Effects of Stress Management Program Applied Self-Efficacy Theory on Stress from First Nursing Practical among Student Nurses, Faculty of Nursing, Srinakharinwirot University


  • Sulee Thavongul Faculty of Education Kasetsart University, Bangkok Thailand
  • Somkid Prabpai


stress management, self-efficacy, stress, nursing students


Introduction: Attending to patient in the ward is an important stressor in nursing students. Research objectives: This quasi experimental study aimed to evaluate an effectiveness of stress management program guiding by a modified theory for perceiving his or her own ability in managing stress during the first clinical practice in nursing for nursing students, Faculty of Nursing, Srinakarinwirot University. Research methodology: Participants were the 2nd year nursing students in the second semester of the academic year 2562. A simple random sampling technique was used to recruit participants using lots of students’ identification number. Sample included 70 students; 35 in the experimental group, and 35 in the control group. The experimental group received the modified stress management program; while the control group received the regular program. Data were collected using questionnaires (perception of ability in managing stress, behavior in managing stress, and level of stress in nursing practice) The Cronbach’s alpha coefficient of the questionnaires were .86, .75, and .98, respectively. Data were analyzed using descriptive statistics (percentage, mean, and standard deviation), independent t-test, and paired t-test. Results showed that the experimental group reported statistically significantly higher mean scores of the perceptive ability and the behavior in managing stress than the control group (p<.001). Furthermore, the experimental group possessed statistically significant lower level of stress than the control group (p<.001). Conclusions: This study showed that the modified theory in perceiving the ability in stress management could help nursing students in perceiving and dealing with their stress and lessen their stress level during the clinical practice in the in-patient department. Implications: Course duration should be extended to 6-8 weeks to further improve student's skills and promote confidence in order to learn effectively.


Download data is not yet available.


Vatanasin S. Perceived stress level and sources of stress among nursing students at Faculty of Nursing, Burapha University 2010;18:47-59. (in Thai).

Lertsakornsiri M. The Stress, Stress management of nursing students during practice in the labor room. Kuakarun Journal of Nursing 2015;22(1):7-16. (in Thai).

Chaiwong N. Stress and Sources of stress among nursing student at Faculty of Nursing Burirum, Western University. 10th National & International Conference Suan Sunandha Rajbhat University, Bangkok. 2019. (in Thai).

Turner & McCathy. Stress and anxiety among nursing students: A review of intervention strategies in literature between 2009 and 2015. Louisville:University of Louisville. USA. 2017.

Inam P, Chuto CL, Phanuwat ST. The result of preparation on operational readiness on the first practice of nursing students. Faculty of Nursing Ratchathani University, Udonthani Campus. RTUNC 2019 The 4th National Conference Ubonratchathani. 2019. (in Thai).

Jamjang S, Yomdit V, Pongphetdit B, Pitaksin DK, Changsieng P, Montong A. Effects of nursing simulation-based learning for preparation of nursing practicum on perceptions of Self Efficacy in performing nursing care in a hospital. Nursing Journal of the Ministry of Public Health. 2015. (in Thai).

Janton S, Bunlikikul T. Readiness to practice in the fundamentals of nursing practicum among nursing students at The Thai Red Cross College of Nursing. Thai Red Cross Nursing Journal 2012;5(1):32-45. (in Thai).

Atthamaethakul W, Jamjang S. Knowledge related to nursing practice of students enrolling the basic concepts and principles of nursing subject in the bachelor degree of nursing program, Boromarajonani College of Nursing, Ratchaburi. Nursing Journal of the Ministry of Public Health 2012. (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):270-79. (in Thai).

Kitiyawan S. Stress and Coping strategies in fundamental nursing clinical practice of nursing student, Ratchathani University. RTUNC 2018 The 3rd National Conference Ubonratchathani 2018. (in Thai).

Sriboonpimsuay W, Srisutipanporn S, Phanich PN. Stress and Coping prior to practice in labour room of the Third-Year nursing student at Boromarajonani College of Nursing, Udonthani. UMT Poly Journal 2016;13(2):30 - 38. (in Thai).

Apiwatanasiri C, Somaketrarin K, Suraprayoon K, Leurmprasert K, Wankaew N, Homchampa P, et al. Stress and Coping in medical students at clinical level, Khon Kaen University. Srinagarind Medical Journal 2007;22(4):416-24. (in Thai).

Tantalanukul SK, Rattanasak S, Sengpanich C, Srisung W, Tungkawanich T. The effect of simulation-based learning on the ability development of primary medical care practicum of nursing students at Boromarajonani College of Nursing Uttaradit. Boromarajonani College of Nursing, Uttaradit Journa 2016;18(1):49 -58. (in Thai).

Cheaplamp S, Amphon K, Boonchuaylua P, Boonmark P. Effects of the preparation for clinical nursing practice on knowledge and skills in critical nursing practice among nursing students at Phrapokklao Nursing College. Journal of Phrapokklao Nursing College 2015;26(2):44-51. (in Thai).

Chirawatkul A. Statistics for health science research. 4th ed. Bangkok: S. ASIA PRESS; 2015. (in Thai).

Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychological review. 1977;84(2):191-215.

Lazarus RS, Folkman S. Psychological stress and the coping process. Springer publishing company, New York. 1984.

Charuwatcharapaniskul U, Limkosit Y, Lertpoonwilaikul W, Bunchuang P. Effects of nursing skill development on perception of self-efficacy. Journal of Nursing Science and Health 2008;35(2):10-8. (in Thai).

Yodthong S, Sanee N, Chansungnoen J. Stress and Coping among nursing students in principles and nursing techniques practicum, Boromarajonani College of Nursing, Trang. The 9 th Hatyai National and International Conference. 2017. (in Thai).



How to Cite

Thavongul S, Prabpai S. Effects of Stress Management Program Applied Self-Efficacy Theory on Stress from First Nursing Practical among Student Nurses, Faculty of Nursing, Srinakharinwirot University. JHNR [Internet]. 2021 Apr. 9 [cited 2022 Nov. 29];37(1):193-205. Available from: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/249293



Research articles