The Effect of Nursing Students' Attitudes Towards Clinical Practices on Perceived Stress, Bio-Psycho-Social Response and Coping Behaviours with Stress

¹Batman University, Faculty of Health Sciences, Department of Fundamentals of Nursing, Batman, T�rkiye
²Mardin Artuklu University, Vocational School of Health Services, Department of Elderly Care, Mardin, T�rkiye
³Batman University, Faculty of Health Sciences, Department of Surgical Nursing, Batman, T�rkiye

Objective: This study was conducted to determine the effect of nursing students' attitudes towards clinical practice on perceived stress, bio-psycho-social response and coping behaviors and the level of relationship between them.
Methods: This study was cross-sectional, descriptive and correlational. The population of the study consisted of nursing students actively studying in two state universities located in the east of Turkey. The study was completed with the participation of 403 nursing students. Data were collected using the Student Identification Form, Attitudes Towards Clinical Practice Scale for Nursing Students (ATCPSNS), Perceived Stress Scale for Nursing Students (PSSNS), Bio-psycho-social Response Scale for Nursing Students (BRSNS) and Stress Coping Behaviors Scale (SCBSNS).
Results: In the study, the mean total score of the ATCPSNS was 88.43 (SD=20.18), the mean total score of the PSSNS was 59.55 (SD=21.62), the mean total score of the BRSNS was 36.18 (SD=17.26), and the mean total score of the SCBSNS was 39.30 (SD=9.54). In the study, a negative and moderately significant relationship was found between the total score of attitudes towards clinical practice and the total scores of perceived stress, bio-psycho-psycho-social response and coping behaviors with stress of nursing students. A one-unit increase in the attitude toward clinical practice was found to significantly predict a 0,180-point decrease in the biopsychosocial response score (B = -0.180; p<0.001), indicating a negative linear relationship between the two variables.
Conclusion: The study found a negative relationship between nursing students' total score of attitudes towards clinical practice and their perceived stress, bio-psycho-social responses, and coping behavior levels. It was concluded that as the attitude of nursing students towards clinical practices increases, the effect of bio-psycho-social response may decrease.

Keywords:

Hem�irelik ��rencilerinin Klinik Uygulamalara Y�nelik Tutumlar�n�n Alg�lanan Stres, Biyo-Psiko-Sosyal Yan�t ve Stresle Ba� Etme Davran��lar�na Etkisi

¹Batman �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Hem�irelik Esaslar� Anabilim Dal�, Batman, T�rkiye
²Mardin Artuklu �niversitesi, Sa�l�k Hizmetleri Meslek Y�ksekokulu, Ya�l� Bak�m B�l�m�, Mardin, T�rkiye
³Batman �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Cerrahi Hem�ireli�i Anabilim Dal�, Batman, T�rkiye

Ama�: Bu �al��ma, hem�irelik ��rencilerinin klinik uygulamalara y�nelik tutumlar�n�n alg�lanan stres, biyo-psiko-sosyal yan�t ve stresle ba� etme davran��lar�na olan etkisini ve aralar�ndaki ili�ki d�zeyini belirlemek amac�yla ger�ekle�tirilmi�tir.
Y�ntem: Kesitsel, tan�mlay�c� ve ili�kisel tipte tasarlanm�� olan ara�t�rman�n evrenini T�rkiye�nin do�usundaki iki devlet �niversitesinde ��renim g�ren hem�irelik b�l�m� ��rencileri olu�turmu� olup ara�t�rma 403 hem�irelik ��rencisinin kat�l�m� ile tamamlanm��t�r. Veriler, ��renci Tan�t�m Formu, Hem�irelik ��rencileri i�in Klinik Uygulamalara Y�nelik Tutum �l�e�i (H�KUYT�) Hem�irelik ��rencileri i�in Alg�lanan Stres �l�e�i (H�AS�), Biyo-psiko-sosyal Cevap �l�e�i (H�BC�) ve Stresle Ba� Etme Davran��lar� �l�e�i� (H�SBD�) kullan�larak toplanm��t�r.
Bulgular: Ara�t�rmada H�KUYT� toplam puan ortalamas� 88,43 (SS=20,18), H�AS� toplam puan ortalamas� 59,55 (SS=21,62), H�BC� toplam puan ortalamas� 36,18 (SS=17,26), H�SBD� toplam puan ortalamas� 39,30 (SS=9,54) olarak saptanm��t�r. Ara�t�rmada klinik uygulamalara y�nelik tutum toplam puan� ile hem�irelik ��rencilerinin alg�lanan stres, biyo-psiko-sosyal yan�t ve stresle ba� etme davran�� toplam puanlar� aras�nda y�nde ve orta d�zeyde anlaml� bir ili�ki belirlenmi�tir. Klinik uygulamalara y�nelik tutumun bir birim artmas�n�n, biyo-psiko-sosyal yan�t de�i�keninin 0,180 puan d��mesine neden oldu�u (B=-0,180; p<0,001) bulunmu�tur.
Sonu�: Ara�t�rmada, hem�irelik ��rencilerinin klinik uygulamalara y�nelik tutum toplam puan� ile hem�irelik ��rencilerinin alg�lanan stres, biyo-psiko-sosyal yan�t ve stresle ba� etme davran�� d�zeyleri aras�nda olumsuz bir ili�ki oldu�u saptanm��t�r. Hem�irelik ��rencilerinin klinik uygulamalara y�nelik tutum puan� artt�k�a, biyo-psiko-sosyal yan�t�n azalabilece�i sonucuna ula��lm��t�r.

Anahtar Kelimeler:

U�ur �ner, Ahmet Erol, Hediye �zbay, Mahmut Din�. The Effect of Nursing Students' Attitudes Towards Clinical Practices on Perceived Stress, Bio-Psycho-Social Response and Coping Behaviours with Stress. Journal of Health and Nursing Management. 2025; 12(2): 259-268

Corresponding Author: U�ur �ner, T�rkiye