Mẹo Hướng dẫn Which factor can the nurse incorporate that will assist in alleviating stress in the patient? Chi Tiết

Pro đang tìm kiếm từ khóa Which factor can the nurse incorporate that will assist in alleviating stress in the patient? được Cập Nhật vào lúc : 2022-09-02 00:40:21 . Với phương châm chia sẻ Bí kíp Hướng dẫn trong nội dung bài viết một cách Chi Tiết Mới Nhất. Nếu sau khi Read Post vẫn ko hiểu thì hoàn toàn có thể lại Comments ở cuối bài để Admin lý giải và hướng dẫn lại nha.

Nội dung chính

    1. IntroductionTable 1.Table 2.2. Stress and health in nursing students3. Social stressors in academic life4. Neuroendocrine responses in stressed nursing students4.1. Stress-related cortisol response in nursing students4.2. Effects of anti-stress interventions on endocrine responses of nursing students5. Stress and mental disorders6. ConclusionHow can nurses help patients giảm giá with stress?What is an appropriate way to relieve a patient’s stress?What were the 5 ways to help manage stress?What are four 4 options you could consider when responding to stress?

Recent coverage of the crisis in nursing has not made for comfortable reading. Research suggests that the NHS is short of 42,855 nurses, with those leaving the workforce citing a range of reasons, including pay cuts, low morale, understaffing, uncertainty over Brexit, and poor work-life balance. Could resilience help nurses weather the storm?

What the figures say

More than
17,000 nurses under the age of 40 left the NHS in 2022/17. The RCN has claimed that the NHS is ‘haemorrhaging’ nurses a time of unparalleled demand for health and social care services, describing the situation as a ‘perfect storm’ that is engulfing nursing in the UK.1 On an even darker note, a 24% increased risk of suicide amongst female health professionals has been recorded by the Office of National Statistic (ONS),largely explained by a high suicide risk among female

Workplace stress, exacerbated by staffing shortfalls, is likely to be playing a major role. The NMC provides evidence that working conditions are a major factor in nurses leaving the profession.3 In short, there is a multitude of stressors in nursing practice, ranging from the emotional labour of the need to be compassionate to work overload and a lack of resources.

Is developing resilience the answer?

login or register to read the rest of the article and to have access to downloads and comments.

Open access peer-reviewed chapter

Submitted: June 8th, 2022 Reviewed: December 7th, 2022 Published: September
19th, 2022

DOI: 10.5772/intechopen.72993


Stress is a physiological response that impacts the cognitive, emotional, behavioral, and social components. It also involves the adaptation of the organism, the coping resources, and the environment. In young people, stress can be triggered by social
interactions or school requirements. This chapter is a narrative review analyzing scientific bibliography from the main databases (NIH, Scielo, Redalyc) that explored the main stressors and their effects on nursing students. These stressors include the care of patients, assignments and workloads, academic evaluations, and negative or hostile social interactions. Data include the deleterious effects of stress in nursing students as anxiety, depression, inhibiting learning, and burnout, which
negatively impact their academic development and health. Finally, some interventions to reduce the impact of stress are discussed. Conclusion: Stress responses in nursing students vary in duration and intensity during their academic training; final effects depend on the coping mechanisms, individual resources, and hospital environment. The effects of stress on nursing students impact on academic performance but could also trigger several psychiatric disorders as depression or anxiety, as well as
other associated problems such as sleep disorders, alcohol, and psychoactive drug consumption, which in the short and long term may affect the patient care.


    nursing studentsstresspsychiatric disorderscholar stress

    Frank Pulido-Criollo*

      School of Nursing, University of Papaloapan (UNPA), México

    Jonathan Cueto-Escobedo

      Institute of Neuroethology, University of Veracruz (UV), México

    Gabriel Guillén-Ruiz

      Institute of Neuroethology, University of Veracruz (UV), México

*Address all correspondence to:

1. Introduction

The term stress comprises the physiological and psychological responses that prepare the organism to cope with stimulus
called stressors that are interpreted as challenging to the individual [1]. Deleterious effects of stress have been observed from the first scientific description of stress by Selye [2]. Traumatic events can trigger intense stress response on the organism, while daily routines as job, economical, or
academic pressures can elicit mild responses of stress during prolonged periods of time; in both cases, stress responses can be altered producing deleterious effects on health [3]. Although today the concept of stress has been extensively used and discussed, least two different perspectives of stress must be mentioned: one is organic and the other is psychological
[4]. Table 1 shows the main similarities and differences of these two perspectives.

Stress like an uncontrolled response by the organism that can be pleasant or unpleasant
Stress as an adaptive process and the development of the organism’s abilities
Stress seen as a process of transaction between environment and individual that is emphasizing the cognitive part and the response of the organism to the stimulus, not only by physiological reactions

Table 1.

Perspectives of the concept of stress.

Adapted from: Holahan [4].

Another point of view proposed that stress occurs due to demands that exceed individual resources, affecting the adaptive, cognitive, and emotional capacities of the subject
[5]. From this perspective, psychological stress has three types of cognitive assessments. In the first cognitive evaluation, the subject discards or recognizes the threatening, beneficial, or insignificant situations based on personal beliefs, self-efficacy, goals, and situational factors. In the secondary cognitive evaluation, the subject estimates the own resources of coping, including the skills
to change the situation or reducing the aversive impact. In the last cognitive stage, the subject perceives and reinterprets the stressful situation; that is, there is a reevaluation of a situation that originally was considered threatening and is reinterpreted as benign. In nursing students, stress can be produced when the demands are perceived as excessive and uncontrollable, and its effects are related to health problems [6, 7]. Table 2 describes the classification and impact of stress on health.

KindDescriptionImpact on healthExamplesAcute
It comes in daily life environment, is short in duration, and has no severe effects on health. This type of stress helps the individual develop coping skills
Emotional agony; muscle, stomach, and intestinal problems; and transient over-excitation
Loss of a loved one
This type of stress is intense and repetitive without being established as chronic
Prolonged agitation, severe and persistent headaches, migraines, hypertension, chest pain, and heart disease
Individuals with personality type A (DSM-V) and people who develop in hostile environment
Intense, repetitive, and exhausting and leads to the development of diseases
Violence, nervous breakdowns, heart attacks, strokes, cancer, and even suicide
Traumatic experiences of childhood and suffering some illness

Table 2.

Classification of stress.

Adapted from: Herrera [8].

Another theoretical perspective on stress is Neuman’s model, which considers stress as the product of the instability of a client system (individual-environment-staff), in which stressful elements join in
[9, 10, 11, 12]. Although some stimuli that are generated within the limits of the client’s system are
stress-producing, they trigger a result that can be positive or negative; it makes necessary to explore the results that stress produces in nursing students during academic training. The stressors that nursing students face daily would be the following: (a) Intrapersonal forces occur within the individual, such as conditioned responses, thoughts, and sensations. (b) Interpersonal forces refer to negative relationships between students, patients, and staff, e.g., the expectations of the patient
or student about the role in a hospital. (c) Extra-personal forces occur outside the individual, such as the student’s economic circumstances [9, 10]. Thus, interventions to reduce stress should be routed in three directions. The goal of primary prevention is to reduce the possibility of facing a
stressor or reduce the possibility of a reaction. In secondary prevention, intervention is made after the client responds to the symptoms of stress. The customer’s internal and external resources are used to reinforce internal resistance, reduce reaction, and increase resistance factors. Tertiary prevention takes place after active treatment or the secondary prevention phase; it aims to ensure that the patient recovers the optimal stability of the system in Neuman’s model
[9, 11, 12].

In summary, stress should be seen as the result of the interaction between the environment and the individual; in the case of nursing students, the specific stressors are related
to factors of academic life and hospital practices, which are often intense, repetitive, and exhaustive (see Figure 1).

Figure 1.

Model stress in nursing student. Note: This figure illustrates the interaction between the nursing student and the stressors.


2. Stress and health in nursing students

Exploring the effects of stress in students is important in many aspects, but two are
outstanding. First, most of the students are young, and the effects of stressful events in young can last until adulthood, increasing the risk of suffering mental health disorders [13, 14] among other risks on health
[15]. Mental health in nursing students will be reviewed in Section 5. Second, stress can reduce learning skills [16] indispensable in academic environments; the reduction of learning skills is a factor of great importance since it reduces the resources of students to achieve academic success. It is
known that stress is triggered by stimulus according to the age of the person [17]. In this sense, school environments can expose individuals to stressors as harassment by peers, schoolwork pressure, and being treated careless by teachers; all these stressors can be severe enough to produce psychosomatic pain, psychological complaints such as feeling unsafe and nervous, irritability, sadness, and
depression [18, 19]. The effects of stress in school can negatively impact social dynamics between peers and teachers, and these in turn can produce more stress that in consequence triggers mental health problems such as anxiety and depression
[20, 21].

Prevalence of academic stress is very high in health students, especially in nursing and medicine students according to several reports [22,
23, 24, 25, 26]. Thus, the importance of studying the stressors in nursing students lies in the deleterious
effects on cognitive performance and health, i.e., the development of mental disorders such as depression, anxiety, eating disorders, sleep, and substance use [27], but also experience of stress can result in students experiencing ineffective communication and inefficient work, decreasing the quality of health-care services [24].


3. Social stressors in academic life

Social stressors affecting nursing students can be grouped according to the experience of formative knowledge and applied knowledge. Formative knowledge element refers to the academic life of the nursing student. In a study that included 81 postgraduate students in full-time and
part-time nursing in Jamaica, the authors found that 50% of participants indicated experiencing the moderate level of stress related to the program of study. The highest stress scores were related to the preparation, the final result of the exams, and the academic load of the student [28]. These findings are similar to those found in Latin American students, in which 89 students of nursing from Lima
(Peru) reported in 2005 excessive academic workload, academic test, and lack of time to complete academic assignments as the main stressful stimuli during training [29].

Regarding the styles of coping stress, according to a longitudinal research with 249 Spanish nursing students, there exist differences between coping styles related to sex, being women who use more an emotional coping
approach than men, while male students tend to use more behaviors as alcohol and drug consumption to cope with stressful situations. Surprisingly, the emotional coping observed was positively correlated with neuroticism and negatively with friendliness and scrupulousness.

Finally, the authors demonstrated that nursing students experienced an adaptation to the stressful events during academic life when comparing last year students with the first year nursing students
[26]. Similarly, stress and resilience scores in a cohort study of 1538 undergraduate nursing students in China showed an influence of academic progress (years) on the stress scores; senior students reported lower stress scores compared to less advanced students [30]. Also, a cross-sectional study of
474 nursing students from three different universities in China found high scores on two subdimensions of the stress role scale: role of conflict and role of ambiguity. This means that the main cause of stress is because most students have no idea what activities they are going to do during their stay in the hospital. Additionally, the authors demonstrate that when the student has a very well-defined identity as a nurse he or she tends to have low scores of stress

When students experience applied knowledge, stressful situations are mainly related to the nurse–patient interaction, which implies specific care according to the illness and needs of the patient, in addition to the application of knowledge and skills during nursing practices (see Section 4.1). For example, a qualitative study analyzed seven Iranian nursing students and found
that the social environment of hospitals is stressful enough during their first practices, where students experience feelings of being inefficient, followed by being ignored, and also experience ineffective communication, sadness, and ambiguity of the activities they are assigned to do [24]. Additionally, experiencing the death of a patient is considered an extremely stressful situation for nursing
students [32]. In another example, using an adaptation of the Student Nurse Stress Index (SNSI) to Turkish nursing students, it has been found that there are four stressors in students: academic load, clinical concerns, personal problems, and interface worries. The factor with greater influence was the personal problems of the patients, while the factor with the lower influence was the academic
load. This means that the problems related to the patient tend to be more stressful than some other stressors [33].

Besides, it has been shown that the sense of self-efficacy is positively correlated to active coping styles as planning, positive reinterpretation of the context, acceptance of the sự kiện, and emotional tư vấn during the first clinical practice; all these are observed in
394 polish students during the first year of the career. This means that the student tends to experience less stress when they feel ready to successfully perform a procedure to the patient. In the same way, people with low perceived stress tend to have a high sense of self-efficacy [34].

In all previous studies, the stress levels were increased when the student started clinical
practicing, i.e., the application of knowledge and ethical and legal responsibility about the care of the patient; this stress response can differ according to individual differences. One of those differences seems to be gender, as shown in a research in which 215 nursing students from Murcia showed that women had higher stress scores than men during clinical practice, in subjects related to emotional items (contact with the suffering of others, emotional implications with the patient); these
findings do not mean in any sense that women are less prepare to cope with stress, but women are probably more empathic with the patient. Likewise, there is a statistically significant relationship between age and subjects experiencing impotence or uncertainty in a given situation, excessive overload of work, and lack of knowledge of a clinical situation, especially in students under 21 years of age
[35]. In contrast, in a study that included 45 students of the University of Murcia, it was found that men get more stressed than women; this statistically significant difference between both sexes was present on the topics related to the management of new technologies, contact with the suffering of others, not knowing how to control the relations with the patient, and the concern about the results
of the evaluation in practice [36]. In short, the first professional practices like social service prove to be more stressful for nursing students than theoretical training because student are required to put into practice all the acquired knowledge and skills in a real context. So, experience stress during nursing practice could be due to a possible discrepancy between curricula and practice, in
addition to the structural conditions found in most Latin American hospitals [37, 38].

Another social factor producing stress in students can be related to cultural differences due to nationality or cultural identity. Ethnically, diverse nursing graduate students, including Latin, have
reported difficulties to adapt in school due to cultural differences during academic life in foreign countries; that is, these students felt the need to validate their capacities and skills to others, based on the fact that native students recognized their differences as evidenced by skin tone or language. In these cases, feelings of isolation and marginalization are experienced when the environment do not recognize their cultural identity. These students tend to feel they are not socially
integrated or fully accepted, which causes stress and increases the probability of attrition and desertion [39, 40]. In the same study, protector factors against the stress produced by cultural differences, such as services of financial aid that alleviates monetary worries, social activities, assignment
of a faculty mentor, achievement, or progress of academic goals, were also identified [40]. All these supports findings reported in Mexican American students that related academic success with financial assistance, bicultural relations, and experiencing authentic caring relationships from institutional agents, family, and peers


4. Neuroendocrine responses in stressed nursing students

Research about the effects of stress on nursing students has been developed since the early 1970s; nevertheless, the effects on the hormone levels and other physiological functions in
nursing students have been scarcely reported until now [42]. Stress hormones, i.e., cortisol, are produced by hypothalamic-pituitary-adrenal axis. The paraventricular nucleus of the hypothalamus produces corticotropin-releasing hormone (CRH), which in turn stimulates the pituitary to produce adrenocorticotropin (ACTH). Then, ACTH stimulates the adrenal cortex to secrete cortisol in order to increase
energy availability [15, 43], but in a long term, this response can be deleterious. On healthcare professionals, the explored deleterious effects of stress on physiological status comprise alterations on energetic metabolism and body toàn thân mass
[44]. Additionally, stress hormones impair plasticity in the hippocampus of animals [45] and human beings, affecting learning skills [16] and contributing to the development of pathologies as anxiety and
depression [46, 47]. For these reasons, the study of physiological effects of sustained high stress hormones in nursing students is a key factor to understand the deleterious effects of stress. In this sense, measures of salivary cortisol seem to be useful to explore the effects of different
environmental stressors and anti-stress interventions [48].

Studies of cortisol levels in nursing students have been performed under several circumstances in which students are exposed to different kinds of stressors. For example, 21 nurse anesthesia students were tested on salivary
cortisol levels during 3 days for baseline measures; after that, 16 continued the experiment and experienced a session of high-fidelity patient simulationused for training students on the contact with patients. The simulation was carried on in the presence of evaluators. Results showed a significant increase of cortisol
levels of students after experiencing the simulation, in which cortisol levels were threefold higher than the control [49]. Another study explored the effects of social factors on stress responses by exposing final semester nursing students to high-fidelity
patient simulationunder three different circumstances: low anxiety (patient was a Laerdal© advanced life tư vấn[ALS] manikin, additionally an actor played as a registered nurse), medium anxiety (the patient and a registered nurse were actors), and high anxiety (patient and registered nurse actors were accompanied
by a visiting and inquisitive friend [actor] that asked questions from a standardized script as “Why do you have to flush the line?” and “When do you think I can take him out of here?”). Students from the group of high anxiety had higher changes in heart rates and levels of cortisol when compared to the low anxiety group [50]. These findings show that stress in students can be modulated through
different factors, including social interactions. It is also important to control the levels of stress during simulation, since the effects of stress on learning in nurse students during simulations are still not clear enough [51].

Additionally, nursing students are required to complete clinic practice; this process often implies covering night shifts. It has been documented that
night shifts in nurses are stressful enough to alter the circadian rhythm of cortisol secretion after 5 days when compared to nurses with day shifts. At least 2 days off seem to be necessary to restore the circadian rhythm of cortisol [52]. Moreover, in a Brazilian study, nurses (46 females, 11 males) had higher levels of salivary cortisol (564.1 ng/mL) on work day than cortisol
levels (354.1 ng/mL) on days off [53]. These data should be taken carefully since samples were collected by participants itself under different uncontrolled circumstances, and values reported in abstract are different to values reported on tables. It is logical to assume that nursing students doing clinical practice under night shifts and high workload are vulnerable to changes in cortisol
patterns, and then night shifts and workload are other stressors that may be affecting health in nursing students.

On the other hand, measures of cortisol obtained from 26 female nursing students in the fourth year of school in Osaka showed that salivary cortisol (μg/dL) did not significantly change 10 min before an academic examination (0.148 ± 0.024), immediately after the examination (0.156 ± 0.037), and 2 h after the examination (0.102 ± 0.034)
[54]. In contrast, the same study found increases of salivary immunoglobulin A (IgA) and salivary chromogranin A (CgA) in response to the stress of examination. This finding contrasts with other studies in which salivary cortisol levels changed in response to examination in junior and senior nursing students
[55]. Plasma cortisol levels were also measured in 92 female nursing students (19–21 years old) from Suzhou Health College under school and clinic conditions during a month. Although results of this study suggested a modest increase of anxiety in clinic conditions measured with the State Anxiety Inventory (SAI), cortisol levels did not vary significantly
[42]. Authors suggest that plasma cortisol could be a good marker for acute stress but not for the chronic effects. All together, these findings suggest that salivary cortisol measures in healthy nursing students vary according to the kind of stressor and the schedule of exposition.

Finally, in a study on 69 health professionals from a palliative care unit, including 32 nursing
assistants and 30 nurses that met the burnout criteria with the Maslach Burnout Inventory-Human Services Survey(MBI-HSS), the average levels of salivary cortisol in the group with one dimension of burnout (14.17 nmol/L) were higher than non-burnout group (8.83 nmol/L)
[56]. High levels of salivary cortisol are also observed in nursing students with high scores of depression, anxiety, and stress [46]. These findings suggest that cortisol is a useful biomarker of emotional health deterioration due to stress in nursing students and professionals.

4.2. Effects of anti-stress interventions on endocrine responses of nursing students

Several anti-stress interventions have been implemented with the aim to reduce stress in nursing students and professionals, but most of these works are based in self-reports of a decrease in symptoms of stress, and they lack of physiological measures as stress-related hormones. In this sense, few works have explored the effects of anti-stress manipulations on
endocrine responses in students to test the efficacy of these interventions. For example, nursing students (16–20 years old) from a nursing college in Taiwan which have scored 8 points or higher on the Depression Mood Self-Report Inventory for Adolescence(DMSRIA) were randomly assigned to a control group (n = 40)
and an experimental group (n = 31) that was exposed to Chinese five-element music for 40 min twice a week for 10 weeks. Saliva samples were collected before music exposure and during weeks 1, 5, and 10 of music 11 am. Music treatment reduced cortisol levels on weeks 5 and 10; however, these changes did not reach statistical significance [57]. It is also important to note
that music was played in a group setting, while control groups had no manipulation; thus, the effect of music cannot be isolated from any possible effect of being part of a group when listening to the music, a possibility that remained to be explored.

It has been reported that physical activities can ameliorate the impact of stress. For example, 18 nursing students who practiced a traditional Chinese exercise called Qigong twice a week for 10 weeks had lower scores of
depression, anxiety, or stress than 16 control students interviewed with questionnaires DASS-21 and PHQ. This improvement was related with a decrease in salivary cortisol concentrations [46], which agrees with the beneficial effects of exercise in the brain functions the preclinical level

Taken together these findings suggest that cortisol is not strongly correlated to the stress experienced by nurses or nursing students in different circumstances. Studies from other healthcare professionals point out the same findings. In physicians and paramedics, cortisol showed very little variation in response to the stress produced in high-fidelity patient simulation used for training, while salivary alpha-amylase appeared to be more sensitive than salivary cortisol to measure
stress in a simulated prehospital environment [58].


5. Stress and mental disorders

Mental illnesses are a health problem with high prevalence in the young adult population
[59, 60]. Within this population, students are highly vulnerable, especially in the areas of health sciences. Careers as medicine, dentistry, and nursing are very demanding physically, intellectually, and emotionally for the students, who are exposed to high levels of stress during their formation.
Particularly, in the last year of student training, they are exposed to severe emotional stress and exhaustion. The stressors they face come from different ways such as academic factors, the demands of proper performance in clinical practice, academic assessments, and future expectations about employment [60]. In addition, social, emotional, and physical pressures, as well as family and personal
problems, affect student’s learning ability and academic performance [61] and predispose the young students to the development of mental disorders such as anxiety and depression [62, 63, 64]. The impact of stress on nursing students can affect the nurse–patient relationship; nurses have more interaction during and after an intervention with the patient. Similarly, being exposed to environmental stressors could lead to dissatisfaction and burnout in nursing staff [65,
66, 67].

It is estimated that up to 55% of young adults report depressive symptoms, burnout, and increased frequency of alcohol consumption during their life as student [68,
69] and about 42% of students develop a mental disorder, a situation that predominates in the female gender with a prevalence of 62% of this population, with an average age of onset of 23.5 years [70]. The most common mental disorders affecting students are anxiety disorders, particularly in women
[60], and they also report higher levels of stress than men [71]. Seventy-five to ninety percent of medical students, including nursing, increase alcohol and tobacco consumption particularly in the last year of their medical education
[72]. Most of the cases (72%) feel a state of emotional well-being that helps to cope with the experienced psychological stress they are exposed to, despite being aware of the consequences of excessive alcohol and tobacco consumption [72]. Something similar has been reported in nursing students, where
stress, environmental influences, social acceptance, and easy availability of alcohol, as well as anxiety generated by the difficulty of the educational program, are factors that increase alcohol consumption in this population [73]. In the general population of these students, 44.4% report feeling emotionally stressed and develop some mental disorder.

On the other hand, subjects
exposed to stressors but with a network of emotional tư vấn reported feelings of happiness; so, it is suggested that tư vấn networks help to decrease susceptibility to develop mental disorders [70]. The absence of such emotional tư vấn networks in students increases the risk of developing some mental disorder; students reported having some physical illness or mental disorder diagnosed by a
psychiatrist with no significant differences on prevalence between careers of the health science, such as medicine, dentistry, and nursing [70]. Additionally, it has been observed that factors such as religious practice are a potential factor for resistance to mental disorders, such as alcoholism, anxiety, depression, suicide rate
[74, 75], and burnout [68].

These data tư vấn the idea that there is a strong relationship between the physical and psychosocial stresses to which nursing students and other health careers
are exposed, with the susceptibility to develop some mental disorder, and that the presence of some religious beliefs and social tư vấn networks, such as the family, diminishes the susceptibility to the development of such disorders.


6. Conclusion

There is plenty of evidence that nursing students are exposed to high levels of stress during
their preparation. Among the most frequently stressors mentioned in literature are excessive workload, lack of time to accomplish academic assignments, test, interaction with patients, and negative interactions with peers and family. At the academic level, the stressors can be the result of a gap between the academic preparation and the practical training or the environments produced in universities and hospitals. In this sense, the educational models must contemplate simulations of the real
life that the students will face work. Such programs must also include the development of social, emotional, coping, and buffering skills. Levels of stress on nursing studies are strong enough to change secretion of cortisol with potential deleterious effects. Physical and psychosocial stress in nursing and healthcare students increased susceptibility to develop some mental disorder, and social tư vấn networks diminish the susceptibility to the development of such disorders. Thus, stress
must be considered during the formation of nursing students to optimize their academic performances and avoid deleterious effects.


1. Herman JP, Figueiredo H, Mueller NK, Ulrich-Lai Y, Ostrander MM, Choi DC, Cullinan WE. Central mechanisms of
stress integration: Hierarchical circuitry controlling hypothalamo-pituitary-adrenocortical responsiveness. Frontiers in Neuroendocrinology. 2003;24(3):151-1802. Selye HA. Syndrome produced by diverse nocuous agents. Nature. 1936;138:1323. Charmandari E, Kino T, Souvatzoglou E, Chrousos GP. Pediatric stress: Hormonal mediators and human development. Hormone Research. 2003;59:161-1794. Holahan C. Psicología Ambiental: Un enfoque
general. Limusa: México; 20005. Galán S, Camacho EJ. Estrés y salud, investigación básica y aplicada. Manual Moderno y UASLP: México; 20126. Campos C, Sloan
A. Stress reduction in the hospital room: Applyng Ulrich’s theory supportive design. Journal of Environmental Psychology. 2015;41:125-134. DOI: 10.1016/j.jenvp.2014.12.0017. Mei-Fang C. Self-efficacy or collective efficacy within the cognitive theory of stress model: Which more effectively explains
people’s self-reported proenvironmental behavior? Journal of Environmental Psychology. 2015;42:66-75. DOI: 10.1016/j.jenvp.2015.02.0028. Herrera-Covarrubias D, Coria-Avila GA, Muñoz-Zavaleta DA, Graillet-Mora O, Aranda-Abreu GE, Rojas-Durán F, Hernández ME, Ismail N. Impacto del estrés psicosocial en la salud.
Eneurobiología. 2022;8(17):2206179. Raile M. Modelos y teorías de la enfermería. España: Elsevier; 201510. Graham MM, Lindo J, Bryan VD,
Weaver S. Factors associated with stress among second year student nurses during clinical training in Jamaica. Journal of Professional Nursing. 2022;32(5):383-39111. Ahmadi Z, Sadeghi T. Application of the Betty Neuman systems model in the nursing care of patients/clients with multiple sclerosis.
Multiple Sclerosis Journal—Experimental, Translational and Clinical. 2022;3(3): 2055217317726798. DOI: 10.1177/205521731772679812. Davis J. Buffering the stress of programmatic accreditation. Teaching and Learning in Nursing. 2022;13(1):14-17. DOI: 10.1016/j.teln.2022.08.001
13. Gunnar MR, Fisher PA, Early Experience, Stress, and Prevention Network. Bringing basic research on early experience and stress neurobiology to bear on preventive interventions for neglected and maltreated children. Development and Psychopathology. 2006;18(3):651-67714. Heim C, Newport DJ, Mletzko T, Miller AH, Nemeroff CB. The link between childhood trauma and depression: Insights from HPA axis studies in humans. Psychoneuroendocrinology. 2008;33(6):693-71015. Schneiderman
N, Ironson G, Siegel SD. Stress and health: Psychological, behavioral, and biological. Annual Review of Clinical Psychology. 2005;1:607-62816. Dinse HR, Kattenstroth JC, Lenz M, Tegenthoff M, Wolf OT. The stress hormone cortisol blocks perceptual learning in humans. Psychoneuroendocrinology. 2022;77
:63-6717. Seligman MEP. Emotional development and education. In: Atkinson RC, Lindzey G, Thompson RF, editors. Helplessness on Depression, Development and Death. New York: WH Freeman and Company; 1992. pp. 134-15918.
Fröjd AS, Nissinen SE, Pelkonen MU, Marttunen MJ, Koivisto AM, Kaltiala-Heino R. Depression and school performance in middle adolescent boys and girls. Journal of Adolescence. 2008;31(4):485-49819. Hjern A, Alfven G, Ostberg
B. School
stressors, psychological complaints and psychosomatic pain. Acta Paediatrica. 2008;97(1):112-11720. La Greca AM, Harrison HM. Adolescent peer relations, friendships, and romantic relationships: Do they predict social anxiety and depression? Journal of Clinical Child and Adolescent Psychology. 2005;34
(1):49-6121. McElhaney KB, Antonishak J, Allen JP. They like me, they like me not: Popularity and adolescents´ perceptions of acceptance predicting social functioning over time. Child Development. 2008;79(3):720-73122.
Goff AM. Stressors, academic performance, and learned resourcefulness in baccalaureate nursing students. International Journal of Nursing Education Scholarship. 2011;8(1). [Online]. DOI: 10.2202/1548-923X.211423. Yamashita K,
Saito M, Tahao T. Stress and coping styles in Japanese nursing students. International Journal of Nursing Practice. 2012;18(5):489-496. DOI: 10.1111/j.1440-172X.2012.02056.x24. Rafati F, Nouhi E, Sabzehvari S, Dehgahan N. Iranian nursing students’ experience of stressors in their first clinical
experience. Journal of Professional Nursing. 2022;33(3):250-257. DOI: 10.1016/j.profnurs.2022.09.00325. Grobecker P. A sense of belonging and perceived stress among baccalaureate nursing students in clinical placements. Nurse Education Today. 2022;36:178-183. DOI: 10.1016/j.nedt.2015.09.015
26. Fornés-Vives J, García-Banda G, Frías-Navarro D, Rosales-Viladrich G. Coping, stress, and personality in Spanish nursing students: A longitudinal study. Nurse Education Today. 2022;36:318-333. DOI: 10.1016/j.nedt.2015.08.01127.
Sato-Kurebayashi LF, Miyuki J, Paes MJ. Correlations between stress and anxiety levels in nursing students. Journal of Nursing Education and Practice. 2012;2(3):128-134. DOI: 10.5430/jnep.v2n3p12828. Brown K, Anderson P, Mc
Pherson AN. Academic-related stress among graduate students in nursing in a Jamaica school of nursing. Nurse Education in Practice. 2022;20:117-12429. Tam Phun E, dos Santos CB. Alcohol consumption and stress in second year nursing students. Revista Latinoamericana de enfermagem. 2010;18:Spec
No: 496-50330. Smith G, Yang F. Stress, resilience and psychological well-being in Chinese undergraduate nursing students. Nurse Education Today. 2022;49:90-95. DOI: j.nedt.2022.10.00431. Sun L, Gao Y, Yang J, Xiao-Ying Z, Yao-Gang W. The impact of professional identity on role stress in nursing students: A cross-sectional study. International Journal of Nursing Studies. 2022;63:1-8. DOI: j.ijnurstu.2022.08.01032. Figley CR. Compassion
Fatigue: Coping with Secondary Traumatic Stress Disorder in Those who Treat the Traumatized. New York: Brunner/Mazel; 199533. Sarikoc G, Demiralp M, Oksuz E, Pazac B. Turkish version of the student nurse stress index: Validity and reliability. Asian Nursing Research. 2022;11(2):128-133. DOI:
10.1016/j.anr.2022.05.00634. Body-Cupak I, Majda A, Zalewska-Puchata J, Kaminska A. The impact of a sense of self-efficacy on the level of stress and the ways of coping with difficult situations in Polish nursing students. Nurse Education Today. 2022;45:102-107. DOI: 10.1016/j.nedt.2022.07.004
35. López F, López MJ. Situaciones generadoras de estrés en los estudiantes de enfermería en las prácticas clínicas. Ciencia y enfermería. 2011;17(2):47-54. DOI: 10.4067/S0717-9553201100020000636.
Moya M, Larrosa S, López C, López I, Morales L, Simón A. Percepción del estrés en los estudiantes enfermería ante sus práticas clínicas. Enfermería Global. 2013;12(31):232-25337. Rouvier M, González MA, Sesia P. Problemas del Sistema de salud en estados de
México con alta incidencia de mortalidad maternal. Salud Pública de México. 2013;55(2):185-19238. Cardona D, Acosta LD, Bertone CL. Inequidades de salud entre países de Latinoamérica y el Caribe (2005-2010). Gaceta Sanitaria. 2013;27(4):292-29739. Alicea-Planas J. Hispanic nursing students’ journey to success: A meta-synthesis. Journal of Nursing Education. 2009;48(9):504-51340. Veal JL, Bull MJ, Miller JF. A
framework of academic persistence and success for ethnically diverse graduate nursing students. Nursing Education Perspectives. 2012;33(5):322-32741. Taxis JC. Fostering academic success of Mexican Americans in a BSN program: An educational imperative. International Journal of Nursing Education Scholarship.
2006;3:Article 19. DOI: 10.2202/1548-923X.129842. Lei J, Jin H, Shen S, Li Z, Gu G. Influence of clinical practice on nursing students’ mental and immune-endocrine functions. International Journal of Nursing Practice. 2015;21(4):392-40043. Spencer RL, Deak T. A user’s guide to HPA axis research. Physiology and Behavior. 2022;178:43-6544. Guerra A, Soares RM, Pezzi F, Karkow FJ, Faintuch J. Nutritional, metabolic and
cardiovascular correlations of morning cortisol in health care workers in a gastroenterology service. Arquivos de Gastroenterologia. 2015;52(2):88-9345. Schoenfeld TJ, McCausland HC, Morris HD, Padmanaban V, Cameron HA. Stress and loss of adult neurogenesis differentially reduce hippocampal volume. Biological
Psychiatry. 2022;82(12):914-923. DOI: 10.1016/j.biopsych.2022.05.01346. Chan ES, Koh D, Teo YC, Hj Tamin R, Lim A, Fredericks S. Biochemical and psychometric evaluation of self-healing Qigong as a stress reduction tool among first year nursing and midwifery students. Complementary Therapies in Clinical
Practice. 2013;19(4):179-18347. Sun L, Sun Q., Qi J. Adult hippocampal neurogenesis: An important target associated with antidepressant effects of exercise. Reviews in the Neuroscience. 2022;28(7):693-703. DOI: 10.1515/revneuro-2022-007648. Granger DA, Johnson SB, Szanton SL, Out D, Schumann LL. Incorporating salivary biomarkers into nursing research: An overview and review of best practices. Biological Research for Nursing. 2012;14(4):347-35649. Jones T, Goss S, Weeks B, Miura H, Bassandeh D, Cheek DJ. The effects of high-fidelity simulation on salivary cortisol levels in SRNA students: A pilot study. The Scientific World Journal. 2011;11:86-9250. Mills B, Carter O, Rudd C, Claxton L, O’Brien R. An experimental
investigation into the extent social evaluation anxiety impairs performance in simulation-based learning environments amongst final-year undergraduate nursing students. Nurse Education Today. 2022;45:9-1551. McGuire K, Lorenz R. Effect of simulation on learner stress as measured by cortisol: An integrative
review. Nurse Educator. 2022;43(1):45-49. DOI: 10.1097/NNE.000000000000039352. Niu SF, Chung MH, Chu H, Tsai JC, Lin CC, Liao YM, Ou KL, O’Brien AP, Chou KR. Differences in cortisol profiles and circadian adjustment time between nurses working night shifts and regular day shifts: A prospective longitudinal
study. International Journal of Nursing Studies. 2015;52(7):1193-120153. Pires da Rocha MC, Figueiredo de Martino MM, Grassi-Kassisse DM, Luiz de Souza A. Stress among nurses: An examination of salivary cortisol levels on work and day off. Revista da Escola de Enfermagem da USP. 2013;47(5):1194-1201.
DOI: 10.1590/S0080-62342013000050002554. Takatsuji K, Sugimoto Y, Ishizaki S, Ozaki Y, Matsuyama E, Yamaguchi Y. The effects of examination stress on salivary cortisol, immunoglobulin A, and chromogranin A in nursing students. Biomedical Research. 2008;29(4):221-22455. Clutter LB, Potter WT, Alarbi A, Caruso JF. Test anxiety and salivary cortisol levels in nursing students. Nurse Educator. 2022;42(1):28-3256. Fernández JC, Pérez-Mármol JM,
Blásquez A, Santos AM, Peralta MI. Association between burnout and cortisol secretion, perceived stress, and psychopathology in palliative care unit health professionals. Palliative & Supportive Care. 2022;April 24:1-12. DOI: 10.1017/S147895151700024457. Chen CJ, Sung HC, Lee MS, Chang CY. The
effects of Chinese five-element music therapy on nursing students with depressed mood. International Journal of Nursing Practice. 2015;21:192-19958. Valentin B, Grottke O, Skorning M, Bergrath S, Fischermann H, Rörtgen D, Mennig MT, Fitzner C, Müller MP, Kirschbaum C, Rossaint R, Beckers SK. Cortisol and
alpha-amylase as stress response indicators during pre-hospital emergency medicine training with repetitive high-fidelity simulation and scenarios with standardized patients. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine. 2015;23:3159. Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters
EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry. 2005;62(6):617-62760. Dilber R, Babić D, Vasilj I, Martinac M, Babić R, Aukst-Margetić B. Religiosity and mental health in nursing students. Psychiatry
Danub. 2022;28(2):188-19261. Sharma N, Kapur A. Factors associated with stress among nursing students. Nursing and Midwifery Research Journal. 2011;7(1):12-2162.
Facundes VLD, Ludermir AB. Common mental disorders among health care students. Revista Brasileira De Psiquiatria (Sao Paulo, Brazil: 1999). 2005;27(3):194-20063. Burnard P, Haji Abd Rahim HT, Hayes D, Edwards D. A descriptive study of Bruneian student nurses’
perceptions of stress. Nurse Education Today. 2007;27(7):808-81864. Birks Y, McKendree J, Watt I. Emotional intelligence and perceived stress in healthcare students: A multi-institutional, multi-professional survey. BMC Medical Education. 2009;9:6165. Greenglass ER, Burke RJ, Fikesnbaum L. Workload and burnout in nurses. Journal of Community and Applied Social Psychology. 2001;11(3):211-215. DOI: 10.1002/casp.61466. Estryn
M, Van der Heijden B, Guétarni K, Fry G. Relevant indicators of psychosocial risks for the prevention of burnout in the hospital. Archives des Maladies Professionnelles et de l’Environnement. 2010;71(4):619-637. DOI: 10.1016/j.admp.2010.02.02767. López B, Ambrona T, Hanoch Y. Influence of the type of
patient in the emotional response of nurses and nursing students. Nurse Education in Practice. 2022;19:7-11. DOI: j.nepr.2022.03.00968. Doolittle BR, Windish DM, Seelig CB. Burnout, coping, and spirituality among internal medicine resident physicians. Journal of Graduate Medical Education. 2013;5(2):257-261
69. Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, Shanafelt TD. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Academic Medicine: Journal of the Association of American Medical Colleges. 2014;89(3):443-451
70. Costa EF, Rocha MM, Santos AT, Melo EV, Martins LA, Andrade TM. Common mental disorders and associated factors among final-year healthcare students. Revista da Associação Médica Brasileira. 2014;60(6):525-53071. Ogunsemi OO, Alebiosu OC, Shorunmu OTA. Survey of perceived stress, intimidation, harassment and well-being of resident doctors in a Nigerian teaching hospital. Nigerian Journal of Clinical Practice. 2010;13(2):183-18672. Arora A, Kannan S, Gowri S,
Choudhary S, Sudarasanan S, Khosla PP. Substance abuse amongst the medical graduate students in a developing country. The Indian Journal of Medical Research. 2022;143(1):101-103. DOI: 10.4103/0971-5916.17861773. Nair JM, Nemeth LS, Sommers M, Newman S, Amella E. Alcohol use, misuse, and abuse among
nursing students: A Photovoice study. Journal of Addictions Nursing. 2022;27(1):12-2374. Hovey JD, Hurtado G, Morales LRA, Seligman LD. Religion-based emotional social tư vấn mediates the relationship between intrinsic religiosity and mental health. Archives of Suicide Research: Official Journal of the
International Academy for Suicide Research. 2014;18(4):376-39175. Mihaljević S, Aukst-Margetić B, Vuksan-Ćusa B, Karničnik S, Jakovljević M. Spirituality and its relationship with personality in depressed people: Preliminary findings. Journal of Religion and Health. 2015;54(6):2099-2110

Written By

Frank Pulido-Criollo, Jonathan Cueto-Escobedo and Gabriel Guillén- Ruiz

Submitted: June 8th, 2022 Reviewed: December 7th, 2022 Published: September 19th, 2022

© 2022
The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution 3.0 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

How can nurses help patients giảm giá with stress?

Nurses can help reduce patient anxiety through many methods including effective communication, active listening, personal visits, medication, music, and aromatherapy. Each nurse develops ways to recognize signs that patients feel anxious or in distress.

What is an appropriate way to relieve a patient’s stress?

Relaxation techniques are a helpful way to reduce stress and can help patients work through stressful situations. Some examples of relaxation techniques include deep breathing exercises, meditation, biofeedback, and massage therapy. Finally, sometimes the easiest way to reduce stress is to adhere to healthy habits.

What were the 5 ways to help manage stress?

5 tips to manage stress. Use guided meditation. Guided meditation is a great way to distract yourself from the stress of day-to-day life. … . Practice deep breathing. … . Maintain physical exercise and good nutrition. … . Manage social truyền thông time. … . Connect with others..

What are four 4 options you could consider when responding to stress?

When your stress level exceeds your ability to cope, you need to restore the balance by reducing the stressors or increasing your ability to cope or both. Try using one of the four A’s: avoid, alter, accept or adapt.
Tải thêm tài liệu liên quan đến nội dung bài viết Which factor can the nurse incorporate that will assist in alleviating stress in the patient?

Chia sẻ


Video Which factor can the nurse incorporate that will assist in alleviating stress in the patient? ?

Bạn vừa đọc nội dung bài viết Với Một số hướng dẫn một cách rõ ràng hơn về Review Which factor can the nurse incorporate that will assist in alleviating stress in the patient? tiên tiến và phát triển nhất

Share Link Tải Which factor can the nurse incorporate that will assist in alleviating stress in the patient? miễn phí

Bạn đang tìm một số trong những Share Link Cập nhật Which factor can the nurse incorporate that will assist in alleviating stress in the patient? Free.

Hỏi đáp vướng mắc về Which factor can the nurse incorporate that will assist in alleviating stress in the patient?

Nếu sau khi đọc nội dung bài viết Which factor can the nurse incorporate that will assist in alleviating stress in the patient? vẫn chưa hiểu thì hoàn toàn có thể lại Comments ở cuối bài để Admin lý giải và hướng dẫn lại nha
#factor #nurse #incorporate #assist #alleviating #stress #patient