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Student stress and academic performance: home hospital program.
Carolyn B Yucha1, Susan Kowalski, Chad Cross
1School of Nursing, University of Nevada, Box 3018, 4505 S. Maryland Parkway, Las Vegas, NV 89154-3018, USA. carolyn.yucha@unlv.edu
The Journal of Nursing Education
|September 8, 2009
Summary
Nursing students in home hospital clinical placements experienced reduced academic load and state anxiety over time compared to control groups. This suggests benefits for student well-being and academic progression in nursing education.
Area of Science:
- Nursing Education
- Student Well-being
- Clinical Placements
Background:
- Clinical placements are crucial for nursing education.
- Understanding the impact of different clinical environments on student stress and academic performance is essential.
- Previous research has not fully explored the effects of home hospital clinical placements.
Purpose of the Study:
- To evaluate the impact of home hospital clinical placements on nursing students' stress levels and academic performance.
- To compare stress indicators and academic outcomes between students in home hospital versus control clinical placements.
Main Methods:
- A comparative study design was employed with nursing students randomly assigned to either a home hospital clinical placement (n=78) or a control placement (n=79).
- Stress was assessed using the Student Nurse Stress Index (SNSI) and Spielberger's State Anxiety Inventory.
- Academic performance was measured by scores on a standardized mock NCLEX-RN test (RN CAT), nursing GPA, and first-attempt NCLEX-RN pass rates.
Main Results:
- No significant demographic differences were found between the home hospital and control groups.
- While SNSI scores changed significantly over time, no between-group differences were observed.
- An interaction effect of time by group was noted for academic load and state anxiety, with the home hospital group showing reductions over time compared to the control group.
Conclusions:
- Home hospital clinical placements may contribute to a reduction in academic load and state anxiety for nursing students over time.
- Further research is warranted to explore the long-term academic and well-being benefits of home hospital clinical placements in nursing education.
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