Anxiety and its associated factors Among Undergraduate Nursing Students During Psychiatry Clinical Placement: A Cross-sectional Study in MARDAN Khyber Pakhtunkhwa

Anxiety in Nursing Students

Authors

  • . Shaista MTI Mardan College of Nursing (BKMC), Mardan, Pakistan
  • Saad Ur Rahman MTI Mardan College of Nursing (BKMC), Mardan, Pakistan
  • Laila Imtiaz MTI Mardan College of Nursing (BKMC), Mardan, Pakistan
  • Asif Mahmood MTI Mardan College of Nursing (BKMC), Mardan, Pakistan
  • Sana Gul MTI Mardan College of Nursing (BKMC), Mardan, Pakistan
  • Afsha Bibi Horizon School of Nursing, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v6i11.972

Keywords:

Anxiety, Nursing Students, Clinical Placement, Psychiatric Ward

Abstract

The clinical education setting is a complex social unit that affects student skills within the clinical setting. Anxiety influences the student's performance in the clinical setting since it initiates the fight-or-flight response, leading to a positive or negative outcome. Objective: This study evaluates anxiety among students when they start rotation in the clinical area. Methods: An analytical cross-sectional survey was conducted to determine the anxiety level among undergraduate nursing students during psychiatry/mental health nursing clinical rotations in the psychiatry unit. Participants were recruited through the probability sample method. The sample of the study consists of 93 students of undergraduate level. A self-adapted questionnaire was distributed manually to collect data. Results: According to the survey result, 67.7% of students have a normal range of anxiety, whereas 32.3% of students have mild to moderate levels of anxiety during psychiatry clinical rotation. Conclusions: The study identifies a significant link between anxiety levels and semester, notably higher in the 6th semester and a marginal association with race. With majority in the normal range and few with mild to moderate anxiety, it suggests targeted support programs for students, especially in high-anxiety semesters.

References

Bapar S and Badil, Raja. Frequency and Correlation between Depression, Anxiety, and Stress among Nursing Students. London Journal of Primary Care. 2022; 4: 118-23.

Simpson M-CG and Sawatzky J-AV. Clinical placement anxiety in undergraduate nursing students: A concept analysis. Nurse Education Today. 2020 Apr; 87: 104329. doi: 10.1016/j.nedt.2019.104329. DOI: https://doi.org/10.1016/j.nedt.2019.104329

Wang AH, Lee CT, Espin S. Undergraduate nursing students' experiences of anxiety-producing situations in clinical practicums: A descriptive survey study. Nurse Education Today. 2019 May; 76: 103-8. doi: 10.1016/j.nedt.2019.01.016. DOI: https://doi.org/10.1016/j.nedt.2019.01.016

Ok E, Kutlu FY, Ates E. The effect of standardized patient simulation prior to mental health rotation on nursing students' anxiety and communication skills. Issues in Mental Health Nursing. 2020 Mar; 41(3): 251-5. doi: 10.1080/01612840.2019.1642427. DOI: https://doi.org/10.1080/01612840.2019.1642427

Bibi A, Sami A, Kauser M. Satisfaction of Nursing Students Toward Their Clinical Placement and Association with Their Academic Year at Private Nursing College Karachi Pakistan: Satisfaction of Nursing Students Toward Their Clinical Placement. Pakistan Journal of Health Sciences. 2023 Mar:152-6. doi: 10.54393/pjhs.v4i03.636. DOI: https://doi.org/10.54393/pjhs.v4i03.636

Alhamidi SA and Alyousef SM. Undergraduate nursing student mental health clinical experiences in Saudi Arabia: findings from a qualitative study. Journal of the American Psychiatric Nurses Association. 2023 Mar; 29(2): 136-45. doi: 10.1177/10783903211000112. DOI: https://doi.org/10.1177/10783903211000112

Sanad HM. Stress and anxiety among junior nursing students during the initial clinical training: A descriptive study at College of Health Sciences, University of Bahrain. American Journal of Nursing Research. 2019 Oct; 7(6): 995-9.

Martínez‐Vázquez S, Martínez‐Galiano JM, Peinado‐Molina RA, Hernández‐Martínez A. Magnitude of general anxiety disorder among nursing students and its associated factors. Health Science Reports. 2023 Jul; 6(7): e1405. doi: 10.1002/hsr2.1405. DOI: https://doi.org/10.1002/hsr2.1405

Iqbal S, Ullah A, Rehman ZU, Khan F. Nursing student, s anxiety related to clinical experiences. Research Journal of Education. 2017; 3(9): 111-5.

Happell B, Gaskin CJ, Byrne L, Welch A, Gellion S. Clinical placements in mental health: A literature review. Issues in Mental Health Nursing. 2015 Jan; 36(1): 44-51. doi: 10.3109/01612840.2014.915899. DOI: https://doi.org/10.3109/01612840.2014.915899

Cruz Araújo AA, de Godoy S, Arena Ventura CA, Silva ÍR, Santos de Almeida EW, Costa Mendes IA. Reflexões sobre o medo e a ansiedade de estudantes de enfermagem emergentes da prática clínica. Investigación y Educación en Enfermería. 2022 Dec; 40(3). doi: 10.17533/udea.iee.v40n3e13. DOI: https://doi.org/10.17533/udea.iee.v40n3e13

Sanga PK, Kokonya D, Arudo J, Nyamwata J. Experience of Nursing Students in Mental Health Training in Kenya. Pakistan Journal of Public Health. 2018; 6: 1-8. doi: 10.12970/2310-8231.2018.06.01. DOI: https://doi.org/10.12970/2310-8231.2018.06.01

Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Education in Practice. 2020 Jul; 46: 102809. doi: 10.1016/j.nepr.2020.102809. DOI: https://doi.org/10.1016/j.nepr.2020.102809

Ali R, Shaikh MH, Bibi A, Gul H, Lakhani Z. Effectiveness of Education on COVID-19 Vaccine Anxiety among Patients at Tertiary Care Hospital Karachi Pakistan: Education on COVID-19 Vaccine Anxiety among Patients. Pakistan Journal of Health Sciences. 2023 Jun: 226-30. doi: 10.54393/pjhs.v4i06.890. DOI: https://doi.org/10.54393/pjhs.v4i06.890

Kroning M. Strategies for improving nursing students' mental health clinical rotation. Journal of Christian Nursing. 2016 Jul; 33(3): 31-7. doi: 10.1097/CNJ.0000000000000298. DOI: https://doi.org/10.1097/CNJ.0000000000000298

Sailahari KV, Abhinaya R, Ramireddy K. Study on perception towards psychiatry among nursing students in a tertiary care hospital. Archives of Mental Health. 2022; 23(1): 35-9. doi: 10.4103/amh.amh_114_21. DOI: https://doi.org/10.4103/amh.amh_114_21

Happell B, Gaskin CJ. The attitudes of undergraduate nursing students towards mental health nursing: A systematic review. Journal of Clinical Nursing. 2013 Jan; 22(1-2): 148-58. doi: 10.1111/jocn.12022. DOI: https://doi.org/10.1111/jocn.12022

Khan A, Raja, Badil. Prevalence of Depression and its associated factors among Nursing Students in Karachi, Pakistan. Pakistan Journal of Public Health. 2019; 9(1). doi: 10.32413/pjph.v9i1.310. DOI: https://doi.org/10.32413/pjph.v9i1.310

Fahad S, Adnan M, Saud S, Nie L. Climate change and ecosystems: challenges to sustainable development. CRC Press; 2022 Jul. doi: 10.1201/9781003286400. DOI: https://doi.org/10.1201/9781003286400

Kurebayashi LFS, Prado JMd, Silva MJPd. Correlations between stress and anxiety levels in nursing students. Journal of Nursing Education and Practice. 2012; 2(3): 128-34. doi: 10.5430/jnep.v2n3p128. DOI: https://doi.org/10.5430/jnep.v2n3p128

Papazisis G, Vlasiadis I, Papanikolaou N, Tsiga E, Sapountzi-Krepia D. Depression and anxiety among nursing students in Greece. Annals of General Psychiatry. 2008 Apr; 7(1): 209. doi: 10.1186/1744-859X-7-S1-S209. DOI: https://doi.org/10.1186/1744-859X-7-S1-S209

Romo-Barrientos C, Criado-Álvarez JJ, Martínez-Lorca A, Viñuela A, Martin-Conty JL, Saiz-Sanchez D, et al., Anxiety among nursing students during their first human prosection. Nurse Education Today. 2020 Feb; 85: 104269. doi: 10.1016/j.nedt.2019.104269. DOI: https://doi.org/10.1016/j.nedt.2019.104269

Choi SO, Kim SH, Lee DY, Park JK. Factors influencing the state anxiety of nursing students before initial clinical experience. Indian Journal of Science and Technology. 2016 Nov; 9(41): 1-8. doi: 10.17485/ijst/2016/v9i41/103902. DOI: https://doi.org/10.17485/ijst/2016/v9i41/103902

Sultan A, Ali S, Jamal H, Ahmed F. Correlation of Perceived Stress on the Academic Achievement of Undergraduate Nursing Students of KPK. Esculapio Journal of SIMS. 2022 Dec; 18(4): 473-7.

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Published

2023-11-30
CITATION
DOI: 10.54393/pbmj.v6i11.972
Published: 2023-11-30

How to Cite

Shaista, ., Ur Rahman, S., Imtiaz, L., Mahmood, A., Gul, S., & Bibi, A. (2023). Anxiety and its associated factors Among Undergraduate Nursing Students During Psychiatry Clinical Placement: A Cross-sectional Study in MARDAN Khyber Pakhtunkhwa: Anxiety in Nursing Students. Pakistan BioMedical Journal, 6(11), 23–27. https://doi.org/10.54393/pbmj.v6i11.972

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