Nursing Students in an Urban Setting During the COVID-19 Pandemic : Investigating Stress, Stress Response, and Coping Patterns by Descriptive Analysis, Structural Equation Modeling, and Data Sonification.

Background: The COVID-19 pandemic has significantly impacted nursing students in urban settings. Understanding stress and coping in this population is essential for developing effective interventions for future pandemics and post-pandemic nursing education.

Aims: This study assesses the interactions between demographic variables and stress responses, demonstrating these relationships through data sonification.

Methods: A cross-sectional analytical study was conducted at an urban nursing college, with 195 participants completing modified versions of the Perceived Stress Scale, Physio-Psycho-Social Response Scale, and Coping Behavior Inventory. Structural equation modeling and data sonification were employed for analysis.

Results: Nursing students reported moderate stress from academic demands and clinical responsibilities, utilizing coping strategies such as problem-solving and optimism. Structural equation modeling indicated a significant negative relationship between coping skills and physio-psycho-social stress (β = -0.301, p < .0001) and a negative association between age and perceived stress (β = -0.160, p = 0.035). Data sonification revealed synchronization between perceived stress and stress responses, with coping efforts peaking slightly after stress levels.

Discussion: While students employ effective coping strategies, targeted interventions are needed to enhance stress management, especially for younger students.

Conclusion: Stress and coping among nursing students in urban settings are complex, with data sonification providing deeper insights. J. Med. Invest. 72 : 102-116, February, 2025.