Research Article
Stressors and Coping Strategies of the Saudi Nursing Students in
the Clinical Training: A Cross-Sectional Study
Salman H. Alsaqri
Medical Surgical Department, College of Nursing, University of Hail, Hail, Saudi Arabia
Correspondence should be addressed to Salman H. Alsaqri; slmn44@gmail.com
Received 6 April 2017; Accepted 24 May 2017; Published 14 June 2017
Academic Editor: Gwo-Jen Hwang
Copyright © 2017 Salman H. Alsaqri. Tis is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Nursing students ofen encounter high levels of stress through clinical practice that may cause psychological or emotional problems
during their professional life eventually afecting the quality of patient care they provide. Te aims of the current study were to
identify the level and types of stress perceived by nursing students in their clinical practice and to identify the coping strategies that
students used to relieve their stress. A descriptive, cross-sectional design was used in this study. A total of 200 students who were
enrolled in the nursing program were taken as study respondents. Research data were collected using the Perceived Stress Scale
(PSS) and the Coping Behavior Inventory (CBI). Data was analyzed using one-way ANOVA test, Pearson’s test, and independent
sample -test on SPSS version 22. Findings indicated that nursing students experienced a high level of stress. Te most common
coping strategy utilized by the students was problem solving, while avoidance was the least frequently used one. Saudi nursing
students experienced stress levels above the mean in clinical training. Te most common stressors were related to assignments and
workload. Te study recommends that clinical curriculum requirements and the workload of nursing students should be reviewed.
1. Introduction
Te nursing program has the desired end of producing
skilled and qualifed nurses who are capable of utilizing
their knowledge and skills in the practice of the profession.
Terefore, student nurses’ clinical training should be appro-
priately designed for them to develop cognitive, afective,
and psychomotor skills that are essential for ascending the
nursing career path [1]. Most nursing curricula allocate more
than half of the nursing students time for clinical expo-
sure using advanced technical instrumentation and perform
nursing skills that may cause severe impairment to their
patients, therefore increasing their worry of creating errors.
Terefore, they view the clinical area as a very stressful place
[2]. Learning challenges of the students in clinical practice
may cause stress which may directly or indirectly hinder their
performance [3]. Pryjmachuk and Richards [4] indicated that
stress during students training is similar to that experienced
by registered nurses. Moreover, stress afects almost each
profession. However, levels of stress are higher, and there
are a greater number of sources of stress among nursing
professionals with negative consequences for their health [5].
1.1. Bachelor of Science in Nursing in Saudi Arabia. Saudi
Arabia has undergone rapid nursing education changes in
recent years with the shift from associate degree education
and diploma nursing to the current four-year baccalaure-
ate degree education [6]. Te organization of the nursing
curriculum is afected by the Ministry of Education and
nursing education program requirements [7]. Nursing pro-
gram requirements contain all subjects related to preparing
students for the licensed professional nurse [7]. Te last year
of the program is an internship period in clinical practice,
providing the students with the chance to combine their skills
and knowledge. Te nursing program is covered over fve
years which are allocated to lectures, laboratory work, and
clinical practice that all delivered using English as a medium
of instruction [7]. More specifcally, the nursing program
at the University of Hail is designed to provide sophomore
nursing students fundamental nursing skills in laboratories
prior to clinical exposure on their junior and senior year. It
includes seventy-two (72) actual hours of clinical exposure
supervised and assessed by clinical instructors. Each clinical
course is concurrent with a theoretical course.
Hindawi
Education Research International
Volume 2017, Article ID 4018470, 8 pages
https://doi.org/10.1155/2017/4018470