ปัจจัยที่ส่งผลต่อความเครียดของนักศึกษาพยาบาล ในการฝึกปฏิบัติการพยาบาลมารดาทารกและการผดุงครรภ์

Sriwan Tongsri; Darin Buahan; Wannee Deoisres

Authors

Sriwan Tongsri Faculty of Nursing, Rambhai Barni Rajabhat University
Darin Buahan Faculty of Nursing, Rambhai Barni Rajabhat University
Wannee Deoisres Faculty of Nursing, Rambhai Barni Rajabhat University

Keywords:

stress, nursing students, clinical practice, maternal and newborn nursing and midwifery

Abstract

Introduction: Clinical practice is a source of stress for nursing students. High stress level can lead to health problems and academic failure.

Research objectives: To determine the level of stress and examine factors affecting the stress experienced by nursing students during clinical practice in maternal and newborn nursing and midwifery.

Research methodology: This study was a descriptive research design. The sample consisted of 47 third - year nursing students. The research instruments utilized in this study included a personal information questionnaire and the Perceived stress scale in clinical practice for nursing students. The content validity and the Cronbach's alpha coefficient were .93 and .96. Descriptive statistics, t - tests, and ANOVA were conducted to analyze the data.

Results: Overall stress during clinical practice in the antenatal clinic and postpartum ward were rated at a moderate level. Grade point average was found to have a negative relationship with stress from teachers and nursing staff (r= -.359, p < .05) during clinical practice in the antenatal clinic setting and also with stress from patient care (r = -.285, p < .05) and the stress from assignments and workload (r = -.285, p< .05) during clinical practice in the postpartum ward. Differences in hometown did not affect students’ stress levels. Differences in hospitals for clinical practice had effects on stress only during practice at the antenatal clinic (F = 3.93, p < .05). Practicing at the postpartum ward caused more stress than practicing at the antenatal clinic (t = -2.42, p < .05).

Conclusion: Students perceived stress during clinical practice at a moderate level. Grade point average and clinical practice settings were found to be factors affecting the students’ stress during clinical practice in maternal and newborn nursing and midwifery.

Implications: Students’ stress during clinical practice should be assessed all nursing departments. Decreasing stressors and encouraging nursing students to use appropriate coping strategies in students are needed.

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References

Kamdaeng P. Supervision in clinical practice regarding expectations of nursing students. Journal of Nurses Association of Thailand Northern Office 2021;27(1):17-28. (in Thai)

Chanrapas Sutawan. Coping strategies and coping skills; choosing the appropriate strategy. Journal of Human and Society, Sisaket Rajabhat University 2023;7(1):180-99. (in Thai)

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

Chaiwcharn T, Papol A. The stress of nursing student training. EAU Heritage Journal Science and Technology 2021;15(1):21-8. (in Thai)

Abdulnaser A, Diala A, Abdulkarim A. Preliminary psychometric properties of the Arabic version of sheu and colleagues perceived stress scale among nursing students at Jordanian universities. Journal of Multidisciplinary Healthcare 2019;12(1):777-87.

Ahmed W A M, Mohammed B M A. Nursing students' stress and coping strategies during clinical training in KSA. Journal of Taibah University Medical Sciences 2019;14(2):116-22.

Baluwa MA, Lazaro M, Mhango L, Msiska G. Stress and coping strategies among Malawian undergraduate nursing students. Advance in Medical Education and Practice 2021;12(1):547-56.

Welch S R. Clinical stress and clinical performance in prelicensure nursing students: a systematic review. Journal of Nursing Education 2023;62(1):36-41.

Wu C S, Rong J R, Huang M Z. Factors associated with perceived stress of clinical practice among associate degree nursing students in Taiwan. Basic Medical Care Nursing 2021;20(89): 1-12.

Sheu S, Lin H, Hwang S, Yu P, Hu W, Lou M. The development and testing of perceived stress Scale of clinical practice. Nursing Research (Republic of China) 1997;5(4):341-51.

Chuaichum C, Yotinwattanabumrung A, Muentip Y, Saramas N, Jittarat, M. Factors influencing stress of nursing students during clinical practice in adult nursing practicum 1. Journal of Maha Chula University Nakhondhat 2020;7(5):293-308. (in Thai)

Fukfon K, Sriwichai P, Chairinkhom S, Tanyapansin P. Stress and factors related to stress of nursing students regarding the first clinical nursing practice. Journal of Nursing and Health Research 2017;19(1):161-8. (in Thai)

Srinon R, Tingboon W, Sawangket A, Trisayaluk T. Stress and stress management of nursing students during practicing in the labor room. Journal of Nisitwang 2022;24(2):72-80. (in Thai)

Laoratsri P, Intharit J, Thoin P. The nursing instructors’ role in preventing stress and promoting stress management of nursing students during the practicing on ward. Journal of Curriculum and Instruction Sakon Nakhon Rajabhat University 2023;15(42):230-8. (in Thai)

Noor N A B M, Bakar R A, Bit-Lian Y. Stress and coping strategies during clinical practices among degree nursing students of a private institution. Malaysian Journal of Nursing 2020;11(3):53-62.

Lowdermilk D L, Perry E, Cashion K, Alden K R. Maternity and women's health care (12th ed). Elsevier; 2020.

Ab Latif R, Nor MZM. Stressors and coping strategies during clinical practice among diploma nursing students. Malaysian Journal of Medical Sciences 2019;26(2):88-98.

Amira Alshowkan. Clinical stress among bachelor nursing students: a qualitative inquiry. Open Journal of Nursing 2022;12(5):305-15.

Yan-xue, Z, Jia-Ru, J, Wen-Nv H. Factors associated with clinical practice stress of nursing students in China. Research Scare [Internet]. 2023 May. 17 [cited 2023 May. 20] Available from: https://doi.org/10.21203/rs.3.rs-2931331/v1.