ORIGINAL ARTICLE
Psychological impacts of transition to distance learning due to COVID-19 on nursing students
Ahmad Rayan,
Corresponding Author
Ahmad Rayan
Faculty of Nursing, Zarqa University, Zarqa, Jordan
Correspondence
Ahmad Rayan, Faculty of Nursing, Zarqa University, Zarqa 13132, P.O.Box 132222, Jordan.
Email: [email protected], [email protected]
Search for more papers by this authorAhmad Rayan,
Corresponding Author
Ahmad Rayan
Faculty of Nursing, Zarqa University, Zarqa, Jordan
Correspondence
Ahmad Rayan, Faculty of Nursing, Zarqa University, Zarqa 13132, P.O.Box 132222, Jordan.
Email: [email protected], [email protected]
Search for more papers by this authorFirst published: 13 March 2023
Abstract
The purpose of this study was to assess the psychological impacts of the abrupt transition to distance learning due to COVID-19 and associated factors among Jordanian nursing students. A cross-sectional online survey with a sample of 224 nursing students in three universities was carried out. The survey measured students' depression, anxiety, stress, post-traumatic stress disorder (PTSD), academic self-efficacy, and demographic and distance learning-related data. Students have moderate levels of depression, anxiety, and stress. Depression, anxiety, stress, and PTSD were significantly associated with various demographic, disease-related, and distance learning-related variables. Further work is required to prepare professional psychological help for nursing students and develop future teaching plans that take into consideration factors underlying students' negative symptoms.
CONFLICT OF INTEREST STATEMENT
The author has no conflicts of interest to declare.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
REFERENCES
- Abu Mansour, S.I., & Abu Shosha, G.M. (2022). Experiences of first-line nurse managers during COVID-19: a Jordanian qualitative study. Journal of Nursing Management, 30(2), 384–392. Available from: https://doi.org/10.1111/jonm.13530
- Alemany-Arrebola, I., Rojas-Ruiz, G., Granda-Vera, J. & Mingorance-Estrada, Á.C. (2020) Influence of COVID-19 on the perception of academic self-efficacy, state anxiety, and trait anxiety in college students. Frontiers in Psychology, 11(1), 1–12. Available from: https://doi.org/10.3389/fpsyg.2020.570017
- Alhalal, E., Ford-Gilboe, M., Wong, C. & AlBuhairan, F. (2017) Reliability and validity of the Arabic PTSD checklist civilian version (PCL-C) in women survivors of intimate partner violence. Research in Nursing & Health, 40(6), 575–585. Available from: https://doi.org/10.1002/nur.21837
- Alici, N.K. & Copur, E.O. (2022) Anxiety and fear of COVID-19 among nursing students during the COVID-19 pandemic: a descriptive correlation study. Perspectives in Psychiatric Care, 58(1), 141–148. Available from: https://doi.org/10.1111/ppc.12851
- Almhdawi, K.A., Alazrai, A., Obeidat, D., Altarifi, A.A., Oteir, A.O., Aljammal, A.H. et al. (2021) Healthcare students' mental and physical well-being during the COVID-19 lockdown and distance learning. Work, 70(1), 3–10. Available from: https://doi.org/10.3233/WOR-205309
- Almohazie, M.F. (2018) Reliability and validity of an Arabic translation of academic self-efficacy scale (ASE) on students at King Faisal University (Doctoral dissertation). Available from: https://digitalcommons.wayne.edu/oa_dissertations/1910/ [Accessed 24th March 2020].
- Alqahtani, N., Innab, A. & Bahari, G. (2021) Virtual education during COVID-19: exploring factors associated with E-learning satisfaction among Saudi nursing students. Nurse Educator, 46(2), 18–22. Available from: https://doi.org/10.1097/NNE.0000000000000954
- AL-Sagarat, A.Y., Al Hadid, L.A., Tapsell, A., Moxham, L., Al Barmawi, M. & Khalifeh, A.H. (2022) Evaluating and identifying predictors of emotional well-being in nursing students in Jordan: a cross-sectional study. Advances in Mental Health, 20(3), 242–252. Available from: https://doi.org/10.1080/18387357.2021.2018940
- Alsolais, A., Alquwez, N., Alotaibi, K.A., Alqarni, A.S., Almalki, M., Alsolami, F. et al. (2021) Risk perceptions, fear, depression, anxiety, stress and coping among Saudi nursing students during the COVID-19 pandemic. Journal of Mental Health, 30(2), 194–201. Available from: https://doi.org/10.1080/09638237.2021.1922636
- Chemers, M.M., Hu, L.T. & Garcia, B.F. (2001) Academic self-efficacy and first year college student performance and adjustment. Journal of Educational Psychology, 93, 55–64. Available from: https://doi.org/10.1037//0022-0663.93.1.55
- Daniel, J. (2020) Education and the COVID-19 pandemic. Prospects, 49(1), 91–96. Available from: https://doi.org/10.1007/s11125-020-09464-3
- Dewart, G., Corcoran, L., Thirsk, L. & Petrovic, K. (2020) Nursing education in a pandemic: academic challenges in response to COVID-19. Nurse Education Today, 92, 104471. Available from: https://doi.org/10.1016/j.nedt.2020.104471
- Elsalem, L., Al-Azzam, N., Jum'ah, A.A., Obeidat, N., Sindiani, A.M. & Kheirallah, K.A. (2020) Stress and behavioral changes with remote E-exams during the Covid-19 pandemic: a cross-sectional study among undergraduates of medical sciences. Annals of Medicine and Surgery, 60, 271–279. Available from: https://doi.org/10.1016/j.amsu.2020.10.058
- Fawaz, M. & Samaha, A. (2021) E-learning: depression, anxiety, and stress symptomatology among Lebanese university students during COVID-19 quarantine. Nursing Forum, 56(1), 52–57. Available from: https://doi.org/10.1111/nuf.12521
- Fitzgerald, A. & Konrad, S. (2021) Transition in learning during COVID-19: student nurse anxiety, stress, and resource support. Nursing Forum, 56(2), 298–304. Available from: https://doi.org/10.1111/nuf.12547
- Gao, J., Wang, F., Guo, S. & Hu, F. (2021) Mental health of nursing students amid coronavirus disease 2019 pandemic. Frontiers in Psychology, 12, 699558. Available from: https://doi.org/10.3389/fpsyg.2021.699558
- Gelaye, B., Zheng, Y., Medina-Mora, M.E., Rondon, M.B., Sánchez, S.E. & Williams, M.A. (2017) Validity of the posttraumatic stress disorders (PTSD) checklist in pregnant women. BMC Psychiatry, 17(1), 179. Available from: https://doi.org/10.1186/s12888-017-1304-4
- Gutiérrez-García, A.G. & Landeros-Velázquez, M.G. (2018) Academic self-efficacy and anxiety, as a critical incident in female and male university students. Revista Costarricense de Psicología, 37(1), 1–25. Available from: https://doi.org/10.22544/rcps.v37i01.01
- Hamaideh, S.H., Al-Omari, H. & Al-Modallal, H. (2017) Nursing students' perceived stress and coping behaviors in clinical training in Saudi Arabia. Journal of Mental Health, 26(3), 197–203. Available from: https://doi.org/10.3109/09638237.2016.1139067
- Huang, L., Lei, W., Xu, F., Liu, H. & Yu, L. (2020) Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: a comparative study. PLoS One, 15(8), e0237303. Available from: https://doi.org/10.1371/journal.pone.0237303
- Jackson, D., Bradbury-Jones, C., Baptiste, D., Gelling, L., Morin, K., Neville, S. et al. (2020) Life in the pandemic: some reflections on nursing in the context of COVID-19. Journal of Clinical Nursing, 29(14), 2041–2043. Available from: https://doi.org/10.1111/jocn.15257
- Kalkan Uğurlu, Y., Mataracı Değirmenci, D., Durgun, H. & Gök Uğur, H. (2021) The examination of the relationship between nursing students' depression, anxiety and stress levels and restrictive, emotional, and external eating behaviors in COVID-19 social isolation process. Perspectives in Psychiatric Care, 57(2), 507–516. Available from: https://doi.org/10.1111/ppc.12703
- Li, X., Fu, P., Fan, C., Zhu, M. & Li, M. (2021) COVID-19 stress and mental health of students in locked-down colleges. International Journal of Environmental Research and Public Health, 18(2), 771. Available from: https://doi.org/10.3390/ijerph18020771
- Lovibond, P.F. & Lovibond, S.H. (1995) The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343. Available from: https://doi.org/10.1016/0005-7967(94)00075-U
- Masha'al, D., Rababa, M. & Shahrour, G. (2020) Distance learning–related stress among undergraduate nursing students during the COVID-19 pandemic. Journal of Nursing Education, 59(12), 666–674. Available from: https://doi.org/10.3928/01484834-20201118-03
- Moussa, M.T., Lovibond, P., Laube, R. & Megahead, H.A. (2017) Psychometric properties of an arabic version of the depression anxiety stress scales (DASS). Research on Social Work Practice, 27(3), 375–386. Available from: https://doi.org/10.1177/1049731516662916
- Naser, A.Y., Dahmash, E.Z., Al-Rousan, R., Alwafi, H., Alrawashdeh, H.M., Ghoul, I. et al. (2020) Mental health status of the general population, healthcare professionals, and university students during 2019 coronavirus disease outbreak in Jordan: a cross-sectional study. Brain and Behavior, 10(8), e01730. Available from: https://doi.org/10.1002/brb3.1730
- Navarro-Mateu, D., Alonso-Larza, L., Gómez-Domínguez, M.T., Prado-Gascó, V. & Valero-Moreno, S. (2020) I'm not good for anything and that's why I'm stressed: analysis of the effect of self-efficacy and emotional intelligence on student stress using SEM and QCA. Frontiers in Psychology, 11(1), 1–12. Available from: https://doi.org/10.3389/fpsyg.2020.00295
- Nuuyoma, V., Lauliso, S.S. & Chihururu, L. (2023) Perspectives of nursing students on challenges of e-learning during early stages of the COVID-19 pandemic. Curationis, 46(1), e1–e10. Available from: https://doi.org/10.4102/curationis.v46i1.2358
- Oducado, R.M. & Estoque, H. (2021) Online learning in nursing education during the COVID-19 pandemic: stress, satisfaction, and academic performance. Journal of Nursing Practice, 4(2), 143–153. Available from: https://doi.org/10.30994/jnp.v4i2.128
10.30994/jnp.v4i2.128 Google Scholar
- Petillion, R.J. & McNeil, W.S. (2020) Student experiences of emergency remote teaching: impacts of instructor practice on student learning, engagement, and well-being. Journal of Chemical Education, 97(9), 2486–2493. Available from: https://doi.org/10.1021/acs.jchemed.0c00733
- Rayan, A. (2019) Mindfulness, self-efficacy, and stress among final-year nursing students. Journal of Psychosocial Nursing and Mental Health Services, 57(4), 49–55. Available from: https://doi.org/10.3928/02793695-20181031-01
- Rayan, A. & Ahmad, M. (2017) Effectiveness of mindfulness-based intervention on perceived stress, anxiety, and depression among parents of children with autism spectrum disorder. Mindfulness, 8(3), 677–690. Available from: https://doi.org/10.1007/s12671-016-0595-8
- Savitsky, B., Findling, Y., Ereli, A. & Hendel, T. (2020) Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Education in Practice, 46(1), 1–7. Available from: https://doi.org/10.1016/j.nepr.2020.102809
- Simms, L.J., Watson, D. & Doebbelling, B.N. (2002) Confirmatory factor analyses of posttraumatic stress symptoms in deployed and non-deployed veterans of the Gulf War. Journal of Abnormal Psychology, 111(4), 637–647. Available from: https://doi.org/10.1037//0021-843x.111.4.637
- Smit, A.J., Fitchett, J.M., Engelbrecht, F.A., Scholes, R.J., Dzhivhuho, G. & Sweijd, N.A. (2020) Winter is coming: a southern hemisphere perspective of the environmental drivers of SARS-CoV-2 and the potential seasonality of COVID-19. International Journal of Environmental Research and Public Health, 17(16), 5634. Available from: https://doi.org/10.3390/ijerph17165634
- Suantika, P.I.R. & Yusniawati, Y.N.P. (2022) The satisfaction of nursing students with medical-surgical e-learning in Bali. KnE Life Sciences, 122–133. Available from: https://doi.org/10.18502/kls.v7i2.10295
10.18502/kls.v7i2.10295 Google Scholar
- Sun, Y., Wang, D., Han, Z., Gao, J., Zhu, S. & Zhang, H. (2020) Disease prevention knowledge, anxiety, and professional identity during COVID-19 pandemic in nursing students in Zhengzhou, China. Journal of Korean Academy of Nursing, 50(4), 533–540. Available from: https://doi.org/10.4040/jkan.20125
- Thomas, L.M.B. (2022) Stress and depression in undergraduate students during the COVID-19 pandemic: nursing students compared to undergraduate students in non-nursing majors. Journal of Professional Nursing, 38, 89–96. Available from: https://doi.org/10.1016/j.profnurs.2021.11.013
- Turner, K. & McCarthy, V.L. (2017) Stress and anxiety among nursing students: a review of intervention strategies in literature between 2009 and 2015. Nurse Education in Practice, 22, 21–29. Available from: https://doi.org/10.1016/j.nepr.2016.11.002
- Weathers, F.W., Litz, B.T., Herman, D.S., Huska, J.A. & Keane, T.M. (1993) The PTSD checklist (PCL): reliability, validity, and diagnostic utility. San Antonio, TX: Annual Convention of the International Society for Traumatic Stress Studies. Available from: https://doi.org/10.1037/t02622-000
