The Effects of an Intrinsic Motivation Program on The Stress Management Skills of Nursing Students

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ณัฐธัญญา ประสิทธิ์ศาสตร์
ชมชื่น สมประเสริฐ
อังคณา จิรโรจน์


The purpose of this quasi-experimental research using a two-group pretest-posttest design aimed at examining the effects of an intrinsic motivation program on the stress management skills of first- and second-year nursing students during 2017. The sample consisted of 70 nursing students, recruited using the inclusion criteria. They were randomly assigned to the control and experimental groups, with 35 subjects in each group. The experimental group participated in the intrinsic motivation program developed by the researcher based on the self-determination theory and experiential activities planner (EAP) learning process. Their activities comprised 8 sessions, once a week for 8 weeks. The control group received routine study activities. The research instruments were the following: 1) a personal data questionnaire; 2) the intrinsic motivation program, which was validated for content by 3 experts; 3) and a stress management skills scale for nursing students. The reliability of these questionnaires was determined with a Cronbach’s alpha coefficient of .88. The data were analyzed using descriptive statistics, dependent t-test, and independent t-test. The results of the study were as follows.

1) After participating in the intrinsic motivation program, the mean scores for the students’ stress management skills (M = 64.11, SD = 10.86) were greater than their mean scores on their pretest (M = 51.34, SD = 12.36) at a statistical significance (t = 7.16, p<.001).

2) The mean difference between pretest and posttest stress management skills mean scores of the experimental group (gif.latex?\bar{X} = 12.77, SD = 12.60) were significantly greater than those of the control group ( gif.latex?\bar{X}= .23, SD = 1.22) (t = 7.23, p < .001).


The results of the study can be used as a guideline for the intrinsic motivation of nursing students and students in other fields of first year of education for preparation and development of stress-management skills in the further.


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ประสิทธิ์ศาสตร์ณ, สมประเสริฐช, จิรโรจน์อ. The Effects of an Intrinsic Motivation Program on The Stress Management Skills of Nursing Students. J Royal Thai Army Nurses [Internet]. 2019Apr.25 [cited 2020Oct.28];20(2):205-14. Available from:
Research Articles


Vatanasin S. Perceived stress level and Sources of Stress among Nursing Students at Faculty of Nursing, Burapha University. The Journal of Faculty of Nursing Burapha University. 2010; 18: 47- 59. (in Thai)

Tantalanukul S., Wongsawat P. Stress and Stress Management in Nursing Students. Boromarajonani College of Nursing, Uttaradit Journal. 2017; 9(1): 81-92. (in Thai)

Lertsakornsiri M. The Relationships between Personal Factors, Environment Factors and Stress, Stress Management during Practice in Labor Room of Nursing Students at Saint Louis College. Journal of The Royal Thai Army Nurses. 2014; 15(2):270-279. (in Thai)

Bundasak T., Chaowiang K-o, Jungasem N. Affecting Factors on Nursing Students Anxiety while Practicing in Intensive Care Unit. Journal Prapokklao Hosp Clin Med Educat Cente. 2017; 34 (1): 6-16. (in Thai)

Suresh P., Matthews A., Coyne I. Stress and stressors in the clinical environment: a comparative study of fourth-year student nurses and newly qualified general nurses in Ireland. Journal of clinical nursing. 2013; 22: 770 - 779. 

Lazarus, R.S., & Folkman. Stress, appraisal, and coping. New York: Spinger; 1984.

Limthongkul M, Aree-Ue S. Sources of Stress, Coping Strategies, and Outcomes amongm Nursing Students during their Initial Practice. Rama Nursing Journal. 2007; 15(2): 192-205. (In Thai)

Alsaqri SH. Stressors and Coping Strategies of the Saudi Nursing Students in the Clinical Training. Education Research International Council of Nurses. 2017; 2017: 8.

Pulido-Marto M., Augusto-Landa J.M., Lopez-Zafra E. Sources of stress in nursing students: a systematic review of quantitative studies. International Council of Nurses. 2012; 59(1): 15-25. 

Lee, Y. The Relationship of Spiritual Well-Being and Involvement with Depression and Perceived Stress in Korean Nursing Students. Global Journal of Health Science. 2014; 6(4): 169 - 176. 

Kim SD. Effects of Yogic Exercises on Life Stress and Blood Glucose Levels in Nursing Students. J Phys Ther Sci. 2014; 26(12): 2003 - 2006.

Johnson A.N. The effect of an Exercise Intervention on Nursing Test Anxity. Jacobs Journal of Nursing and Care. 2016; 2(1): 1-4.

Goldbeck L., Katharina Schmid. Effectiveness of Autogenic Relaxation Training on Childrenand Adolescents with Behavioral and Emotional Problems. Journal of the American Academy of Child and Adolescent Psychiatry. 2003; 41(9): 1046 - 1054.

Orsini C., Evans P., Jerez O. How to encourage intrinsic motivation in the clinical teaching environment : a systematic review from the self-determination theory. Journal of Educational Evaluation for Health Profession. 2015; 12(8): 1-10. 

Deci EL, & Ryan, R.M.. Intrinsic motivation and self - determination in human behavior. New York: Plenum Press; 1990.

Jesus S.N, Rus C.L, Lens W, Imaginário S. Intrinsic Motivation and Creativity Related to Product: A Meta-analysis of the Studies Published Between 1990–2010. Creativity Research Journal. 2013; 25(1).

Weinstein N., Ryan R.M. A Self-determination Theory Approach to Understanding Stress Incursion and Responses. Stress and Health 2011; 27(1): 4-17.

Jitrajinda S., kanha S. Children cognizant Thailand Advertising trick against children. Bankok: Pimde; 2005. 

Pender, N. J., Murdaugh, C. L., & Parson, M. A. Health promotion in nursing Practice. 6th ed. The United Stated of America: Pearson Education; 2011.

Tadsing S. The Effects Of An Integrated Stress Management Program On The Stress Management Skills Of Mothers Of Children With Autism Spectrum Disorder, the royal thai army nursing college. Juornal of The Royal Thai Army Nurse. 2017; 18 (supplement). 284-291.(in Thai)

Ruchiwit M. Stress Management for promoting mental health. pathumthani: Thammasat University Printing Office; 2013. (in Thai).