Examination of nursing students' anxiety levels related to clinical practice with respect to peer support

Abstract

Purpose: To investigate the relationship between stress and anxiety levels of nursing students at during their first clinical practice.Design and Methods: Designed as a quasi-experimental study with a study group (n = 13) and a control group (n = 13) among nursing students at a university.Findings: Students who practiced in the clinic for the first time experienced stress and anxiety, and their stress levels increased with high levels of state anxiety. The stress and anxiety decreased using peer support of the study group there was no change in the control group.

Assessment of Nursing Students' Stress Levels and Coping Strategies During First Clinical Experience

“…In a study by Atay and Yilmaz (2011), students reported higher levels of clinical stress with their sense of threat and harm (18). In Tambağ's study, it was reported that the anxiety level of students who went into clinical practice for the first time was high (27). In another it was reported that students experienced moderate anxiety before clinical practice (28).…”

Coping strategies and social support in nursing students during clinical practice: A scoping review

“…Principal limitations of the investigations were ethics and bias, implications and usefulness, and transferability or generalizability. Only two studies included information on how the authors' own bias was addressed (Tambağ, 2021 ; Wang et al., 2021 ), only four studies fully addressed implications for policy and/or practice (Latif & Nor, 2019 ; Ma et al., 2022 ; Tambağ, 2021 ; Wang et al., 2021 ), and a detailed description of the context or setting in which the study was conducted fully described in only four studies (Alanazi et al., 2023 ; Ma et al., 2022 ; Tambağ, 2021 ; Wang et al., 2021 ).…”

“…Social support was identified in seven studies (Alshahrani et al., 2018 ; Durgun Ozan et al., 2020 ; Fang et al., 2020 ; Lavoie‐Tremblay et al., 2022 ; Onieva‐Zafra et al., 2020 ; Tambağ, 2021 ; Wang et al., 2021 ). Studies identify social support received specifically from family and friends (Alshahrani et al., 2018 ; Fang et al., 2020 ), and also from peers (Tambağ, 2021 ).…”

“…level of stress, stressors sources, and coping strategies used among female Saudi undergraduate NS during their clinical practice Quantitative (questionnaires) n = 332 NS Alshahrani et al (2018) Australia To identify factors and strategies that enable a positive experience of the first clinical placement for first year NS Mixed methods (online questionnaire) n = 58 NS (1st year) Bektaş et al (2018) Turkey To assess stress and ways of coping among first year NS; the coping strategies they used to overcome these stresses, and identify the relationships between the clinical stress and the coping strategies Quantitative (questionnaires) n = 90 NS (1st year, first clinical practice e retest in last year) Bhurtun et al (2021) Finland To explore changes in stress levels and coping strategies among NS in clinical learning environment Quantitative (questionnaires) n = 131 NS (1st and 2nd years) Bodys-Cupak et al (2018) Poland To assess first year NS' coping strategies in stressful clinical practice levels and sources of perceived stress and coping behaviour among undergraduate NS in West Bengal Quantitative (questionnaires) n = 182 NS (with at least 6 months of clinical exposure) Durgun Ozan et al (2020) Turkey To examine the effect of the clinical education programbased o Watson's human caring theory on coping and anxiety levels of NS Quantitative (RCT) n = 53 (CG) and n = 53 (IG) NS (3rd year) Fang et al (2020) Taiwan To explore the student nurses' bullying, social support and their health status during clinical practicum programmes Quantitative (questionnaires) n = 200 NS (5th year) Gurková and Zeleníková (2018) CR To investigate the relationship between supervisory approaches in clinical practice on the one hand, and NS' level of experience, perceived stress, coping strategies, and physio-psychosocial status on the other Quantitative (questionnaires) n = 275 NS (1st, 2nd, 3rd year) relationship between the mental health of Turkish NS and the stress experienced during their education, their ways of coping, self-esteem, social support, and individual factors Quantitative (questionnaires) n = 516 NS (4th year) et al, 2021). Studies identify social support received specifically from family and friends(Alshahrani et al, 2018;Fang et al, 2020), and also from peers(Tambağ, 2021). Social support is most often described as a type of coping strategy(Durgun Ozan et al, 2020;Lavoie-Tremblay et al, 2022;Onieva-Zafra et al, 2020), but is also associated with resilience(Wang et al, 2021) and reduced anxiety(Durgun Ozan et al, 2020).…”

Evolution and Treatment of Academic Burnout in Nursing Students: A Systematic Review

“…In this respect, it has been observed that persons with neuroticism tend to experience negative emotions in response to threats, frustration, or loss [ 41 ]. For nursing students, the university environment, together with the associated clinical placements, puts them in complex situations that can create feelings of anxiety, frustration, and loss or that may be perceived as threatening (in areas such as exams, scholarships, and feelings of insecurity in dealing with patients) [ 42 , 43 ]. All of these pressures contribute to burnout in students.…”