Estrés y ansiedad al comienzo de las prácticas clínicas en estudiantes de Enfermería

  1. Raquel Hernández Ortega 1
  2. Juan Luis González Pascual 2
  3. Ana Mª Fernández Araque 3
  1. 1 Doctoranda en Enfermería de la Universidad Europea de Madrid. Máster Universitario en Enfermería en Urgencias, Emergencias y Transporte Sanitario. Enfermera del Hospital Sta. Bárbara del Servicio de Salud de Castilla y León
  2. 2 Doctor en Ciencias de la Enfermería. Universidad Europea de Madrid. Facultad de Ciencias Biomédicas y de la Salud
  3. 3 Doctora en Ciencias de la Enfermería. Campus Duque de Soria, Universidad de Valladolid
Zeitschrift:
Metas de enfermería

ISSN: 1138-7262

Datum der Publikation: 2020

Ausgabe: 23

Nummer: 6

Seiten: 50-58

Art: Artikel

DOI: 10.35667/METASENF.2019.23.1003081613 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Metas de enfermería

Zusammenfassung

Objective: to describe the perception of stress, the potentially stressful factors, and the anxiety among students from the School of Nursing of Soria at the start of their clinical practice; and to determine the impact on their perception of sociodemographical and academic factors, their family situation and lifestyles. Method: a descriptive cross-sectional study with 61 students from the School of Nursing of Soria (course). The study included sociodemographical variables (gender, age, occupation), academic (year of admission, practicum I only, scholarship, other studies), family situation (place of residence, partner, dependent persons, health professional relatives, loss of relatives), lifestyles (smoking, drinking, physical exercise), stress and potential stressors (KEZKAK Questionnaire -min. 0 to max. 3 scores-) and State-Trait anxiety (STAI Questionnaire -min. 0 to max. 60 scores). Descriptive and bivariate analyses were conducted for the psychological variables. Results: the study included 60 students (median age (Me= 21-year-old). The overall stress score presented a median score of 1.89 (IQR= 0.48). The factors perceived as more stressful were “lack of competence” (Me= 2.09; IQR= 0.43) and “impotence and uncertainty” (Me= 2.05; IQR= 0.54). The State-Trait anxiety presented a median score of 17 (IQR= 8) and 17.5 (IQR= 10), respectively. The level of stress, potential stressors and state anxiety were associated with gender (p< 0.05). Conclusions: nursing students in their first clinical practice perceived moderately high levels of stress and moderate anxiety; the main stressors were “lack of competence” and “anxiety and uncertainty”. Gender is highly associated with stress and anxiety, and it is higher in women.

Bibliographische Referenzen

  • Rivera LN, Medina JL. El Prácticum: eje formador de la práctica reflexiva en Enfermería. Rev Hacia La Promoción de La Salud. 2017; 22:70-83.
  • Blázquez I, Urcola F, Ruiz R, Germán-Bes C. Experiencias sobre el aprendizaje clínico del alumnado de Enfermería de la Universidad de Zaragoza (España). Index Enferm. 2017; 26(1-2): 87-90.
  • Benbunan-Bentata B, Cruz-Quintana F, Roa-Venegas JM, Villaverde-Gutiérrez C, Benbunan-Bentata BR. Afrontamiento del dolor y la muerte en estudiantes de Enfermería: una propuesta de intervención. Int J Clin Health Psychol. 2007; 7:197-205.
  • Ismaile S. Perceived clinical stressors among Saudi nursing students. OJN. 2017; 7(4):463-72.
  • Bhurtun HD, Azimirad M, Saaranen T, Turunen H. Stress and Coping Among Nursing Students During Clinical Training: An Integrative Review. J Nurs Educ. 2019; 58(5):266-72.
  • Bodys-Cupak I, Majda A, Skowron J, Zalewska-Puchala J, Trzcika A. Year nursing students’ coping strategies in stressful clinical practice situations. JESEH. 2018; 4:12-8.
  • Cheung T, Wong SY, Wong KY, Law LY, Ng K, Tong MT, et al. Depression, Anxiety and Symptoms of Stress among Baccalaureate Nursing Students in Hong Kong: A Cross-Sectional Study. Int J Environ Res Public Health. 2016; 13(8).
  • Manpreet K, Maheshwari SK. Drepression, anxiety and stress among postgraduate nursing students. Int J Ther Appl. 2015; 21:12-8.
  • Amostafa A, El-Gilany A-H, El-Moafee H, Salama L, Jiménez C. Stress among Mansoura (Egypt) Baccalaureate nursing students. Pan Afr Med J. 2011; 8.
  • Zhang Y, Peters A, Chen G. Perceived Stress Mediates the Associations between Sleep Quality and Symptoms of Anxiety and Depression among College Nursing Students. Int J Nur Educ Scholarsh. 2018; 15(1).
  • Pego ER, Del Río MC, Fernández I, Gutiérrez E. Prevalencia de sintomatología de ansiedad y depresión en estudiantado universitario del Grado en Enfermería en la Comunidad Autónoma de Galicia. Ene. 2018; 12(2).
  • Pulido-Martos M, Augusto-Landa JM, López-Zafra E. Sources of stress in nursing students: a systematic review of quantitative studies. Int Nursing Rev. 2012; 59:15-25.
  • Ismaile S. Perceived clinical stressors among Saudi nursing students. OJN. 2017; 7(4):463-72.
  • Shdaifat E, Jamama A, Al-Amer M. Stress and Coping strategies among nursing students. Glob J Helath Sci. 2018; 10(5):33-41.
  • Labrague LJ, McEnroe-Petitte DM, Papathanasiou IV, Edet OB, Konstantinos T, Kleisiaris CF, et al. A cross-country comparative study on stress and quality of life in nursing students. Perspect Psychiatr Care. 2018; 54(4):469-76.
  • Suárez-García JM, Maestro-González A, Zuazua-Rico D, Sánchez-Zaballos M, Mosteiro-Díaz MP. Stressors for Spanish nursing students in clinical practice. Nurs Educ Today. 2019; 64:16-20.
  • Alsaqri SH. Stressors and Coping Strategies of the Saudi Nursing Students in the Clinical Training: A Cross-Sectional Study. Educ Research Int. 2017; (72):1-8.
  • Marsiglia DC, Madero K, Vallejo S, Andrea P, Campiño SM. Factores generadores de estrés percibidos por estudiantes de Enfermería en su primera práctica clínica. Ciencia y Salud. 2018; 10(2):33-50.
  • Castillo IY, Barrios A, Alvis LR. Estrés académico en estudiantes de Enfermería de Cartagena, Colombia. Inv Enf. 2018; 20(2).
  • Gomathi S, Jasmindebora, S. Impact of stress on nursing students. IJIRAS. 2017; 4(4):107-10.
  • Silva DC. Estrés en estudiantes de Enfermería: una revisión sistemática. Rev Ciencia y Cuidado. 2015; 12:119-33.
  • Zupiria X, Uranga MJ, Alberdi M, Barandiaran MT. KEZKAK: cuestionario bilingüe de estresores de los estudiantes de Enfermería en las prácticas clínicas. Gac Sanit. 2003; 17:37-51.
  • Spielberger CD, Gorsuch RL, Lushene RE. STAI. Manual for the State-Trait Anxiety Inventory (Self-Evaluation Questionnaire). Palo Alto, CA: Consulting Psychologist Press; 1970.
  • Buela-Casal G, Guillén-Riquelme A, Seisdedos N. STAI. Cuestionario de Ansiedad Estado-Rasgo. Adaptación española. Madrid: TEA Ediciones; 2015.
  • Pulido-Martos M, Augusto-Landa JM, López-Zafra E. Estudiantes de Enfermería en prácticas clínicas: el rol de la inteligencia emocional en los estresores ocupacionales y bienestar psicológico. Index Enferm. 2016; 25(3):215-19.
  • Llapa EO, Almeida D, Lopes D, López MJ, Sousa A. Stressful situations and factors in students of nursing in clinical practice. Invest Educ Enferm. 2016; 34:211-20.
  • Enríquez MC, Chavarría KM. Estresores percibidos por los estudiantes de Enfermería durante las prácticas clínicas. Diferencias entre programas educativos. Index Enferm. 2019; 28(1-2):79-83.
  • Nebot C, Roca N, Icart MT, Roldán-Merino JF. Identificación de los factores estresantes en los estudiantes de grado de Enfermería antes de iniciar su formación práctica. Rev Enferm Salud Ment. 2016; 4:5-14.
  • Martín A. Factores estresores en estudiantes de enfermería durante la realización de las prácticas clínicas. Nure Inv. 2019; 16(99).
  • Ab Latif R, Mat Nor MZ. Stressors and coping strategies during clinical practice among diploma nursing students. Malays J Med Sci. 2019; 26(2):88-98.
  • Rathnayake S, Ekanayaka J. Depression, anxiety and stress among undergraduate nursing students in a public university in Sri Lanka. Int J Caring Sci. 2016; 9(3):1020-32.
  • Wedgeworth M. Anxiety and education: An examination of anxiety across a nursing program. J Nurs Educ Practic. 2016; 6(10):23-32.
  • García JJ, Labajos MT, Fernández F. Características personales de los estudiantes de Enfermería que les hacen vulnerables al estrés. Enferm Docente. 2014; (102):20-6.
  • Younas A. Levels of Stress and Coping Strategies Used by Nursing Students in Asian Countries: An Integrated Literature Review. J Middle East North Afr Scie. 2016; 2(4):50-7.
  • Pego ER, Del Río MC, Fernández I, Gutiérrez E. Prevalencia de sintomatología de estres en estudiantado universitario del Grado en Enfermería en la Comunidad Autónoma de Galicia. Nure Inv. 2019; 15(97).