Technological variables predictors of academic stress in nursing students in times of COVID-19

Objective: to analyze which technological variables, derived from the use of electronic devices, predict academic stress and its dimensions in Nursing students. Method: analytical cross-sectional study carried out with a total of 796 students from six universities in Peru. The SISCO scale was used and four logistic regression models were estimated for the analysis, with selection of variables in stages. Results: among the participants, 87.6% had a high level of academic stress;time using the electronic device, screen brightness, age and sex were associated with academic stress and its three dimensions;the position of using the electronic device was associated with the total scale and the stressors and reactions dimensions. Finally, the distance between the face and the electronic device was associated with the total scale and size of reactions. Conclusion: technological variables and sociodemographic characteristics predict academic stress in nursing students. It is suggested to optimize the time of use of computers, regulate the brightness of the screen, avoid sitting in inappropriate positions and pay attention to the distance, in order to reduce academic stress during distance learning.

Mobile Technology Acceptance among Undergraduate Nursing Students Instructed by Blended Learning at Selected Educational Institutions in South India

Background: Mobile phones have become a widely accepted learning mode due to the impact of COVID-19. This study explores the mobile technology acceptance, among nursing students at selected educational institutions in South India. Materials and Methods: Quantitative cross-sectional descriptive design. First-year 176 B.Sc. nursing students who underwent blended learning were selected by the purposive sampling method. The tool "Technology Acceptance Model" was used to collect responses. Bivariate analysis was used to determine the relationship between the demographic and study-related variables with the mobile technology acceptance using SPSS version 25.0. Results: The majority 73.9% of the students belonged to the age group of 18-19 years, females 76.7% and, 98.9% were unmarried. Among the constructs of TAM, a mean (SD) value of 22.08 (2.26) was found for material (mobile device audio/video) characteristics the mean (SD) value was 22.08 (2.26), attitude about use 17.58 (1.95), behavioral intention 17.46 (1.78) and system characteristics 17.21 (2.27). The mobile technology acceptance revealed that 126 (71.6%) strongly agreed, 49 (27.8%) agreed, and 1 (0.6%) was neutral with a mean (SD) of 105.19 (8.68), respectively. A positive correlation was found between the system characteristics, material characteristics, perceived ease to use, perceived usefulness, attitude about the use, behavioral intention with a P value <0.001. There was a statistically significant association between Mobile technology acceptance and time spent by the students for independent studies shown the Chi-square value of 12.7, with P value <0.05. Conclusion: Nursing students had a positive acceptance and behavior toward smartphone use.

Prevalence of tension-type headache and its correlation with sleep quality among physiotherapy and nursing students from higher education institutions in Klang valley, Malaysia, during the COVID-19 pandemic

Introduction and Aim: Previously tension-type headache (TTH) was found to be highly prevalent among the general population worldwide, but the current data available were limited. Due to the COVID-19 pandemic, many life changes occurred to adapt to the situation, students started e-learning from home and their sleep quality (SQ) might be influenced. Physiotherapy and nursing students were studied as they are rarely being studied by researchers, information about them was very limited. This study aimed to determine the prevalence of TTH, SQ and the type of correlation between the two during the COVID-19 pandemic. Method(s): A cross-sectional study was conducted by sharing the online questionnaires composed of 2 main components: (i) Questionnaire formulated from diagnosing criteria for TTH of ICHD-3 (ii) Pittsburgh Sleep Quality Index (PSQI), to PS and NS students from higher education institutions in Klang Valley, Malaysia. Result(s): A total of 259 respondents were recruited in the study. The prevalence of TTH was 76.8% and SQ had a mean score of 5.12, which indicated poor SQ among PS and NS students, during the COVID-19 pandemic. Correlation between TTH and SQ was proved to be significant in this study (p=0.032, rs =0.133). Conclusion(s): High prevalence of TTH and poor SQ among PS and NS students during the COVID-19 pandemic was determined. There is a weak positive correlation between TTH and SQ during COVID-19 pandemic.Copyright © 2023, Indian Association of Biomedical Scientists. All rights reserved.

Barriers faced by nursing students during COVID- 19 pandemic and its impact on their attitude toward E-learning

COVID-19 pandemic forced the people to social distancing across the world. This pandemic disrupted various aspects of life including educational activities which resulted in implementation of online teaching and learning strategies for schools, colleges and universities' students. About 1500 million students suffered due to closure of the educational institutions. The overall effects of this closure of educational institutes on students' learning, including nursing students, have been negative. This study was aimed to investigate the impact of barriers to learning, faced by undergraduate nursing students on their attitudes towards e learning during COVID-19 pandemic in Pakistan. A Descriptive, analytical study was conducted on a sample of 250 undergraduate nursing students from four nursing colleges in Pakistan. A standardized questionnaire consisted of a total of 53 questions for the collection of information related to e- learning barriers and their effects on the attitudes of undergraduate nursing students towards e-learning was used for data collection. The results of this research study showed that (82.8%) of the undergraduate nursing students were facing certain barriers with regard to e-learning. The most dominant barriers faced by undergraduate nursing students were the infrastructure and technology dimension (88.8%) technical and management support dimension (83.2%), and curriculum content dimension (82%). The results of the current study demonstrated that a high percentage of the respondents (64.8%) has a negative attitude towards e-learning. the undergraduate nursing students faced various types of barriers towards e-learning during COVID-19 Pandemic. The majority of the learners had negative attitudes toward e-learning. However, there was no significant association present between barriers to e-learning and students' attitude towards e-learning.

An Innovative Approach in Nursing Education: The Flipped Classroom Model, Its Theoretical Framework and Its Use in Nursing Education

The inability to conduct face-to-face classes during the COVID-19 pandemic has increased the need for distance education and active learning methods in nursing education. In programs that provide knowledge and skill-based education such as nursing education, active learning methods should be used to create learning environments where the student is in an active position and the trainer is a guide. The Flipped Classroom Model is one of the student-centered teaching methods that includes the application of active learning strategies. The basic logic of this model;It is the allocation of the lesson time in the classroom to the learning process in which the student is more active. Students who come to the lesson by studying the lesson materials before the lesson are provided to construct the knowledge with the activities they are active in the lesson. In the lessons conducted with this model, students learn concepts at their own learning pace. The fact that the course can be studied at any time and place highlights the flexible teaching method feature of the model. In addition, this model is more effective in developing students' spirit of cooperation, practice and communication skills, in-terest in the lesson, and ability to think and analyze compared to the traditional classroom. In this review, the content, learning process, advantages and disadvantages of the Flipped Classroom Model, which can be used as an alternative method for continuing nursing education with distance education, are given and literature information about its use in nursing education is presented. © 2023, Dokuz Eylul University. All rights reserved.

The Era of Coronavirus: Assess the Impact of Distance Learning Course on the Levels of Hand Hygiene Knowledge, Attitude and Practice of Students in Low Resources Country

Introduction: Hand Hygiene is an essential method to preclude infections in all healthcare environments. Education is essential to advance hand hygiene performance amongst nurses and nursing students. The aim is to find out the usefulness of a self-paced online hand hygiene course on the knowledge, attitude and practice of nursing students by evaluating student performance in post-tests. Methods: The study employed a quasi-experimental design in which data were collected using two questionnaires from undergraduate nursing students and they were exposed to interactive lectures and online activities related to risks, benefits, and key recommendations for hand hygiene. The following two surveys were used, Hand Hygiene Knowledge Questionnaire for Health-Care Workers;and Handwashing Assessment Inventory. Data were collected through pre-post tests. Results: Nurses reported a significant change for the better in hand hygiene comprehension, attitude, and performance of hand hygiene behaviours. The present study revealed a significant increase in hand hygiene knowledge belief, attitude, and outcomes among university students after participating in the training intervention. The majority of participants in the pretest rated their knowledge level as poor. Conclusion: Interactive training and online learning courses on hand hygiene could be used to influence the beliefs, attitudes and behaviours of students to bring about the desired change in hand hygiene practice. [ FROM AUTHOR] Copyright of Malaysian Journal of Medicine & Health Sciences is the property of Universiti Putra Malaysia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Změny v ošetřovatelské edukaci stresových a copingových strategií: longitudinální studie v České republice

Úvod: Dlouhodobý stres je všeobecně považován za jeden z psychosociálních faktorů, který negativně ovlivňuje studijní výsledky studentů ošetřovatelství. Cíl: Zjistit, jaké jsou zdroje, úroveň stresu a strategie zvládaní stresu u studentů ošetřovatelství v kontinuu bakalářského studia. Metody: V průběhu tří akademických roků byli sledováni studenti jednotlivých ročníků bakalářského studijního programu Ošetřovatelství po absolvování klinické praxe v daném akademickém roku. Na sběr dat byly použity dotazníky Perceived Stress Scale;Physio-Psycho-Social Response Scale, and Coping Behavior Inventory. V 1. ročníku bylo do studie zařazeno 44 studentek, ve 2. ročníku 39 a v posledním ročníku 40 studentek. Výsledky: Nejvýznamnějším zdrojem stresu během tří ročníků studia byl stres z nedostatku vědomostí a zručností. Nejvyšší stres byl na začátku studia, pak klesal. Ve 3. ročníku, kdy v rámci covidové pandemie měli studenti nařízenou pracovní povinnost, opět dosáhl úrovně 1. ročníku. Stres se projevoval zejména v oblasti emocí. Nejčastěji užívanou copingovou strategií bylo řešení problémů. Závěr: Výsledky longitudinální studie potvrzují, jak pandemie covidu-19 ovlivnila percepci a projevy stresu u studentů během jejich studia. V percepci úrovně klinických i akademických stresorů a projevů stresu nebyla zjištěna jednoznačně klesající tendence. Využívání copingových strategií bylo stabilní, bez významnějších rozdílů během celého studia.Alternate :Introduction: Long-term stress is generally considered to be one of the psycho-social factors that negatively affect the academic performance of nursing students. Objectives: To discover the sources of stress, degree of stress, and coping strategies used as a reaction to stress in nursing students of the bachelor program. Methods: Over the course of three academic years, students in each year of the bachelor in nursing program were monitored after completing the clinical practice for the given academic year. Questionnaires regarding the Perceived Stress Scale;Physio-Psycho-Social Response Scale, and Coping Behaviour Inventory were used to gather data. In the first year, 44 students were included, in the second year there were 39 students, and in the final year 40 students took part in the research. Results: The most significant source of stress appears to be a lack of knowledge and relevant skills. The highest degree of stress was recorded at the beginning of a student's studies, after which it decreased. In the third year, when students were required to work due to the covid pandemic, the stress again reached the levels of the first year. The stress manifested mainly in emotions and problem solving was the most frequently used coping strategy. Conclusions: The results of the longitudinal study confirmed how the COVID-19 pandemic affected the perception and manifestation of stress in students during their studies. The perception of the degree of clinical and academic stressors showed that no clear descending tendency was identified. The use of coping strategies was stable, with no significant differences throughout the study.

Factors Related to Psychological Distress Among Nursing Students Volunteering in Covid-19 Frontline Prevention In Vietnam

The aim of the study to examine the level of psychological distress among nursing students volunteering in Covid-19 frontline prevention in Vietnam and related factors. Nursing students volunteering in frontline prevention presented emotional effects, including positive and negative effects on their psychological well-being. A cross-sectional study design was used and four hundred seventy-one students who volunteered for frontline prevention were randomly selected in the study using inclusion criteria. Data were collected from October to December 2021. A demographic questionnaire, the General Self-Efficacy Scale, the 6-item Kessler Psychological Distress Scale, the Brief Coping Orientation to Problems Experienced Inventory Questionnaire, and the Quality of life EQ-5D-5L were used to measure the variables. The data analysis was conducted by using descriptive statistics and linear regression. The research found that students presented a high risk of psychological distress. There was a significant correlation between problem-and emotional-coping strategies, quality of life, and psychological distress. Moreover, family support and psychological distress among nursing students had a strong relationship. Lecturers and high education institutions responsible for nursing students should pay more attention to developing psychological interventions in enhancing coping strategies and quality of life and various supports to reduce distress among nursing students fighting the epidemic.

Adapting to Covid-19 Pandemic: A Critical Literature Review of the Psychological Impact among Nursing Students

Introduction: The Coronavirus disease 2019 (COVID-19) was first identified in Wuhan City, China, in 2019. Efforts were made to cordon off the city in a bid to contain the virus. The tumultuous developments in nursing education, along with the national healthcare crisis caused by the COVID19 pandemic, formed a precarious direction for nursing faculty, many of whom had little prior experience teaching in an online environment. This literature review aims to understand the psychological impacts of the COVID-19 pandemic on nursing students. Methods: A literature search was conducted with the following electronic databases: ProQuest, EBSCOhost, Medline, Google Scholar, PubMed and National Center for Biotechnology Information (NCBI). Search terms included "psychological impacts," "mental health," "COVID-19," "pandemic", and "nursing students". The articles were reviewed based on relevance. The inclusion criteria consisted of (1) pre-licensure nursing students;(2) mental health as the key issue;(3) during the ongoing COVID-19 pandemic;(4) journal article and a research manuscript. A total of 104 articles were initially found using the above kewords. After screening using the criteria, 23 articles were relevant to be included in this review. Results: The themes that were identified after a comprehensive review of the articles are: (1) depression, (2) anxiety, (3) stress, (4) fear and (5) academic performance. Conclusion: The nursing students had to endure psychological impacts due to the COVID-19 pandemic and all the changes it brought about. Nursing educators must find the right balance between best-fit teaching methods and a supportive role in their students' mental health. © 2022 The authors.

The nursing students' experience of COVID-19 confirmation

This study was conducted to prepare the basic data for the development of practical nursing intervention programs for nursing college students who have been confirmed with COVID-19 since its outbreak in Korea. The subjects of this study were 70 nursing students at the University of Nursing located in Seoul, Gangwon-do, and Gyeonggi-do, Chungcheongnam-do. The data were collected from April 1st through April 30th, 2022, and analyzed it using the content analysis method. The experience of the nursing students infected with COVID-19 was classified and analyzed to draw a total of 187 significant statements and 36 categories. When establishing an infectious disease prevention program for nursing students and developing a practical nursing intervention program, it is necessary to focus on the preventive activities that emphasize personal aspects such as infection control, health management, and self-management, and to strengthen social support systems and improve quality of life. © 2023 The Authors. Published by IASE.

Prevalence a prediktory sebevražednosti mezi studenty ošetřovatelství v Indonésii

Úvod: Studenti ošetřovatelství jsou během pandemie covidu-19 zranitelnou populací, protože zažívají vyšší úroveň stresu a problémů s duševním zdravím než studenti mimo zdravotní péči, což je vystavuje vyššímu riziku sebevražedného chování. Cíl: Prozkoumat sebevražednost mezi studenty ošetřovatelství a posoudit souvislost mezi nezávislými proměnnými a sebevražedností. Metody: Tato průřezová studie zahrnovala 670 studentů ošetřovatelství z 5 indonéských univerzit, kteří byli vybráni metodou postupného vzorkování. Vlastní validované nástroje se skládaly z 8 sekcí: sociodemografický dotazník, RSES k posouzení sebe- úcty, BHS k posouzení beznaděje, UCLA-3 k posouzení osamělosti, GSES k posouzení sebeúčinnosti, PHQ-9 k posouzení deprese, CD-RISC-10 k posouzení odolnosti a SBQ-R k posouzení sebevražednosti. K identifikaci významných prediktorů sebevražednosti byla použita binární logistická regrese. Výsledky: Prevalence sebevražednosti mezi studenty ošetřovatelství byla 22,8 %. Se sebevražedností byly významně spojeny následující faktory (p < 0,05): nízká odolnost (AOR = 2,044;95 %CI: 1,309-3,192), osamělost (AOR = 1,609;95 %CI: 1,040-2,492), beznaděj (AOR = 48,48 95 %CI: 2,356-8,398) a deprese (AOR = 9,413;95 %CI: 5,795-15,288). Závěr: Tato zjištění poskytují důkaz, že odolnost, osamělost, beznaděj a deprese jsou rizikovými faktory sebevražednosti mezi studenty ošetřovatelství. Tento výsledek lze použít jako základ pro rozvoj vhodných strategií prevence sebevražd.Alternate :Introduction: Nursing students are a vulnerable population during the COVID-19 pandemic because they experience a higher level of stress and mental health problems than the non-healthcare student population, putting them at a higher risk for suicidal behaviour. Aim: To explore suicidality among nursing students and assess the association between independent variables and suicidality. Methods: This cross-sectional study involved 670 nursing students from 5 Indonesian universities who were recruited using consecutive sampling. Self-administered validated instruments consisted of 8 sections: sociodemographic questionnaire, RSES to assess self-esteem, BHS to assess hopelessness, UCLA-3 to assess loneliness, GSES to assess self-efficacy, PHQ-9 to assess depression, CD-RISC-10 to assess resilience, and SBQ-R to assess suicidality. Binary logistic regression was employed to identify significant predictors of suicidality. Results: Suicidality prevalence among nursing students was 22.8%. The following factors were significantly associated with suicidality (p < 0.05): low resilience (AOR = 2.044;95%CI: 1.309-3.192), loneliness (AOR = 1.609;95%CI: 1.040-2.492), hopelessness (AOR = 4.448;95%CI: 2.356-8.398), and depression (AOR = 9.413;95%CI: 5.795-15.288). Conclusions: These findings provide evidence that resilience, loneliness, hopelessness, and depression are risk factors for suicidality among nursing students. This outcome can be used as a basis to develop appropriate suicide prevention strategies.

Perception of Internet Use in Relation to Health Decision-Making among Nursing Students.

Internet use has increased worldwide during the COVID-19 pandemic, to the point where it has inadvertently integrated into our lives. University students use the Internet daily for different purposes: seeking information, entertaining, as a teaching and learning tool, they consider social networks as a means of connection and social interaction, and to seek information to make health decisions. Because of this, the Internet and social networks have gained popularity among this group, to the point of developing an abusive use that is not perceived as an addictive risk. A descriptive analysis was performed through the adaptation of a survey about Internet use, social networks and health perception; this survey was given to nursing students of the Gimbernat School during the academic year 2021-2022. Students completed the ad hoc questionnaire (N = 486; 83.5% female, 16.3% male; only 1 declared to be non-binary gender). Our hypothesis had to do with whether the population of nursing students at Gimbernat School had increased, after the pandemic, its use of the Internet and social networks to make decisions about health problems. The objective of the study was to analyse differences in students' habits of use of the Internet and social networks as they look for health information, their decision-making when they find the information and their perception of health as nursing students from a gender perspective. The results showed a clear positive relationship between the variables studied. Of nursing students, 60.4% spend between 20 and more than 40 h a week using the Internet, and 43.6% of these hours are spent on social networks. Of students, 31.1% make health decisions by searching for information on the Internet and consider it useful and relevant. The use of the Internet and social media in relation to health decisions is clearly affected. To try to reduce the incidence of the problem, interventions are needed regarding the prevention and/or consequences of Internet abuse and health education of student nurses as future health assets.

The solitary and uncertain learning process: A qualitative study of nursing students' experiences in the initial phase of the COVID-19 pandemic.

When the Coronavirus disease 2019 (COVID-19) pandemic broke out, the nursing students clinical practice period was abruptly interrupted by the lock down. The present study aimed to investigate the nursing students' learning experiences during the initial phase of the pandemic. A qualitative study was conducted investigating nursing students' written assignments (n = 48) of reflections according to their learning process. The qualitative data analysis revealed three main themes, namely the solitary and uncertain learning process; from collective learning process to digital devices; additional learning outcomes. The students' anxiety about the virus affected their motivation to study, but they also expressed enthusiasm and gratitude for having the opportunity to learn about the health system in a time of crisis. These results point towards the health care authorities can rely on nursing students' ability to take part and cover important emergency functions. The use of technology helped the students to achieve their learning objectives.

Developing a blended learning curriculum using a digital notebook application for a surgical nursing practicum: The ADDIE model

Background: The COVID-19 pandemic has presented challenges to nursing practice globally. However, utilizing digital notebook applications to support nursing student practices may be an effective tool for surgical nursing practicum.Objective: This study aimed to design a blended learning curriculum for surgical nursing practicum, utilizing a digital notebook platform. Methods: This study applied the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model to create a blended learning curriculum for surgical nursing practicum, employing the OneNote application platform. The study included three experts and 90 third-year nursing students who evaluated the model. The study was conducted from July 2021 to March 2022 at the Faculty of Nursing, Chiang Mai University, Thailand. Data were analyzed using descriptive statistics.Results: The experts rated the model highly (Mean = 4.33, SD = 0.57). The satisfaction level of the students with the blended learning curriculum using a digital notebook application was also high (Mean = 4.88, SD = 0.31).Conclusion: The blended learning curriculum using a digital notebook application for surgical nursing practicum was satisfactory for learners. The results from this research can be applied in online learning or incorporated into nursing clinical practicum curricula during and even postpandemic. The study results may also serve as an example or a piece of basic information to further develop an advanced online platform for teaching learning, either in Thailand or globally.

Training interprofessional teamwork in palliative care: A pilot study of online simulation activity for registered nurses and nursing associates

Palliative care promotes quality of life for seriously ill and dying patients and their loved ones. An ageing population with more complex chronic and life-limiting conditions will increase the demand for competence in the field. Interprofessional cooperation will be a critical factor in achieving this. Such cooperation within the field of nursing is critical because of registered nurses' (RNs) role and function in patient- and family-centred care. A project focusing on learning interdisciplinary teamwork using simulation as a learning approach was established. Two groups of students participated in the project: one group consisted of 17 nursing associates who were participating in a 2-year part-time study programme in cancer care and palliative care at a vocational college. The second group was made up of 28 RNs, a social worker and learning disability nurses, all postgraduate students taking part in a part-time interdisciplinary programme in palliative care at master's degree level.Simulation activity is usually conducted with participants physically present, but because of the COVID-19 pandemic situation, this was not possible. A pilot project was conducted where simulation activity was tried out as online learning. RNs and nursing associates (NA) participated, and their cooperation was focused on palliative/end-of-life care. They were all trained clinicians in two different study programmes.In this chapter, we present how simulation activity with participants physically present was transformed into an online learning situation. A brief presentation of students' and teachers' reflections on the pedagogical advantages and disadvantages of such a transition is also included. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Effects of metaverse-based career mentoring for nursing students: a mixed methods study.

BACKGROUND: There is a lack of studies on metaverse-based career mentoring for college students in both quantitative and qualitative research. This study aimed to examine the effect of metaverse-based career mentoring among nursing students and explore the experiences of mentors and mentees. METHODS: This study used a mixed methods design using both a survey for collecting quantitative data and focus group interviews for a qualitative one. A total of 8 mentors and 43 mentees participated in the metaverse-based career mentoring program. The program covered eight career fields and was delivered across eight sessions of 60 min each, over six days. Career decision-making self-efficacy among mentees and platform and program satisfaction were measured before and after the program. Afterwards, 7 mentors and 12 mentees participated in the focus group interviews to investigate their experience of participating in the metaverse-based career mentoring program. Quantitative data were analyzed using descriptive statistics, paired t-test, Wilcoxon signed-rank test, and Mann-Whitney U test. The qualitative data underwent thematic analysis. RESULTS: After the metaverse-based career mentoring program, mentees' career decision-making self-efficacy increased significantly compared to the baseline level. From the mentor-mentee focus group interviews, three key themes were derived: (i) communicating frankly and openly, (ii) being satisfied with realistic communication and program functions, and (iii) expecting an even more optimized program. CONCLUSIONS: A metaverse-based career mentoring program for nursing students can have a positive effect on their career decision-making self-efficacy. In addition, in terms of education, it is helpful as a non-face-to-face medium and feeling a sense of reality, so it is expected that it will be beneficial in education by applying various contents in the future.

Disturbances of nursing students in internship during emerging disease COVID-19 pandemic: A qualitative study.

AIM: The aim of the study was to examine the experiences of nursing students in internship during the COVID-19 pandemic. DESIGN: A qualitative study. METHODS: Purposeful sampling was conducted among undergraduate nursing students at Tabriz School of Nursing in November 2021. Students participated in 14 in-depth open-ended interviews and stated their experiences and opinions on internships during the COVID epidemic until full data saturation. Data analysis was performed using the conventional content analysis method. This study followed the Standards for Reporting Qualitative Research (SRQR) checklist. RESULTS: Findings were extracted and classified into five main categories, including a lack of facilities and equipment, psychological disturbances, physical risk, disturbances in education and learning activities and movement to continue clinical learning in the situation. CONCLUSION: Nursing students in clinical training during the COVID epidemic have experienced physical and mental health issues, as well as educational challenges. During an infectious disease epidemic period, education administrators should adopt appropriate strategies to protect students' health and facilitate their educational and learning activities.

Resilience and academic motivation's mediation effects in nursing students' academic stress and self-directed learning: A multicenter cross-sectional study.

AIMS: To investigate the mediating role of resilience and academic motivation between academic stress and self-directed learning. BACKGROUND: Academic stress in nursing students is a well-reported concept that affects resilience, academic motivation and self-directed learning. However, there is a dearth of studies investigating the mediating role of resilience and academic motivation between academic stress and self-directed learning. DESIGN: Cross-sectional study and mediation analysis. METHODS: Nursing students (n = 718) were recruited from five nursing schools via convenience sampling. Four self-report scales (Perception of Academic Stress Scale, Connor and Davidson Resilience Scale, Short Academic Motivation Scale and Self-directed Learning Instrument) were used to collect data from August to December 2022. Pearson's r, bivariate analysis and multistage regression analyses were employed to analyze the data. RESULTS: Academic stress negatively influences nursing students' resilience, academic motivation and self-directed learning. Resilience and academic motivation have a positive impact on self-directed learning. Resilience and academic motivation mediate the relationship between academic stress and self-directed learning, as evidenced by a reduction in the negative impacts of academic stress on nursing students. CONCLUSION: Resilience and academic motivation, as mediators, reduce the effects of academic stress on self-directed learning. Nursing educators and administrators should promote programs that strengthen resilience and academic motivation. Thus, improving educational and clinical performance.

Connecting lived experiences of pre-nursing students during COVID-19 with learner well-being: A qualitative inquiry.

AIM: To explore pre-nursing students' experiences and identify factors influencing their well-being as learners during COVID-19. DESIGN: A qualitative descriptive design was used. METHODS: Short answer study data (n = 289) were collected in Fall 2020 as part of a larger IRB-approved survey-based study focused on pre-nursing students. Participants were presented with three short answer questions designed to elicit a description of their experiences as a pre-nursing student. NVivo and reflexive thematic analysis were used to analyse participant responses. RESULTS: Six themes related to learner well-being emerged from the data. Learner well-being was supported by achieving academic goals, experiencing positive feelings about current course content, creating connections with peers and envisioning themselves as nurses in the future. Negative contributors to pre-nursing student well-being included managing fears of program rejection and juggling multiple roles and demands. Online learning necessitated by COVID-19 created opportunities for loneliness and isolation from peers, technological difficulties and additional psychological stress, which also contributed negatively to learner well-being. CONCLUSION: These findings illustrate pre-nursing students' experiences and provide support for the influence of the learning environment and factors within the individual on the well-being of learners. IMPACT: Students preparing to apply to nursing programs are an understudied population and little is known about their well-being as learners. Survey-based open-ended short answer questions can be utilized to gain rich insight into their experiences. The study themes and sub-themes can be utilized for discussion and reflection in courses with pre-nursing students and as a starting point for additional conversations between pre-nursing students and educators regarding improving the support of well-being in learners. Additional research and evidence-based interventions that promote learner well-being in pre-nursing students are needed as they prepare for nursing program admission and to support their academic progression. PATIENT OR PUBLIC CONTRIBUTION: Members of the public were not involved in the design or conduct of the study, analysis, or interpretation of the data, or in the preparation of the manuscript because the study focus is on gaining an understanding the experiences of pre-nursing students and their well-being.

Association between COVID-19 health knowledge, self-efficacy and preventive behaviors among nursing students

Nursing students possess valuable public health knowledge to prevent the spread of COVID-19 infection. They can provide health education to the public with reliable information and adequate resources. To better understand the role nursing students can take in prevention efforts, the purpose of this quantitative correlational study was to examine the association between COVID-19 health knowledge, self-efficacy, and preventive behavior among undergraduate nursing students. The health belief model was the theoretical framework that guided this study. The primary research questions assessed (a) if there was a statistically significant association between COVID-19 health knowledge and preventive behavior among nursing students, and (b) if there was a statistically significant association between self-efficacy and preventive behavior among nursing students. Using 283 surveys taken by nursing students from 11 CUNY colleges, a series of statistical analyses were conducted including a Shapiro-Wilk test, Spearman's correlation analysis, and linear regression. Spearman's correlation analyses were conducted to determine whether there was an association between COVID-19 health knowledge, self-efficacy, and preventive behavior variables. Key findings revealed that both COVID-19 knowledge and self-efficacy were positively correlated with behavioral intention, which was further confirmed by linear regression analyses. This study can positively impact social change by leading to the implementation of a more focused and cohesive information-sharing system which prioritizes best practices in preventive behaviors among health care workers. (PsycInfo Database Record (c) 2023 APA, all rights reserved)