Stress among Student Nurses in the Extension Study Program at Kibuli Muslim Hospital Health Training Schools, Kampala. A cross-sectional study.
DOI:
https://doi.org/10.51168/7r5k3h53Keywords:
Stress among student nurses, Extension study program, financial stress, Kibuli Muslim Hospital Health Training SchoolAbstract
Background:Stress among student nurses is a growing concern worldwide and is increasingly being recognized as a significant barrier to academic performance, clinical efficiency, and their overall well-being. The study aims to assess the factors associated with stress among student nurses in the extension study program at Kibuli Muslim Hospital Health Training School.
Methodology:
This study employed a descriptive cross-sectional study design. The study population consisted of 40 student nurses currently enrolled in Kibuli Muslim Hospital Health Training School across all academic years during the study period. Data were entered into Microsoft Excel for analysis. Descriptive statistics (frequencies, means, and percentages) summarized the data.
Findings:
The majority of respondents, 20 (55.6%), said academic rules were too strict; 7 (19.4%) said they were very flexible. 30 (83.3%) indicated that supervisors are very supportive; 6 (16.7%) indicated unsupportive. 25 (69.4%) get emotional support from close friends; 5 (13.9%) get emotional support from family members. 15 (46.9%) indicated family responsibilities cause less study; 2 (6.3%) indicated absence from clinicals. 32 (88.9%) felt their study was affected by family responsibilities. 28 (77.8%) answered that tuition fees were stressful. 25 (69.4%) indicated workload pressures were a cause of stress. 30 (83.3%) answered that academic workload was very heavy. 30 (83.3%) were female, and 6 (16.7%) were male
Conclusion:
Student nurses experienced stress associated with academic workload, tuition fees, family responsibilities, and academic regulations. Despite the high level of support from clinical supervisors and peers, these stressors may negatively affect students' academic progress and overall well-being.
Recommendations:
The school should therefore organize mental health camps and advocate for partnerships with organizations that would help with tuition and other study requirements for those students who cannot fully fund their tuition, so that they can academically progress.
References
1. L. van Tilburg, M., Edlynn, E., Maddaloni, M., van Kempen, K., Díaz-González de Ferris, M., & Thomas, J. (2020). High Levels of Stress Due to the SARS-CoV-2 Pandemic among Parents of Children with and without Chronic Conditions across the USA. Children, 7(10), Article 10. https://doi.org/10.3390/children7100193.
2. Amanya, S. B., Nakitende, J., & Ngabirano, T. D. (2018). A cross-sectional study of stress and its sources among health professional students at Makerere University, Uganda. Nursing Open, 5(1), 70–76. https://doi.org/10.1002/nop2.113.
3. Aryuwat, P., Holmgren, J., Asp, M., Radabutr, M., & Lövenmark, A. (2024). Experiences of Nursing Students Regarding Challenges and Support for Resilience during Clinical Education: A Qualitative Study. Nursing Reports, 14(3), 1604–1620. https://doi.org/10.3390/nursrep14030120.
4. Bvumbwe, T., & Mtshali, N. (2018). Nursing education challenges and solutions in Sub-Saharan Africa: An integrative review. BMC Nursing, 17(1), 3. https://doi.org/10.1186/s12912018-0272-4.
5. Chaabane, S., Chaabna, K., Bhagat, S., Abraham, A., Doraiswamy, S., Mamtani, R., & Cheema, S. (2021). Perceived stress, stressors, and coping strategies among nursing students in the Middle East and North Africa: An overview of systematic reviews. Systematic Reviews, 10(1), 136. https://doi.org/10.1186/s13643-021-01691-9.
6. Dogham, R. S., Ali, H. F. M., Ghaly, A. S., Elcokany, N. M., Seweid, M. M., & El-Ashry, A. M. (2024). Deciphering the influence: Academic stress and its role in shaping learning approaches among nursing students: a cross-sectional study. BMC Nursing, 23, 249. https://doi.org/10.1186/s12912-024-01885-1.
7. El Madani, H., El Harch, I., Tachfouti, N., El Fakir, S., Aalouane, R., & Berraho, M. (2023). Psychological stress and its related factors among Moroccan nursing students: A cross-sectional study. Enfermeria Clinica (English Edition), 33(3), 205–215. https://doi.org/10.1016/j.enfcle.2023.02.001.
8. Ghiasvand, A. M., Naderi, M., Tafreshi, M. Z., Ahmadi, F., & Hosseini, M. (2017). Relationship between time management skills and anxiety and academic motivation of nursing students in Tehran. Electronic Physician, 9(1), 3678–3684. https://doi.org/10.19082/3678.
9. Ghods, A. A., Ebadi, A., Sharif Nia, H., Allen, K., & Ali‐Abadi, T. (2022). Academic burnout in nursing students: An explanatory sequential design. Nursing Open, 10(2), 535–543. https://doi.org/10.1002/nop2.1319.
10. Hwang, E., & Kim, J. (2022). Factors affecting academic burnout of nursing students according to clinical practice experience. BMC Medical Education, 22(1), 346.
https://doi.org/10.1186/s12909-022-03422-7.
11. Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(1), 158. https://doi.org/10.1186/s12912-021-00684-2.
12. Muliarta, I. M., Wirata, G., & Tunas, I. K. (2023). Academic Stress in Medical Students during 3 Different States: Holiday, Lecture, and Exams. Biomedical and Pharmacology Journal, 16(1), 493–501.
13. Naz, A. M., Khan, S., Manzoor, S., Rehman, K. U., Aslam, Z., & Noor, N. (2024). Relationship between resilience, social support and psychological well-being in nursing students.
14. Journal of Research in Nursing, 17449871241278854. https://doi.org/10.1177/17449871241278854.
15. Sharon, S., Suge, V., Kosgei, E., & Hassan, Z. (2023). Determinants of Stress among
16. Undergraduate Students at a Private University in Kenya: A Multifaceted Approach. East African Journal of Nursing, 1(01), Article 01. https://doi.org/10.58460/eajn.v1i01.20.
17. Usher, K., Fagan, A., Brown, J. A., Mather, C., Marlow, A., Power, T., van de Mortel, T., West, C., Hutchinson, M., Zhao, L., Terry, V., Woods, C., & Lea, J. (2022). The financial challenges for Australian nursing students attending placement-based work-integrated learning. Collegian: The Australian Journal of Nursing Practice, Scholarship and Research, 29(2), Article 2. https://doi.org/10.1016/j.colegn.2021.07.005.
18. Waswa, R., Matiang’, M., & i. (2024). Student-Related Factors that Affect Effective Clinical Learner Support among Nursing Students in the Middle-Level Colleges in Nairobi County, Kenya. Open Journal of Nursing, 14(11), Article 11. https://doi.org/10.4236/ojn.2024.1411039.
19. Zakayo, F. P., & Onyango, D. (2024). Challenges Facing Female In-Service Students in Pursuing Higher Education in Tanzania: A Literature Review. East African Journal of Education Studies, 7(3), Article 3. https://doi.org/10.37284/eajes.7.3.2101.
