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      Academic stress, COVID‐19 anxiety, and quality of life among nursing students: The mediating role of resilience

      research-article
      Author(s): , PhD, RN, RM 1 , , , EdD, RN 2 , 3
      Publication date (Electronic):
      Journal: International Nursing Review
      Publisher: John Wiley and Sons Inc.
      Keywords: anxiety, COVID‐19, nursing student, quality of life, resilience, stress

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          Abstract

          Aim

          This study investigated the mediating role of resilience in the relationship between academic stress, COVID‐19 anxiety, and quality of life (QoL) among Filipino nursing students during the COVID‐19 pandemic.

          Background

          The COVID‐19 pandemic has impacted the QoL of nursing students who are experiencing mental health issues. The mediating role of resilience in mitigating the effects of academic stress and COVID‐19 anxiety on nursing students’ QoL remains understudied.

          Methods

          This study employed a correlational cross‐sectional design, with a convenience sample of 611 Filipino nursing students. Data were collected using the scales Connor and Davidson Resilience, Brunnsviken Brief Quality of Life, COVID‐19 Anxiety, and Perception of Academic Stress and analyzed using Pearson's r, bivariate analysis, and multistage regression analyses.

          Results

          Academic stress and COVID‐19 anxiety negatively correlated with QoL and resilience. Resilience was positively associated with QoL and reduced the effect of academic stress on QoL, indicating that resilience is a crucial mediating variable between academic stress and QoL. Finally, resilience had a significant mediating influence on QoL, as evidenced by a reduction in the effect of COVID‐19 anxiety on QoL among nursing students.

          Conclusions

          Filipino nursing students' QoL was affected by academic stress and COVID‐19–related anxiety. However, resilience mediated this impact, preserving QoL.

          Implications for nursing and health policy

          Nursing colleges and affiliated hospitals must collaborate to monitor academic stress and pandemic‐related anxiety. Nursing students should be provided with programs such as seminars and team‐building activities to enhance their resilience.

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          Most cited references45

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          Psychometric analysis and refinement of the Connor-davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience.

          Laura Campbell-Sills, Murray Stein (2007)
          Resilience refers to an individual's ability to thrive despite adversity. The current study examined the psychometric properties of the Connor-Davidson Resilience Scale (CD-RISC). Three undergraduate samples (ns < 500) were used to determine the factor structure of the CD-RISC. The first two samples were used to conduct exploratory factor analysis (EFA), and the third was used for confirmatory factor analysis. The EFA showed that the CD-RISC had an unstable factor structure across two demographically equivalent samples. A series of empirically driven modifications was made, resulting in a 10-item unidimensional scale that demonstrated good internal consistency and construct validity. Overall, the 10-item CD-RISC displays excellent psychometric properties and allows for efficient measurement of resilience.
          Article 0 comments Cited 640 times – based on 0 reviews     Review now
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            Is Open Access

            Stress and Quality of Life Among University Students: A Systematic Literature Review

            Ícaro J.S. Ribeiro, Rafael Pereira, Ivna Freire … (2018)
            Article 0 comments Cited 120 times – based on 0 reviews     Review now
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              Nursing students' views on the COVID‐19 pandemic and their percieved stress levels

              Hakime Aslan, Hatice Pekince (2020)
              Abstract Purpose This study was conducted to evaluate nursing students' views on the COVİD‐19 pandemic and their perceived stress levels. Design and Methods A cross‐sectional design was used to carry out this study. The research was conducted between April and May 2020 with 662 nursing students. Data were collected by an information form developed for the study and the Perceived Stress Scale (PSS). Findings The average score on the PSS was 31.69 ± 6.91, indicating that the students had a moderate level of stress. Significant differences in PSS score were found in terms of age and sex (P < .001 and P < .001, respectively). Practice Implications Results of this study indicated that age, sex, and some variables related to the pandemic process affect perceived stress levels of nursing students.
              Article 0 comments Cited 101 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Daniel Joseph E. Berdida:
                ORCID: https://orcid.org/0000-0002-5001-6946
                deberdida@ust.edu.ph , djeberdidarn@gmail.com
                Journal
                Journal ID (nlm-ta): Int Nurs Rev
                Journal ID (iso-abbrev): Int Nurs Rev
                Journal ID (doi): 10.1111/(ISSN)1466-7657
                Journal ID (publisher-id): INR
                Title: International Nursing Review
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Print): 0020-8132
                ISSN (Electronic): 1466-7657
                Publication date (Electronic): 31 May 2022
                Publication date PMC-release: 31 May 2022
                Electronic Location Identifier: 10.1111/inr.12774
                Affiliations
                [ 1 ] College of Nursing University of Santo Tomas Manila 1008 Philippines
                [ 2 ] Mental Health Nursing Department, College of Nursing University of Ha'il Hail Saudi Arabia
                [ 3 ] College of Health Allied and Medical Professions University of San Agustin Iloilo City Philippines
                Author notes
                [*] [* ] Correspondence

                Daniel Joseph E. Berdida, College of Nursing, University of Santo Tomas, St. Martin de Porres Bldg., España Blvd., Sampaloc, Manila 1008, Philippines.

                Email: deberdida@ 123456ust.edu.ph ; djeberdidarn@ 123456gmail.com

                Author information
                https://orcid.org/0000-0002-5001-6946
                https://orcid.org/0000-0003-4806-6570
                Article
                Publisher ID: INR12774
                DOI: 10.1111/inr.12774
                PMC ID: 9347892
                PubMed ID: 35639606
                SO-VID: ed04e1aa-d8bc-45c2-bc2a-71349476eb57
                Copyright © © 2022 International Council of Nurses.
                License:

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                Date received : 15 November 2021
                Date accepted : 16 April 2022
                Page count
                Figures: 1, Tables: 2, Pages: 9, Words: 6437
                Categories
                Subject: Original Article
                Subject: Original Articles
                Custom metadata
                source-schema-version-number 2.0
                edited-state corrected-proof
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.7 mode:remove_FC converted:03.08.2022

                ScienceOpen disciplines: Nursing
                Keywords: anxiety,covid‐19,nursing student,quality of life,resilience,stress
                Data availability:
                ScienceOpen disciplines: Nursing
                Keywords: anxiety, covid‐19, nursing student, quality of life, resilience, stress

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