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Tan WY, Chen JN, Lu SH, Liu CQ, Zhou Y, Luo Q, Song LQ, Miao CY, Smith GD. Latent profiles of academic resilience in undergraduate nursing students and their association with resilience and self-efficacy. Nurse Educ Pract 2024; 77:103949. [PMID: 38593563 DOI: 10.1016/j.nepr.2024.103949] [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: 12/08/2023] [Revised: 03/11/2024] [Accepted: 03/21/2024] [Indexed: 04/11/2024]
Abstract
AIM This study aimed to investigate the heterogeneity of academic resilience among nursing students using latent profile analysis and its associated influencing factors. BACKGROUND Nursing students experience higher levels of stress compared to their peers in other professions, and the cultivation of academic resilience plays a pivotal role in their ability to effectively cope with this stress. Academic resilience not only facilitates success in the face of academic adversity but also contributes to the promotion of mental well-being among nursing students. However, the current research on the academic resilience of nursing students has predominantly focused on a scale-centered total score approach, disregarding individual variability, and hindering the development to inform personalized interventions for enhancing academic resilience. DESIGN A cross-sectional study. METHODS A convenience sampling method was used to collect a total of 644 nursing students from two medical schools in Guangzhou City. The participants were recruited through an online survey conducted from January to March 2023. The questionnaires consisted of a general information form, the Chinese version of the Academic Resilience Scale-30 (C-ARS-30), the 10-item Connor Davidson Resilience Scale (CD-RISC-10), and the General Self-Efficacy Scale (GSES). Latent profile analysis was used to identify distinct categories of academic resilience among nursing students, and influencing factors were examined through ordinal logistic regression analysis. RESULTS The academic resilience levels of nursing students can be divided into three potential categories: 'low academic resilience' (13.0%), 'moderate academic resilience' (70.0%), and 'high academic resilience' (17.0%). Level of grade, GPA, self-reported physical health level, resilience and self-efficacy were significantly influenced the different categories of academic resilience of nursing students (P<0.05). CONCLUSIONS The majority of undergraduate nursing students were placed in the moderate academic resilience group, however, educational institutions should pay special attention to nursing students demonstrating low levels. Regular assessments of academic resilience are recommended, and personalized interventions should be tailored to address specific academic resilience characteristics across different grades of nursing students. Strategies aimed at enhancing academic resilience among nursing students may include improvements in GPA performance, attention to physical health, and the reinforcement of resilience and self-efficacy.
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Affiliation(s)
- Wen-Ying Tan
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong 510182, China
| | - Jia-Ni Chen
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong 510182, China
| | - Sui-Hua Lu
- School of Guangzhou Health Science College, Guangzhou, Guangdong 510450, China
| | - Chun-Qin Liu
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong 510182, China
| | - Ying Zhou
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong 510182, China.
| | - Qing Luo
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong 510182, China
| | - Li-Qin Song
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong 510182, China
| | - Chu-Yuan Miao
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong 510182, China
| | - Graeme D Smith
- School of Health Sciences, Caritas Institute of Higher Education, 999077, Hong Kong Special Administrative Region of China
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Al Omari O, Al Yahyaei A, Wynaden D, Damra J, Aljezawi M, Al Qaderi M, Al Ruqaishi H, Abu Shahrour L, ALBashtawy M. Correlates of resilience among university students in Oman: a cross-sectional study. BMC Psychol 2023; 11:2. [PMID: 36604764 PMCID: PMC9817347 DOI: 10.1186/s40359-022-01035-9] [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: 10/12/2022] [Accepted: 12/28/2022] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Resilience has a paramount role in dealing with different life stressors and has a great impact on mental health. AIM To assess the level of resilience among university students and explore the relation between resilience and a number of variables including psychological well-being, self-esteem and physical health. METHODS A cross-sectional design was utilized. Data was collected from 676 university students. Students were required to complete a demographic sheet, Brief Resilience Scale, World Health Organization Well-Being Index, Rosenberg Self-Esteem Scale and a physical health survey. RESULTS Overall, less than half of the participants have reported low levels of resilience (45.3%; n = 306). Regular sleep, perceived stress, WHO well-being index, self-esteem, and having a cumulative GPA of more than two, were factors that significantly predicted positive resilience in multivariate analysis. CONCLUSION Resilience is a necessary skill among university students that requires more academic attention. Factors predicting positive resilience should be considered when implementing mental health promotion programs.
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Affiliation(s)
- Omar Al Omari
- grid.412846.d0000 0001 0726 9430College of Nursing, Sultan Qaboos University, P.O. Box 66, Al-Khoudh, 123 Muscat, Oman
| | - Asma Al Yahyaei
- grid.412846.d0000 0001 0726 9430College of Nursing, Sultan Qaboos University, P.O. Box 66, Al-Khoudh, 123 Muscat, Oman
| | - Dianne Wynaden
- grid.1032.00000 0004 0375 4078School of Nursing, Curtin University, Perth, WA Australia
| | - Jalal Damra
- grid.33801.390000 0004 0528 1681Educational Psychology and Counseling Department, Hashemite University, Zarqa, Jordan ,grid.412846.d0000 0001 0726 9430Psychology Department, Sultan Qaboos University, Muscat, Oman
| | - Maen Aljezawi
- grid.412846.d0000 0001 0726 9430College of Nursing, Sultan Qaboos University, P.O. Box 66, Al-Khoudh, 123 Muscat, Oman ,grid.411300.70000 0001 0679 2502Princess Salma Faculty of Nursing, AL al-Bayt University, Mafraq, Jordan
| | - Mohammad Al Qaderi
- grid.412846.d0000 0001 0726 9430College of Nursing, Sultan Qaboos University, P.O. Box 66, Al-Khoudh, 123 Muscat, Oman ,grid.411300.70000 0001 0679 2502Princess Salma Faculty of Nursing, AL al-Bayt University, Mafraq, Jordan
| | | | - Loai Abu Shahrour
- grid.444463.50000 0004 1796 4519Nursing Department, Higher Colleges of Technology, Ras Al Khaimah, UAE
| | - Mohammed ALBashtawy
- grid.411300.70000 0001 0679 2502Princess Salma Faculty of Nursing, AL al-Bayt University, Mafraq, Jordan
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Tanji F, Nanbu H, Ono M, Abe N, Nitta J. The association between resilience and academic performance among nursing students: a cross-sectional study in Japan. J Rural Med 2021; 16:206-213. [PMID: 34707729 PMCID: PMC8527626 DOI: 10.2185/jrm.2021-030] [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: 05/17/2021] [Accepted: 06/09/2021] [Indexed: 11/27/2022] Open
Abstract
Objective: Medical science students, especially nursing students, are more
likely to experience academic stress; therefore, resilience helps them focus on their
lessons attentively. However, the results of a few existing studies regarding how
resilience impacts the academic performance of medical science students are incongruent.
This study aimed to investigate whether resilience impacts the academic performance of
Japanese nursing students. Methods: We conducted a cross-sectional, self-administered questionnaire
survey from September to November 2020. A total of 229 undergraduate nursing students
participated in this study; here, resilience was measured using the Bidimensional
Resilience Scale, which includes innate factors (optimism, control, sociability, and
vitality) and acquired factors (problem-solving, self-understanding, and understanding
others). Academic performance was measured using the functional grade point average
(f-GPA). Covariates were demographics, pre-entry academic performance levels, medical
history, time spent walking, psychological distress, subjective economic status, and
part-time jobs. Multivariate regression analyses were performed. Results: Among the 229 participants, the f-GPA mean (standard deviation) was
2.93 (0.46). Only vitality was significantly associated with a higher f-GPA after multiple
imputations (β = 0.06; 95% confidence interval = 0.03–0.09; P<0.01).
The Poisson regression analysis of 212 participants with all data indicated that vitality
was associated with the fourth quartile f-GPA (prevalence ratio, 1.05; 95% confidence
interval, 1.03–1.08; P<0.01). Conclusion: There was a significant association between the vitality of
resilience components and academic performance among Japanese nursing students. This study
suggests that an approach that develops resilience is necessary for the academic success
of nursing students.
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Affiliation(s)
- Fumiya Tanji
- Faculty of Nursing, Japanese Red Cross Akita College of Nursing, Japan
| | - Hirohito Nanbu
- Faculty of Nursing, Japanese Red Cross Akita College of Nursing, Japan
| | - Mayuko Ono
- Faculty of Nursing, Japanese Red Cross Akita College of Nursing, Japan
| | - Noriko Abe
- Faculty of Nursing, Japanese Red Cross Akita College of Nursing, Japan
| | - Junko Nitta
- Faculty of Nursing, Japanese Red Cross Akita College of Nursing, Japan
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Chisholm-Burns MA, Berg-Poppe P, Spivey CA, Karges-Brown J, Pithan A. Systematic review of noncognitive factors influence on health professions students' academic performance. ADVANCES IN HEALTH SCIENCES EDUCATION : THEORY AND PRACTICE 2021; 26:1373-1445. [PMID: 33772422 DOI: 10.1007/s10459-021-10042-1] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Accepted: 02/22/2021] [Indexed: 06/12/2023]
Abstract
Increased importance has been placed on noncognitive skills in professional development and by accrediting bodies of health professions programs in recent years. Therefore, the purpose of this study was to conduct a comprehensive systematic review of evidence examining effects of academic resilience, grit, perceived stress, locus of control, and Big Five Personality Traits on academic performance of health professions students. A literature search of peer-reviewed, English-language articles describing select noncognitive factors was performed using seven databases. Searches were performed from the earliest index date through May 2020. The following data from included studies were extracted and summarized: research design hierarchy, hierarchy of study outcomes (modified from Kirkpatrick), association between noncognitive factors and academic outcomes, and quality assessment criteria. 149 articles met inclusion criteria. Almost 80% of studies were Level III (observational). Medical students were the most frequently studied population (n = 73 articles). The most studied academic outcome was grade point average (n = 61). Perceived stress and Big Five Personality Traits accounted for greater than 50% of studies. Most studies were rated as fair to good quality. Associations between noncognitive factors and academic outcomes were largely inconsistent, although greater perceived stress was generally associated with poorer academic performance outcomes, while higher conscientiousness, academic resilience, and grit were generally associated with better outcomes. This systematic review represents a large body of evidence concerning select noncognitive factors and their association with academic performance of health professions students. Support services addressing noncognitive factors should be deliberated and tailored for specific health professions education programs and student populations.
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Affiliation(s)
- Marie A Chisholm-Burns
- University of Tennessee Health Science Center College of Pharmacy, 881 Madison Ave., Suite 264, Memphis, TN, 38163, USA.
| | - Patti Berg-Poppe
- University of South Dakota School of Health Sciences, 414 E. Clark Street, SCSC A383, Vermillion, SD, 57069, USA
| | - Christina A Spivey
- Department of Clinical Pharmacy and Translational Science, University of Tennessee Health Science Center College of Pharmacy, 881 Madison Ave., Suite 258, Memphis, TN, 38163, USA
| | - Joy Karges-Brown
- Department of Physical Therapy, University of South Dakota School of Health Sciences, 414 E. Clark Street, SCSC A830, Vermillion, SD, 57069, USA
| | - Anne Pithan
- Department of Nursing, University of South Dakota School of Health Sciences, 414 E. Clark Street, Lee Medicine and Science Hall 303, Vermillion, SD, 57069, USA
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Findyartini A, Greviana N, Putera AM, Sutanto RL, Saki VY, Felaza E. The relationships between resilience and student personal factors in an undergraduate medical program. BMC MEDICAL EDUCATION 2021; 21:113. [PMID: 33602176 PMCID: PMC7890950 DOI: 10.1186/s12909-021-02547-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 01/05/2021] [Indexed: 05/16/2023]
Abstract
BACKGROUND Resilience is an essential aspect of wellbeing that plays a major role in undergraduate medical education. Various personal and social factors are known to affect resilience. Empirical evidence remains limited regarding resilience and the personal factors that affect it among undergraduate medical students in an Asian setting. Therefore, this study aims to identify undergraduate medical students' level of resilience and its relationships to personal factors in Indonesia. METHODS This cross-sectional study was conducted among undergraduate medical students in years 1-6. Respondents were asked to complete three validated questionnaires: the Connor-Davidson Resilience Scale (CD-RISC) to measure resilience, the Brief-COPE to assess coping mechanisms, and the Big Five Personality Test to measure five personality dimensions. Descriptive and Pearson's correlation analyses were completed to explore relationships between each variable. Regression analysis was completed to analyze the extent to which coping mechanisms, personality, and academic achievement explained the variation in resilience scores. RESULTS A total of 1040 respondents completed the questionnaires (a 75.42% response rate). Students in both preclinical and clinical stages had quite good levels of resilience and higher scores on adaptive coping mechanisms than on maladaptive coping mechanisms. Adaptive and maladaptive coping mechanisms, Big Five Personality traits (extraversion, agreeableness, conscientiousness, neuroticism, and openness), and students' academic achievement explained 46.9% of students' resilience scores. CONCLUSIONS Although the resilience scores in this study were comparable to resilience scores among undergraduate medical students in other settings, we found that coping mechanisms, personality traits, and academic performance may predict resilience among medical students.
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Affiliation(s)
- Ardi Findyartini
- Medical Education Center, Indonesia Medical Education and Research Institute (IMERI), Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
- Department of Medical Education, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
| | - Nadia Greviana
- Medical Education Center, Indonesia Medical Education and Research Institute (IMERI), Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
- Department of Medical Education, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
| | - Azis Muhammad Putera
- Department of Medical Education, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
- Undergraduate Medical Program, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
| | - Reynardi Larope Sutanto
- Department of Medical Education, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
- Undergraduate Medical Program, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
| | - Vernonia Yora Saki
- Medical Education Center, Indonesia Medical Education and Research Institute (IMERI), Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
| | - Estivana Felaza
- Medical Education Center, Indonesia Medical Education and Research Institute (IMERI), Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
- Department of Medical Education, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
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Lin YK, Lin CD, Lin BYJ, Chen DY. Medical students' resilience: a protective role on stress and quality of life in clerkship. BMC MEDICAL EDUCATION 2019; 19:473. [PMID: 31881997 PMCID: PMC6935077 DOI: 10.1186/s12909-019-1912-4] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/28/2018] [Accepted: 12/19/2019] [Indexed: 05/13/2023]
Abstract
BACKGROUND Resilience refers to the ability to be flexible and adaptive in response to challenges. Medical students in clerkship who are transitioning from medical studies to clinical practice face a variety of workplace demands that can lead to negative learning experiences and poor quality of life. This study explored whether medical students' resilience plays a protective role against the stresses incurred during workplace training and on their professional quality of life during clerkships. METHODS This was a 1-year prospective web-based questionnaire study comprising one cohort of medical students in their fifth year who were working as clerks as part of their 6-year medical education programme at one medical school in Taiwan between September 2017 and July 2018. Web-based, validated, structured, self-administered questionnaires were used to measure the students' resilience at the beginning of the clerkship and their perceived training stress (i.e. physical and psychological demands) and professional quality of life (i.e. burnout and compassion satisfaction) at each specialty rotation. Ninety-three medical students who responded to our specialty rotation surveys at least three times in the clerkship were included and hierarchical regressions were performed. RESULTS This study verified the negative effects of medical students' perceived training stress on burnout and compassion satisfaction. However, although the buffering (protective) effects of resilience were observed for physical demands (one key risk factor related to medical students' professional quality of life), this was not the case for psychological demands (another key risk factor). In addition, through the changes in R square (∆R2) values of the hierarchical regression building, our study found that medical students' perceived training stresses played a critical role on explaining their burnout but their resilience on their compassion satisfaction. CONCLUSIONS Medical students' resilience demonstrated a buffering effect on the negative relationship between physical demands and professional quality of life during clerkships. Moreover, different mechanisms (predictive paths) leading to medical students' professional quality of life such as burnout and compassion satisfaction warrant additional studies.
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Affiliation(s)
- Yung Kai Lin
- Surgery Department, Chiayi Branch, Taichung Veterans General Hospital, Chiayi, Taiwan, Republic of China
- Division of Cardiovascular Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China
| | - Chia-Der Lin
- School of Medicine, China Medical University, Taichung, Taiwan, Republic of China
- Department of Otolaryngology-Head & Neck Surgery, China Medical University Hospital, Taichung, Taiwan, Republic of China
| | - Blossom Yen-Ju Lin
- Department of Medical Humanities and Social Sciences, School of Medicine, College of Medicine, Chang Gung University, No.259, Wenhua 1st Rd., Guishan Dist, Taoyuan City, 33302 Taiwan, Republic of China
| | - Der-Yuan Chen
- Center of Rheumatology and Immunology, China Medical University Hospital, Taichung, Taiwan, Republic of China
- College of Medicine, China Medical University, Taichung, Taiwan, Republic of China
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