SOURCES AND STRATEGIES TO ADDRESS NURSING STUDENT STRESS IN THE CLINICAL SETTING: A LITERATURE REVIEW
The American Association of Colleges of Nursing’s (AACN) (2017) report shows that there are 17,725 nursing students enrolled in baccalaureate programs in the United States. One in three college students have reported that stress has had a negative impact on their school performance (ACHA). The purpose of the review article is to study and synthesize the sources of stressors among baccalaureate nursing students in relation to the clinical practicum, and effective ways to manage those stressors. A literature review was conducted using the following key words: “undergraduate,” “baccalaureate nursing students,” “stress,” and “clinical”. The databases used to search for relevant literature included: EBSCOhost, CINAHLhost, Academic Search Complete, and Science Direct. All articles were selected from peer-reviewed journals. Using the following eligibility criteria--articles that addressed the unique experiences of baccalaureate nursing students and stress in the clinical environment, ten articles were selected from 2015-2017 for use in this literature review. The findings indicated that the most common generators of student nurse stress included: inexperience and insufficient knowledge, risk for patient harm, risk of patient death and the lack of support from faculty/nurses. Meditation, adequate sleep, exercise, music listening and utilizing faculty for help are all creative strategies to combat nursing student stress. In conclusion, the literature revealed that baccalaureate nursing students are experiencing varying degrees of stress in response to clinical situations. Strategies for assisting nursing students experiencing clinical stress warrants further exploration to identify effective prevention and coping strategies and modification of the clinical context in ways that minimize stress.
Copyright (c) 2019 Sarah Bainey, Rebecca Toothaker, Devon Manney
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).