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      Stress Sources of Physical Therapy Students’ and Behaviors of Coping in Clinical Practice: A Palestinian Perspective

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          Abstract

          Physical therapy students will be exposed to stressors across clinical practice. The aggregate stress conveys to the new behavioral responses occur through the clinical training. The study aimed to examine the stress sources faced by physical therapy students and behaviors of coping used in their clinical practice. A cross-section study with a sample of 83 physical therapy students. Data were collected through Perceived Stress Scale and Coping Behavioral Inventory Scale. The mean of perceived stress by the respondents was 66.3 (standard deviation [SD] = 17.01) and the coping behaviors mean was 35.15 (SD = 9.67). The most common type of factor stressors perceived was looking for care of patients (M = 16.6 ± 4.4) and the most common coping behavior was problem solving (M = 13.8±6.6). The study confirmed that the perceived stress and coping behaviors of physical therapy students were moderate in clinical practice. Stress from the care of patients is the greatest stressful, and problem solving was the greatest coping.

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          The Challenges of Nursing Students in the Clinical Learning Environment: A Qualitative Study

          Background/Aim. Clinical learning is a main part of nursing education. Students' exposure to clinical learning environment is one of the most important factors affecting the teaching-learning process in clinical settings. Identifying challenges of nursing students in the clinical learning environment could improve training and enhance the quality of its planning and promotion of the students. We aimed to explore Iranian nursing students' challenges in the clinical learning environment. Materials and Methods. This is a qualitative study using the content analysis approach. The participants consisted of seventeen nursing students and three nursing instructors. The participants were selected through purposive sampling method and attended semistructured interviews and focus groups. Results. Three themes emerged after data analysis, including ineffective communications, inadequate readiness, and emotional reactions. Conclusion. Nursing students in Iran are faced with many challenges in the clinical learning environment. All challenges identified in this study affected the students' learning in clinical setting. Therefore, we recommend that the instructors prepare students with a specific focus on their communication and psychological needs.
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            Life stress and academic burnout

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              Perceived stress and physio-psycho-social status of nursing students during their initial period of clinical practice: the effect of coping behaviors.

              Initial clinical practice is stressful. Nursing students entering clinical practice for the first time in a five-year associate degree program in Taiwan are young and have questionable coping skills, all of which can affect their own health. This study examined the following: (1) the degree of stress perceived and types of stressful events; (2) the physio-psycho-social status of nursing students during the practice; (3) the coping behaviors of these students; and (4) the effect of different coping behaviors on their physio-psycho-social health. The subjects were 561 nursing students who had completed their initial clinical practice at the largest nursing school in Taiwan. Three measurements, including Perceived Stress Scale (PSS), Physio-Psycho-Social Response Scale (PPSRS), and Coping Behavior Inventory (CBI), were adopted. Results showed that stress for these students came mainly from the lack of professional knowledge and skills as well as caring of patients. The most common response to stress was social behavioral symptoms. Staying optimistic had a positive main effect, which reduced the occurrence of physio-psycho-social symptoms and improved physio-psycho-social status. Finally, problem-solving behavior also had a positive main effect, while avoidance had a negative main effect, which deteriorated physio-psycho-social status. This study has important implications for nursing educators in helping their students to overcome stress during clinical practice.
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                Author and article information

                Journal
                Inquiry
                Inquiry
                INQ
                spinq
                Inquiry: A Journal of Medical Care Organization, Provision and Financing
                SAGE Publications (Sage CA: Los Angeles, CA )
                0046-9580
                1945-7243
                22 July 2020
                Jan-Dec 2020
                : 57
                : 0046958020944642
                Affiliations
                [1 ]Arab American University, Jenin, Palestine
                Author notes
                [*]Ahmad Ayed, Arab American University, Jenin, Palestine. Email: ahmad.juma@ 123456aaup.edu
                Author information
                https://orcid.org/0000-0003-2164-8183
                Article
                10.1177_0046958020944642
                10.1177/0046958020944642
                7376374
                32697130
                f5e7f55c-ef99-4491-b899-3311e7ef295b
                © The Author(s) 2020

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 25 March 2020
                : 9 June 2020
                : 15 June 2020
                Categories
                Original Research
                Custom metadata
                January-December 2020
                ts1

                adaptation,clinical experience,perceived stress,cross-sectional study,physical therapy students,problem solving

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