Factors Contributing to Academic and Clinical Stress of CTU Undergraduate Nursing Students
Abstract
The purpose of this research study was to investigate the factors that contribute to academic and clinical stress of CTU nursing students in four dimensions of health: physical, social, mental, and spiritual and to identify which dimensions were perceived by nursing students as being particularly stressful more than others. The population of this study consisted of one thousand and fifty-three (1043) junior and senior nursing students from both Thai and Bilingual/international nursing programs. The sample size of two hundred and ninety- eight (298) students was drawn using Taro Yamane Formula. These students participated in this research and provided information through a self-constructed questionnaire.
The results of this research study revealed that generally nursing students experience a high stress from academic and clinical area. In terms of 4 dimensions of health, CTU nursing students experience a higher level of stress in the physical dimension, and a lower level of stress in the social dimension. Generally, junior nursing students experience a high academic and clinical stress more than senior nursing students. Nursing students, who study in the bilingual/international nursing program, experience a higher level of both academic and clinical stress more than those who study in the Thai nursing program. The findings revealed significant relationships between academic/clinical stress (r=.891, p <0.001); financial problems r=.891, p<0.001); family problems (nursing students whose parents live together, r=.849, p <0.05; nursing students who parents have separated, r=.844, p<0.05 ; and current residence (nursing students who live in CTU dormitories, r.853, p<0.05; nursing students who live outside CTU dormitories, r = .846, p <0.05). Findings were consistent with previous researches on stress of nursing students, and they call for a review of the nursing curriculum and an introduction of stress management programs that would provide a wholistic care to nursing students.
References
Allender J.A., Spradley B.Walton. (2005). Community health nursing : promoting and protecting the public's health. 6th Edition. Philadelphia. Lippincott Williams & Wilkins.
American Institute of Stress. (2000). Stress-americas's # 1 health problem. Available on line at www.org/problem htm. (Searched on : April 14, 2012).
Baba, V., Galperia, B. & Lituchy, T. (1999). Occupational mental health. A study of work -related depression among nurses in the Caribbean. International Journals of Nursing Studies. 36:163-169.
Barnes, Treiber, Davis H. (2001). Impact of transcendental meditation on cardiovascular function at rest and during acute stress in adolescents with high normal blood pressure. J PSYCHOSOM RES. 51:597-605.
orkowski, N., Amann, R., & Weiss, C. (2007). Nurses' intent to leave the profession : Issues related to gender, ethnicity, and educational level. Health Care Management Review. 32(2), 160-167.
Brugge. Interaction of the rous sarcoma virus protein pp60src with the cellular proteins pp50 and pp90. Curr Top Microbiol Immunol. 1986;123:1-22.
Charles R. McConnell, (1981). The effective health care supervisor. Aspen Publishers Inc. 19881.
Clark M. J. (2008). Community Health Nursing Advocacy for Population Health. Pearson Prentice Hall. New Jersey, USA.
Delcayre C, Best-Belpomme M, Mercadier JJ, Rappaport.L. (1988). Synthesis of stress proteins in rat cardiac myocytes 2-4 days after imposition of hemodynamic overload. J Clin Invest. Aug;82(2):460-468.
Feldman R.S. (2008). Essentials of understanding psychology. (7th.edition). McGraw Hill., Santiago, USA.
Hamiltion, D. (1999). Coping with exam stress. Retrieved March 22, 2004, from https://www.isma.org.uk/exams.htm
Lahey B. B. (2007). Psychology: an introduction. (9th edition). McGraw Hill. New York. USA.
Larsen R. J. and Buss D. M. (2008). Personality psychology:domains of knowledge about human nature. (third edition). McGraw Hill. New York.
Madeline E.B., Van der Heijden Beatrice I.J.M, Clementaine Fry, and Hans-Martin Hasselhorm. (2010). Longitudinal analysis of personal and work-related factors associated with turnover among nurses. Nursing Research. Vol 59, No 3 P 166-177.
Mahat G (1998). Stress and coping : junior baccalaureate nursing students in clinical settings. Nursing Forum. 22(1) : 11-19.
Manktelow, J. (1995). Mind tools : how to master stress. Retrieved March 22, 2004, from htt://www.psywww.com/mtsite/smpage.html.
Nogueras, D.J. (2006). Occupational commitment, education, and experience as a predictor of intent to leave the nursing profession. Nursing Economics$.24(2), 86-95, 55.
Penda N. J., Murdaugh L. Carolyn, and Pearsons A.ary. (2006). Health Promotion in Nursing practice. (5TH Edition). Pearson Prentice Hall. New Jersey, USA. 2006.
Rhead MM (1995). Stress among student nurses : is it practical or academic. Journal of Clinical Nursing. 4(6): 69-376.
Running A., Berdt A. (2003). Management guidelines for nurse practitioners (Working in Family Practice. Library of Congress. Canada.
Ryrie C.C.l. (1986). The Ryrie study bible (NIV). Moody Press. Chicago. USA.
Shapiro SL, Shapiro DE, Schwartz GE. Stress management in medical education: ma review of the literature. ACAD MED. 2000;75:748-59 [review].
Schnitz, N., Newmann, W. & Opperman, R. (2000). Stress, burnout and loss of control in Germany nurses. International Journals of Nurses Studies. 37:95-99.
Skillman S. M., Palazzo L., Hart L. and Keepnews David. The characteristics of registered nurses whose licenses expire: why they leave nursing and implications for retention and re-entry. Nursing Economics$. May-June 2010 Vol. 28 Number 3.
Stone, P.W., Mooney-Kane, C., Larson, E.L., Pastor, D.K., Zwanziger, J., & Dick,A.W. (2007). Nurse working conditions, organizational climate, and intent to leave in ICUs : an instrumental variable approach. Health Services Research. 42(3 pt 1), 1085-1104.
Timmins F. and Kaliszer M. ((2002). Aspects of nurse education programmes that frequently cause stress to nursing students-fact-finding sample survey. Nursing Education Today. 22, 203-211.
Warren R. (2002). The purpose driven life. OMF Literature Inc. Manila, Philippines.
Yvonne D.A. (2010). Managing chronic pain in acute care. Nurse Practitioner : The American Journal of Primary Health Care. 35(12), 14-16.
