, the Generalized Anxiety Disorder 7-Item (GAD-7) Scale, the fear of COVID-19 scale, and the Bergen Insomnia Scale. RESULTS In our study, the mean score of the fear of COVID-19 scale of nursing students was 18.23 ± 6.31, and it was determined that 51.8% had sleep problems and 70.9% had anxiety (39.9% mild, 20.8% moderate, and 10.2% severe). In simple linear regression analysis, the fear of COVID-19 was found to be statistically significant and positively correlated with anxiety (β: 0.383, p = 0.001), and the fear of COVID-19 (β: 0.120, p = 0.001) and anxiety (β: 0.346, p = 0.001) was found to be statistically significant and positively correlated with sleep. CONCLUSION In our study, there is a relationship between nursing students' fear of COVID-19 and anxiety and sleep quality. Accordingly, it is recommended to train students in effective methods for coping with the fear of COVID-19, and to take initiatives to reduce related anxiety and sleep problems.
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Affiliation(s)
- Gülsüm Nihal Çürük
- Department of Nursing, Faculty of Health Sciences, Izmir University of Economics, Izmir, Turkey
| | - Ecem Özgül
- Department of Nursing, Faculty of Health Sciences, Izmir University of Economics, Izmir, Turkey
| | - Songül Karadağ
- Department of Internal Medicine Nursing, Faculty of Health Sciences, Cukurova University, Adana, Turkey
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Guardino CM, Whittaker F, Williams EA, Franchini M. Resilience resources, coping, and health outcomes in college students during the Covid-19 pandemic. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-11. [PMID: 37988057 DOI: 10.1080/07448481.2023.2269446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 10/06/2023] [Indexed: 11/22/2023]
Abstract
Background: Resilience resources are predispositions that promote individuals' abilities to cope with stress. Objective: The current cross-sectional study used path analysis with parallel multiple mediators to test whether coping behaviors mediated associations between resilience resources and somatic, depression, and anxiety symptoms during the Covid-19 pandemic. Method: Undergraduates at a small Northeastern college (n = 193) completed online surveys assessing resilience resources, coping, and symptoms. Results: Results support significant indirect effects from resilience resources to somatic symptoms through positive reinterpretation and growth, mental disengagement, and substance use. Total indirect effects for depressive symptoms were driven by mental disengagement and substance use, with a direct effect of resilience resources. The effect of resilience resources on anxiety symptoms was mediated by mental disengagement, and there was a direct effect of resilience resources. Conclusions: Findings demonstrate that some coping strategies link resilience resources to better outcomes, potentially informing interventions for adaptive coping during public health crises.
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Affiliation(s)
| | - Freya Whittaker
- Department of Psychology, Dickinson College, Carlisle, Pennsylvania, USA
| | - Eleanor A Williams
- Department of Psychology, Dickinson College, Carlisle, Pennsylvania, USA
| | - Meredith Franchini
- Department of Psychology, Dickinson College, Carlisle, Pennsylvania, USA
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Morales-Rodríguez FM, Martínez-Ramón JP, Narváez Peláez MA, Corvasce C. Understanding School Anxiety in Italian Adolescence through an Artificial Neural Network: Influence of Social Skills and Coping Strategies. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1688. [PMID: 37892351 PMCID: PMC10605030 DOI: 10.3390/children10101688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Revised: 10/06/2023] [Accepted: 10/12/2023] [Indexed: 10/29/2023]
Abstract
School anxiety depends on multiple factors that occur directly or indirectly in the teaching-learning process, such as going to the blackboard in class or reporting low grades at home. Other factors that influence school climate are social skills and coping strategies. That said, the aim of this research was to analyze the sources of school anxiety, coping strategies, and social skills in Italian secondary school students through an artificial neural network. For this purpose, a quantitative and ex post facto design was used in which the Inventory of School Anxiety (IAES), the Coping Scale for Children (EAN), and the Questionnaire for the Evaluation of Social Skills student version (EHS-A) were administered. The results showed that cognitive avoidance and behavioral avoidance coping strategies, together with the lack of social skills in students, are the variables that contributed the most to school anxiety scores in the artificial neural network. The conclusions revolve around the need to develop primary prevention programs.
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Affiliation(s)
- Francisco Manuel Morales-Rodríguez
- Department of Educational and Developmental Psychology, Campus of La Cartuja, Faculty of Psychology, University of Granada, 18011 Granada, Spain;
| | - Juan Pedro Martínez-Ramón
- Department of Evolutionary and Educational Psychology, Faculty of Psychology and Speech Therapy, Campus Regional Excellence Mare Nostrum, University of Murcia, 30100 Murcia, Spain
| | - Manuel Alejandro Narváez Peláez
- Department of Human Physiology and Physical and Sports Activity, Faculty of Medicine, University of Malaga, 29071 Málaga, Spain;
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Salafi KA, Widianti E, Praptiwi A. Self-compassion among Undergraduate Nursing Students at a State University in Indonesia during the COVID-19 Pandemic. Rev Bras Enferm 2023; 76:e20220585. [PMID: 37820145 PMCID: PMC10561944 DOI: 10.1590/0034-7167-2022-0585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 05/07/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE To determine the level of self-compassion and investigate the relationships between sociodemographic variables and self-compassion among undergraduate nursing students at a state university in Indonesia during the COVID-19 Pandemic. METHODS This study used a cross-sectional design. Samples were selected using a proportionate stratified random sampling technique (n=260). Data were collected using an Indonesian version of the Self-compassion Scale, which consists of 6 subscales: self-kindness, self-judgment, common humanity, isolation, mindfulness, and overidentification. Data were analyzed using univariate and bivariate analysis. RESULTS 60% of students had moderate self-compassion. Students scored the highest in self-kindness (3,93±1,02) and over-identification (3,58±0,94), indicating that they often tried to love themselves when they felt emotional pain and often get carried away when something upsetting happened. Subsequently, a significant correlation was found between age and self-compassion (p<0.05). CONCLUSION Self-compassion among nursing students should be improved through interventions such as compassion literacy, mindfulness training, and compassion-based experiential techniques.
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Affiliation(s)
| | - Efri Widianti
- Universitas Padjadjaran, Faculty of Nursing. Bandung, Indonesia
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Al Maqbali M, Madkhali N, Gleason AM, Dickens GL. Fear, stress, anxiety, depression and insomnia related to COVID-19 among undergraduate nursing students: An international survey. PLoS One 2023; 18:e0292470. [PMID: 37796791 PMCID: PMC10553289 DOI: 10.1371/journal.pone.0292470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 09/21/2023] [Indexed: 10/07/2023] Open
Abstract
The emergence of COVID-19 has produced unprecedented change in daily life activities leading to major impacts on psychological wellbeing and sleep among individuals worldwide. The study aimed to assess levels of fear, stress, anxiety, depression, and insomnia among undergraduate nursing students in four countries two years after the start of the pandemic. An international, multi-centre cross-sectional electronic survey was conducted between December 2021 and April 2022. An on-line questionnaire was distributed via Qualtrics® and JISC® software. Instruments included the Fear of COVID-19 Scale, the Perceived Stress Scale, the Hospital Anxiety and Depression Scale and the Insomnia Severity Index, and a demographics and academic background questionnaire. The independent variables included demographic and academic backgrounds, while fear level, stress, anxiety, depression, and insomnia were the dependent variables. A total of 918 undergraduate nursing students from KSA, Oman, UK, and UAE were participants in the study. Students presented with stress (91.6%), anxiety (69.1%), depression (59.8%), and insomnia (73.2%). The participants' mean Fear of COVID-19 Scale score was 12.97 (SD = 6.14). There were significant positive relationships between fear of COVID-19, stress, anxiety, depression, and insomnia. Undergraduate nursing students experienced moderate to severe levels of Fear of COVID-19, stress, anxiety, depression, and insomnia two years after the onset of the COVID-19 pandemic. Psychological intervention and peer support are needed to reduce the long-term adverse outcomes of mental health problems and insomnia. It is important to introduce education about crisis management of infectious disease during pandemics into the nursing curriculum to increase student knowledge and improve their preparedness for such emergencies.
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Affiliation(s)
| | | | | | - Geoffrey L. Dickens
- Mental Health Nursing Department of Nursing, Midwifery and Health Faculty of Health and Life Sciences, Northumbria University, Newcastle-Upon-Tyne, United Kingdom
- Adjunct Professor Western Sydney University, Penrith, Australia
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Labrague LJ. Problematic internet use and psychological distress among student nurses: The mediating role of coping skills. Arch Psychiatr Nurs 2023; 46:76-82. [PMID: 37813508 DOI: 10.1016/j.apnu.2023.08.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 08/21/2023] [Indexed: 10/17/2023]
Abstract
Problematic internet use has become a growing concern among student nurses, posing potential risks to their well-being and academic performance. Yet, the extent to which coping skills can help alleviate the adverse effects of problematic internet use on the psychological well-being of student nurses remains largely understudied. This study examined the mediating role of coping skills in the relationship between problematic internet use and psychological distress among student nurses. This cross-sectional study was conducted to collect data from 279 student nurses enrolled in a public-funded nursing school. Mediation analyses were conducted using the PROCESS Macro with Model 4. Findings showed that student nurses reported moderate levels of problematic internet use with a mean score of 2.233 (SD = 0.765). Several factors strongly predicted problematic internet, including being on the 3rd year of education (β = -0.261, p < 0.001), having an average academic performance (β = 0.184, p = 0.006), and using the internet for <3 h per day (β = -0.304, p < 0.001). Problematic internet use was significantly associated with increased psychological distress (β = 0.1791, p < 0.01). Coping skills were found to mediate the relationship between problematic internet use and psychological distress (β = 0.0160, SE = 0.0095). Overall, this study sheds light on the determinants of problematic internet use among student nurses and its negative impact on psychological well-being. By addressing problematic internet use and promoting healthy coping mechanisms, nursing education can better prepare student nurses to maintain their well-being and academic performance in the digital age.
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Beck JG, Bowen ME, Majeed R, Free BL, Brown TA, Brown B, Farchione T. Alcohol Use and Mental Health Symptoms in Nurses during the Early Months of COVID-19. J Dual Diagn 2023; 19:240-247. [PMID: 37813696 DOI: 10.1080/15504263.2023.2260346] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/11/2023]
Abstract
OBJECTIVE The current study examined associations of symptoms of posttraumatic stress disorder [PTSD], depression, and generalized anxiety disorder [GAD] with alcohol consumption and drinking to cope in a sample of 310 nurses during the first six months of the COVID-19 pandemic. METHOD Using a cross-sectional design, nurses completed online surveys. RESULTS Over 50% of the sample reported alcohol misuse and 12.2% reported drinking to cope. Further, 38.7% reported elevated symptoms of PTSD, 29.7% moderate-to-high symptoms of depression, and 56.8% elevated symptoms of GAD symptoms. Hierarchical regression analyses were conducted to examine how mental health symptoms were associated with alcohol outcomes, controlling for age, gender pronouns, education, and race. No significant predictors emerged for alcohol consumption. Significant associations of symptoms of PTSD and depression were found for drinking to cope, such that higher levels of mental health symptoms were associated with greater endorsement of drinking to cope. CONCLUSION Results are discussed in light of increasing prevention and support services for nurses.
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Affiliation(s)
- J Gayle Beck
- Department of Psychology, The University of Memphis, Memphis, Tennessee, USA
| | - Mya E Bowen
- Department of Psychology, The University of Memphis, Memphis, Tennessee, USA
| | - Rimsha Majeed
- Department of Psychology, The University of Memphis, Memphis, Tennessee, USA
| | - Bre'Anna L Free
- Department of Psychology, The University of Memphis, Memphis, Tennessee, USA
| | - Timothy A Brown
- Center for Anxiety & Related Disorders, Department of Psychological and Brain Sciences, Boston University, Boston, Massachusetts, USA
| | - Bonnie Brown
- Center for Anxiety & Related Disorders, Department of Psychological and Brain Sciences, Boston University, Boston, Massachusetts, USA
| | - Todd Farchione
- Center for Anxiety & Related Disorders, Department of Psychological and Brain Sciences, Boston University, Boston, Massachusetts, USA
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Robledo-Martín J, Acea-López L, Pérez-Urdiales I, Alcolea-Cosín MT, Bellon F, Oter-Quintana C, Blanco-Blanco J, Pastor-Bravo MDM, Rubinat-Arnaldo E, Briones-Vozmediano E. From students to nurses under pressure: Nursing students' entry into employment during the first COVID-19 wave. J Clin Nurs 2023; 32:7209-7226. [PMID: 37335081 DOI: 10.1111/jocn.16800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 04/26/2023] [Accepted: 05/29/2023] [Indexed: 06/21/2023]
Abstract
AIMS AND OBJECTIVE To describe the experiences of nursing students and their mental health as they entered employment during the first wave of the COVID-19 pandemic (May-June 2020). BACKGROUND As other healthcare professionals, nursing students who worked during the first COVID-19 wave suffered from dysfunctional mental health symptoms. DESIGN Sequential, mixed-method, multicentre study. METHODS The study population comprised 92 students in the third and fourth year of the Nursing degree at three Spanish universities, who entered employment during the pandemic. Data were collected between May and June 2020. In the quantitative phase, data were collected using an online questionnaire containing both validated anxiety and stress scales. In the qualitative phase, semi-structured interviews were conducted with 18 participants. A descriptive analysis of the quantitative data and a reflexive thematic analysis of the qualitative data were carried out, and analyses were combined. COREQ checklist was used for reporting. RESULTS The combined quantitative and qualitative results were organised into five thematic areas: (1) Interruption of clinical placements, (2) Entering employment on a healthcare assistant contract, (3) Preventing contagion, (4) Adapting to the situation and managing emotions, and (5) Lessons learned. CONCLUSION The students had a positive overall experience of entering employment, as they were able to develop their nursing skills. However, they had an emotional impact in form of stress caused by excessive responsibility, academic uncertainty, lack of personal protective equipment and training in its use, and the possibility of spreading disease to their family members. RELEVANCE TO CLINICAL PRACTICE In the current context, changes must be made in study programmes to instruct nursing students to be able to cope with extreme clinical situations, such as pandemics. The programmes should include a more extensive coverage of epidemics and pandemics and management of emotional aspects such as resilience.
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Affiliation(s)
- Juana Robledo-Martín
- Department of Nursing, Autonomous University of Madrid, Madrid, Spain
- Gregorio Marañón Health Research Institute (IiSGM), Madrid, Spain
| | - Lorena Acea-López
- Child and Adolescent Psychiatric Unit, Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain
| | - Iratxe Pérez-Urdiales
- Department of Nursing I, University of the Basque Country (UPV/EHU), Member of the Biocruces Bizkaia Health Research Institute, Bizkaia, Spain
| | | | - Filip Bellon
- Department of Nursing and Physiotherapy, University of Lleida, Member of the Health Care Research Group (GRECS) and Society, Health, Education and Culture Research Group (GESEC), Lleida, Spain
| | - Cristina Oter-Quintana
- Department of Nursing, Autonomous University of Madrid, Madrid, Spain
- Nursing and Health Care Research Group, Puerta de Hierro-Segovia de Arana Research Institute (IDIPHISA), Madrid, Spain
| | - Joan Blanco-Blanco
- Department of Nursing and Physiotherapy, University of Lleida, Member of the Health Care Research Group (GRECS) and Society, Health, Education and Culture Research Group (GESEC), Lleida, Spain
| | - María Del Mar Pastor-Bravo
- Department of Nursing, University of Murcia, Member of ENFERAVANZA Research Group, IMIB-Arrixaca, Murcia, Spain
| | - Esther Rubinat-Arnaldo
- Department of Nursing and Physiotherapy, University of Lleida, Member of the Health Care Research Group (GRECS) and Society, Health, Education and Culture Research Group (GESEC), Lleida, Spain
| | - Erica Briones-Vozmediano
- Department of Nursing and Physiotherapy, University of Lleida, Member of the Health Care Research Group (GRECS) and Society, Health, Education and Culture Research Group (GESEC), Lleida, Spain
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Wang C, Wen W, Zhang H, Ni J, Jiang J, Cheng Y, Zhou M, Ye L, Feng Z, Ge Z, Luo H, Wang M, Zhang X, Liu W. Anxiety, depression, and stress prevalence among college students during the COVID-19 pandemic: A systematic review and meta-analysis. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:2123-2130. [PMID: 34469261 DOI: 10.1080/07448481.2021.1960849] [Citation(s) in RCA: 71] [Impact Index Per Article: 71.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 07/06/2021] [Accepted: 07/22/2021] [Indexed: 05/25/2023]
Abstract
Background: Since the end of 2019, the coronavirus disease (COVID-19) outbreak rapidly became a pandemic. The psychological state of people during the COVID-19 pandemic has gained interest. Our aim was to study the prevalence of anxiety, depression, and stress in college students during the COVID-19 pandemic. Methods: A systematic search of Medline, Embase, Web of Science, and the Cochrane Library was conducted up to September 20, 2020. Reviewers independently assessed full-text articles according to predefined criteria. Stata14/SE was used to calculate the prevalence and 95% confidence intervals (CIs) of anxiety, depression, and stress among college students from different countries. A random effects model was adopted. The Egger test was used to determine publication bias. Results: A total of 280 references were retrieved, and 28 papers met our inclusion criteria, for a total of 436,799 college students. Thirteen studies involved non-Chinese college students, and 15 studies involved Chinese college students. The prevalence of anxiety, depression, and stress was 29% (95% CI, 19-25%), 37% (95% CI, 32-42%), and 23% (95% CI, 8-39%), respectively. Conclusion: The COVID-19 pandemic has had a negative psychological effect on college students, and the prevalence of anxiety, depression, and stress among Chinese college students is lower than among non-Chinese college students.
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Affiliation(s)
- Chunyi Wang
- Hangzhou Institute of Cardiovascular Diseases, Hangzhou Medical Key Discipline, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China
| | - Wen Wen
- Hangzhou Institute of Cardiovascular Diseases, Hangzhou Medical Key Discipline, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China
| | - Haifu Zhang
- Hangzhou Institute of Cardiovascular Diseases, Hangzhou Medical Key Discipline, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China
| | - Jie Ni
- Hangzhou Institute of Cardiovascular Diseases, Hangzhou Medical Key Discipline, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China
| | - Jingjie Jiang
- Hangzhou Institute of Cardiovascular Diseases, Hangzhou Medical Key Discipline, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China
| | | | - Mengyun Zhou
- Department of Molecular & Cellular Physiology, Shinshu University School of Medicine, Asahi, Matsumoto, Japan
| | - Lan Ye
- Basic Medical College, Guizhou Medical University, Guizhou, China
| | - Zhanhui Feng
- Department of Neurology, Affiliated Hospital of Guizhou Medical University, Guiyang, China
| | - Zhongjun Ge
- The Fourth People's Hospital of Lin'an, Hangzhou, China
| | - Hong Luo
- Hangzhou Institute of Cardiovascular Diseases, Hangzhou Medical Key Discipline, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China
| | - Mingwei Wang
- Hangzhou Institute of Cardiovascular Diseases, Hangzhou Medical Key Discipline, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China
| | - Xingwei Zhang
- Hangzhou Institute of Cardiovascular Diseases, Hangzhou Medical Key Discipline, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China
| | - Wenmin Liu
- Hangzhou Institute of Cardiovascular Diseases, Hangzhou Medical Key Discipline, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China
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D'Souza PJJ, Assariparambil AR, Muthamilselvi G, Joseph VM, George LS. Pandemic Pedagogy: Perception of Nursing students': A cross-sectional study. F1000Res 2023; 11:398. [PMID: 37854287 PMCID: PMC10579851 DOI: 10.12688/f1000research.109789.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/18/2023] [Indexed: 10/20/2023] Open
Abstract
Coronavirus disease 2019 pandemic impacted across the globe disrupting all sectors including the higher education universities. Nursing institutions faced various challenges due to the pandemic restrictions, of which the abrupt shift of implementing the curriculum to online mode posed a major challenge to both the teachers and the students. To assess nursing students' perception of pandemic pedagogy and the challenges faced in online teaching-learning, this cross-sectional survey was conducted among 982 undergraduate nursing students from three Deemed to be University nursing institutions of Southern India. Institutional Ethics Committee approval (IEC 444/2020), permission from the heads of the institutions and study participant's consent was obtained. Data was collected using an online survey questionnaire which had three domains, including student-related (19 items), teacher-related(5 items), and physical learning environment-related factors (11 items). The reliability was established using Cronbach's Alpha (0.86). Explored the favouring, hindering factors and challenges faced during the emergency remote teaching with open-ended items. The overall mean score of perceptions on pandemic pedagogy was 89.03±10.03. Sixty-three percent of students had a total perception score above 87 which indicates that they preferred online learning during the pandemic whereas 45% preferred classroom learning. There was a significant difference in the total perception scores and the years of study( F (3, 978) = 4.96, p = 0.002). The factors favouring online learning were, an opportunity to view the recorded classes even after the live classes' (n=165), and 'more time to spend for learning activities' (n=152). Factors that hindered the learning or the challenges faced were poor network connectivity (n=451), and lack of opportunity for group study (n=326). Students favoured online learning during the pandemic; however, there were several challenges. The educational institutions need to prepare themselves to overcome this and focus on a blended learning curriculum.
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Affiliation(s)
- Prima Jenevive Jyothi D'Souza
- Assistant Professor, Department of Fundamentals of Nursing, Manipal College of Nursing Manipal, Manipal Academy of Higher Education, Udupi district, Karnataka, 576104, India
| | - Anil Raj Assariparambil
- Assistant Professor, Department of Medical Surgical Nursing, Manipal College of Nursing Manipal, Manipal Academy of Higher Education, Udupi District, Karnataka, 576104, India
| | - G Muthamilselvi
- Professor and principal, Vinayaka Mission’s College of Nursing, Vinayaka Mission’s Research Foundations,, Puducherry, Tamil Nadu, India
| | - Veena M Joseph
- Assistant Professor, College of Nursing, Gulf Medical University, Ajman, United Arab Emirates
| | - Linu Sara George
- Professor & Head, Department of Fundamentals of Nursing, Manipal College of Nursing Manipal, Manipal Academy of Higher Education, Udupi district, Karnataka, 576104, India
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Theron LC, Cockcroft K, Annalakshmi N, Rodgers JG, Akinduyo TE, Fouché A. Emerging Adult Resilience to the Early Stages of the COVID-Pandemic: A Systematic Scoping Review. Child Psychiatry Hum Dev 2023:10.1007/s10578-023-01585-y. [PMID: 37698747 DOI: 10.1007/s10578-023-01585-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/08/2023] [Indexed: 09/13/2023]
Abstract
Human resilience to COVID-19 related stressors remains a pressing concern following the aftereffects of the pandemic and in the face of probable future pandemics. In response, we systematically scoped the available literature (n = 2030 records) to determine the nature and extent of research on emerging adults' adaptive responses to COVID-19 stressors in the early stages of the pandemic. Using a multisystem resilience framework, our narrative review of 48 eligible studies unpacks the personal, relational, institutional and/or physical ecological resources that enabled positive emerging adult outcomes to COVID-18 stressors. We found that there is a geographical bias in studies on this topic, with majority world contexts poorly represented. Resources leading to positive outcomes foregrounded psychological and social support, while institutional and ecological supports were seldom mentioned. Multisystemic combinations of resources were rarely considered. This knowledge has valuable implications for understanding resilience in the context of other large-scale adverse conditions.
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Affiliation(s)
- L C Theron
- Department of Educational Psychology, University of Pretoria, Pretoria, South Africa.
- Faculty of Education, University of Pretoria, Groenkloof Campus, Pretoria, 0002, South Africa.
| | - K Cockcroft
- Department of Psychology, School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa
| | - N Annalakshmi
- Psychology Department, Bharathiar University, Coimbatore, India
| | - J G Rodgers
- Department of Psychology, School of Health Sciences, North-West University, Vanderbijlpark, South Africa
| | - T E Akinduyo
- Department of Educational Psychology, University of Pretoria, Pretoria, South Africa
| | - A Fouché
- Department of Social Wellbeing, United Arab Emirates University, Al Ain, United Arab Emirates
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Hu L, Zhao S, Zhou J, Ou W, Wen J, Lu R. The influence of benefit finding on academic engagement among Chinese college students: A moderating effect model. Heliyon 2023; 9:e20245. [PMID: 37809830 PMCID: PMC10560010 DOI: 10.1016/j.heliyon.2023.e20245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 09/03/2023] [Accepted: 09/14/2023] [Indexed: 10/10/2023] Open
Abstract
Objective To explore how college students' academic engagement has changed in the outbreak of coronavirus disease 2019 (COVID-19) (hereinafter referred to as "in the outbreak"), this research will encompass more than just looking into the relationship among anxiety, benefit finding (BF) and academic engagement, but also involve evaluating how anxiety moderates the positive impact of BF on academic engagement. Method Among college students, this study comprised an online-based cross-sectional survey in cities where COVID-19 broke out. Convenience sampling method was used. The survey took place between November 10 and November 19, 2021, during which all the cities surveyed were in the outbreak. With language revision, scales include Student Version of the Utrecht Work Engagement Scale (UWES-S), recompiled Benefit Finding Scale (BFS) and 7-item Generalized Anxiety Disorder Scale (GAD-7), as methods for gauging the academic engagement, BF and anxiety experienced by college students, respectively. Results Academic engagement in the outbreak is higher than that before the outbreak stage of COVID-19 (hereinafter referred to as "before the outbreak") (Z = -18.201, P < 0.001). Between anxiety and BF, a negative correlation can be observed in the outbreak (P = 0.001), whereas BF and anxiety have an adverse correlation with academic engagement (P < 0.001). The positive effect of BF on academic engagement will be debilitated by anxiety. Further analysis shows that college students who are close to medium-and high-risk areas, worried about the infection, unvaccinated and concerned about the epidemic, are more likely to be anxious (P < 0.001). Those with confidence in government's ability to prevent and control the epidemic, as well as increased trust in medical workers, have a higher BF (P < 0.001). Conclusions While COVID-19 could still exert adverse effects on psychology of college students, but it can also stimulate college students to perceive the meaning of life. In the outbreak, an increase in academic engagement seems to be a manifestation of growth in adversity. Compared with short-term negative emotional intervention, life meaning and gratitude in education may stimulate their potential ability for a longer time.
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Affiliation(s)
- Lingmin Hu
- Department of Reproduction, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Jiangsu, Changzhou, 213000, China
| | - Shenyu Zhao
- Changzhou Third People's Hospital, Changzhou Medical Center, Nanjing Medical University, Jiangsu, Changzhou, 213000, China
| | - Jing Zhou
- Department of Reproduction, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Jiangsu, Changzhou, 213000, China
| | - Weiyan Ou
- School of Health Management, Southern Medical University, Guangdong, Guangzhou, 510515, China
- Business School, ISCTE University Institute of Lisbon, Lisbon, 1649-026, Portugal
| | - Juan Wen
- Nanjing Maternity and Child Health Care Institute, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Jiangsu, Nanjing, 210000, China
| | - Renjie Lu
- Changzhou Third People's Hospital, Changzhou Medical Center, Nanjing Medical University, Jiangsu, Changzhou, 213000, China
- School of Health Management, Southern Medical University, Guangdong, Guangzhou, 510515, China
- Business School, ISCTE University Institute of Lisbon, Lisbon, 1649-026, Portugal
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Demir Doğan M, Uludağ E. Coronavirus anxiety, fear level, and awareness of nursing students starting face-to-face education. J Public Health (Oxf) 2023. [DOI: 10.1007/s10389-023-02065-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 08/09/2023] [Indexed: 09/13/2023] Open
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Lee MH, Noh EY. Effectiveness of Simulation-Based Education for Caring Patients with COVID-19. J Korean Acad Nurs 2023; 53:397-411. [PMID: 37673815 DOI: 10.4040/jkan.22151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 03/13/2023] [Accepted: 08/08/2023] [Indexed: 09/08/2023]
Abstract
PURPOSE The role of medical staff gained immense significance in the context of the prolonged coronavirus disease (COVID-19) pandemic. However, few studies had explored the impact of simulation-based education on the ability of nursing students to care for the patients of COVID-19. This study provided nursing students with simulation-based education in caring for the patients of COVID-19 and confirmed its effectiveness. METHODS This study used a non-equivalent control group pretest-posttest design. The participants were recruited from the nursing departments of two universities in Korea through convenience sampling. A total of 79 participants were included: 37 in the intervention group and 42 in the control group. The intervention group received four sessions of simulation training based on the National League for Nursing Jeffries simulation theory. RESULTS The intervention group showed an improvement compared to the control group in terms of knowledge related to coronavirus, confidence in performing infection control skills, and perception of preparedness for caring for the patients of COVID-19, with a high-level of satisfaction and self-confidence in learning. There was no significant difference between the two groups in terms of anxiety. CONCLUSION This simulation is expected to be a significant strategy for alleviating the global burden in terms of staff safety and patient outcomes by improving the competencies of prospective medical staff in responding to pandemics.
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Affiliation(s)
- Min Hye Lee
- College of Nursing, Dong-A University, Busan, Korea
| | - Eun-Young Noh
- Department of Nursing, Konkuk University, Chungju, Korea.
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Manana M, Ntuli ST, Mokwena K, Maaga K. Prevalence and Risk Factors for Anxiety Symptoms among Student Nurses in Gauteng Province of South Africa. Behav Sci (Basel) 2023; 13:630. [PMID: 37622771 PMCID: PMC10452000 DOI: 10.3390/bs13080630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2023] [Revised: 07/18/2023] [Accepted: 07/25/2023] [Indexed: 08/26/2023] Open
Abstract
Background: Globally, mental disorders are common among nursing students; therefore, effective prevention and early detection are urgently needed. However, the prevalence rate of anxiety symptoms has not been investigated in South African nursing colleges. Aim: The study aimed to assess the prevalence of anxiety symptoms and their sociodemographic risk factors among nursing students in Gauteng province, South Africa. Methods: This cross-sectional descriptive study was conducted at Chris Hani Baragwanath and SG Lourens nursing colleges in the first week of June 2022. A purposeful sampling technique selected the third- and fourth-year nursing students aged ≥ 18 years registered at the two nursing colleges. The seven-item Generalised Anxiety Disorder scale was used to assess anxiety symptoms. Results: The prevalence of anxiety symptoms was 74.7% (95% confidence interval: 69.9-78.9). Being a student at nursing college B, being in the fourth academic year of study and use of substances were identified as predictors of anxiety symptoms in these nursing students. Conclusions: The prevalence of anxiety symptoms in this study is relatively high, with predictors of developing anxiety being a student at nursing college B, in the fourth academic year and current use of psychoactive substances were predictors of anxiety symptoms. These findings highlight the need to develop interventions and strategies to promote mental health assessments and management to prevent and reduce the problem of mental disorders among nursing students.
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Affiliation(s)
- Maleke Manana
- Department of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0204, South Africa (K.M.)
| | - Sam Thembelihle Ntuli
- Department of Statistical Sciences, School of Science and Technology, Sefako Makgatho Health Sciences University, Pretoria 0204, South Africa
| | - Kebogile Mokwena
- Department of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0204, South Africa (K.M.)
| | - Kgomotso Maaga
- Department of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0204, South Africa (K.M.)
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Huang HM, Fang YW. Stress and Coping Strategies of Online Nursing Practicum Courses for Taiwanese Nursing Students during the COVID-19 Pandemic: A Qualitative Study. Healthcare (Basel) 2023; 11:2053. [PMID: 37510494 PMCID: PMC10378767 DOI: 10.3390/healthcare11142053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 07/04/2023] [Accepted: 07/16/2023] [Indexed: 07/30/2023] Open
Abstract
BACKGROUND The coronavirus disease (COVID-19) pandemic has resulted in significant changes in nursing education. Maintaining social distance could slow down the spread of COVID-19, and it was necessary, but it significantly reduced students' hands-on clinical practice experience in healthcare settings. Traditional classroom teaching in schools has transitioned to distance or online learning methods, which significantly reduced students' hands-on clinical practice experience in healthcare settings. Although distance education had been implemented for a long time, there are many problems and challenges to be resolved. The experiences and needs of nursing students in remote clinical training urgently require further understanding. PURPOSE To understand the stress and coping strategies of online nursing practicum courses for Taiwanese nursing students during the COVID-19 pandemic. METHODS A qualitative research approach with purposive sampling was supplemented by snowball sampling. Semi-structured interviews were conducted, and the data were collected following the eight-step process outlined by Waltz, Strickland, and Lenz (2010). The participants were 12 nursing students on a two-year nursing RN-to-BSN program at a university in Eastern Taiwan, consisting of 11 females and 1 male student. FINDINGS The stress and coping behaviors of nursing students consist of four main themes, each with three subthemes, including "urgent changes", "the gaps between online courses and practical operations", "mixed feelings of joy and anxiety" and "unexpected gains". CONCLUSIONS The pandemic has impacted nursing students' learning and living. Engaging in online nursing practicum brought about significant stress; nevertheless, students employed various coping strategies to navigate through this challenging period. The findings of this study would also help nursing educators understand the learning gaps in clinical practicum among students.
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Affiliation(s)
- Hui-Man Huang
- Department of Nursing, College of Nursing, Tzu Chi University of Science and Technology, Hualien 970302, Taiwan
| | - Yu-Wen Fang
- Department of Nursing, College of Nursing, Tzu Chi University of Science and Technology, Hualien 970302, Taiwan
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Stephens TM, Layne D. A National Survey of Nursing Faculty Resilience, Moral Courage, and Purpose. J Nurs Educ 2023; 62:381-386. [PMID: 37413671 DOI: 10.3928/01484834-20230509-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/08/2023]
Abstract
BACKGROUND High rates of nursing faculty burnout and moral distress fuel faculty attrition, which directly affects our ability to educate new nurses. This study investigated the relationships among resilience, moral courage, and purpose to inform strategies to promote well-being in nursing faculty. METHOD A descriptive, correlational study was conducted using a convenience sample of nursing faculty in the United States and Canada (n = 690). Participants completed three surveys: the Connor Davidson Resilience Scale (CD-RISC), the Moral Courage Scale for Nursing Faculty (MCNF), and the Meaning of Life Questionnaire (MSQ), as well as a single open-ended question. RESULTS Moral courage was moderately correlated to resilience, and the Meaning of Life Presence subscale was moderately correlated to resilience. Meaning of life presence and meaning of life search were moderately negatively correlated. CONCLUSION Resilience, moral courage, and purpose are essential in promoting professional fulfillment and personal well-being in nursing faculty. [J Nurs Educ. 2023;62(7):381-386.].
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Martínez‐Vázquez S, Martínez‐Galiano JM, Peinado‐Molina RA, Hernández‐Martínez A. Magnitude of general anxiety disorder among nursing students and its associated factors. Health Sci Rep 2023; 6:e1405. [PMID: 37455708 PMCID: PMC10338764 DOI: 10.1002/hsr2.1405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 06/02/2023] [Accepted: 06/26/2023] [Indexed: 07/18/2023] Open
Abstract
Background University training in nursing together with other student variables can increase the risk of anxiety in students. It is important to assess the student's level of anxiety, which can have repercussions on their training and mental health. There are several validated tools such as the generalized anxiety disorder scale (GAD-7). Objective To know which factors are associated with the appearance of anxiety and which protect against it in university nursing students. Method A cross-sectional descriptive study was carried out in which 170 university nursing students from University of Jaén participated. A bivariate and multivariate analysis was performed, calculating odds ratio and adjusted odds ratio (aOR) with 95% confidence intervals (CIs) to determine which factors were associated with a higher score on the GAD-7 questionnaire, and therefore with the presence of anxiety. Results In total, 66.5% (113) of the students have suffered an anxiety crisis on some occasion and 48.8% (83) of the students did not carry out activities of any kind to control anxiety and stress. Practicing religious and spiritual beliefs increased the probability of having anxiety compared to those who did not have religious beliefs (aOR = 3.92; 95% CI = 1.09, 14.08), as well as having previously suffered an anxiety crisis (aOR = 5.13; 95% CI = 2.39, 11.04). Protective factors against anxiety appear to be second-year students (aOR = 0.33; 95% CI = 0.16, 0.72) and being deeply satisfied with the teaching staff (aOR = 0.03; 95% CI = 0.01, 0.79). Discussion/Implications for practice Knowing the factors that are associated with the appearance of anxiety is necessary to facilitate early detection and care in nursing university students.
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Affiliation(s)
| | - Juan Miguel Martínez‐Galiano
- Department of NursingUniversity of JaenJaenSpain
- Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP)MadridSpain
| | | | - Antonio Hernández‐Martínez
- Department of NursingFaculty of Nursing of Ciudad Real, The University of Castilla‐La ManchaCiudad RealSpain
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Wittayapun Y, Summart U, Polpanadham P, Direksunthorn T, Paokanha R, Judabood N, A’la MZ. Validation of depression, anxiety, and stress scales (DASS-21) among Thai nursing students in an online learning environment during the COVID-19 outbreak: A multi-center study. PLoS One 2023; 18:e0288041. [PMID: 37390065 PMCID: PMC10312998 DOI: 10.1371/journal.pone.0288041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 06/18/2023] [Indexed: 07/02/2023] Open
Abstract
The Depression, Anxiety and Stress Scale (DASS-21), an introductory scale used to identify common mental disorders (CMDs) among adults, was validated across cultures in Asian populations; nevertheless, its capacity for screening these disorders may be limited for some specified groups, including nursing students. This study attempted to investigate the psychometric scale's unique features of DASS-21 for Thai nursing students in an online learning environment during the COVID-19 outbreak. A cross-sectional study using the multistage sampling technique recruited 3,705 nursing students from 18 universities located in south and northeast Thailand. The data were gathered using an online web-based survey, and then all respondents were divided into 2 groups (group 1, n = 2,000, group 2, n = 1,705). After using the statistical methods to reduce items, exploratory factor analysis (EFA) using group 1 was performed to investigate the factor structure of the DASS-21. Finally, group 2 used confirmatory factor analysis to verify the modified structure proposed by the EFA and assess the construct validity of the DASS-21. A total of 3,705 Thai nursing students were enrolled. For the factorial construct validity, a three-factor model was initially suggested containing 18 items (DASS-18) spread across 3 components: anxiety (7 items), depression (7 items) and stress (4 items). The internal consistency reliability was acceptable with Cronbach's alpha in the range of 0.73-0.92for either the total or its subscales. For convergent validity, average variance extracted (AVE) showed that all the DASS-18 subscales achieved convergence effect with AVE in the range of 0.50-0.67. The psychometric features of the DASS-18 will support Thai psychologists and researchers to screen CMDs more easily among undergraduate nursing students in tertiary institutions who enrolled in an online learning environment during the COVID-19 outbreak.
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Affiliation(s)
- Yuwadee Wittayapun
- Movement Science and Exercise Research Center-Walailak University (MoveSE-WU), Walailak University, Nakhon Si Thammarat, Thailand
- School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, Thailand
| | - Ueamporn Summart
- Faculty of Nursing, Roi Et Rajabhat University, Roi Et, Thailand
| | - Panicha Polpanadham
- Faculty of Physical Therapy, Huachiew Chalermprakiet University, Bangkok, Thailand
| | | | - Raweewan Paokanha
- Faculty of Nursing, Ratchathani University, Udonthani Campus, Udonthani, Thailand
| | - Naruk Judabood
- Faculty of Nursing, Chalermkarnchana University, Srisaket Campus, Srisaket, Thailand
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Balki E, Hayes N, Holland C. Loneliness and older adults: psychological resilience and technology use during the COVID-19 pandemic-a cross sectional study. FRONTIERS IN AGING 2023; 4:1184386. [PMID: 37434741 PMCID: PMC10331608 DOI: 10.3389/fragi.2023.1184386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Accepted: 06/12/2023] [Indexed: 07/13/2023]
Abstract
Introduction: This study investigated how psychological resilience influenced greater technology use among older adults, and whether they moderated the impact of social isolation on loneliness during the COVID-19 pandemic. We also explored whether technology mediates the impact of psychological resilience on loneliness. To explain the relationship between variables, the research drew upon the socio-emotional selective theory, which posits the notion that older adults are more focused on current and emotionally important relationships and goals concerning emotional regulation goals such as psychological well-being. Methods: Using a cross-sectional observational design, data were collected from 92 residents aged 65 to 89 in England from March 2020 to June 2021. Participants completed the Connor-Davidson Resilience Scale, Technology Experience Questionnaire, UCLA Loneliness Scale, and Lubben Social Network Index. Pearson correlation, mediation and moderation analyses were conducted to investigate the hypotheses. Results: Most participants experienced moderate to severe levels of loneliness, displaying higher levels than pre-pandemic. Psychological resilience predicted greater technology use, and lower levels of loneliness. Technology was found to mediate the relationship between psychological resilience and loneliness. Neither technology use, nor psychological resilience was found to moderate the impact of social isolation on loneliness. Discussion: Findings suggested that strategies directed towards screening older adults for psychological resilience levels and low technology experience may help identify those most at risk for adapting poorly when exposed to stressors in situations like the Covid-19 pandemic. Early interventions can be initiated to increase psychological resilience and technology use, including empirical interventions, that may help decrease loneliness, especially in times of elevated risks for loneliness.
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Affiliation(s)
- Eric Balki
- Centre for Ageing Research, Division of Health Research, Lancaster University, Lancaster, United Kingdom
| | - Niall Hayes
- The Directorate, Nottingham Trent University, Nottingham, United Kingdom
| | - Carol Holland
- Centre for Ageing Research, Division of Health Research, Lancaster University, Lancaster, United Kingdom
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Mayor-Silva LI, Moreno G, Girón-Daviña PR, Mohamedi-Abdelkader S, Hernández-Martín MM, Moreno-Pimentel AG, Meneses-Monroy A. Emotional empowerment through information research and communication to reduce fear of COVID-19 among nursing students: a randomised controlled trial. BMC Nurs 2023; 22:209. [PMID: 37332015 DOI: 10.1186/s12912-023-01370-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 06/07/2023] [Indexed: 06/20/2023] Open
Abstract
BACKGROUND Despite an existing body of literature on anxiety reduction using multi-component methods, little is known about the effect of active student participation in research and communication of scientific information on anxiety and fear reduction. The aim of this study is to evaluate the impact of quality scientific information research and the production of informative videos on the preventive aspects of COVID-19 on fear and anxiety reduction. METHODS A randomised controlled trial was conducted with 220 undergraduate nursing students in the first year of the nursing degree. The participating students were randomised into two groups. The experimental group carried out an intervention based on a database search for information on preventing COVID-19 and production of a video giving scientific reasons why prevention measures should be followed. In the control group, students created posters and videos about theoretical aspects of one module of the nursing degree. Both groups were surveyed before and after the intervention, measuring their state of resilience, preventive behaviours, level of anxiety, and fear of COVID-19. RESULTS The intervention group showed a greater decrease in fear levels after the intervention than those in the control group. There were no differences between the groups in terms of resilience, preventive behaviours, or anxiety. In the experimental group, there was a significant decrease in anxiety levels and fear levels after the intervention compared to the baseline levels. CONCLUSIONS An intervention based on active participation in searches for high-quality scientific information and production of information videos on COVID-19 prevention reduced fear and anxiety caused by COVID-19 among nursing students. TRIAL REGISTRATION We have retrospectively registered the trial in Open Science Framework and the identification number is https://doi.org/10.17605/OSF.IO/6QU5S .
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Affiliation(s)
- L Iván Mayor-Silva
- Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid (UCM), Pl. de Ramón y Cajal, 3, 28040, Madrid, Spain
| | - Guillermo Moreno
- Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid (UCM), Pl. de Ramón y Cajal, 3, 28040, Madrid, Spain.
- Hospital 12 de Octubre Health Research Institute (imas12), Madrid, Spain.
| | - Pedro R Girón-Daviña
- Faculty of Statistical Studies, Complutense University of Madrid (UCM), Madrid, Spain
| | - Samir Mohamedi-Abdelkader
- Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid (UCM), Pl. de Ramón y Cajal, 3, 28040, Madrid, Spain
| | - Marta M Hernández-Martín
- Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid (UCM), Pl. de Ramón y Cajal, 3, 28040, Madrid, Spain
| | - Antonio G Moreno-Pimentel
- Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid (UCM), Pl. de Ramón y Cajal, 3, 28040, Madrid, Spain
| | - Alfonso Meneses-Monroy
- Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid (UCM), Pl. de Ramón y Cajal, 3, 28040, Madrid, Spain
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Dong C, Xia L, Zhao C, Zhang X, He J, Zhang G, Zhang J. Prospective association between perceived stress and anxiety among nursing college students: the moderating roles of career adaptability and professional commitment. BMC Psychiatry 2023; 23:388. [PMID: 37264378 DOI: 10.1186/s12888-023-04887-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 05/18/2023] [Indexed: 06/03/2023] Open
Abstract
BACKGROUND Anxiety may stay with nursing students throughout their internship and even persist afterwards. Although many studies have explored the effects of perceived stress on anxiety, the relationship between pre-internship perceived stress and post-internship anxiety levels has not been clarified. In addition, none had focused on the moderating roles of career adaptability and professional commitment between perceived stress and anxiety. This study aims to investigate the influence of pre-internship perceived stress on the post-internship anxiety level of nursing college students, and to analyze the moderating effects of career adaptability and professional commitment on their relationships. METHODS A longitudinal study design was employed. Full-time nursing college students from a Chinese medical university were recruited by convenient sampling. All surveys were conducted via Wen Juan Xing ( www.wjx.cn ), a widely used web-based survey platform in China. Two waves of surveys were collected in the pre-internship and post-internship periods, with an interval of one year. Among 823 nursing students recruited, 692 students completed all two waves of the survey (response rate: 84.08%). Participants completed a series of questionnaires examining general demographic characteristics, perceived stress, anxiety, career adaptability, and professional commitment both before and after the internship. The bias-corrected bootstrap technique of the Hayes PROCESS macro (Model 2) was used to test the moderation effect. RESULTS Pre-internship perceived stress was positively associated with post-internship anxiety (β = 0.474, p < 0.001). Career adaptability would mitigate the effect of perceived stress on anxiety (β = -0.009, p < 0.01, 95% CI = [-0.013, -0.004]), and this influence became stronger for nursing college students with higher levels of career adaptability. Instead, the professional commitment would enhance the effect of perceived stress on anxiety (β = 0.004, p < 0.05, 95% CI = [0.001, 0.009]). CONCLUSIONS Adequate career adaptability was key to alleviating anxiety among nursing interns. Nursing educators and clinical nursing managers should pay attention to cultivating the career adaptability of nursing college students in order to help them successfully achieve identity transformation and career development. Meanwhile, it is crucial to guide them to develop appropriate professional commitment.
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Affiliation(s)
- Chaoqun Dong
- School of Nursing, Wenzhou Medical University, Wenzhou, 325035, China
| | - Lin Xia
- School of Nursing, Wenzhou Medical University, Wenzhou, 325035, China
| | - Chengjia Zhao
- School of Education, Renmin University of China, Beijing, 100872, China
| | - Xiaoxian Zhang
- School of Nursing, Wenzhou Medical University, Wenzhou, 325035, China
| | - Ju He
- School of Nursing, Wenzhou Medical University, Wenzhou, 325035, China
| | - Guohua Zhang
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China.
- The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou, 325035, China.
| | - Jingjing Zhang
- School of Nursing, Wenzhou Medical University, Wenzhou, 325035, China.
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Saeedi M, Abedini Z, Taleb S. Stress coping strategies of Iranian healthcare staff during the COVID-19 pandemic: A cross-sectional study. Heliyon 2023; 9:e17178. [PMID: 37325457 PMCID: PMC10257513 DOI: 10.1016/j.heliyon.2023.e17178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 06/05/2023] [Accepted: 06/09/2023] [Indexed: 06/17/2023] Open
Abstract
The COVID-19 pandemic has exposed healthcare staff to mental distress. Given the importance of applying effective strategies to cope with stress caused by COVID-19, this study aimed to assess the stress-coping strategies of Iranian healthcare providers. This cross-sectional study was performed through a web-based survey. Data collection was done online using a demographic data questionnaire and the short form of Endler and Parker's coping inventory. The mean scores of task-oriented strategies (27.06 ± 5.13) were higher than avoidance-oriented (19.42 ± 5.77) and emotion-oriented strategies (18.45 ± 5.76), and the healthcare workers mainly used task-oriented styles to cope with COVID-19-related stress. There was a significant difference between the score of task-oriented strategy in terms of age groups (P < 0.001), work experience (P = 0.018), level of education (P < 0.001), having children (P = 0.002), and type of hospital (P = 0.028). The score of task-oriented strategies was lower in employees who were in the age group of 20-30 years and had less than 10 years of work experience, and it was higher in employees who had children, worked in private hospitals, and had a master's degree or higher. The score of emotion-oriented strategies in the age group of 51-60 years was significantly lower than other age groups (P < 0.01) and was significantly higher in employees with a bachelor's degree than those with a master's degree or higher (P = 0.017). There was no significant difference between the scores of avoidance-oriented strategies and any socio-demographic variables. According to the findings of this study, young and less experienced employees were more inclined to utilize emotion-oriented coping styles. Therefore, considering appropriate training programs for these employees to apply effective coping strategies is extremely important.
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Affiliation(s)
| | - Zahra Abedini
- Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
| | - Sahar Taleb
- Saveh University of Medical Sciences, Saveh, Iran
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