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Perceived stress, coping style and burnout of Chinese nursing students in late-stage clinical practice: A cross-sectional study
Abstract
Aim The aim of this study was to examine the levels of stress, coping style and burnout among Chinese nursing students in late-stage clinical practice and to identify their relationships.Background High stress, passive coping and burnout among nursing students in late-stage clinical practice may contribute to severe psychological consequences.Design A descriptive and cross-sectional study was conducted in November and December 2020.Methods Participants completed the Perceived Stress Scale, Simplified Coping Style Questionnaire and Maslach Burnout Inventory-Human Service Survey to examine their stress levels, coping style and burnout. Intention to leave the profession was also assessed.Results Approximately 36.1 % of nursing students experienced emotional exhaustion and 85.3 % of nursing students perceived themselves to have moderate to high stress levels. A positive coping style can protect nursing students from depersonalization and reduced personal accomplishment. High stress and passive coping style predicted emotional exhaustion. Passive coping style and high stress were significant factors leading to intention to quit nursing education before graduation.Conclusions Lowering the level of stress and using positive coping behaviors may help students during late internship to mitigate burnout and avoid leaving nursing education. Therefore, nurse educators and clinical nursing mentors need to consider developing strategies and interventions to reduce the decline in nursing students entering nursing education and prevent burnout.
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“Psychological distress—including symptoms of depression, anxiety, and stress—is a prevalent mental health concern among nursing students [1, 2].”
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Metadata
- Authors
- Ma, H., Zou, J.-M., Zhong, Y., Li, J., & He, J.-Q.
- Affiliations
- Sichuan Vocational College of Health and Rehabilitation (CN)
- Zigong First People's Hospital (CN)
- Venue
- Nurse Education in Practice
- Publisher
- Elsevier BV
- Published
- 2022-07
- Volume
- 62
- Pages
- 103385
- ISSN
- 1471-5953 (ISSN-L)
- OpenAlex
- W4283270489
- Cited by
- 64
- References
- 44
- Citations by year
- 2026: 15 · 2025: 18 · 2024: 16 · 2023: 10 · 2022: 5
- FWCI
- 11.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Nurse Education in Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Keywords
- perceived stress, coping styles, burnout, nursing students, emotional exhaustion, Chinese nursing students, clinical internship, nursing education
- MeSH terms
- Burnout, Psychological, Adaptation, Psychological, China, Cross-Sectional Studies, Humans, Students, Nursing
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