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with a continuous publication system on Nursing and Health Sciences topics;
and an average publication time of nine weeks from article submission to publication. (GUIDELINES FOR THE AUTOR)
Perception of stress in clinical clerkship among nursing students at an Argentine higher education institution
Authors
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Leonardo Cequeira-Fabian
Universidad de Ciencias Empresariales y Sociales
https://orcid.org/0009-0009-0718-4416
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Jenny Rosemary Geisse Vyhmeister
Universidad de Ciencias Empresariales y Sociales
https://orcid.org/0009-0009-2079-1456
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Ana Lia Álvarez Miranda
Universidad de Ciencias Empresariales y Sociales
https://orcid.org/0009-0007-4560-1706
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Carlos Canova-Barrios
Universidad Nacional del Oeste
https://orcid.org/0000-0003-3901-6117
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Abstract
Introduction: Clinical clerkships are a cornerstone of the training of future nursing professionals, as they allow theoretical knowledge to be linked to real-life care experiences. However, they involve academic and emotional demands that can cause stress, especially in students who are beginning to face greater responsibilities in complex settings. Objective: To identify the perception of stress in clinical clerkship experienced by third-year students in the Bachelor of Nursing program at a higher education institution in the province of Buenos Aires, Argentina. Methodology: Descriptive, cross-sectional, quantitative study. The bilingual KEZKAK questionnaire on stressors experienced by nursing students in clinical practice was used, consisting of 41 items grouped into nine factors. The factors were expressed as indices between 0 and 100; the higher the score, the higher the level of stress. Results: Forty-eight students participated, with an average age of 32.21 years (SD=7.39), mostly women (83.33%), employed (62.50%) and with experience in healthcare (56.25%). Relationships with colleagues were the least stressful situation, while medication errors were the most stressful. The main stress factor identified was lack of competence (median=77.28). Being male and having a job were associated with lower stress levels. Conclusions: Stress levels were moderate. It is recommended that strategies be implemented to reduce stress and improve practical experience in order to strengthen skills and encourage student retention.
Keywords:
Nursing students , Psychological Stress , Clinical clerkship , Professional Competence , Nursing educationReferences
Organización Mundial de la Salud. Estrés, 2023. Disponible en: https://www.who.int/es/news-room/questions-and-answers/item/stress
Santos CA, Ortigoza A, Canova-Barrios C. Nursing students’ perceptions of Clinical Clerkship. Seminars in Medical Writing and Education. 2023;2:30. https://doi.org/10.56294/mw202330
Tovar Cardozo G. Effects of stress on university students. AG Salud. 2024;2:73. https://doi.org/10.62486/agsalud202473
Fernández OG, Robledo GP, Canova-Barrios C. Satisfacción de estudiantes de enfermería con las experiencias y espacios de simulación. Salud, Ciencia y Tecnología - Serie de Conferencias. 2023;2:420. https://doi.org/10.56294/sctconf2023420
Cruz Carabajal D, Ortigoza A, Canova-Barrios C. Estrés académico en los estudiantes de Enfermería. Rev Esp Edu Med. 2024;5(2). https://doi.org/10.6018/edumed.598841
Asencios-Trujillo L, Asencios-Trujillo L, La Rosa-Longobardi C, Gallegos-Espinoza D, Piñas-Rivera L. Stress level in nursing professionals in a hospital center during the COVID-19 pandemic. Health Leadership and Quality of Life. 2024;3:45. https://doi.org/10.56294/hl202445
Resolución Ministerial 2721. Contenidos curriculares, criterios de intensidad de la formación práctica, carga horaria mínima, actividades profesionales reservadas al título y estándares para la acreditación del título de Licenciado en Enfermería, 2015. Disponible en: https://www.coneau.gob.ar/archivos/Resolucion-ministerial-Enfermeria-2721-15.pdf
Onieva-Zafra MD, Fernández-Muñoz JJ, Fernández-Martínez E, García-Sánchez FJ, Abreu-Sánchez A, Parra-Fernández ML. Anxiety, perceived stress and coping strategies in nursing students: a cross-sectional, correlational, descriptive study. BMC Med Educ. 2020;20(1):370. https://doi.org/10.1186/s12909-020-02294-z
Aljohani W, Banakhar M, Sharif L, Alsaggaf F, Felemban O, Wright R. Sources of Stress among Saudi Arabian Nursing Students: A Cross-Sectional Study. Int J Environ Res Public Health. 2021;18(22):11958. https://doi.org/10.3390/ijerph182211958
Azzara S, Grinhauz AS, Torres F, Gallo P. Prácticas clínicas y estrés en estudiantes de la carrera de Enfermería. Revista Defensa Nacional. 2023;8:214-231. https://www.undef.edu.ar/libros/wp-content/uploads/2023/07/8-2-1.pdf
Wu PL. The Impact of Clinical Practice Stress on Nursing Professional Competence among Undergraduate Nursing Students: A Cross-Sectional Study. Florence Nightingale J Nurs. 2024;32(3):206-214. https://doi.org/10.5152/FNJN.2024.24102
Wu CS, Rong JR, Huang MZ. Factors associated with perceived stress of clinical practice among associate degree nursing students in Taiwan. BMC Nurs. 2021;20(1):89. https://doi.org/10.1186/s12912-021-00602-6
Sarfika R, Wenny BP, Muliantino MR, Novrianda D, Saifudin IMMY. Exploring predictors of perceived stress: a cross-sectional study among nursing students during their clinical practice. J Res Nurs. 2023;28(6-7):469-482. https://doi.org/10.1177/17449871231198770
Salazar-Vásquez AE, Vásquez-Benavides LG, Vásquez-Herrera JF, Leyva-Chávez MA, Saavedra-Alvarado TW, Barrera-Benavides LG. Physical activity and academic stress in students of health sciences of a university of Cajamarca. Health Leadership and Quality of Life. 2022;1:82. https://doi.org/10.56294/hl202282
Asencios Trujillo L, Asencios Trujillo L, La Rosa Longobardi C, Gallegos Espinoza D, Piñas Rivera L. Level of resilience in nursing students doing their pre-professional internships at a university in northern Lima. Health Leadership and Quality of Life. 2023;2:29. https://doi.org/10.56294/hl202329
Zupiria Gorostidi X, Uranga Iturriotz MJ, Alberdi Erize MJ, Barandiaran Lasa M. Kezkak: cuestionario bilingüe de estresores de los estudiantes de enfermería en las prácticas clínicas. Gac Sanit. 2003;17(1):37-51. https://doi.org/10.1016/S0213-9111(03)71689-6
Baluwa MA, Lazaro M, Mhango L, Msiska G. Stress and Coping Strategies Among Malawian Undergraduate Nursing Students. Adv Med Educ Pract. 2021;12:547-556. https://doi.org/10.2147/AMEP.S300457
Bodys-Cupak I, Ścisło L, Kózka M. Psychosocial Determinants of Stress Perceived among Polish Nursing Students during Their Education in Clinical Practice. Int J Environ Res Public Health. 2022;19(6):3410. https://doi.org/10.3390/ijerph19063410
Hamadi HY, Zakari NMA, Jibreel E, Al Nami FN, Smida JAS, Ben Haddad HH. Stress and Coping Strategies among Nursing Students in Clinical Practice during COVID-19. Nurs Rep. 2021;11(3):629-639. https://doi.org/10.3390/nursrep11030060
López F, López MJ. Situaciones generadoras de estrés en estudiantes de enfermería en las prácticas clínicas. Cienc Enferm. 2011;17(2):47-54. http://doi.org/10.4067/S0717-95532011000200006
Canova-Barrios C, Argüello S. Estresores en estudiantes de Enfermería ante la práctica clínica. VIII Congreso Argentino de Educación Médica-CAEM, 2018. Editorial de la Universidad del Aconcagua.
Graves BS, Hall ME, Dias-Karch C, Haischer MH, Apter C. Gender differences in perceived stress and coping among college students. PLoS One. 2021;16(8):e0255634. https://doi.org/10.1371/journal.pone.0255634
Lora-Velarde CG, Meda Anaya RM, García Galván JA. Factores de estrés académico en mujeres estudiantes de la Licenciatura en Enfermería. Musas. 2024;9(2):46-64. https://doi.org/10.1344/musas2024.vol9.num2.3
Ezo E, Zekiwos A, Mezgebu T, Admasu S, Birhanu B, Ossabo G, et al. Prevalence and Associated Factors of Stress and Coping Strategies of Nursing Students During Clinical Practice in School of Nursing, Wachemo University, Ethiopia. SAGE Open Nurs. 2024;10. https://doi.org/10.1177/23779608241272528
De la O-Martínez T, Guillermo-Hernández J, López-Cocotle JJ, Ramón-Ramos A, González-Angulo P, Galindo-Sánchez S. Factores y Situaciones de Estrés en Estudiantes de Enfermería Durante las Prácticas Clínicas. Ansiedad y Estrés. 2024;30(3):131-136. https://doi.org/10.5093/anyes2024a17
Garcés Garcés NN, Esteves Fajardo ZI, Santander Villao ML, Mejía Caguana DR, Quito Esteves AC. Relationships between Mental Well-being and Academic Performance in University Students: A Systematic Review. Salud, Ciencia y Tecnología - Serie de Conferencias. 2024;3:972. https://doi.org/10.56294/sctconf2024972
Hernández Ortega R, González Pascual JL, Fernández Araque AM. Impact of an intervention program with reinforcement on nursing students' stress and anxiety levels in their clinical practices. Nurse Educ Pract. 2021;55:103179. https://doi.org/10.1016/j.nepr.2021.103179
Manansingh S, Tatum SL, Morote ES. Effects of Relaxation Techniques on Nursing Students' Academic Stress and Test Anxiety. J Nurs Educ. 2019;58(9):534-537. https://doi.org/10.3928/01484834-20190819-07
Noor Shah U, Gupta S, Koshy B. The impact of mindfulness training for nurses in lowering stress and enhancing well-being. Salud, Ciencia y Tecnología. 2023;3:446. https://doi.org/10.56294/saludcyt2023446
Oliveira Silva G, Silva e Oliveira F, Guedes Coelho AS, Ruiz Zimmer Cavalcante AM, Mendonça Vieira FV, Monti Fonseca LM, et al. Effect of simulation on stress, anxiety, and self-confidence in nursing students: Systematic review with meta-analysis and meta-regression. Int J Nurs Stud. 2022;133:104282. https://doi.org/10.1016/j.ijnurstu.2022.104282
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