Exploring Stress Levels Among Baccalaureate Nursing Students
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Abstract
Recent studies have shed light on the levels of stress and its sources among nursing students in Western populations. However, there is a lack of similar research focusing on stress, anxiety, and depression among Arab nursing students. This study aims to investigate the perceived stress levels among baccalaureate nursing students and identify potential predictors of stress.
Methods: A cross-sectional study was conducted, collecting data from 373 nursing students through a self-administered questionnaire. The questionnaire covered sociodemographic information, a list of stressors, perceived stress levels, physical well-being factors, as well as anxiety and depressive symptoms.
Results: The study found that 40.2% of students reported high stress levels, with 46.6% experiencing anxiety and 27.9% reporting depressive symptoms. On average, each student reported 4.6 stressors, with academic pressures being the most common. Regression analysis revealed that the number of stressors and global sickness index score were significant predictors of high stress levels.
Conclusion: These findings emphasize the need for implementing stress management programs and mental health support services within the nursing health services at the university level.
References
1. Evans, W., & Kelly, B. (2004). Pre-registration diploma student nurse stress and coping measures. Nurse Education Today, 24(6), 473-482.
2. Barling, J. (1990). Employment, stress, and family functioning. New York: John Wiley & Sons.
3. Cassidy, T. (2000). Stress, healthiness, and health behaviors: An exploration of the role of life events, daily hassles, cognitive appraisal, and the coping process. Counseling Psychology Quarterly, 13(4), 293-311.
4. Bailey, R. C., & Miller, C. (1998). Life satisfaction and life demands in college students. Social Behavior and Personality, 26(1), 51-56.
5. Dyson, R., & Renk, K. (2006). Freshmen adaptation to university life: Depressive symptoms, stress, and coping. Journal of Clinical Psychology, 62(10), 1231-1244.
6. Edwards, K. J., Hershberger, P. J., Russell, R. K., & Market, R. J. (2001). Stress, negative social exchange, and health symptoms in university students. Journal of American College Health, 50(2), 75-79.
7. Pritchard, M. E., Wilson, G. S., & Yamnitz, B. (2007). What predicts adjustment among college students? A longitudinal panel study. Journal of American College Health, 56(1), 15-21.
8. Schneider, T. (2004). The role of neuroticism in psychological and physiological stress responses. Journal of Experimental Social Psychology, 40(6), 679-804.
9. Struthers, C. W., Perry, R. P., & Menec, V. H. (2000). An examination of the relationship among academic stress, coping, motivation, and performance in college. Research in Higher Education, 41(5), 581-592.
10. Supreme Council of Universities, Egypt. Retrieved from http://www.scu.eun.eg/wps/portal
11. Oermann, M. H., & Lukomski, A. P. (2001). Experiences of students in pediatric nursing clinical courses. Journal of Social Pediatric Nursing, 6(2), 65-72.
12. Kim, K. H. (2003). Baccalaureate nursing students' experiences of anxiety-producing situations in the clinical setting. Contemporary Nurse, 14(2), 145-155.
13. Pryjmachuk, S., & Richards, D. A. (2007). Predicting stress in pre-registration nursing students. British Journal of Health Psychology, 12(Pt 1), 125-144.
14. Papazisis, G., et al. (2008). Depression and anxiety among nursing students in Greece. Annals of General Psychiatry, 7(Suppl 1), S209.
15. Halabi, J., & Suliman, W. A. (2007). Researchers look at critical thinking, self-esteem, and anxiety in nursing students. Nurse Education Today, 27(2), 162-168.
16. Al-Hussain, S. M., et al. (2008). Prevalence of mistreatment and justice of grading system in five health-related faculties in Jordan University of Science and Technology. Medical Teacher, 30(3), e82-e86.
17. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396.
18. Jaber, L. A., Brown, M. B., Hammad, A., Zhu, Q., & Herman, W. H. (2003). Lack of acculturation as a risk factor for diabetes in Arab immigrants in the U.S. Diabetes Care, 26(7), 2010-2014.
19. Hojat, M., Gonnella, J. S., Erdmann, J. B., & Vogel, W. H. (2003). Medical students' cognitive appraisal of stressful life events as related to personality, physical well-being, and academic performance: A longitudinal study. Personality and Individual Differences, 35(1), 219-235.
20. Zigmond, S., & Snaith, R. P. (1983). The hospital anxiety and depression scale (HADS). Acta Psychiatrica Scandinavica, 67(6), 361-370.
21. Olsson, I., Mykletun, A., & Dahl, A. A. (2005). The Hospital Anxiety and Depression Rating Scale: A cross-sectional study of psychometrics and case-finding abilities in general practice. BioMed Central Psychiatry, 5, 46. Retrieved from PubMed.
22. EL-Rufaie, O. E., & Absood, G. H. (1995). Retesting the validity of the Arabic version of the Hospital Anxiety and Depression (HAD) scale in primary health care. Social Psychiatry and Psychiatric Epidemiology, 30, 26-31. Retrieved from PubMed.
23. Arafa, M. A., Abou Nazel, M. W., Ibrahim, N. K., & Attia, A. (2003). Predictors of psychological well-being of nurses in Alexandria, Egypt. International Journal of Nursing Practice, 9(5), 313-320. Retrieved from PubMed.
24. Moustafa, A. F. (2004). The axes of the future dimension of the development of university education in Egypt to face the unemployment of graduates. Journal of Financial and Commercial Studies, 2, 213-220.
25. World Health Organization. (2006). The global shortage of health workers and its impact Fact Sheet No 302. Retrieved from http://www.who.int/mediacentre/factsheets/fs302/en/index.html.
26. Rashdan, T. (2007). Implications for Advancement of Egyptian Nursing: Input equals Output. White Paper for Fulbright Academy Workshop in Doha, March 23-25, 2007.
27. El-Noshokaty, A. (2004). The job of mercy. Al-Ahram Weekly. Retrieved from http://weekly.ahra.org/eg/print/2004/690/fe2.htm.
28. Rashad, H., Osman, M., & Rouda-Fahimi, F. (2005). Marriage in the Arab world. Population Reference Bureau. Retrieved from http://www.prb.org.
29. Elzanty, F., & Way, A. (2003). Egypt Interim and Demographic Health Survey 2003 (Cairo: Ministry of Health, 2004).
30. Morrison, J., & Moffat, K. (2001). More on medical student stress. Medical Education, 35, 617-618. Retrieved from PubMed.
31. Honkalampi, K., Koivumaa-Honkanen, H., Hintikka, J., Antikainen, R., Haatainen, K., Tanskanen, A., & Viinamäki, H. (2004). Do stressful life events or sociodemographic variables associate with depression and alexithymia among a general population? A 3-year follow-up study. Comprehensive Psychiatry, 45(4), 254-260. Retrieved from PubMed.
32. Gabr, H., & Mohamed, N. (2010). Effects of problem-based learning on undergraduate nursing students enrolled in nursing administration course. International Journal of Academic Research, 3(1), 154-164.
33. Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian Medical students. Academic Medicine, 81(4), 354-373. Retrieved from PubMed.
34. Okasha, A., Kamel, M., Sadek, A., & Lotaif, Z. B. (1977). Psychiatric morbidity among university students in Egypt. British Journal of Psychiatry, 131, 149-154. Retrieved from PubMed.
35. Liu, X. C., Oda, S., Peng, X., & Asai, K. (1997). Life events and anxiety in Chinese medical students. Social Psychiatry and Psychiatric Epidemiology, 32(2), 63-67. Retrieved from PubMed.
36. Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health (pp. 31-67). Newbury Park, CA: Sage.
2. Barling, J. (1990). Employment, stress, and family functioning. New York: John Wiley & Sons.
3. Cassidy, T. (2000). Stress, healthiness, and health behaviors: An exploration of the role of life events, daily hassles, cognitive appraisal, and the coping process. Counseling Psychology Quarterly, 13(4), 293-311.
4. Bailey, R. C., & Miller, C. (1998). Life satisfaction and life demands in college students. Social Behavior and Personality, 26(1), 51-56.
5. Dyson, R., & Renk, K. (2006). Freshmen adaptation to university life: Depressive symptoms, stress, and coping. Journal of Clinical Psychology, 62(10), 1231-1244.
6. Edwards, K. J., Hershberger, P. J., Russell, R. K., & Market, R. J. (2001). Stress, negative social exchange, and health symptoms in university students. Journal of American College Health, 50(2), 75-79.
7. Pritchard, M. E., Wilson, G. S., & Yamnitz, B. (2007). What predicts adjustment among college students? A longitudinal panel study. Journal of American College Health, 56(1), 15-21.
8. Schneider, T. (2004). The role of neuroticism in psychological and physiological stress responses. Journal of Experimental Social Psychology, 40(6), 679-804.
9. Struthers, C. W., Perry, R. P., & Menec, V. H. (2000). An examination of the relationship among academic stress, coping, motivation, and performance in college. Research in Higher Education, 41(5), 581-592.
10. Supreme Council of Universities, Egypt. Retrieved from http://www.scu.eun.eg/wps/portal
11. Oermann, M. H., & Lukomski, A. P. (2001). Experiences of students in pediatric nursing clinical courses. Journal of Social Pediatric Nursing, 6(2), 65-72.
12. Kim, K. H. (2003). Baccalaureate nursing students' experiences of anxiety-producing situations in the clinical setting. Contemporary Nurse, 14(2), 145-155.
13. Pryjmachuk, S., & Richards, D. A. (2007). Predicting stress in pre-registration nursing students. British Journal of Health Psychology, 12(Pt 1), 125-144.
14. Papazisis, G., et al. (2008). Depression and anxiety among nursing students in Greece. Annals of General Psychiatry, 7(Suppl 1), S209.
15. Halabi, J., & Suliman, W. A. (2007). Researchers look at critical thinking, self-esteem, and anxiety in nursing students. Nurse Education Today, 27(2), 162-168.
16. Al-Hussain, S. M., et al. (2008). Prevalence of mistreatment and justice of grading system in five health-related faculties in Jordan University of Science and Technology. Medical Teacher, 30(3), e82-e86.
17. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396.
18. Jaber, L. A., Brown, M. B., Hammad, A., Zhu, Q., & Herman, W. H. (2003). Lack of acculturation as a risk factor for diabetes in Arab immigrants in the U.S. Diabetes Care, 26(7), 2010-2014.
19. Hojat, M., Gonnella, J. S., Erdmann, J. B., & Vogel, W. H. (2003). Medical students' cognitive appraisal of stressful life events as related to personality, physical well-being, and academic performance: A longitudinal study. Personality and Individual Differences, 35(1), 219-235.
20. Zigmond, S., & Snaith, R. P. (1983). The hospital anxiety and depression scale (HADS). Acta Psychiatrica Scandinavica, 67(6), 361-370.
21. Olsson, I., Mykletun, A., & Dahl, A. A. (2005). The Hospital Anxiety and Depression Rating Scale: A cross-sectional study of psychometrics and case-finding abilities in general practice. BioMed Central Psychiatry, 5, 46. Retrieved from PubMed.
22. EL-Rufaie, O. E., & Absood, G. H. (1995). Retesting the validity of the Arabic version of the Hospital Anxiety and Depression (HAD) scale in primary health care. Social Psychiatry and Psychiatric Epidemiology, 30, 26-31. Retrieved from PubMed.
23. Arafa, M. A., Abou Nazel, M. W., Ibrahim, N. K., & Attia, A. (2003). Predictors of psychological well-being of nurses in Alexandria, Egypt. International Journal of Nursing Practice, 9(5), 313-320. Retrieved from PubMed.
24. Moustafa, A. F. (2004). The axes of the future dimension of the development of university education in Egypt to face the unemployment of graduates. Journal of Financial and Commercial Studies, 2, 213-220.
25. World Health Organization. (2006). The global shortage of health workers and its impact Fact Sheet No 302. Retrieved from http://www.who.int/mediacentre/factsheets/fs302/en/index.html.
26. Rashdan, T. (2007). Implications for Advancement of Egyptian Nursing: Input equals Output. White Paper for Fulbright Academy Workshop in Doha, March 23-25, 2007.
27. El-Noshokaty, A. (2004). The job of mercy. Al-Ahram Weekly. Retrieved from http://weekly.ahra.org/eg/print/2004/690/fe2.htm.
28. Rashad, H., Osman, M., & Rouda-Fahimi, F. (2005). Marriage in the Arab world. Population Reference Bureau. Retrieved from http://www.prb.org.
29. Elzanty, F., & Way, A. (2003). Egypt Interim and Demographic Health Survey 2003 (Cairo: Ministry of Health, 2004).
30. Morrison, J., & Moffat, K. (2001). More on medical student stress. Medical Education, 35, 617-618. Retrieved from PubMed.
31. Honkalampi, K., Koivumaa-Honkanen, H., Hintikka, J., Antikainen, R., Haatainen, K., Tanskanen, A., & Viinamäki, H. (2004). Do stressful life events or sociodemographic variables associate with depression and alexithymia among a general population? A 3-year follow-up study. Comprehensive Psychiatry, 45(4), 254-260. Retrieved from PubMed.
32. Gabr, H., & Mohamed, N. (2010). Effects of problem-based learning on undergraduate nursing students enrolled in nursing administration course. International Journal of Academic Research, 3(1), 154-164.
33. Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian Medical students. Academic Medicine, 81(4), 354-373. Retrieved from PubMed.
34. Okasha, A., Kamel, M., Sadek, A., & Lotaif, Z. B. (1977). Psychiatric morbidity among university students in Egypt. British Journal of Psychiatry, 131, 149-154. Retrieved from PubMed.
35. Liu, X. C., Oda, S., Peng, X., & Asai, K. (1997). Life events and anxiety in Chinese medical students. Social Psychiatry and Psychiatric Epidemiology, 32(2), 63-67. Retrieved from PubMed.
36. Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health (pp. 31-67). Newbury Park, CA: Sage.
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Published
Dec 20, 2022
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Noura Saeed Alghataine, Zidah Zidah Alkhaybari, Norah Hassan Al-Rashidi, Hajar Eid Alatawi, Munifaha Zaal Ali Albalawi, Nabeelah Sanat Alharbi. (2022). Exploring Stress Levels Among Baccalaureate Nursing Students. Journal of Population Therapeutics and Clinical Pharmacology, 29(03), 469-473. https://doi.org/10.53555/jptcp.v29i03.5411
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All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Noura Saeed Alghataine, Zidah Zidah Alkhaybari, Norah Hassan Al-Rashidi, Hajar Eid Alatawi, Munifaha Zaal Ali Albalawi, Nabeelah Sanat Alharbi. (2022). Exploring Stress Levels Among Baccalaureate Nursing Students. Journal of Population Therapeutics and Clinical Pharmacology, 29(03), 469-473. https://doi.org/10.53555/jptcp.v29i03.5411