Document Type : Original Article

Authors

Abstract

BACKGROUND: Coronavirus disease (COVID‑19) causes significant psychological distress among
nursing students. College‑bound nursing students might have preferred different types of coping
strategies to deal with psychological distress. This study aims to measure the psychological distress
and role of coping styles to mediate the stress level among the baccalaureate nursing students amid
the COVID‑19 pandemic.
MATERIAL AND METHODS: A cross‑sectional online survey was conducted in December 2020 at
a nursing college attached to a tertiary care teaching hospital, North India. Nearly 251 baccalaureate
nursing students completed the Impact of Event Scale‑Revised (IES‑R) and Coping Orientation to
Problems Experienced Inventory (Brief‑COPE) scale to report their psychological distress and coping
styles, respectively. Chi‑square test, independent sample t‑test followed by binary and multivariable
regression were used to identify the factors associated with distress in students during the pandemic.
RESULTS: Students’ mean age was 22.22 ± 1.24 years. The mean IES‑R was 19.59 ± 12.45 in
nursing students. Psychological distress found a significant association with age (P = 0.022), academic
class (P = 0.016), travel history (P = 0.034), and being positive reverse transcription–polymerase
chain reaction (RT‑PCR) for COVID‑19 status of self (P = 0.018) and family members in the medical
profession (P = 0.013). In binary logistic regression, stress level found a significant association with
first‑year academic level (OR: 3.250, 95% CI: 1.429–7.390, P = 0.005) and family members in the
medical profession (OR: 4.44, 95% CI: 1.019–19.382, P = 0.047). Adaptive coping styles were more
frequently preferred than maladaptive coping styles (54% vs 41%). Adaptive (r = 0.295, P < 0.001)
and maladaptive coping (r = 0.403, P < 0.001) shows a significant positive relationship with stress
in students, respectively.
CONCLUSIONS: Coronavirus pandemic causes significant distress among nursing students. Students
were able to manage stress using acceptance and religious/spiritual coping strategies. During the
pandemic, stress management to support mental health is highly recommended.

Keywords

  1. World Health Organization (WHO). Getting your workplace
    ready for COVID-19. 2020. Available from: https://apps.who.
    int/iris/handle/10665/331584. [Last accessed on 2021 Jan 25].
    2. Gorbalenya AE, Baker SC, Baric RS, de Groot RJ, Drosten C,
    Gulyaeva AA, et al. Severe acute respiratory syndrome‑related
    coronavirus: The species and its viruses – A statement of the
    Coronavirus Study Group. bioRxiv 2020;1–15. Available from:
    https://www.biorxiv.org/content/100.1101/2020.02.07.93786
    2v1.full.pdf. [Last accessed on 2021 Jan 25].
    3. Kumar R, Singh V, Mohanty A, Bahurupi Y, Gupta P. Corona
    health‑care warriors in India: Knowledge, attitude, and practices
    during COVID‑19 outbreak. J Educ Health Promot 2021;10:44.
    4. Chan JWM, Ng CK, Chan YH, Mok TYW, Lee S, Chu SYY, et al.
    Short term outcome and risk factors for adverse clinical outcomes
    in adults with severe acute respiratory syndrome (SARS). Thorax
    2003;58:686–9.
    5. Moghimian M, Farzi K, Farzi S, Moladoost A, Safiri S. Exploring
    the experiences of nurses and physicians infected with COVID‑19.
    J Edu Health Promot 2022;11:35.
    6. Khanal P, Devkota N, Dahal M, Paudel K, Joshi D. Mental health
    impacts among health workers during COVID‑19 in a low
    resource setting: A cross‑sectional survey from Nepal. Global
    Health 2020;16:89.
    7. Kumar R, Nancy. Stress and coping strategies among nursing
    students. Nurs Midwifery Res J 2011;7:141–51.
    8. Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping
    strategies among nursing students during the covid‑19 pandemic.
    Nurse Educ Pract 2020;46:102809.
    9. Eweida RS, Rashwan ZI, Desoky GM, Khonji LM. Mental strain
    and changes in psychological health hub among intern‑nursing
    students at pediatric and medical‑surgical units amid ambience
    of COVID‑19 pandemic: A comprehensive survey. Nurse Educ
    Pract 2020;49:102915.
    10. Abdulghani H, Irshad M, Al Zunitan M , A l
    Sulihem A, Al Dehaim M, Al Esefir WA, et al. Prevalence
    of stress in junior doctors during their internship training:
    Across‑sectional study of three Saudi medical colleges’
    hospitals. Neuropsych 2014;10:1879–86.
    11. Center of Disease Control and Prevention, 2020. Information for
    Pediatric Healthcare Providers. 2020. Available from: https://
    stacks.cdc.gov/view/cdc/88112/cdc_88112_DS1.pdf?. [Last
    accessed on 2021 Jan 25].
    12. Schwirtz M. Nurses die, doctors fall sick and panic rises on
    virus front lines. 2020. Available from: https://www.nytimes.
    com/2020/03/30/nyregion/ny‑coronavirus‑doctors‑sick.
    html. [Last accessed on 2021 Jan 25].
    13. Gold J. The Covid‑19 crisis too few are talking about: Health
    care workers’ mental healt. 2020. Available from: https://www.
    statnews.com/2020/04/03/the‑covid‑19‑crisis-too‑few‑are‑talki
    ng‑about‑health‑care‑workers‑mental‑health/. [Last accessed on
    2021 Jan 25].
    14. Wong TW, Yau JKY, Chan CLW, Kwong RSY, Ho SMY, Lau CC,
    et al. The psychological impact of severe acute respiratory
    syndrome outbreak on healthcare workers in emergency
    departments and how they cope. Eur J Emerg Med 2005;12:13‑8.
    15. Huang L, Lei W, Xu F, Liu H, Yu L. Emotional responses and
    coping strategies in nurses and nursing students during Covid‑19
    outbreak: A comparative study. PLoS One 2020;15:e0237303.
    16. Folkman S, Lazarus RS, Pimley S, Novacek J. Age differences in
    stress and coping processes. Psychol Aging 1987;2:171–84.
    17. Folkman S, Lazarus RS. An analysis of coping in a middle‑aged
    community sample. J Health Soc Behav 1980;21:219–39.
    18. Wani RT. Socio‑economic status scales‑modified Kuppuswamy
    and Udai Pareekh’s scale updated for 2019. J Fam Med Prim Care
    2019;8:1846–9.
    19. Weiss DS, Marmar CR. The impact of event scale – revised. In:
    Wilson JP, Keane TM, editors. Assessing Psychological Trauma
    and PTSD:a practitioner's handbook. The Impact of Events Scale—
    Revised. New York: Guildford; 1997. p. 399–411.
    20. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated
    with mental health outcomes among health care workers exposed
    to coronavirus disease 2019. JAMA Netw Open 2020;3:e203976.
    21. Tiemensma J, Depaoli S, Winter SD, Felt JM, Rus HM, Arroyo AC.
    The performance of the IES‑R for Latinos and non‑Latinos:
    Assessing measurement invariance. PLoS One 2018;13:e0195229.
    22. Carver CS. You want to measure coping but your protocol’s too
    long: Consider the brief COPE. Int J Behav Med 1997;4:92–100.
    23. Begam B, Devi K. A study to assess the perceived stress among
    nursing students during COVID‑19 lockdown. Int J Sci Healthc
    Res 2020;5:388–93.
    24. IBM Corp. IBM SPSS Statistics for Windows: Version 23.0.
    Armonk, NY, USA: IBM Corp.; 2017.
    25. Xiao C. A Novel approach of consultation on 2019 Novel
    Coronavirus (COVID‑19)‑related psychological and mental
    problems: Structured letter therapy. Psychiatry Investig
    2020;17:175–6.
    26. Aslan H, Pekince H. Nursing students’ views on the COVID‑19
    pandemic and their percieved stress levels. Perspect Psychiatr
    Care 2021;57:695‑701.
    27. Subba R, Subba HK, Singh JP, Mehta RK. Psychological
    impact and coping strategies of nursing students during the
    outbreak of coronavirus disease in Nepal. Asian J Multidiscip
    Stud 2020;8:23–31.
    28. Sheu S, Lin H‑S, Hwang S‑L. Perceived stress and
    physio‑psycho‑social status of nursing students during their
    initial period of clinical practice: The effect of coping behaviors.
    Int J Nurs Stud 2002;39:165–75.
    29. Karaca A, Yildirim N, Ankarali H, Açikgöz F, Akkuş D. Nursing
    students’ perceived levels of clinical stress, stress responses and
    coping behaviors. J Psychiatry Nurs 2017;8:832–9.
    30. Nebhinani M, Kumar A, Parihar A, Rani R. Stress and coping
    strategies among undergraduate nursing students: A descriptive
    assessment from Western Rajasthan. Indian J Community Med
    2020;45:172–5.
    31. Kumar R. Personality traits, academic stress and adjustement
    styles among nursing students. Nurs J India 2018;CIX: 184–8.
    32. Dalal P, Roy D, Choudhary P, Kar S, Tripathi A. Emerging
    mental health issues during the COVID‑19 pandemic: An Indian
    perspective. Indian J Psychiatry 2020;62:354–64.
    33. Li D, Zou L, Zhang Z, Zhang P, Zhang J, Fu W, et al. The
    psychological effect of COVID‑19 on home‑quarantined nursing
    students in China. Front Psychiatry 2021;12:652296.
    34. Younas A. Levels of stress and coping strategies used by nursing
    students in asian countries: An integrated literature review.
    J Middle East North Africa Sci 2016;2:50–7.
    35. Schuler RS. Definition and conceptualization of stress in
    organizations. Organ Behav Hum Perform 1980;25:184–215.
    36. Salman M, Asif N, Mustafa ZU, Khan TM, Shehzadi N, Tahir H,
    et al. Psychological impairment and coping strategies during the
    covid‑19 pandemic among students in Pakistan: A cross‑sectional
    analysis. Disaster Med Public Health Prep 2020;1–7. doi: 10.1017/
    dmp. 2020.397.
  2. 37. Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies:
    A theoretically based approach. J Pers Soc Psychol 1989;56:267–83.
    38. Sheroun D, Wankhar DD, Devrani A, PV L, Gita S, Chatterjee K.
    A study to assess the perceived stress and coping strategies among
    B.Sc. nursing students of selected colleges in Pune during covid‑19
    pandemic lockdown. Int J Sci Healthc Res 2020;5:280–8.
    39. Huang L, Xu F, Liu H. Emotional responses and coping
    strategies of nurses and nursing college students during
    COVID‑19 outbreak. medRxiv 2020;2020.03.05.20031898.
    Available from: http://medrxiv.org/content/
    early/2020/03/08/2020.03.05.20031898.abstract.
    40. Rafati F, Nouhi E, Sabzevari S, Dehghan‑Nayeri N. Coping
    strategies of nursing students for dealing with stress in clinical
    setting: A qualitative study. Electron Physician 2017;9:6120‑8.
    41. Al‑Dubai SAR, Al‑Naggar RA, Alshagga MA, Rampal KG. Stress
    and coping strategies of students in a medical faculty in Malaysia.
    Malays J Med Sci 2011;18:57–64.
    42. Kalpana K. Stress and coping strategies among first year nursing
    students in selected nursing colleges of Mumbai city. Indian J
    Appl Res 2019;9:28–9.
    43. Wortmann J. Religious coping. In: Gellman M, Turner J E.
    Encyclopedia of Behavioral Medicine [Internet]. Encycl Behav
    Med 2016. Available from: https://link.springer.com/referenc
    eworkentry/10.1007%2F978‑1‑4614‑6439‑6_665‑2. [Lastaccessed
    on 2021 Jan 25].
    44. Dharra S, Kumar R. Promoting mental health of nurses during
    the coronavirus pandemic: Will the rapid deployment of nurses’
    training programs during covid‑19 improve self‑efficacy and
    reduce anxiety? Cureus 2021;13:e15213.
    45. Prasad K, McLoughlin C, Stillman M, Poplau S, Goelz E,
    Taylor S, et al. Prevalence and correlates of stress and burnout
    among U.S. healthcare workers during the COVID‑19 pandemic:
    A national cross‑sectional survey study. EClinicalMedicine
    2021;35:100879.