ORIGINAL ARTICLE
Free to Read
Fear of COVID-19, poor quality of sleep, irritability, and intention to quit school among nursing students: A cross-sectional study
Janet Alexis A. De Los Santos PHD, MAN, RN,
Leodoro J. Labrague PhD, DM, CHSE, CNE,
Charlie C. Falguera MAN, RN,
Corresponding Author
Janet Alexis A. De Los Santos PHD, MAN, RN
Department of Nursing, Visayas State University, Baybay City, Philippines
Correspondence Janet Alexis A. De Los Santos, PHD, MAN, RN, College of Nursing, Visayas State University, Philippines 6521-A.
Email: [email protected]
Search for more papers by this authorLeodoro J. Labrague PhD, DM, CHSE, CNE
Department of Nursing, Sultan Qaboos University, Muscat, Oman
Search for more papers by this authorCharlie C. Falguera MAN, RN
Department of Nursing, University of the Philippines Manila- School of Health Sciences, Palo Leyte, Philippines
Search for more papers by this authorJanet Alexis A. De Los Santos PHD, MAN, RN,
Leodoro J. Labrague PhD, DM, CHSE, CNE,
Charlie C. Falguera MAN, RN,
Corresponding Author
Janet Alexis A. De Los Santos PHD, MAN, RN
Department of Nursing, Visayas State University, Baybay City, Philippines
Correspondence Janet Alexis A. De Los Santos, PHD, MAN, RN, College of Nursing, Visayas State University, Philippines 6521-A.
Email: [email protected]
Search for more papers by this authorLeodoro J. Labrague PhD, DM, CHSE, CNE
Department of Nursing, Sultan Qaboos University, Muscat, Oman
Search for more papers by this authorCharlie C. Falguera MAN, RN
Department of Nursing, University of the Philippines Manila- School of Health Sciences, Palo Leyte, Philippines
Search for more papers by this authorAbstract
Purpose
This study aims to assess the fear of coronavirus disease 2019 (COVID-19) and its influence on the students' fear of COVID-19 and intention to leave nursing school.
Design and Methods
This study employed a cross-sectional design using self-report questionnaires distributed to 261 nursing students from the Philippines.
Findings
The first-year nursing students are found to be the most fearful among the group. The students' fear of COVID-19 is associated with their high irritability, poor sleep quality, and desire to quit nursing school.
Practice Implications
Students are perturbed by the pandemic and teachers should implement supportive, teaching–learning strategies to address the student's needs.
CONFLICT OF INTERESTS
The authors declare that there is no conflict of interests.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
REFERENCES
- 1 WHO. WHO coronavirus disease (COVID-19 dashboard). 2020. https://covid19.who.int/. Accessed August 22, 2020.
- 2Guillasper JN, Oducado RMF, Soriano GP. Protective role of resilience on COVID-19 impact on the quality of life of nursing students in the Philippines. Belitung Nurs J. 2021; 7(1): 43-49. https://doi.org/10.33546/bnj.1297
10.33546/bnj.1297 Google Scholar
- 3Aslan H, Pekince H. Nursing student's views on the COVID-19 pandemic and their perceived stress level. Perspect Psychiatr Care. 2020. https://doi.org/10.1111/ppc.12597
- 4Ng YM, Or P. Coronavirus disease (COVID-19) prevention: virtual classroom education for hand hygiene. Nurse Educ Pract. 2020; 45:102782. https://doi.org/10.1016/j.nepr.2020.102782
- 5Hsieh HY, Hsu YY, Ko NY, Yen M. Hu li za zhi. J Nurs. 2020; 67(3): 96-101. https://doi.org/10.6224/JN.202006_67(3).13
- 6Jones K, Hein LC, James L. A nursing leadership practicum in the time of COVID-19: a southern university experience. Nurse Leader. 2020. https://doi.org/10.1016/j.mnl.2020.06.010
- 7Labrague LJ, Mc-Enroe-Petite DM, De los Santos JAA, Edet OB. Examining stress perceptions and coping strategies among Saudi nursing students: a systematic review. Nurse Educ Today. 2018; 65: 192-200. https://doi.org/10.1016/j.nedt.2018.03.012
- 8Li Z-S, Hasson F. Resilience, stress and psychological well-being in nursing students: a systematic review. Nurse Educ Today. 2020; 90:104440. https://doi.org/10.1016/j.nedt.2020.104440
- 9Perng S-J, Sung H-C, Chen C-J, Lee T-Y, Koo M. Low interest in clinical practicum placement is associated with increased stress in nursing students in Taiwan: a cross-sectional survey study. Nurse Educ Today. 2020; 84:104241. https://doi.org/10.1016/j.nedt.2019.104241
- 10Yuksel A, Bahadir-Yilmaz E. The effect of mentoring program on adjustment to university and ways of coping with stress in nursing students: a quasi experimental study. Nurse Educ Today. 2019; 80: 52-58. https://doi.org/10.1016/j.nedt.2019.06.006
- 11Ching SSY, Cheung K, Hagney D, Rees CS. Stressors and coping of nursing students in clinical placement: a qualitative study contextualising their resilience and burnout. Nurse Educ Pract. 2020; 42:102690. https://doi.org/10.1016/j.nepr.2019.102690
- 12Martinez-Lorca M, Martinez-Lorca A, Criado-Alvarez JJ, Armesilla MDC, Latorre JJ. The fear of COVID-19 scale: validation in Spanish university students. Psychiatry Res. 2020; 293: 113350. https://doi.org/10.1016/j.psychres.2020.113350
- 13Cervera-Gasch Á, González-Chordá VM, Mena-Tudela D. COVID-19: are Spanish medicine and nursing students prepared? Nurse Educ Today. 2020; 92:104473. https://doi.org/10.1016/j.nedt.2020.104473
- 14Dewart G, Corcoran L, Thirsk L, Petrovic K. Nursing education in a pandemic: academic challenges in response to COVID-19. Nurse Educ Today. 2020; 92:104471. https://doi.org/10.1016/j.nedt.2020.104471
- 15Lee YR, Han SJ, Cho CM. Disaster experience, perception and perceived stress of nursing students. Korean J Stress Res. 2016; 24: 237-242. https://doi.org/10.17547/kjsr.2016.24.4.237
10.17547/kjsr.2016.24.4.237 Google Scholar
- 16Lovrić R, Farčić N, Mikšić Š, Včev A. Studying during the COVID-19 pandemic: a qualitative inductive content analysis of nursing students' perceptions and experiences. Educ Sci. 2020; 10(188), https://doi.org/10.3390/educsci10070188
- 17Labrague LJ, De los Santos JAA, Falguera C. Social and emotional loneliness among college students during the COVID-19 pandemic: the predictive of coping behaviors, social support and personal resilience. Perspect Psychiatr Care. 2020. https://doi.org/10.1111/ppc.12721
- 18Huang L, Lei W, Xu F, Liu H, Yu L. Emotional responses and coping strategies in nurses and nursing students during COVID-19 outbreak: a comparative study. PLOS One. 2020; 15(8):e0237303. https://doi.org/10.1371/journal.pone.0237303
- 19Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the COVID-19 pandemic. Nurse Educ Pract. 2020; 46:102809. https://doi.org/10.1016/j.nepr.2020.102809
- 20Romero-Blanco C, Rodríguez-Almagro J, Onieva-Zafra MD, Parra-Fernández ML, Prado-Laguna M, Hernández-Martínez A. Sleep pattern changes in nursing students during the COVID-19 lockdown. Int J Environ Res Public Health. 2020; 17(14): 5222. https://doi.org/10.3390/ijerph17145222
- 21Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Mental Health Addict. 2020: 1-9. https://doi.org/10.1007/s11469-020-00270-8
- 22Snyder E, Cai B, DeMuro C, Morrison MF, Ball W. A new single-item sleep quality scale: results of psychometric evaluation in patients with chronic primary insomnia and depression. J Clin Sleep Med. 2018; 14(11): 1849-1857. https://doi.org/10.5664/jcsm.7478
- 23Holtzman S, O'Connor BP, Barata PC, Stewart DE. The brief irritability test (BITe): a measure of irritability for use among men and women. Assessment. 2015; 22(1): 101-115. https://doi.org/10.1177/1073191114533814
- 24Reznik A, Gritsenko V, Konstantinov V, Khamenka N, Isralowitz R. COVID-19 fear in eastern Europe: validation of the fear of COVID-19 scale. Int J Mental Health Addict. 2020. https://doi.org/10.1007/s11469-020-00283-3
- 25Satici B, Gocet-Tekin E, Deniz ME, Satici SA. Adaptation of the fear of COVID-19 scale: Its association with psychological distress and life satisfaction in Turkey. Int J Mental Health Addict. 2020;(2020), https://doi.org/10.1007/s11469-020-00294-0
- 26Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Res. 2020; 288: 112936. https://doi.org/10.1016/j.psychres.2020.112936
- 27Urooj U, Ansari A, Siraj A, Khan S, Tariq H. Expectations, fears and perceptions of doctors during COVID-19 pandemic. Pak J Med Sci. 2020; 36(COVID19-S4), https://doi.org/10.12669/pjms.36.COVID19-S4.2643
- 28De los Santos JAA, Labrague LJ. The impact of fear of COVID-19 on job stress, and turnover intentions of frontline nurses in the community: a cross-sectional study in the Philippines. Traumatology. 2021. https://doi.org/10.1037/trm0000294
- 29Anjum S, Ullah R, Rana MS, et al. COVID-19 pandemic: a serious threat for public mental health globally. Psychiatr Danubina. 2020; 32(2): 245-250. https://doi.org/10.24869/psyd.2020.245
- 30Labrague LJ, De los Santos JAA. COVID-19 anxiety among front-line nurses: Predictive role of organisational support, personal resilience, and social support. J Nurs Manag. 2020; 28: 1653-1661. https://doi.org/10.1111/jonm.13121
- 31Mamun MA, Griffiths MD. First COVID-19 suicide case in Bangladesh due to fear of COVID-19 and xenophobia: possible suicide prevention strategies. Asian J Psychiatry. 2020; 51:102073. https://doi.org/10.1016/j.ajp.2020.102073
- 32Taylor S, Landry CA, Paluszek MM, Fergus TA, McKay D, Asmundson G. COVID stress syndrome: concept, structure, and correlates. Depress Anxiety. 2020; 37(8): 706-714. https://doi.org/10.1002/da.23071
- 33Grubic N, Badovinac S, Johri AM. Student mental health in the midst of the COVID-19 pandemic: a call for further research and immediate solutions. Int J Soc Psychiatry. 2020; 66(5): 517-518. https://doi.org/10.1177/0020764020925108
- 34Husky MM, Kovess-Masfety V, Swendsen JD. Stress and anxiety among university students in France during COVID-19 mandatory confinement. Compr Psychiatry. 2020; 102: 152191. https://doi.org/10.1016/j.comppsych.2020.152191
- 35Johnson BK. Simulation observers learn the same as participants: the evidence. Clin Simul Nurs. 2019; 33: 26-34. https://doi.org/10.1016/j.ecns.2019.04.006
- 36Woda A, Hansen J, Paquette M, Topp R. The impact of simulation sequencing on perceived clinical decision making. Nurse Educ Pract. 2017; 26: 33-38. https://doi.org/10.1016/j.nepr.2017.06.008
- 37Inayat S, Younas A, Sundus A, Khan FH. Nursing student's preparednesss and practice in critical care settings: a scoping review. J Prof Nurs. 2020. https://doi.org/10.1016/j.profnurs.2020.06.007
- 38Jamshidi N, Molazem Z, Sharif F, Torabizadeh C, Kalyani MN. The challenges of nursing students in the clinical learning environment: a qualitative study. Scientific World J. 2016; 2016: 1-7. https://doi.org/10.1155/2016/1846178
10.1155/2016/1846178 Google Scholar
- 39Nelson SM, Lee-Winn AE. The mental turmoil of hospital nurses in the COVID-19 pandemic. Psychol Traumam Theory Res Pract Policy. 2020; 12(S1): S126-S127. https://doi.org/10.1037/tra0000810
- 40Hayter M, Jackson D. Pre-registration undergraduate nurses and the COVID-19 pandemic: students or workers? J Clin Nurs. 2020; 29: 3115-3116. https://doi.org/10.1111/jocn.15317
- 41Colvonen PJ, Straus LD, Acheson D, Gehrman P. A Review of the relationship between emotional learning and memory, sleep, and PTSD. Curr Psychiatry Rep. 2019; 21(1): 2. https://doi.org/10.1007/s11920-019-0987-2
- 42Zhen R, Quan L, Zhou X. Fear, negative cognition, and depression mediate the relationship between traumatic exposure and sleep problems among flood victims in China. Psychol Trauma Theory Res Pract Policy. 2018; 10(5): 602-609. https://doi.org/10.1037/tra0000331
- 43Vandekerckhove M, Wang YL. Emotion, emotion regulation and sleep: an intimate relationship. AIMS Neurosci. 2017; 5(1): 1-17. https://doi.org/10.3934/Neuroscience.2018.1.1
- 44Pendry P, Vandagriff JL, Carr AM. Clinical depression moderates effects of animal-assisted stress prevention program on college students' emotion. J Public Mental Health. 2019; 18(2): 94-101. https://doi.org/10.1108/JPMH-10-2018-0069
- 45Brown T, DiBenedetti D, Danchenko N, Weiller E, Fava M. Symptoms of anxiety and irritability in patients with major depressive disorder. J Depr Anxiety. 2016; 5: [e237]. https://doi.org/10.4172/2167-1044.1000237
- 46Dos Santos LM. How does COVID-19 pandemic influence the sense of belonging and decision-making process of nursing students: the study of nursing students' experiences. Int J Environ Res Public Health. 2020; 17(15): E5603. https://doi.org/10.3390/ijerph17155603
- 47He FX, Turnbull B, Kirshbaum MN, Phillips B, Klainin-Yobas P. Assessing stress, protective factors and psychological well-being among undergraduate nursing students. Nurs Educ Today. 2018; 68: 4-12. https://doi.org/10.1016/j.nedt.2018.05.013
- 48Ranasinghe AN, Gayathri R, Priya VV. Awareness of effects of sleep deprivation among college students. Drug Invent Today. 2018: 1806-1809.
- 49Huh SS, Kang, HY. Effects of an educational program on disaster nursing competency. Public Health Nurs. 2019; 36: 28-35. https://doi.org/10.1111/phn.12557
- 50Kalanlar B. Effects of disaster nursing education on nursing students' knowledge and preparedness for disasters. Int J Disaster Risk Reduction. 2018; 28: 475-480. https://doi.org/10.1016/j.ijdrr.2017.12.008
- 51Sperling D. Training nurses to better deal with ethical dilemmas during pandemics. Disaster Med Public Health Prep. 2020: 1-2. https://doi.org/10.1017/dmp.2020.144
