Academic Stress and Its Effect on the Psychological, Emotional, and Behavioral Health of Nursing Students
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Objective: Academic stress is a prevalent issue among university students, particularly nursing students, due to the demanding nature of their studies. This study examines the prevalence of academic stress and its psychological, behavioral, and physical impacts on the mental health of nursing students.
Methods and Materials: A descriptive cross-sectional study was conducted with 260 nursing students from the College of Nursing at Palestine Polytechnic University. Data were collected using validated tools, including the DASS-21, the Perception of Academic Stress Scale, and the Academic Stress Inventory (ASI). Statistical analysis involved descriptive statistics, t-tests, and ANOVA using SPSS version 20.
Findings: The study revealed that the overall impact of academic stress on mental health was moderate (mean = 3.14). The most significant stressor was the high number of exams during the semester (mean = 4.07). Psychological symptoms were the most prominent (mean = 3.63), with students reporting anxiety, loss of study passion, and exam-related nervousness. Physical symptoms such as headaches, concentration issues, and sleep disturbances were also noted. Coping strategies were moderately utilized, with female students showing higher psychological and physical stress symptoms, while males demonstrated better coping. First-year students exhibited the highest levels of stress.
Conclusion: Academic stress has a significant impact on the mental health, particularly psychological well-being, of nursing students. Institutions should implement targeted interventions focusing on workload management, emotional intelligence training, and support systems to enhance students’ coping mechanisms.
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Alghamdi, A. A., Alghuthayr, K., Alqahtani, S. S. S., Alshahrani, Z. A., Asiri, A. M., Ghazzawi, H., Helmy, M., Trabelsi, K., Husni, M., & Jahrami, H. (2024). The translation and validation of the surgical anxiety questionnaire into the modern standard Arabic language: results from classical test theory and item response theory analyses. BMC psychiatry, 24(1), 694. https://doi.org/10.1186/s12888-024-06142-y
Alharbi, K. (2023). Stress and coping strategies among nursing students. Global Journal of Health Science, 15(12), 46-52. https://doi.org/10.5539/gjhs.v15n12p46
Balmus, I.-M., Ciobica, A., Cojocariu, R., Gorgan, L., Stanciu, C., & Trifan, A. (2019). Correlative Studies on the Biorelevance of Smoking in Gastrointestinal Irritable Bowel Syndrome-like Symptoms. 2019 E-Health and Bioengineering Conference (EHB), https://doi.org/10.1109/EHB47216.2019.8970036
Bedewy, D., & Gabriel, A. (2015). Examining perceptions of academic stress and its sources among university students: The Perception of Academic Stress Scale. Health psychology open, 2(2), 2055102915596714. https://doi.org/10.1177/2055102915596714
Bibi, A., Ejaz, K., Khan, I., Khan, M. J., Ahmad, T., Zeb, K., Ahmad, A., & Iqbal, J. (2024). Correlation of Academic Stress with Age and Academic Year Among Nursing Students at Private Nursing Institute, Karachi, Pakistan: Correlation of Academic Stress with Age and Academic Year. NURSEARCHER (Journal of Nursing & Midwifery Sciences), 07-12. https://doi.org/10.54393/nrs.v4i01.67
Bista, B., Bhattrai, B., & Khadka, N. (2017). Stress and coping mechanisms among nursing students in Kathmandu. Journal of Manmohan Memorial Institute of Health Sciences, 3(1), 16-23. https://doi.org/10.3126/jmmihs.v3i1.19175
Böke, B. N., Mills, D. J., Mettler, J., & Heath, N. L. (2019). Stress and coping patterns of university students. Journal of college student development, 60(1), 85-103. https://doi.org/10.1353/csd.2019.0005
Campbell, S. H., de Oliveira Bernardes, N., Tharmaratnam, T., & Mendonca Vieira, F. V. (2022). Educational resources and curriculum on lactation for health undergraduate students: a scoping review. Journal of Human Lactation, 38(1), 89-99. https://doi.org/10.1177/0890334420980693
Carver, C. S. (1997). You want to measure coping but your protocol’too long: Consider the brief cope. International journal of behavioral medicine, 4(1), 92-100. https://doi.org/10.1207/s15327558ijbm0401_6
Cheung, K., Tam, K. Y., Tsang, M. H., Zhang, L. W., & Lit, S. W. (2020). Depression, anxiety and stress in different subgroups of first-year university students from 4-year cohort data. Journal of affective disorders, 274, 305-314. https://doi.org/10.1016/j.jad.2020.05.041
Choi, H. J., & Lee, E. (2012). Mediation Effects of Self-Efficacy between Academic Stress and College Adjustment in First Year Nursing Students. Journal of Korean academy of fundamentals of nursing, 19(2). https://doi.org/10.7739/jkafn.2012.19.2.261
Cohen, J. (1988). Set correlation and contingency tables. Applied psychological measurement, 12(4), 425-434. https://doi.org/10.1177/014662168801200410
Córdova Olivera, P., Gasser Gordillo, P., Naranjo Mejía, H., La Fuente Taborga, I., Grajeda Chacón, A., & Sanjinés Unzueta, A. (2023). Academic stress as a predictor of mental health in university students. Cogent Education, 10(2), 2232686. https://doi.org/10.1080/2331186X.2023.2232686
de la Fuente, J., Peralta-Sánchez, F. J., Martínez-Vicente, J. M., Sander, P., Garzón-Umerenkova, A., & Zapata, L. (2020). Effects of self-regulation vs. external regulation on the factors and symptoms of academic stress in undergraduate students. Frontiers in psychology, 11, 1773. https://doi.org/10.3389/fpsyg.2020.01773
Fayda-Kinik, F. S. (2023). Academic Stress in Online Higher Education. International Journal of Technology in Education and Science, 7(1), 18-29. https://doi.org/10.46328/ijtes.439
Huang, H., Ding, Y., Liang, Y., Wan, X., Peng, Q., Zhang, Y., Kong, D., & Chen, C. (2023). The association between perfectionism and academic procrastination among undergraduate nursing students: The role of self‐efficacy and resilience. Nursing Open, 10(10), 6758-6768. https://doi.org/10.1002/nop2.1922
Ifdil, I., Lela, L., Syahputra, Y., Fitria, L., Zola, N., Fadli, R. P., Barseli, M., Putri, Y. E., & Amalianita, B. (2022). Academic Stress Among Male and Female Students After the Covid-19 Pandemic. COUNS-EDU: The International Journal of Counseling and Education, 7(3). https://doi.org/10.23916/0020220740130
Javeth, A. (2018). Relationship between academic stress and mental health of undergraduate nursing students. Nurs J India, 109, 130-134. https://doi.org/10.48029/NJI.2018.CIX302
Joseph, N., Nallapati, A., Machado, M. X., Nair, V., Matele, S., Muthusamy, N., & Sinha, A. (2021). Assessment of academic stress and its coping mechanisms among medical undergraduate students in a large Midwestern university. Current Psychology, 40(6), 2599-2609. https://doi.org/10.1007/s12144-020-00963-2
Lee, T., Lee, S. J., Yoon, Y. S., Ji, H., Yoon, S., Lee, S., & Ji, Y. (2023). Personal factors and clinical learning environment as predictors of nursing students' readiness for practice: A structural equation modeling analysis. Asian Nursing Research, 17(1), 44-52. https://doi.org/10.1016/j.anr.2023.01.003
Lin, Y. M., & Chen, F. S. (2009). Academic stress inventory of students at universities and colleges of technology. World Transactions on Engineering and Technology Education, 7(2), 157-162. https://www.wiete.com.au/journals/WTE&TE/Pages/Vol.7,%20No.2%20(2009)/8-03-Lin-Y.M.pdf
Lovibond, S. H. (1995). Manual for the depression anxiety stress scales. Sydney psychology foundation. https://doi.org/10.1037/t01004-000
Mohamed, N. A., Ali, S. O., Ehrahim, E. E. E., Ahmed, A. L., & Wahba, A. M. (2024). Predictors of academic and clinical stress among nursing students. SAGE Open Nursing, 10, 23779608241290392. https://doi.org/10.1177/23779608241290392
Monserrat-Hernández, M., Checa-Olmos, J. C., Arjona-Garrido, Á., López-Liria, R., & Rocamora-Pérez, P. (2023). Academic stress in university students: the role of physical exercise and nutrition. Healthcare, https://doi.org/10.3390/healthcare11172401
Moussa, M. T., Lovibond, P., Laube, R., & Megahead, H. A. (2017). Psychometric properties of an arabic version of the depression anxiety stress scales (DASS). Research on social work practice, 27(3), 375-386. https://doi.org/10.1177/1049731516662916
Pascoe, M. C., Hetrick, S. E., & Parker, A. G. (2020). The impact of stress on students in secondary school and higher education. International journal of adolescence and youth, 25(1), 104-112. https://doi.org/10.1080/02673843.2019.1596823
Saeed, B. A., Shabila, N. P., & Aziz, A. J. (2021). Stress and anxiety among physicians during the COVID-19 outbreak in the Iraqi Kurdistan Region: An online survey. PloS one, 16(6), e0253903. https://doi.org/10.1371/journal.pone.0253903
Van der Riet, P., Levett-Jones, T., & Aquino-Russell, C. (2018). The effectiveness of mindfulness meditation for nurses and nursing students: An integrated literature review. Nurse Education Today, 65, 201-211. https://doi.org/10.1016/j.nedt.2018.03.018
Visier-Alfonso, M. E., Sarabia-Cobo, C., Cobo-Cuenca, A. I., Nieto-López, M., López-Honrubia, R., Bartolomé-Gutiérrez, R., Alconero-Camarero, A. R., & González-López, J. R. (2024). Stress, mental health, and protective factors in nursing students: An observational study. Nurse Education Today, 139, 106258. https://doi.org/10.1016/j.nedt.2024.106258
Vo, T. N., Chiu, H.-Y., Chuang, Y.-H., & Huang, H.-C. (2023). Prevalence of stress and anxiety among nursing students: A systematic review and meta-analysis. Nurse Educator, 48(3), E90-E95. https://doi.org/10.1097/NNE.0000000000001343
Zhang, C., Shi, L., Tian, T., Zhou, Z., Peng, X., Shen, Y., Li, Y., & Ou, J. (2022). Associations between academic stress and depressive symptoms mediated by anxiety symptoms and hopelessness among Chinese college students. Psychology Research and Behavior Management, 547-556. https://doi.org/10.2147/PRBM.S353778
Zhao, X., Si, H., Guo, X., Song, Y., & Shi, X. (2025). The moderated mediation model of mindfulness and resilience between academic procrastination and anxiety symptoms among geriatric nursing students. Current Psychology, 1-12. https://doi.org/10.1007/s12144-025-08232-w
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