Pre-registration nursing students' anxiety and academic concerns after the second wave of COVID-19 pandemic in Italy: A cross-sectional study.


Journal

Nurse education today
ISSN: 1532-2793
Titre abrégé: Nurse Educ Today
Pays: Scotland
ID NLM: 8511379

Informations de publication

Date de publication:
Nov 2022
Historique:
received: 21 04 2022
revised: 01 08 2022
accepted: 19 08 2022
pubmed: 10 9 2022
medline: 21 9 2022
entrez: 9 9 2022
Statut: ppublish

Résumé

The pandemic and its related social restrictions have led to many uncertainties in nurse education, including the fear of infection in clinical learning settings and the challenge of remote learning. The modification of clinical and academic environments generated anxiety and academic concerns among nursing students. To explore the main determinants of anxiety related to the clinical and classroom environments in nurse education after the second wave of the COVID-19 Pandemic. Multicentre cross-sectional study. Ten universities offering nursing bachelor programs in central and southern Italy. A convenience sample of 842 nursing students. From April to July 2021, the Self-Rating Anxiety Scale and the Altered Student Study Environment Tool were administered to assess, respectively, students' anxiety and their concerns about the study environment. A regression model was tested. Most of the nursing students were female (76.6 %), living with family (70.9 %), and full-time students (85.7 %); 44.6 % were third-year of Bachelor in Nursing students. The majority of the participants (88.5 %) showed a level of anxiety. The statistically significant predictors of anxiety levels were concerns about grade attainment (β=0.42, p < 0.001) in the total sample, and, among the first-year students, the completion of clinical placement (β=0.14, p = 0.047). Results suggest a need for the redesign of teaching activities and clinical learning experiences to ensure academic outcomes and to preserve students' psychological well-being. Models of learning environments' dynamic adaptation and ongoing psychological support should be implemented to develop tailored interventions.

Sections du résumé

BACKGROUND BACKGROUND
The pandemic and its related social restrictions have led to many uncertainties in nurse education, including the fear of infection in clinical learning settings and the challenge of remote learning. The modification of clinical and academic environments generated anxiety and academic concerns among nursing students.
OBJECTIVES OBJECTIVE
To explore the main determinants of anxiety related to the clinical and classroom environments in nurse education after the second wave of the COVID-19 Pandemic.
DESIGN METHODS
Multicentre cross-sectional study.
SETTINGS METHODS
Ten universities offering nursing bachelor programs in central and southern Italy.
PARTICIPANTS METHODS
A convenience sample of 842 nursing students.
METHODS METHODS
From April to July 2021, the Self-Rating Anxiety Scale and the Altered Student Study Environment Tool were administered to assess, respectively, students' anxiety and their concerns about the study environment. A regression model was tested.
RESULTS RESULTS
Most of the nursing students were female (76.6 %), living with family (70.9 %), and full-time students (85.7 %); 44.6 % were third-year of Bachelor in Nursing students. The majority of the participants (88.5 %) showed a level of anxiety. The statistically significant predictors of anxiety levels were concerns about grade attainment (β=0.42, p < 0.001) in the total sample, and, among the first-year students, the completion of clinical placement (β=0.14, p = 0.047).
CONCLUSIONS CONCLUSIONS
Results suggest a need for the redesign of teaching activities and clinical learning experiences to ensure academic outcomes and to preserve students' psychological well-being. Models of learning environments' dynamic adaptation and ongoing psychological support should be implemented to develop tailored interventions.

Identifiants

pubmed: 36084449
pii: S0260-6917(22)00256-8
doi: 10.1016/j.nedt.2022.105520
pmc: PMC9439862
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

105520

Informations de copyright

Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors have no conflict of interests to declare.

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Auteurs

Dania Comparcini (D)

Politecnica delle Marche University of Ancona, Ancona, Italy; Azienda Ospedaliera Universitaria "Ospedali Riuniti" di Ancona, Ancona, Italy. Electronic address: dania.comparcini@staff.univpm.it.

Marco Tomietto (M)

Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom; Adjunct Professor, Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland; Visiting Professor, Università degli Studi di Bari "Aldo Moro", Bari, Italy. Electronic address: marco.tomietto@northumbria.ac.uk.

Giancarlo Cicolini (G)

Department of Biomedical Science and Human Oncology, Università degli Studi di Bari "Aldo Moro", Bari, Italy. Electronic address: giancarlo.cicolini@uniba.it.

Geoffrey L Dickens (GL)

Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom; Adjunct Professor, Western Sydney University, Australia. Electronic address: geoffrey.dickens@northumbria.ac.uk.

Katlego Mthimunye (K)

Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom. Electronic address: katlego.mthimunye@northumbria.ac.uk.

Stefano Marcelli (S)

Politecnica delle Marche University, Ascoli Piceno, Italy. Electronic address: s.marcelli@staff.univpm.it.

Valentina Simonetti (V)

Department of Biomedical Science and Human Oncology, Università degli Studi di Bari "Aldo Moro", Bari, Italy. Electronic address: valentina.simonetti@uniba.it.

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