A qualitative meta-synthesis of qualitative research on stress and coping strategies of intern nursing students

Abstract

Abstract: Objective Systematically review the qualitative research on stress and coping strategies of practice nursing students,provide a reference for nursing education and nursing management. Methods From inception to July 2022,qualitative studies on practice nursing students' stress and coping strategies were retrieved from CNKI,Wan Fang Database,VIP Database,Chinese Biomedical Literature Database,PubMed,Web of Science,The Cochrane Library,CINAHL,and Embase. Used the Joanna Briggs Institute Critical Appraisal Tool（2016） to evaluate the quality of the included studies,and the results were interpreted and integrated using meta-synthesis. Results Totally 13 studies were included. This study extracted 31 clear findings,11 new categories,and 3 integrated results：（1）sources of stress,including lack of professional knowledge and skills,patients and their family members,studies and employment,unfamiliar environments,and clinical faculty and teams.（2）Physical and psychological experiences,including physical and psychological stress,perceptions of stress,and internal demands.（3）Coping strategies,including problem-focused coping,emotion-focused coping,and avoidance-focused coping. Conclusions Nursing managers and educators should pay attation to understand the real experiences of practice nursing students,and develop effective teaching environments. Moreover,multiple and comprehensive measures should be taken to help nursing students deal with stress,enhance their willingness to stay in the profession,and stabilize the nursing team

Key words: Practice nursing students, Stress, Coping strategy, Qualitative research, Meta synthesis

CLC Number:

R181.2

LIU Yue, YAO Chun, WANG Lingmin, JIANG Jinxia. A qualitative meta-synthesis of qualitative research on stress and coping strategies of intern nursing students. [J]OCCUPATION AND HEALTH, 2023, 39(24): 3426-3431.

References

[1] LABRAGUE L J,MCENROE-PETITTE D M,GLOE D,et al.A literature review on stress and coping strategies in nursing students[J].J Ment Health,2017,26(5):471-480.
[2] SUBKE J,DOWNING C,KEARNS I.Practices of caring for nursing students:A clinical learning environment[J].Int J Nurs Sci,2020,7(2):214-219.
[3] 蔡虹. 护理课程资源平台的设计与应用[D].上海:上海交通大学,2014.
[4] 李丽,叶文琴,田东惠,等.中美两国护生临床实践能力培养模式比较[J].解放军护理杂志,2013,30(12):66-68.
[5] RAFATI F,NOUHI E,SABZEVARI S,et al.Coping strategies of nursing students for dealing with stress in clinical setting:A qualitative study[J].Electron Physician,2017,9(12):6120-6128.
[6] ALZAYYAT A,AL-GAMAL E.A review of the literature regarding stress among nursing students during their clinical education[J].Int Nurs Rev,2014,61(3):406-415.
[7] CHANG E M L,BIDEWELL J W,HUNTINGTON A D,et al.A survey of role stress, coping and health in Australian and New Zealand hospital nurses[J].Int J Nurs Stud,2007,44(8):1354-1362.
[8] 胡雁. 循证护理学[M].2版.北京:人民卫生出版社,2018:157-162.
[9] 姜金霞,王文静,曾莉.重症医学科实习护生压力体验与应对方式的质性研究[J].中华现代护理杂志,2017,23(7):932-934.
[10] 郭昙,丁慧,朱洁婷,等.护生面对Standford B型主动脉夹层病人夹层破裂死亡真实体验的质性研究[J].循证护理,2021,7(13):1816-1819.
[11] 李艳青,李君丽,韦琴,等.大专实习护生在儿科实习期间负性体验的质性研究[J].中华现代护理杂志,2017,23(10):1384-1386.
[12] 于云,沈志奇,孙滕伟,等.护生在CCU 实习期间负性情绪心理体验的质性研究[J].中华现代护理杂志,2016,22(16):2284-2287.
[13] 孙素亚. 护生在儿科实习受挫体验的质性研究[J].全科护理,2016,14(11):1174-1176.
[14] 张金梅,刘晓芯,林徐蕾,等.护生在肿瘤科实习期间负性情绪体验的质性研究[J].中华现代护理杂志,2015,21(16):1915-1917.
[15] 袁媛,方仕婷,岑利波,等.护生实习初期护患沟通受挫的质性研究[J].中国乡村医药,2015,22(18):59-60.
[16] 张翠萍. 大专护生实习后期心理压力源及应对方式的质性研究[J].安徽医学,2013,34(7):1004-1006.
[17] 刘云,曹小兰,李晓婷,等.本科护生临床操作受挫体验的质性研究[J].护理管理杂志,2013,12(12):837-839.
[18] KAUR G,CHERNOMAS W M,SCANLAN J M.Nursing students’ perceptions of and experiences coping with stress in clinical practice[J].Int J Nurs Educ Scholarsh,2020,17(1):20200005.
[19] ABU ZEAD M M,AHMED B O,ESWI A S.Coping strategies among novice nursing students during clinical practice:A phenomenological study[J].Biosci Res,2018,15(4):3247-3253.
[20] SAǦLAM B Ö,ESER İ S,AYVAZ S,et al.Intensive care experiences of intern nurse students:A qualitative study[J].Nurse Educ Today,2021,107:105098.
[21] BHURTUN H D,TURUNEN H,ESTOLA M,et al.Changes in stress levels and coping strategies among Finnish nursing students[J].Nurse Educ Pract,2021,50:102958.
[22] KING J,BEANLANDS S,FISET V,et al.Using interprofessional simulation to improve collaborative competences for nursing, physiotherapy,and respiratory therapy students[J].J Interprof Care,2016,30(5):599-605.
[23] 王露諝,章雅青,戈晓华.护理实习生人际交往效能感与护患沟通能力的相关性研究[J].中国护理管理,2013,13(6):28-31.
[24] MAGUIRE P,PITCEATHLY C.Key communication skills and how to acquire them[J].BMJ,2002,325(7366):697-700.
[25] 焦佳,周志伟,罗如乔,等.长沙市某三级甲等医院实习护生死亡教育需求现状及影响因素分析[J].职业与健康,2022,38(19):2662-2666,2671.
[26] ZHAO F F,LEI X L,HE W,et al.The study of perceived stress,coping strategy and self-efficacy of Chinese undergraduate nursing students in clinical practice[J].Int J Nurs Pract,2015,21(4):401-409.
[27] AL-GAMAL E,ALHOSAIN A,ALSUNAYE K.Stress and coping strategies among Saudi nursing students during clinical education[J].Perspect Psychiatr Care,2018,54(2):198-205.
[28] JIANG J,ZENG L,KUE J,et al.Effective teaching behaviors in the emergency department:A qualitative study with Millennial nursing students in Shanghai[J].Nurse Educ Today,2018,61:220-224.
[29] WALLACE L,BOURKE M P,TORMOEHLEN L J,et al.Perceptions of clinical stress in baccalaureate nursing students[J].Int J Nurs Educ Scholarsh,2015,12(1):91-98.
[30] ZHANG J,ZHOU F,JIANG J,et al.Effective teaching behaviors of clinical nursing teachers:A qualitative meta-synthesis[J].Front Public Health,2022,10:883204.
[31] YÜKSEL S,ALTUN UǦRAŞ G.Being a student nurse in neurosurgical intensive care unit:A qualitative study[J].JAREN,2020,6(2):331-340.
[32] 夏杰,段霞,于婵,等.基于Kolb模型的体验式教学法在ICU高职护生带教中的应用[J].中华现代护理杂志,2020,26(20):2804-2808.
[33] CHAN C K L,SO W K W,FONG D Y T.Hong Kong baccalaureate nursing students' stress and their coping strategies in clinical practice[J].J Prof Nurs,2009,25(5):307-313.
[34] O'MARA L,MCDONALD J,GILLESPIE M,et al.Challenging clinical learning environments:Experiences of undergraduate nursing students[J].Nurse Educ Pract,2014,14(2):208-213.
[35] SHABAN I A,KHATER W A,AKHU-ZAHEYA L M.Undergraduate nursing students' stress sources and coping behaviours during their initial period of clinical training:A Jordanian perspective[J].Nurse Educ Pract,2012,12(4):204-209.
[36] 陈翠华,张弛.我国护士工作压力与管理现状[J].解放军医院管理杂志,2018,25(5):456-459.
[37] 廖建玲,兰丽梅.员工帮助计划在传染科护士压力管理中的应用[J].护理研究,2018,32(9):1433-1435.
[38] 吴月凤,朱洁,祝盈,等.磁性医院理念在护理管理中的应用[J].解放军医院管理杂志,2017,24(10):989-990.
[39] BROWN R P,GERBARG P L,MUENCH F.Breathing practices for treatment of psychiatric and stress-related medical conditions[J].Psychiatr Clin North Am,2013,36(1):121-140.