Why Nursing Students Are More Anxious In Paediatric Units: A Descriptive Correlational Study
Why nursing students are more anxious in paediatric units: A descriptive correlational study
Amaç: Bu çalışmada çocuk hemşireliği uygulama programında yer alan hemşirelik öğrencilerinin klinik konfor ve anksiyete düzeyleri ile bunların bazı değişkenlerle ilişkisinin incelenmesi amaçlanmıştır.
Yöntem: Araştırma tanımlayıcı ve korelasyonel bir çalışmadır: Tanımlayıcı korelasyonel çalışma deseni kullanıldı. Araştırmanın örneklemini 506 hemşirelik öğrencisi oluşturdu. Araştırmanın veri toplama araçları Kişisel Bilgi Formu ve Pediatri Hemşireliği Öğrencileri Klinik Rahatlık ve Endişe Değerlendirme Aracı'dır. Ölçme araçları yazarlar tarafından Türkiye'de bir devlet üniversitesinde hemşirelik öğrencilerine uygulanmıştır.
Bulgular: Çalışmada cinsiyet, bilgi, memnuniyet durumu ve yetersizlik hissi gibi birçok faktör ile klinik konfor ve anksiyete alt ölçekleri arasında anlamlı bir korelasyonel ilişki bulunmuştur. (p<0.05)
Sonuç: Yetişkin ve pediatrik bakım arasındaki farklılıklar, çocuk ve aile ile iletişim sorunları, pediatrik girişimlerde yetersizlik hissi ve fiziksel koşullardan memnuniyetsizlik gibi birçok faktör öğrencilerin pediatri uygulamaları sırasında anksiyete yaşamalarına neden olmaktadır.
Purpose: This study aimed to investigate the clinical comfort and anxiety levels of nursing students in the paediatric nursing practice programme and their relationship with some variables.
Method: A descriptive correlational study design was used. The sample of the study consisted of 506 nursing students. The data collection tools of the study were the Personal Information Form and Pediatric Nursing Student Clinical Comfort and Worry Assessment Tool. The measurement tools were administered to nursing students at a Turkish state university by the authors.
Results: In the study, a significant correlational relationship was found between many factors such as gender, knowledge, satisfaction status and feeling of inadequacy and clinical comfort and anxiety subscales. (p<0.05)
Conclusion: Many factors such as differences between adult and paediatric care, communication problems with the child and family, feeling of inadequacy in paediatric interventions and dissatisfaction with physical conditions cause students to experience anxiety during paediatric practice.
Akdeniz Kudubeş, A., Zengin, H., Ayar, D., Bektaş, İ., & Bektaş, M. (2024). The effect of nursing students’ liking of children and attitudes toward clinical practice on their comfort and worry levels in the pediatric clinic. Comprehensive Child and Adolescent Nursing, 47(1), 31-43. https://doi.org/10.1080/24694193.2023.2269264
Aljohani, W., Banakhar, M., Sharif, L., Alsaggaf, F., Felemban, O., & Wright, R. (2021). Sources of stress among Saudi Arabian nursing students: a cross-sectional study. International journal of environmental research and public health, 18(22), 11958. https://doi.org/10.3390/ijerph182211958
Aloufi, M. A., Jarden, R. J., Gerdtz, M. F., & Kapp, S. (2021). Reducing stress, anxiety and depression in undergraduate nursing students: Systematic review. Nurse education today, 102, 104877. https://doi.org/10.1016/j.nedt.2021.104877
Al-Qaaydeh, S., Lassche, M., & Macintosh, C. I. (2012). Exploratory factor analysis of the pediatric nursing student clinical comfort and worry assessment tool. Journal of Pediatric Nursing, 27(5), e39-e43. https://doi.org/10.1016/j.pedn.2012.05.003
Arslan, S., Şener, D. K., & Cangür, Ş. (2018). Pediatri hemşireliği öğrencileri klinik rahatlık ve endişe değerlendirme aracının geçerlik ve güvenirliği. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8(2), 61-66.
Bektas, I., Bektas, M., Ayar, D., Akdeniz Kudubes, A., Sal, S., Selekoglu OK, Y., & Celik, I. (2021). The predict of metacognitive awareness of nursing students on self‐confidence and anxiety in clinical decision‐making. Perspectives in Psychiatric Care, 57(2), 747-752. https://doi.org/10.1111/ppc.12609
Bhurtun, H. D., Azimirad, M., Saaranen, T., & Turunen, H. (2019). Stress and coping among nursing students during clinical training: An integrative review. Journal of Nursing Education, 58(5), 266-272. https://doi.org/10.3928/01484834-20190422-04
Buckley, L., Berta, W., Cleverley, K., Medeiros, C., & Widger, K. (2020). What is known about paediatric nurse burnout: A scoping review. Human Resources for Health, 18, 1-23. https://doi.org/10.1186/s12960-020-0451-8
Cornine, A. (2020). Reducing nursing student anxiety in the clinical setting: An integrative review. Nursing education perspectives, 41(4), 229-234. https://doi.org/10.1097/01.NEP.0000000000000633
Çunkuş, N., Yiğitoğlu, G. T., & Solak, S. (2021). The relationship between worry and comfort levels and communication skills of nursing students during pediatric clinic applications: A descriptive study. Nurse Education Today, 97, 104684. https://doi.org/10.1016/j.nedt.2020.104684
Dousis, E., Koutelekos, I., Dafogianni, C., Misouridou, E., Zartaloudi, A., Evagelou, E., & Petsios, K. (2022). Assessment of comfort and worry among Greek pediatric nursing students prior and after their clinical training. International Journal of Caring Sciences, 15(3), 1827.
Dziurka, M., Machul, M., Ozdoba, P., Obuchowska, A., Kotowski, M., Grzegorczyk, A., ... & Dobrowolska, B. (2022). Clinical training during the COVID-19 pandemic: Experiences of nursing students and implications for education. International journal of environmental research and public health, 19(10), 6352. https://doi.org/10.3390/ijerph19106352
Godsey, J. A., Houghton, D. M., & Hayes, T. (2020). Registered nurse perceptions of factors contributing to the inconsistent brand image of the nursing profession. Nursing outlook, 68(6), 808-821. https://doi.org/10.1016/j.outlook.2020.06.005
Gutiérrez-Puertas, L., Márquez-Hernández, V. V., Gutiérrez-Puertas, V., Granados-Gámez, G., & Aguilera-Manrique, G. (2020). Educational interventions for nursing students to develop communication skills with patients: a systematic review. International journal of environmental research and public health, 17(7), 2241. https://doi.org/10.3390/ijerph17072241
Günerigök, F., Kurt, F. Y., & Küçükoğlu, S. (2020). Hemşirelik öğrencilerinin klinik karar verme sürecinde özgüven ve anksiyete düzeylerinin belirlenmesi: İki farklı program örneği. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23(1), 77-94. https://doi.org/10.17049/ataunihem.549320
Höglander, J., Holmström, I. K., Lövenmark, A., Van Dulmen, S., Eide, H., & Sundler, A. J. (2023). Registered nurse–patient communication research: An integrative review for future directions in nursing research. Journal of advanced nursing, 79(2), 539-562. https://doi.org/10.1111/jan.15548
Lassche, M., Al-Qaaydeh, S., Macintosh, C. I., & Black, M. (2013). Identifying changes in comfort and worry among pediatric nursing students following clinical rotations. Journal of Pediatric Nursing, 28(1), 48-54. https://doi.org/10.1016/j.pedn.2011.12.008
Lavoie-Tremblay, M., Sanzone, L., Aubé, T., & Paquet, M. (2022). Sources of stress and coping strategies among undergraduate nursing students across all years. Canadian Journal of Nursing Research, 54(3), 261-271. https://doi.org/10.1177/08445621211028076
Luke, S., Petitt, E., Tombrella, J., & McGoff, E. (2021). Virtual evaluation of clinical competence in nurse practitioner students. Medical science educator, 31(4), 1267-1271. https://doi.org/10.1007/s40670-021-01312-z
Mårtensson, S., Knutsson, S., Hodges, E. A., Sherwood, G., Broström, A., & Björk, M. (2023). Undergraduate nursing students’ experiences of practicing caring behaviours with standardised patients. Scandinavian Journal of Caring Sciences, 37(1), 271-281. https://doi.org/10.1111/scs.13077
Menekşe, D., Tecik, S., Bülbül, H., Kabul, F., & Çınar, N. (2024). Hemşirelik Klinik Uygulamalarında Öğrencilere Yönelik Yapılandırılmış Eğitim Desteğinin Öğrencilerin Stres ve Klinik Uygulamalara Yönelik Tutum ve Memnuniyetlerine Etkisinin İncelenmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 11(2), 278-289. https://doi.org/10.34087/cbusbed.1399574
Mutlu, B., Azak, M., & Kalaycı, S. (2020). Çocuk sağlığı ve hastalıkları hemşireliği dersini almış öğrencilerin klinik rahatlık ve endişe durumu ile öz yeterlilik algısı arasındaki ilişkinin incelenmesi. OPUS International Journal of Society Researches, 15(26), 4293-4315. https://doi.org/10.26466/opus.659694
Onieva-Zafra, M. D., Fernández-Muñoz, J. J., Fernández-Martínez, E., García-Sánchez, F. J., Abreu-Sánchez, A., & Parra-Fernández, M. L. (2020). Anxiety, perceived stress and coping strategies in nursing students: a cross-sectional, correlational, descriptive study. BMC medical education, 20, 1-9. https://doi.org/10.1186/s12909-020-02294-z
Pozam, M., Khorshid, L., & Sarı, D. (2022). Hemşirelerin Yaşamsal Bulguların İzlenmesine Yönelik Tutumlarının Belirlenmesi: Tanımlayıcı Araştırma. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 14(2), 398-406. https://doi.org/10.5336/nurses.2021-84058
Pulido‐Martos, M., Augusto‐Landa, J. M., & Lopez‐Zafra, E. (2012). Sources of stress in nursing students: a systematic review of quantitative studies. International Nursing Review, 59(1), 15-25. https://doi.org/10.1111/j.1466-7657.2011.00939.x
Ren, L., Wang, Y., Wu, L., Wei, Z., Cui, L. B., Wei, X., ... & Liu, X. (2021). Network structure of depression and anxiety symptoms in Chinese female nursing students. BMC psychiatry, 21, 1-12. https://doi.org/10.1186/s12888-021-03276-1
Sanad, H. M. (2019). Stress and anxiety among junior nursing students during the initial clinical training: a descriptive study at College of Health Sciences, University of Bahrain. American Journal of Nursing Research, 7(6), 995-999. https://doi.org/10.12691/ajnr-7-6-13
Shen, H., Wang, H., Yan, L., Liu, W., Zhang, J., Zhou, F., ... & Deng, L. (2020). Incivility in nursing practice education in the operating room. Nurse education today, 88, 104366. https://doi.org/10.1016/j.nedt.2020.104366
Simpson, M. C. G., & Sawatzky, J. A. V. (2020). Clinical placement anxiety in undergraduate nursing students: A concept analysis. Nurse Education Today, 87, 104329. https://doi.org/10.1016/j.nedt.2019.104329
Şahin, Ö. Ö., Aközlü, Z., & Taşdelen, Y. (2023). Pediatric nursing students’ self-efficacy regarding medication administration and clinical comfort and worry: A pre-posttest comparative study of nurse mentoring versus peer mentoring. Nurse education in practice, 71, 103712. https://doi.org/10.1016/j.nepr.2023.103712
Şendir, M., Çelik, S., Dişsiz, M., Güney, R., Açıksöz, S., Kolcu, M., & Bektemür, G. (2018). Hemşirelik eğitimi ve uygulamasında yeni bir yaklaşım: Hemşirelik eğitimi ve uygulamasının bütünleşmesi. Hemşirelik Akademik Araştırma Dergisi JAREN, 4(2), 92-99. https://doi.org/10.5222/jaren.2018.092
Top, F. Ü., & Kulakaç, N. (2020). Hemşirelik öğrencilerinin pediatri kliniğine ilişkin klinik rahatlık ve endişe durumları. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 3(3), 280-288. https://doi.org/10.38108/ouhcd.788788
van der Cingel, M., & Brouwer, J. (2021). What makes a nurse today? A debate on the nursing professional identity and its need for change. Nursing philosophy, 22(2), e12343. https://doi.org/10.1111/nup.12343
Wu, C. S., Rong, J. R., & Huang, M. Z. (2021). Factors associated with perceived stress of clinical practice among associate degree nursing students in Taiwan. BMC nursing, 20(1), 89. https://doi.org/10.1186/s12912-021-00602-6
Telif Hakkı (c) 2025 Journal of Infant, Child and Adolescent Health
Bu çalışma Creative Commons Attribution 4.0 International License ile lisanslanmıştır.
İndir
Makale Bilgileri
- Makale Türü Araştırma Makalesi
- Gönderildi Nisan 21, 2025
- Yayınlanmış Ağustos 31, 2025
- Sayı Cilt 5 Sayı 2 (2025): Journal of Infant, Child and Adolescent Health
- Bölüm Araştırma Makalesi
