Responding to extreme stress: Resilience and psychological distress in undergraduate nursing students in the Western Cape, South Africa.

Jennifer Chipps, Regis R Marie Modeste, Amanda Cromhout, Ilze Steenkamp
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Abstract

Background:  Nursing students face significant academic and clinical stressors that can affect their psychological well-being. These challenges are intensified during extraordinary events, such as the coronavirus disease 2019 (COVID-19) pandemic.

Objectives:  This study investigated psychological distress and resilience among junior (1st year - 2nd year) and senior (3rd year - 4th year) undergraduate nursing students exposed to a major stressor at two universities in the Western Cape, South Africa.

Method:  A survey was conducted among 589 nursing students during and after COVID-19. Most respondents were female (77.4%) and junior students (75.2%), with a mean age of 22.5 years (± 4.6). Data collection took place at University A (February 2021-March 2021) and University B (November 2021-February 2022). Measures include psychological distress (Kessler-10), resilience (Response to Stressful Experiences Scale) and fear of COVID-19 (Fear of COVID-19 Scale).

Results:  Overall, students reported mild psychological distress and fear of COVID-19, and high levels of resilience. Senior students experienced significantly higher psychological distress than juniors (p  0.001), but lower fear of COVID-19 (p = 0.028). Resilience did not differ significantly between groups, with most students demonstrating high resilience.

Conclusion:  Nursing students showed strong resilience despite the added pandemic-related stressors. Elevated distress among seniors, however, highlights the need for targeted psychological support. Strengthening resilience within nursing education may prepare students to manage future crises and contribute to a sustainable, adaptable nursing workforce.Contribution: This study provides evidence on the psychological well-being of nursing students in South Africa during the COVID-19 pandemic. It emphasises the importance of resilience-building interventions within nursing curricula and institutional support systems to safeguard student health and professional readiness.

应对极端压力:在西开普省,南非本科护理学生的恢复力和心理困扰。
背景:护生面临着显著的学术和临床压力源,这些压力源会影响他们的心理健康。在2019年冠状病毒病(COVID-19)大流行等特殊事件期间,这些挑战更加严峻。目的:本研究调查了南非西开普省两所大学的大三(一年级-二年级)和大四(三年级-四年级)护理本科生在主要压力源下的心理困扰和恢复能力。方法:对589名护理专业学生进行调查。受访者以女生(77.4%)和初中生(75.2%)居多,平均年龄22.5岁(±4.6)岁。数据收集在大学A(2021年2月至2021年3月)和大学B(2021年11月至2022年2月)进行。测量方法包括心理困扰(Kessler-10)、恢复力(压力经历反应量表)和对COVID-19的恐惧(恐惧COVID-19量表)。结果:总体而言,学生报告了轻微的心理困扰和对COVID-19的恐惧,以及高水平的适应能力。高年级学生的心理困扰显著高于低年级学生(p = 0.001),但对COVID-19的恐惧较低(p = 0.028)。弹性在各组之间没有显著差异,大多数学生表现出较高的弹性。结论:护生在疫情相关应激因素增加的情况下表现出较强的应变能力。然而,老年人痛苦程度的上升凸显了有针对性的心理支持的必要性。在护理教育中加强弹性可以使学生为管理未来的危机做好准备,并有助于建立一支可持续的、适应性强的护理队伍。贡献:本研究为COVID-19大流行期间南非护理专业学生的心理健康状况提供了证据。它强调了在护理课程和机构支持系统中进行复原力建设干预的重要性,以保障学生的健康和专业准备。
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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