An Enhanced 4A‑Based Stress‑Management Intervention for Nursing Students: A Randomized Controlled Comparison With a Mobile Self‑Help Program.

IF 3 3区医学 Q1 NURSING

Nurse Educator Pub Date : 2026-05-07 DOI:10.1097/NNE.0000000000002177

Fatemeh Bakhshi, Fatemeh Fathi, Tahmineh Farajkhoda, Ahmadreza Fallahfaragheh, Elnaz Rabiei, Seyede Arefeh Mosavi Beni

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引用次数: 0

Abstract

Background: Nursing students frequently experience high levels of clinical stress, which can impair learning, reduce clinical competence, and hinder the development of self-efficacy and professional identity. Structured stress-management approaches may support student well-being.

Purpose: In this study, we aimed to compare the effects of an adapted 4A-based stress-management intervention with a mobile self-help program on clinical stress, clinical self-efficacy, and professional identity.

Methods: A parallel randomized controlled trial was conducted with 105 undergraduate nursing students. Participants received either a 4A-based, in-person, 5-week intervention using a peer-teaching design or a 5-week mobile self-help program. Outcomes were measured at baseline and 4 weeks after the intervention.

Results: The 4A-based intervention produced greater reductions in clinical stress and higher clinical self-efficacy at post-test compared with the mobile program. Neither intervention significantly improved professional identity.

Conclusions: The adapted 4A-based intervention was more effective than the mobile self-help program, supporting the value of structured, facilitator-led stress-management training in nursing education.

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基于4A的强化护理学生压力管理干预：与移动自助计划的随机对照比较。

背景：护理专业学生经常经历高水平的临床压力，这会损害学习，降低临床能力，阻碍自我效能感和职业认同的发展。结构化的压力管理方法可能有助于学生的健康。目的：在本研究中，我们旨在比较基于适应性的压力管理干预与流动自助计划对临床压力、临床自我效能和职业认同的影响。方法：采用平行随机对照试验对105名护理本科学生进行调查。参与者要么接受为期5周的面对面干预，采用同伴教学设计，要么接受为期5周的移动自助计划。在基线和干预后4周测量结果。结果：与移动程序相比，基于4的干预在测试后临床压力和临床自我效能方面产生了更大的减少。两种干预都没有显著改善职业认同。结论：基于4的适应性干预比流动自助方案更有效，支持结构化的、以辅导员为主导的压力管理培训在护理教育中的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Educator 医学-护理

CiteScore

2.60

自引率

7.70%

发文量

300

审稿时长

>12 weeks

期刊介绍： Nurse Educator, a scholarly, peer reviewed journal for faculty and administrators in schools of nursing and nurse educators in other settings, provides practical information and research related to nursing education. Topics include program, curriculum, course, and faculty development; teaching and learning in nursing; technology in nursing education; simulation; clinical teaching and evaluation; testing and measurement; trends and issues; and research in nursing education.