Sources of Stress among Undergraduate Nursing Students during Clinical Practice: A Malawian Perspective

Purpose: The purpose of this study was to explore undergraduate nursing students’ perceptions of their clinical learning experience, and the reported findings emerged from narratives of their experience. Design: This was a hermeneutic phenomenological study which took place at a university nursing college in Malawi. Participants for the study were purposively selected from third- and fourth-year undergraduate nursing students and the data were collected through in-depth interviews. A framework developed by modifying Colaizzi’s procedural steps guided the phenomenological analysis. Findings: The study reveals factors which cause stress among undergraduate nursing students during their clinical practice. The following themes emerged from the study: lecturer/nurse interaction with students: stress associated with patient care and stress associated with objective structured clinical examination (OSCE). The lecturer is perceived to significantly induce stress, and this is common when the student perceives that the lecturer’s interaction is in a “policing” manner. The primary stressors associated with patient care include lack of life-saving medication which sometimes leads to death of a patient, taking care of critically ill patients unsupervised, and fear of contracting infections such as HIV and tuberculosis, and death of a patient. Factors associated with stress during OSCE include use of examiners whom students are not familiar with and the conduct of OSCE in the skills lab which has better resources than the clinical settings where students practice. Conclusions: The study reveals sources of stress during nursing students’ clinical practice and its effects on their learning and motivation. Consistent with existing literature, these findings confirm that nursing students experience considerable levels of stress during clinical practice. Recommendations: The study suggests that nursing education can be quite a stressful experience to the learners. It is therefore essential that nurse educators should address the various sources of stress which the study has revealed to enhance students’ clinical learning and provide the student nurses with the needed care.

The Risk Role of Defeat on the Mental Health of College Students:A Moderated Mediation Effect of Academic Stress and Interpersonal Relationships

Background:College students face significant academic and physiological changes,making them more susceptible to psychological issues such as depression,self-injury,and suicidal ideation.Feelings of defeat can exacerbate these risks by increasing academic stress.However,interpersonal relationships can moderate the impact of academic stress on students’mental health.Utilizing the presage–process–product model,this study aims to empirically investigate how feelings of defeat influence depression,self-injury,and suicidal ideation among college students.Additionally,it explores the mediating role of academic stress and the moderating role of various types of interpersonal relationships.Methods:A total of 1612 college students(750 females,862 males,mean age=19.64±0.62 years)were recruited through cluster sampling.Data were collected via offline questionnaires administered by a trained psychology teacher and a postgraduate student,ensuring high reliability with two examiners per class.Latent profile analysis(LPA)was used to examine the impact of defeat on mental health outcomes,while mediation analysis was conducted to assess the roles of academic stress and interpersonal relationships.Results:1.Defeat is identified as a significant risk factor for mental health issues among college students;2.Four distinct patterns of interpersonal relationships were identified:the interpersonal-relationship risk group,the father–child-relationship high-risk group,the general interpersonal-relationship group,and the superior interpersonal-relationship group;3.Academic stress partially mediates the relationship between defeat and mental health issues such as depression,self-injury,and suicidal ideation;4.Different interpersonal relationship models moderate the impact of academic stress on depression and suicidal ideation.Conclusion:Defeat is a significant risk factor for mental health problems in college students.Academic stress partially mediates the negative impact of defeat on mental health,while patterns of interpersonal relationships moderate this impact.Effective early prevention and intervention should focus on monitoring students’stress levels and fostering warm,positive parent–child relationships.

Peer pressure and academic stress among junior high school students:a cross-sectional study

Objective:The objective of the study was to explore the connection between peer pressure and academic stress among junior high school students.Methods:This descriptive correlational study was conducted to investigate the link between perceived peer pressure and academic stress.The study involved a total of 525 adolescents,aged 14-19 years,drawn from 6 public junior high schools(PJHS)in Padang,Indonesia,using purposive sampling.Academic stress and perceived peer pressure were assessed using the Educational Stress Scale for Adolescents(ESSA)and the Perceived Peer Pressure Scale(PPPS).Results:The findings indicated significant variations in stress levels among students in different grade levels(7th,8th,and 9th grades)(P<0.05),while there were no noteworthy differences in peer pressure across these grade levels(P>0.05).Additionally,there was a positive correlation observed between perceived peer pressure and academic stress(r=0.14,P<0.05).Furthermore,multiple regression analyses,incorporating demographic variables and perceived peer pressure as independent factors,yielded statistically significant results(adjusted R^(2)=0.082,F=4.33,P<0.001).Notably,peer pressure had a direct impact on academic stress among adolescents,with class level and parents’educational background mediating the relationship between academic stress and adolescent behavioral problems.Conclusions:These findings underscore the importance of addressing both external and internal factors at the individual,family,school,and societal levels to enhance adolescents’psychological resilience and mitigate problem behaviors.

Sources of Sexual Knowledge among Vietnamese High School Students

This study determined the sources from which Vietnamese high school students currently acquire sexual knowledge as well as the sources from which they believe they should acquire it. Participants were eleventh-grade students at three public high schools in Hanoi, Vietnam. We conducted a questionnaire-based survey from September to October 2012, with 1672 students participating. Responses were received from all 1672 students, a response rate of 100%. Complete data were received from 1653 respondents (98.9%), including 896 males (54.2%) and 757 females (45.8%). The survey was a self-administrated questionnaire. Although many participants believed that they were knowledgeable about sex, only a small number of them actually possessed accurate sexual knowledge. Few participants in this study, targeted to a specific age (eleventh grade), had used the Internet as a major source for obtaining sexual knowledge, in contrast to results from previous studies which covered a wider age demographic. Future research should include comparative studies between eleventh and twelfth graders as well as between those of the same age who are and who are not enrolled in high school. Additionally, it might be beneficial to consider the relationship between adolescent age and Internet use to study the influence of the Internet on sexual knowledge. Our results suggest that parents and schoolteachers should shoulder more responsibility in providing sexual education, particularly by improving their own knowledge and ability to provide such education, because many participants indicated that sexual knowledge should be acquired from parents and schools.

Source mechanism of small-moderate earth- quakes and tectonic stress field in Yunnan Province

In the paper, source mechanisms of 33 small-moderate earthquakes occurred in Yunnan are determined by modeling of regional waveforms from Yunnan digital seismic network. The result shows that most earthquakes occurred within or near the Chuandian rhombic block have strike-slip mechanism. The orientations of maximum compressive stresses obtained from source mechanism are changed from NNW-SSN to NS in the areas from north to south of the block, and tensile stresses are mainly in ENE-WSW or NE-SE. In the eastern Tibetan Plateau, the orientations of maximum compressive stress radiate toward outside from the plateau, and the tensile stress orientations mostly parallel to arc structures. Near 28N the orientations of both maximum compressive stress and tensile stress changed greatly, and the boundary seems to correspond to the southwestern extended line of Longmenshan fault. Outside of the Chuandian rhombic block, the orientations of P and T axes are some different from those within the block. The comparison shows that the source mechanism of small-moderate events presented in the paper is consistence with that of moderate-strong earthquakes determined by Harvard University, which means the source mechanism of small-moderate events can be used to study the tectonic stress field in this region.

Source mechanism of small-moderate earthquakes and tectonic stress field in Yunnan Province

In the paper, source mechanisms of 33 small-moderate earthquakes occurred in Yunnan are determined by modeling of regional waveforms from Yunnan digital seismic network. The result shows that most earthquakes occurred within or near the Chuandian rhombic block have strike-slip mechanism. The orientations of maximum compressive stresses obtained from source mechanism are changed from NNW-SSN to NS in the areas from north to south of the block, and tensile stresses are mainly in ENE-WSW or NE-SE. In the eastern Tibetan Plateau, the orientations of maximum compressive stress radiate toward outside from the plateau, and the tensile stress orientations mostly parallel to arc structures. Near 28N the orientations of both maximum compressive stress and tensile stress changed greatly, and the boundary seems to correspond to the southwestern extended line of Longmenshan fault. Outside of the Chuandian rhombic block, the orientations of P and T axes are some different from those within the block. The comparison shows that the source mechanism of small-moderate events presented in the paper is consistence with that of moderate-strong earthquakes determined by Harvard University, which means the source mechanism of small-moderate events can be used to study the tectonic stress field in this region.

Validation of Stressors in Nursing Students Scale-Chinese Version (SINS-CN) in a Population of Macao Nursing Students

Objective： To validate the Stressors in Nursing Students Scale-Chinese Version（SINS-CN） in a population of Macao nursing students. Methods： A methodological study was designed with 2 phases. In phase 1, a three-expert panel was invited to evaluate the content validity of SINS-CN, and then its test-retest reliability was examined over a 2-week interval. In phase 2,211 undergraduate nursing students were recruited, and 203 valid responses to the questionnaire were obtained. A principal component analysis with varimax rotation was applied to validate the structure of the instrument. Results： The content validity index（CVI） was 0.89. The correlation coefficient of the test-retest reliability was 0.82 for the overall instrument and 0.70-0.88 for the instrument＇s sub-dimensions. Based on the 43 items of the instrument, five components were identified and accounted for 60. 28% of the variance with eigenvalues ranging from 1.32 to 10. 18. The factor loadings were 0.42-0.79. The internal consistency reliability of Cronbach＇s ot was 0.96 for the overall scale and 0.67-0.94 for its sub-dimensions. Conclusion： The study findings indicated that SINS-CN had acceptable psychometric properties in terms of content validity, stability and internal consistency reliability. The principal component analysis generated a 5-component structure with 43 items; this was slightly different from the origi- nai structure but was more applicable to the studied population, which suggests that this instrument has cross-cultural sensitivity.

Variation of stress field in the source region around a strong shock：an example

An earthquake with magnitude 6.6 occurred on November 16,1983 in the Kaoiki,Hawii.The hierarchical clustering analyses were made by stages for the focal mechanism solutions of 74 earthquakes with M≥3.0 in this area from 1977 to 1985,it was found that each type of focal mechanism is roughly with invariable percentage,and that the strike-slip events including the mainshock,which did not appear in other stages,occurred in the stage around M=6.6 mainshock.The dominant types in the other stages were depressed in the period around the mainshock. This is a believable precursor phenomena.orientation of the principal axes of stress field was inversed by fitting slip vector based on the focal mechanisms in the different periods.The results show that the stress field around the main shock with M=6.6 was more stable,its maximum and minimum principal axes is nearly horizontal in EW and NS direction respectively,the middle one is nearly vertical.The middle principal axis of stress field in the other periods appeared to be horizontal and the corresponding seismic rupture horizontally slip with a small dip.The significant difference between the stress field of source region in the period around the strong shock and that in the other periods shows that the seismogeny and occurrence of the strong shock were controlled by the variation of stress field.The characteristic environment factors of Kaoiki region and its effects were discussed.

Effects of mindfulness meditation on anxiety, depression, stress, and mindfulness in nursing students: a meta-analysis and trial sequential analysis of randomized controlled trials

Objective:The aim of this study was to assess the effectiveness of mindfulness meditation(MM)on anxiety,depression,stress and mindfulness in nursing students.Methods:A comprehensive search and screening procedures were conducted to locate all MM interventions implemented with nursing students.For randomized controlled trials(RCTs)in accordance with the inclusion criteria,a search was conducted in PubMed,Embase,Web of Science,Medline,PsycINFO,Cumulative Index to Nursing and Allied Health(CINAHL),Cochrane Central Register of Controlled Trials(CENTRAL),China Biology Medicine(CBM),Chinese National Knowledge Infrastructure(CNKI)and Wanfang.Databases were retrieved from inception through August 2018.Additional studies were identified through hand searches and Internet searches.Two reviewers collected relevant data of eligible articles according to the data extraction tables.Based on Cochrane Handbook,critical appraisal of the methodological quality was assessed by two other reviewers.An Excel form was used to extract main characteristics of included RCTs.Meta-analysis and trial sequential analysis(TSA)were carried out using software RevMan 5.3 and TSA 0.9.Results:Five RCTs with 257 nursing students were included.Only two studies were assessed as high quality and three studies were evaluated as moderate quality.Meta-analysis showed that,comparing with the control group,MM could significantly improve anxiety(SMD=?0.45,95%CI?0.73 to?0.17,P=0.001)and stress(SMD=?0.69,95%CI?0.97 to?0.40,P<0.001).TSA results confirmed that the outcome of the merger is credible.It could also significantly improve depression level of nursing students after 8 weeks intervention duration(SMD=?0.70,95%CI?1.14 to?0.26,P=0.002).However,there was no beneficial effect on depression level of nursing students with 1 week intervention duration(SMD=0.09,95%CI?0.42 to 0.59,P=0.74)and its effects on mindfulness level of nursing students also did not show statistical significance(SMD=0.37,95%CI?0.04 to 0.77,P=0.07).No definitive conclusions were drawn from the TSA.Conclusions:The results of this meta-analysis indicated that MM could effectively reduce the level of anxiety and stress of nursing students.TSA confirmed that the results of meta-analysis are credible.For depression,it could also significantly improve depression of nursing students with 8 weeks intervention,but there was no significant effect on nursing students with 1 week intervention duration.There was also no beneficial effect on mindfulness level of nursing students.However,TSA indicated that the accumulated evidence is still inconclusive.We suggest that more well-designed clinical trials with large sample and higher quality would be required in future to draw a definitive conclusion.

Scaling of stress drop and high-frequencyfall-off of source spectra

It has been observed for a long time that the high-frequency fall-off constant of source spectra is about 2 for 'large'earthquakes and about 3 for 'small' earthquakes. For earthquakes between 'large' and 'small', the high-frequencyfall-off constant is not an integer and varies with the size of the earthquake. In this article such a variation is explainedin the perspective of the scaling of stress drop, which proposes a new approach to the study of the scaling of stress dropusing seismic data with lower quality of completeness and high-frequency characteristics. The study on the sourcespectra of the aftershocks of the 1988 Lancang-Gengma, Yunnan, China earthquake shows that the high-frequencyfall-off of source spectra and its variation with the size of earthquake can be well explained by the model that for 'large'earthquakes the stress drop is a constant while for ',small' earthquakes the stress drop increases with the size of theearthquake.

Changes in stress within grassland ecosystems in the three counties of the source regions of the Yangtze and Yellow Rivers

Based on a database of more than 40 years of second production process and energy flow records for Maduo,Qumalai and Yushu counties,a dynamic model of the stress within grassland ecosys-tems was established using a nonlinear regression method for this source regions of the Yangtze and Yel-low Rivers.The results show that dynamic curves of stress within grassland ecosystems in the three coun-ties were in the shape of an inverted 'U' during the period 1965-2007.It also revealed that the variation in actual amount of livestock inventories reflected the general trends of the stress within the grassland eco-systems in the source regions,although there were many other factors for the increase or reduction in grassland ecosystem stress.

How Challenge Stress Affects Mental Health among College Students during the COVID-19 Pandemic: The Moderating Role of Self-Efficacy

While a plethora of studies has been conducted to examine stress and its impact on mental health in western countries,research is scarce investigating the relationship between student challenge stress and health illness in the context of Chinese colleges.No studies examined the moderating effect of self-efficacy on the relationship between challenge stress and health illness.This study attempted to investigate the relationships between these three variables among Chinese college students.Especially,this study focused on examining whether self-efficacy moderated the effect of perceived challenge stress on students’mental health.Also,the differences were tested between male and female students in terms of these three variables.A sample of 578 Chinese college students was recruited over an approximately 12-week period from 7 Chinese universities.An online survey link was dis-tributed through WeChat.The SPSS version 26 software was used to analyze the data.Results showed that there is no significant difference between genders in terms of perceived challenge stress,self-efficacy,and students’mental health.In addition,challenge stress was positively related to the students’mental health(β=0.35,p<0.01)while there was a negative association between self-efficacy and mental health(β=-0.41,p<0.01).Furthermore,self-efficacy plays a moderating role in the relationship between challenge stress and mental health(β=-0.11,p=0.02).Students with low self-efficacy tend to experience more mental health issues.It is suggested that Chinese colleges and universities pay more attention to students with low self-efficacy,either through faculty/staff interven-tions or peer counseling.Professors consider reducing students’academic stress to improve their mental health.

The impact of academic stress on medical students attending college in the Inner Mongolia Area of China

The aim of this study was to examine whether student characteristics affect the risk of health conditions, and explore whether the degree of academic stress affects the level of distress. We surveyed medical students in the Inner Mongolia Medical College China using a questionnaire. A logistic regression analysis was used to ascertain factors associated with distress. The Wilcoxon Mann-Whitney test was used to determine the relationship between distress and different academic stress levels. Of the 6044 students completing questionnaires, 47.5% self-reported distressing body symptoms induced by academic stress. Chi square tests showed statistically significant associations between distress and gender, academic stress, and residence;feeling academic stress caused a more than 1.5 times risk of distress. Gender and academic stress were significantly associated with distress in non-conditional binary logistic regression models. Compared with male students, female students was more likely to feel distress. The Wilcoxon Mann-Whitney test also showed that the distress rate increased with academic stress and a dose-response relationship between the distress rate and stress level was found. The present study indicates that it is important to reduce academic stress and manage it in order that better outcomes be achieved in regard to distress, especially in females.

Stress and coping styles among nursing students during the initial period of the clinical practicum:A cross-section study

Objectives:This study aimed to explore the level of stress,types of stressors,type of coping styles,and factors influencing stress levels and coping styles among nursing students during the initial period of the clinical practicum.Methods:A cross-sectional survey design was used.In September 2017,participants were recruited from a tertiary hospital in Zhejiang Province,China,using a convenience sampling method.A demographic characteristics questionnaire,the Intern Nursing Student Stressor Scale,and the Simple Coping Style Questionnaire were used to collect data.Data were analyzed using descriptive analysis,independent sample t-tests,one-way analysis of variance,Pearson’s correlation analysis,and multiple linear regres-sion analysis.Results:A total of 158 nursing students were recruited,most of whom were female,undergraduates,and from rural areas.The nursing students perceived a moderate level of stress during the initial period of the clinical practicum.The need for knowledge and skills was the most common source of stress.Positive coping styles were most commonly adopted.Nursing students who were undergraduates,only children,and chose nursing major involuntarily experienced higher stress levels than those who were junior college students,not only children,and chose nursing major voluntarily.Nursing undergraduates were more likely to use positive coping styles than junior college students.Male nursing students and those experiencing higher stress levels related to the“environment and equipment of the wards”and the“nature and content of the work”were more likely to use negative coping styles.Conclusion:Nursing educators should offer targeted guidance based on the stress reported during the clinical practicum and the demographic characteristics of the nursing students.Guidance should be provided to encourage nursing students to adopt effective coping strategies and reduce stress.

Comparison of posttraumatic growth and posttraumatic stress of nurses with physicians and medical students after caring of COVID‑19 patients

Objectives:The present study compared the prevalence and psychosocial factors affecting posttraumatic growth(PTG),posttraumatic stress disorder(PTSD),and psychological distress in nurses,physicians,and medical students.Materials and Methods:In a cross‑sectional study,three groups of medical staff including nurses(n=57),physicians(n=40),and medical students(n=34)who were responsible for the care/treatment of COVID‑19 patients admitted to a general hospital for 4 months responded to Posttraumatic Growth Inventory,Brief Symptom Inventory‑18,Resilience Questionnaire,PTSD Screen,and Social Capital‑Integrated Questionnaire.Results:After the exposure of medical staff to at least 4 months of treatment/care of COVID‑19 patients,PTG prevalence was higher than PTSD(38.2%vs.14.6%),but they experienced some degrees of psychological distress(65.5%).The nurses had 8.33(confidence interval[CI]:2.5–26.7)times higher PTG rate than medical students(P<0.001).Physicists also experienced 5.00(CI:1.4–26.7)times higher PTG than medical students(P<0.001).PTG was aided by age,married status,strong resilience,and high social capital,but gender had no influence.Resilience played an important protective role to prevent the incidence of psychological distress in nurses,medical students,and physicians.Conclusion:Despite the fact that the PTSD and psychological distress were same in the three groups of medical staff,the nurses had a greater rate of PTG than physicians and medical students.

Lithospheric stress in Mongolia,from earthquake source data

Lithospheric stress in Mongolia has been studied using mechanisms of 84 M_(LH)≥ 4 earthquakes that occurred in the 20 th century and instrumental seismic moments of 17,375 M_(LH)≥2.5 events recorded between 1970 and 2000.The M_(LH)≥ 3.5 earthquakes mostly have strike-slip mechanisms in southern and central Mongolia,with frequent reverse-slip motions in the west and normal slip in the north,especially,in the area of Lake Hovsgol.The principal stresses are,respectively,S_H>S_v>S_h in the center and in the south;high horizontal compression with S_H>S_h>S_v in the west;and a heterogeneous stress pattern with S_v>S_H>S_h in the north.According to seismic moments of M_(LH)=2.5 events,oblique slip generally predominates over the territory,at S_v≈S_H>>S_h,while frequent strike slip motions in the west record high horizontal compression(S_H>S_v>S_h).Earthquake mechanisms show the principal horizontal compression S_H to be directed W-E in the east,NE-SW in the central and Gobi-Altay regions,and approximately N-S in the west of Mongolia.The patterns of principal lithospheric stresses in the territory of Mongolia have undergone three events of dramatic change for a few recent decades,and these events were synchronous with three similar events in the Baikal rift system(BRS):in the latest 1960 s,latest 1970 s to earliest 1980 s,and in the latest 1980 s to earliest 1990 s.The seismicity of Mongolia has been controlled by superposition of variable stresses associated with rifting activity pulses in the neighbor BRS on the background of quasi-stationary super-regional compression.

Characteristics of the seismic source stress field in the joint region of Xianshuihe, Longmenshan and An(ninghe faults

Twenty-two earthquakes (ML=2.2-3.7) in the joint region of Xianshuihe, Longmenshan and An'ninghe faults are studied in this paper. The source mechanism solutions of these events are obtained using P-wave first motion method, and the characteristics of the source stress field and rupture in the joint region are summarized preliminarily with some results of other researchers. Being strongly extruded by the approximately horizontal regional stress with the direction from north-west to south-east and the effect of the complex tectonics in the region, the source stress field has complex and variable characteristics. The earthquakes mainly show normal or strike-slip faults in Yajiang, North-triangle and west of Chengdu-block areas, indicating that the vertical forces have been playing an important role in the source stress fields, while the earthquakes mainly show reverse or strike-slip faults in Baoxing-Tianquan area, with the horizontal components of the principal pressure stress axes identical to the south-west direction to which the shallow mass is moving. We think that the manifold combinations of earthquake faults are the micro-mechanism based upon which the large regional shallow crust mass has been moving continually.

Stress Sensitivity and Signs of Anxiety or Depression among First Year Clinical Dental and Medical Students

Background: Negative stress symptoms are reported in the literature among clinical dental and medical students and can include signs of anxiety or depression. However, very little has been researched about existing psychological preconditions of these students that could make them more vulnerable to negative stress symptoms. Objective: The aims were to explore first year clinical dental and medical students’ experiences of stress intensity, stress sensitivity and signs of anxiety or depression. Gender was also explored as a possible predictor of these psychosocial phenomena. Methods: First year clinical students at Aarhus University dental (n = 49) and medical schools (n = 59) were recruited to fill out a 45-item questionnaire that comprised demographics and three scales: Cohens Perceived Personal Stress (PPS-10), Stress Sensitivity Inventory (SSI) and Depression Anxiety & Stress Scale (DASS-21). Groups and genders were compared by frequency and using association statistics, bivariate odds ratios, nominal logistic regression and ANOVA. Results: Stress intensity perceptions were moderate to high for many. Dental students scored higher than medical students on all mean test scores. In general, women showed higher levels of stress than men. Dental students scored significantly higher than medical students on Depression, Anxiety and Chronic Stress with ANOVA tests. However, when gender, age and medical or dental student status were added into a logistic regression analysis in which high stress sensitivity was the main dependent variable, only high scores in perceived stress intensity and signs of depression and anxiety showed significant main effects. Conclusion: Present study confirmed the literature that reports high degrees of stress among dental and medical students. But more importantly, Stress Sensitivity Inventory appeared to be a reliable and excellent predictor of high perceived stress and signs of depression and anxiety. It can be useful to detect and prevent student psychosocial dysfunction in clinical learning environments. An important challenge for medical and dental educational institutions is to provide specific student emotional support as early as needed as well as to consider appropriate stress prevention curriculum reforms.

Prediction of Perceived Stress of Hong Kong Nursing Students with Coping Behaviors over Clinical Practicum: A Cross-Sectional Study

Nursing students are facing more and more stress in their course of study especially in clinical practicum. The study aimed to predict nursing students’ stress level in clinical practicum with coping behaviors. It was a retrospective cross-sectional study conducting in a self-financing institution in Hong Kong. Nursing students who were studying the pre-registration baccalaureate nursing program and completed all the practicum blocks were recruited. Those who had extended the study and failed any of the practicum blocks were excluded. Convenience sampling was used to recruit subjects. Participants were required to fill out the demographic sheet, COPE Inventory and Assessment of Stress among Nursing Students scale during lecture at the commencement of a semester. The whole data collection lasted for 30 minutes. Stepwise multiple regression was used to do the modeling with p-value being set at 0.05. 131 eligible nursing students were recruited with about half of female students. The regression model accounted for 50% of the variance in the perceived stress level. Gender, focus on and venting of emo-tions, restraint, use of emotional social support and denial were positively associated with perceived stress level (R squared = 0.52, p = 0.001). It is to conclude that nurse educators can refer to the findings to screen out students with higher risk of being overwhelmed by clinical learning and ineffective coping. Proactive measures should be taken to prevent poor health outcomes.

Emotions and Stressing Situations Adaptation of Nursing Students in the New Normality

Background: New normality is uncertain in every sense, specifically in education and for many health disciplines. Being immersed in COVID-19 pandemics brought serious consequences for mental health, and is very important to handle emotions and stress coping strategies to obtain positive outcomes. Objective: To identify the most frequent emotions, as well as the adaptation strategies to the new normality faced by the students of nursing. Methods: Qualitative and phenomenological research, with the participation of 20 students from both genders in the middle term of nursing career at Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, from August to November 2021. Information was collected from a focal group for ten sessions;analysis was according to De Souza Minayo, and there was a signed informed consent letter from participants. Results: Four categories emerged with sub-categories. Category I Maximized emotions. Sub-categories: 1) Frustration, anger, disappointment;2) Personal disappointment, hopelessness, uncertainty;3) Depression. Category II Support elements close to the new normality. Sub-categories: 1) Family communication;2) Education for mental and physical health. Category III Stressing situations that exceeded the student. Sub-category: Disease in lovely ones. Category IV Stress coping strategies. Sub-categories: 1) Friends and relatives that help to get better;2) Family values. Informers pointed out to have maximized emotion, and having no self-control on its negative outcomes occurred;in addition, the situation was not favorable at home with several losses of loved ones, as well as a poor economy that threatened students to give up studies. Conclusion: Emotions facing this new normality are very important and should be attended to, their proper handling will result in a new learning of socio-emotional abilities, stress coping strategies development, better adaptation and informed decisions taken.