ABSTRACT
AIM: The aim of this study was to examine the levels of stress, coping style and burnout among Chinese nursing students in late-stage clinical practice and to identify their relationships. BACKGROUND: High stress, passive coping and burnout among nursing students in late-stage clinical practice may contribute to severe psychological consequences. DESIGN: A descriptive and cross-sectional study was conducted in November and December 2020. METHODS: Participants completed the Perceived Stress Scale, Simplified Coping Style Questionnaire and Maslach Burnout Inventory-Human Service Survey to examine their stress levels, coping style and burnout. Intention to leave the profession was also assessed. RESULTS: Approximately 36.1 % of nursing students experienced emotional exhaustion and 85.3 % of nursing students perceived themselves to have moderate to high stress levels. A positive coping style can protect nursing students from depersonalization and reduced personal accomplishment. High stress and passive coping style predicted emotional exhaustion. Passive coping style and high stress were significant factors leading to intention to quit nursing education before graduation. CONCLUSIONS: Lowering the level of stress and using positive coping behaviors may help students during late internship to mitigate burnout and avoid leaving nursing education. Therefore, nurse educators and clinical nursing mentors need to consider developing strategies and interventions to reduce the decline in nursing students entering nursing education and prevent burnout.