Perceived stress and social support in undergraduate nursing students' educational experiences

Perceived stress and social support in undergraduate nursing students' educational experiences
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DOI:
10.1016/j.nedt.2012.11.009
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发表时间:
2013-04-01
影响因子:
3.9
通讯作者:
Riley, Joan B.
Riley, Joan B.
中科院分区:
医学1区
文献类型:
--
作者:
Reeve, Kristen L.;Shumaker, Catherine J.;Riley, Joan B.

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背景:护理专业的学生承受着很高的压力。诸如利用社会支持等应对机制在管理压力影响和促进个人福祉方面是有效的。在护理项目中,教师和同伴的社会支持的使用还没有得到充分的研究。能够感知和理解学生情绪的教师会增加学生对教育环境的积极感知,使其更有利于学习。目的:探讨传统护理专业学生和二级护理专业学生在教育经历中的压力体验和社会支持的应对机制。设计:采用混合方法进行研究。背景:私立大学护理专业本科学生。参与者:2011年秋季学期,107名护理学士学位学生注册了传统(n=49)或第二学位(n=58)课程。方法:采用五种工具相结合,制定定量和定性问题,进行在线调查。结果:传统护理专业和二级护理专业的学生在面对压力时表现出高度的焦虑、担忧和抑郁,从而产生被拒绝和不满足的感觉。受访者使用教师支持的频率低于使用同伴、配偶/重要他人或父母的频率。二学位学生和传统学生在饮酒水平上存在差异,传统学生比二学位学生更有可能大量饮酒。此外,传统学位的学生更倾向于使用护理专业的同学和其他朋友作为社会支持,而二学位的学生更多地依赖于他们的配偶/重要的其他人。结论:学生对压力的高适应不良反应应鼓励教育者帮助学生发展积极的应对策略。教育工作者有潜力影响他们的学生的发展,因为他们过渡到护士能够处理专业的严谨性。(C) 2012 Elsevier Ltd.版权所有。
Background: Nursing students experience high levels of stress. Coping mechanisms such as utilization of social support are effective in managing the effects of stress and promoting individual well-being. The use of social support from faculty members and peers in nursing programs has not been studied sufficiently. Faculty members who can perceive and understand student emotions add to the students' positive perception of the educational environment, making it more conducive to learning.Objectives: To identify the stress experience and use of social support as a coping mechanism in traditional and second degree nursing students' educational experiences.Design: A mixed method study was conducted.Setting: Undergraduate nursing students at a private university.Participants: 107 baccalaureate nursing students enrolled in either a traditional (n=49) or second degree (n=58) program during the Fall 2011 semester.Method: Five instruments were combined to develop the quantitative and qualitative questions for an online survey.Results: Traditional and second degree nursing students report high levels of anxiety, worry and depression in response to stress, resulting in feelings of rejection and inadequacy. Respondents used faculty members for support less frequently than they used their peers, spouse/significant other or parents. Second degree students and traditional students differ in their level of alcohol consumption with traditional students more likely to drink heavily than second degree students. In addition, traditional students are more likely to use fellow nursing students and other friends as social support, whereas second degree students rely more on their spouse/significant other.Conclusion: Students' high levels of maladaptive reactions to stress should encourage educators to help students develop positive coping strategies. Educators have the potential to impact the development of their students as they transition into nurses capable of handling the rigors of the profession. (C) 2012 Elsevier Ltd. All rights reserved.