Downloads
Abstract
Background: Psychological stress is a non-specific response of the body to stressful situations. When encountering stress, the body reacts to stressors in order to adapt; if it is unable to adapt, stress may develop into a pathological condition. Objective: Describe the level of psychological stress and to analyze the factors influencing clincal stressor of nursing bachelor students. Methods: This is a cross-sectional descriptive study; data were collected using a structured questionnaire. The subjects were third- and fourth-year full-time nursing students at Thai Nguyen University of Medicine and Pharmacy. Results: The highest proportion (64.5%) of full-time nursing students experienced a moderate level of psychological stress. The average psychological stress score among these students was moderate (82.14 ± 17.67). Factors significantly associated with psychological stress included gender, academic year, professional passion, academic performance, residence, financial support, expenditure level, physical exercise, recreational activities, and clinical practicum environment (p < 0.05). Conclusions: Full-time nursing students have mainly moderate levels of psychological stress, related to many personal and environmental factors, suggesting a need to improve safe and supportive learning and practice environments. The study recommends enhancing a safe, supportive, and friendly clinical practicum environment for nursing students.
| Published | 2025-09-30 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | Vol. 4 No. 3 (2025) | |
| Section | Original article | |
| DOI | 10.66517/jstmp.2025.3.8 | |
| Keywords | Sinh viên, Căng thẳng, Tâm lý, Thực hành lâm sàng Students, Nursing, Stress, Psychological state, Clinical practicum |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Journal of Science and Technology in Medicine and Pharmacy
Graham MM, Lindo J, Bryan VD, Weaver S. Factors associated with stress among second year student nurses during clinical training in Jamaica. J Journal of professional nursing. 2016;32:383- 391. doi: 10.1016/j.profnurs.2016.01.004
Labrague LJ, et al. A cross-country comparative study on stress and quality of life in nursing students. J Perspectives in psychiatric care. 2018;54:469-476. DOI: 10.1111/ppc.12248
Bhurtun HD, Azimirad M, Saaranen T, Turunen H. Stress and coping among nursing students during clinical training: An integrative review. J Journal of Nursing Education. 2019;58(5):266- 272. doi: 10.3928/01484834-20190422-04
Quynh AT, Dunne MP, Ngoc HL. Well-being, depression and suicidal ideation among medical students throughout Vietnam. J Vietnam J Med Pharm. 2014;6:23-30.
Rafati F, Sharif Nia H, Khoshnood Z, Allen KA. Development and psychometric testing of nursing students’ perceptions of clinical stressors scale: an instrument design study. J BMC psychiatry. 2021;21:1-10. doi: 10.1186/s12888-020-02964-8
Aydın, M., Şahin, C. U., Aksu, E. F. & Görgöz, M. The Relationship Between Nursing Students’ Professional Competencies Related to Clinical Practices and Clinical Stressor Perceptions. J Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi. 2024;7(3):797-806. DOI: 10.38108/ ouhcd.1310219
Ozsaker E, Aykut Z, Doruker NC, Koze BS, Gecit S. The relationship between the academic self-efficacy and perceived stressors among nursing students in clinical settings: a cross-sectional study. BMC Nurs. 2025;24(1):216. doi: 10.1186/ s12912-025-02836-0
Rafati F, Rafati S, Khoshnood Z. Perceived stress among Iranian nursing students in a clinical learning environment: a cross-sectional study. Adv Med Educ Pract. 2020 Jul 6;11:485-491. doi: 10.2147/AMEP.S259557
Al-Zayyat AS, Al-Gamal E. Perceived stress and coping strategies among J ordanian nursing students during clinical practice in psychiatric/ mental health courses. International journal of mental health nursing. 2014;23(4):326-335. DOI: 10.1111/inm.12054
Hwang, E., Kim, M. & Shin, S. Initial clinical practicum stress among nursing students: A cross-sectional study on coping styles. International journal of environmental research public health. 2021;18(9):4932. doi: 10.3390/ijerph18094932
World Health Organization. Framework for action on health workforce education and training. (WHO Press., 2023).
Admi H, Moshe-Eilon Y, Sharon D, Mann M. Nursing students’ stress and satisfaction in clinical practice along different stages: A cross-sectional study. Nurse Educ Today. 2018;68:86– 92. doi:10.1016/j.nedt.2018.05.027.
Rowbotham M, Owen RM. The effect of clinical nursing instructors on student self-efficacy. Nurse educ Pract. 2015;15:561-566. doi: 10.1016/j. nepr.2015.09.008
Galvin J, Suominen E, Morgan C, O’Connell EJ, Smith AP. Mental health nursing students’ experiences of stress during training: a thematic analysis of qualitative interviews. Journal of psychiatric mental health nursing. 2015;22:773- 783. doi: 10.1111/jpm.12273
Kiều Thị Phương Thảo và cs. Mức độ căng thẳng và ứng phó của sinh viên điều dưỡng Đại học Nguyễn Tất Thành khi thực hành lâm sàng tại Thành phố Hồ Chí Minh. Tạp chí Y học Cộng đồng. 2024;65.
Alsaleem MA, et al. Prevalence and correlates of university students’ perceived stress in southwestern Saudi Arabia. Medicine. 2012;100(38):e27295. doi: 10.1097/MD.0000000000027295
Saeed AA, Bahnassy AA, Al-Hamdan NA, Almudhaibery FS, Alyahya AZ. Perceived stress and associated factors among medical students. Journal of Family Community Medicine. 2016;23(3):166-171. doi: 10.4103/2230- 8229.189132
Trần Thái Phúc, Tăng Thị Hảo, Nguyễn Thị Nga, My Thị Hải. Thực trạng và một số yếu tố liên quan đến căng thẳng cảm xúc của nữ sinh viên Điều dưỡng chính quy tại trường Đại học Y dược Thái Bình năm 2020. Tạp chí Khoa học Điều dưỡng. 2020;3:226-234.
Woods Y. Comparison of the stress levels and GPA of African American college students at historically black and predominantly white institutions. East Tennessee State University. 2005.
Doyle K, et al. Happy to help/happy to be here: Identifying components of successful clinical placements for undergraduate nursing students. Nurse education today. 2017;49:27-32.
Hồ Thị Ngọc Ánh, et al. Các vấn đề khó khăn tâm lý trong học tập và các yếu tố liên quan ở sinh viên điều dưỡng trường Đại Học Y Dược Cần Thơ năm 2023. Tạp chí Y Dược học Cần Thơ. 2024;70:148- 154. DOI: 10.58490/ctump.2024i70.213.