CLINICAL PRACTICE ENVIRONMENT WITH STRESS LEVELS AMONG FIRST YEAR NURSING STUDENTS IN HOSPITALS

Abstract

Background: Clinical practice is an essential component of nursing education, complementing theoretical knowledge and preparing students to become competent professionals. However, clinical practice can be a significant source of stress, particularly for first-year nursing students.

Purpose: This study aimed to examine the relationship between the clinical practice environment and stress levels among first-year nursing students in hospital settings.

Methods: A cross-sectional study was conducted with ethical approval. The study population comprised 438 first-year nursing students, from which 202 participants were selected through purposive sampling. Data were collected using online questionnaires, including the Clinical Learning Environment Scale – T (CLES-T) and the Nursing Student Stress Scale (NSSS). Data analysis included univariate and bivariate analyses, with the chi-square test applied to assess associations.

Results: The findings indicated that 102 participants (50.5%) reported a positive clinical practice environment, while 106 participants (52.5%) experienced high stress levels. Bivariate analysis revealed a significant association between the clinical practice environment and stress levels (p = 0.001, OR = 3.889).

Conclusions: These results suggest that supportive clinical environments are crucial in reducing stress among nursing students. Institutions should implement strategies, such as structured guidance and nursing rounds, to foster a positive learning environment and mitigate stress during clinical practice.