JBM  Vol.7 No.5 , May 2019
Prediction of Perceived Stress of Hong Kong Nursing Students with Coping Behaviors over Clinical Practicum: A Cross-Sectional Study
Nursing students are facing more and more stress in their course of study especially in clinical practicum. The study aimed to predict nursing students’ stress level in clinical practicum with coping behaviors. It was a retrospective cross-sectional study conducting in a self-financing institution in Hong Kong. Nursing students who were studying the pre-registration baccalaureate nursing program and completed all the practicum blocks were recruited. Those who had extended the study and failed any of the practicum blocks were excluded. Convenience sampling was used to recruit subjects. Participants were required to fill out the demographic sheet, COPE Inventory and Assessment of Stress among Nursing Students scale during lecture at the commencement of a semester. The whole data collection lasted for 30 minutes. Stepwise multiple regression was used to do the modeling with p-value being set at 0.05. 131 eligible nursing students were recruited with about half of female students. The regression model accounted for 50% of the variance in the perceived stress level. Gender, focus on and venting of emo-tions, restraint, use of emotional social support and denial were positively associated with perceived stress level (R squared = 0.52, p = 0.001). It is to conclude that nurse educators can refer to the findings to screen out students with higher risk of being overwhelmed by clinical learning and ineffective coping. Proactive measures should be taken to prevent poor health outcomes.
Cite this paper: Yan, A. (2019) Prediction of Perceived Stress of Hong Kong Nursing Students with Coping Behaviors over Clinical Practicum: A Cross-Sectional Study. Journal of Biosciences and Medicines, 7, 50-60. doi: 10.4236/jbm.2019.75008.

[1]   Labrague, L.J., McEnroe-Petitte, D.M., Thomas, L., Papathanasiou, J.V. and Tsaras, K. (2016) A Literature Review on Stress and Coping Strategies in Nursing Students. Journal of Mental Health, 26.

[2]   Chan, C.K.L., So, W.K.W. and Fong, D.Y.T. (2009) Stress and Their Coping Strategies in Clinical Practice. Journal of Professional Nursing, 25, 307-313.

[3]   Goff, A. (2011) Stressors, Academic Performance and Learned Resourcefulness in Baccalaureate Nursing Students. International Journal of Nursing Education Scholarship, 8, 1-20.

[4]   Shaban, I.A., Khater, W.A. and Akhu-Zaheya, L.M. (2012) Undergraduate Nursing Students’ Stress Sources and Coping Behaviors during Their Initial Period of Clinical Training: A Jordanian Perspective. Nurse Education in Practice, 12, 204-209.

[5]   Liu, M., Gu, K., Wong, T.K.S., Luo, M.Z. and Chan, M.Y. (2015) Perceived Stress among Macao Nursing Students in the Clinical Learning Environment. International Journal of Nursing Sciences, 2, 128-133.

[6]   Chen, Y.W. and Hung, C.H. (2014) Predictors of Taiwanese Baccalaureate Nursing Students’ Physio-Psycho-Social Responses during Clinical Practicum. Nurse Education Today, 34, 73-77.

[7]   Gorostidi, X.Z., Egilegor, X.H., Erice, M.J., Iturriotz, M.J., Garate, I.E., Lasa, M.B. and Cascante, X.S. (2007) Stress Sources in Nursing Practice; Evolution during Nursing Training. Nurse Education Today, 27, 777-787.

[8]   Yamashita, K., Saito, M. and Takao, T. (2012) Stress and Coping Styles in Japanese Nursing Students. International Journal of Nursing Practice, 18, 489-496.

[9]   Silver, H.K. and Glicken, A.D. (1990) Medical Student Abuse. Incidence, Severity, and Significance. JAMA, 31, 103-122.

[10]   Choi, G.Y. (2009) The Relationship between Perceptions of Nursing College Students Regarding Clinical Practice Environment and Related Variables. Korean Journal of Adult Nursing, 21, 129-139.

[11]   Elkin, A.J. and Rosch, P.J. (1990) Promoting Mental Health at the Workplace: The Prevention Side of Stress Management. Occupational Medicine: State of the Art Review, 5, 739-754.

[12]   Lo, R. (2002) A Longitudinal Study of The Perceived Levels of Stress, Coping and Self-Esteem of Undergraduate Nursing Students: An Australian Case Study. Journal of Advanced Nursing, 39, 119-126.

[13]   Pulido-Martos, M., Augusto-Landa, J.M. and Lopez-Zafra, E. (2011) Sources of Stress in Nursing Students: A Systematic Review of Quantitative Studies. International Nursing Review, 59, 15-25.

[14]   Hamaideh, S.H., Al-Omari, H. and Al-Modallal, H. (2016) Nursing Students’ Perceived Stress and Coping Behaviors in Clinical Training in Saudi Arabia. Journal of Mental Health, 26, 1-7.

[15]   Burnard, P., Edwards, D., Bennett, K., Thaibah, H., Tothova, V., Baldacchino, D., et al. (2008) A Comparative, Longitudinal Study of Stress in Student Nurses in Five Countries: Albania, Brunei, the Czech Republic, Malta, and Wales. Nurse Education Today, 28, 134-145.

[16]   Shipton, S.P. (2002) The Process of Seeking Stress Care: Coping as Experienced by Senior Baccalaureate Nursing Students in Response to Appraised Clinical Stress. Journal of Nursing Education, 41, 243-256.

[17]   Sun, F.K., Long, A., Tseng, Y.S., Huang, H.M., You, J.H. and Chiang, C.Y. (2016) Undergraduate Student Nurses’ Lived Experiences of Anxiety during Their First Clinical Practicum: A Phenomenological Study. Nurse Education Today, 37, 21-26.

[18]   Largo-Wight, E., Peterson, P.M. and Chen, W.W. (2005) Perceived Problem Solving, Stress, and Health among College Students. American Journal of Health Behavior, 29, 360-370.

[19]   Labrague, L.J., McEnroe-Petitte, D.M., Papathanasiou, J.V., Edet, O.B., Tsaras, K., Leocadio, M.C., Colet, P., Kleisiaris, C.F., Fradelos, E.C., Rosales, R.A., Santos-Lucas, K.V. and Velacaria, I.T. (2018) Stress and Coping Strategies among Nursing Students: An International Study. Journal of Mental Health, 27, 402-408.

[20]   Por, J., Barriball, L., Fitzpatrick, J. and Roberts, J. (2011) Emotional Intelligence: Its Relationship to Stress, Coping, Well-Being and Professional Performance in Nursing Students. Nurse Education Today, 31, 855-860.

[21]   Shikai, N., Shono, M. and Kitamura, T. (2009) Effects of Coping Styles and Stressful Life Events on Depression and Anxiety in Japanese Nursing Students: A Longitudinal Study. International Journal of Nursing Practice, 15, 198-204.

[22]   Field, A. (2013) Discovering Statistics Using IBM SPSS Statistics. 4th Edition, Sage, London, United Kingdom.

[23]   Stevens, J. (1992) Applied Multivariate Statistics for the Social Sciences. 2nd Edition, Erlbaum, Hillsdale, New Jersey.

[24]   Carver, C.S., Scheler, M.F. and Weintraub, J.K. (1989) Assessing Coping Strategies: A Theoretically Based Approach. Journal of Personality and Social Psychology, 56, 267-283.

[25]   Costa, A.L.S. and Polak, C. (2009) Construction and Validation of an Instrument for the Assessment of Stress among Nursing Students. Revista da Escola de Enfermagem da USP.

[26]   Bryman, A. and Cramer, D. (1997) Quantitative Data Analysis with SPSS for Windows. Routledge, London.

[27]   Costa, A.L.S., Guido, L.D.A., Silva, R.M.D., Lopes, L.F.D. and Mussi, F.C. (2014) Stress Intensity of Nursing Students Regarding Biosocial and Academic Characteristics: A Cross-Sectional Study. Journal of Nursing Education and Practice, 4, 29-37.