Stressors and Counselling Needs of Undergraduate Nursing Students in Osogbo, Nigeria
Abstract:
Background:
Education is important in the development of any profession. It is the process of
transferring knowledge from a generation of professionals to another. Stress can
be beneficial in the education of a student, motivating them to reach their full
potential. However, nursing education has its peculiar attendant stress that can
be harmful when excessive. Majority of nursing students around the world have reported
a level of stress in their academic pursuit. Objective: The study was carried out to determine the stress level
of students in the various levels of the nursing education, to examine the pattern
of stress amidst the students according to their sociodemographic, and to determine
the relationship between the various coping mechanisms adopted and the overall stress
score through a questionnaire- based study in a government school of nursing in
Osun state, Nigeria. Method: A descriptive
cross-sectional study was carried out at the Osun state school of nursing, Asubiaro,
Osogbo, Osun state. A sample of 120 students was drawn from all the classes of the
school using a multistage sampling method of proportional allocation. To achieve
the objective of the study, a questionnaire was designed that contained three sections;
A. Sociodemographic data, B. The perceived stress scale (PSS) and C. The brief coping
orientation for problem experiences (COPE). Data were entered and analysed using
the statistical package for social sciences (SPSS) version 20.0. Results: The mean age of the respondents
was 22.11±4.14 years with the median and range being 21.00 and 30.00 years respectively.
About 78% of the respondents are females and 70% are Christians. Using the PSS,
48.3% of the respondents sometimes become upset because of something that happened
unexpectedly, 17.5% becomes upset fairly often, 12.5% almost never becomes upset
among the others. Equal number of respondents (5.8%) never or almost never felt
nervous or stressed in the last month, others sometimes (44.2%), fairly often (19.2%)
and very often (25.0%) feel nervous or stressed. Other responses about the PSS are
presented in table 2. There is a significant difference between the stress score
of the respondents in between the sexes (16.70 vs 19.17; p=0.045). Also, the proportion
of the females that are stressed is significantly more than the proportion of the
males (66.7% vs 87.1%; p=0.018). The odds of respondents who practice behavioural
disengagement to be highly stressed is 0.262 (95% CI, 0.117 – 1.483) times that
of respondents who practice other coping mechanisms. Conclusion: The level of stress in the population studied is relatively
low when compared with the results from other studies both locally and internationally.
The various stressors identified are basically as a result of lack of control over
academic events, nervousness, inability to handle personal problems, irritations,
and anger. The nursing education authority should look into these stressors with
the view to find ways of mitigating them, thereby providing an optimum learning
environment for the students. Some of the students already practice both active
and avoidant coping techniques.
Keywords: stressors, counselling, perceived
stress scale (PSS), coping orientation for problem experiences (COPE).
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