Date of Award

11-29-2021

Degree Type

Thesis

Degree Name

Master of Science in Nursing (MScN)

First Advisor

Dr Tazeen Saeed Ali

Second Advisor

Ms. Yasmin Nadeem Parpio

Third Advisor

Ms. Laila Akber Cassum

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Health care providers are expected to provide competent and compassionate quality care to their patients. Nursing care largely depends upon the complexity and severity of the etiology with which a patient is admitted in the hospital. In nursing education, working in the clinical area is highly demanding and stressful, as compared to other disciplines. Nursing students are exposed to stress during academic clinicals as a part of their study. Stress and its associated factors during academic clinicals among undergraduate nursing students are significant concerns. Therefore, multiple challenges related to university studies and lifestyle may cause stress among undergraduate students during their academic clinicals.
Purpose: The purpose of the study was to find stress and its associated factors among undergraduate nursing students during academic clinicals at a private nursing institution in Karachi, Pakistan.
Methodology: An analytical cross-sectional research design was employed for the study. The data was collected from a private nursing institute, from August 2021 to October 2021, by applying purposive sampling. The sample size for the prevalence (level of stress) and associated factors, which was 225, was calculated using the Open Epi v.3.1. The data was collected from the participants using the "Perceived Stress Scale" tool. For data analysis, descriptive and inferential statistics were used with SPSS v.25.
Results: The response rate of the study was 64.4%, with around 75 % female and 25 %, male participants. The overall mean perceived stress scale score was 49.7 ± 17.3. In inferential statistics (t-test for two independent sample and one way ANOVA were applied), a statistically significant association was found among gender on domain 1 (pvalue=0.036), domain 5 (p-value=0.049), and marginally significant on sum of perceived stress score (p=0.058); ‗marital status‘ was significant on domain 1 (p=0.043), while it was marginally significant on domain 6 (p=0.064). The variable ‗year of study‘ was marginally significant on domain 5 (p-value=0.08). The variable ‗number of physical academic clinicals rotations‘ was significant on domains 5 (p=0.03) and 6 (p=0.017). Furthermore, the variable ―clinical rotations completed in academic courses‖ on domain 4 (p=0.052) was marginally significant. While the variable ―perception of stress during academic clinicals‖ on domain 4 was significant (p=0.034).
Conclusion: Stress and its associated factors during academic clinicals have various implications for the promotion of clinical training and for reducing stress during academic clinicals among undergraduate nursing students. It is essential for clinical faculty to enhance the quality of academic clinicals of the undergraduate nursing students, with the help of appropriate interventions (such as provision of healthy and more supportive environments), and to develop strategies (such as problem and emotionfocused strategies) by considering the relevant associated factors to minimize the stress level during academic clinicals.

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