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Assessing Stress and Shift Quality in Nursing Students: A Pre- and Post-Shift Survey Approach
Haneen Ali1,2, Yasin Fatemi3
1Health Services Administration Program, Auburn University, Auburn, AL 36849, USA.
Healthcare (Basel, Switzerland)
|July 29, 2025
Summary
Nursing students’ clinical training involves significant stress, with actual experiences often differing from optimistic expectations. Identifying these gaps using the single-shift quality (SSQ) framework can improve student resilience and practice readiness.
Area of Science:
- Nursing Education
- Clinical Psychology
- Healthcare Management
Background:
- Nursing students face high stress during clinical training due to academic and clinical demands.
- Stressors impact student well-being, academic performance, and patient care quality.
Purpose of the Study:
- Identify key stressors affecting nursing students' single-shift quality (SSQ) perceptions.
- Assess the accuracy of students' pre-shift quality predictions.
Main Methods:
- Cross-sectional survey of 325 nursing students in Alabama.
- Collected pre- and post-shift data on 13 domains, including workload and coping strategies.
- Utilized paired t tests and linear regressions to analyze perceptions and predictors of SSQ.
Main Results:
- Significant discrepancies found between pre- and post-shift evaluations in areas like internal environment and organizational interaction.
- Students accurately predicted stable factors (patient characteristics, external environment).
- Post-shift, stress-coping strategies and collegiality most strongly predicted shift quality.
Conclusions:
- Nursing students' expectations for clinical shifts are often overly optimistic, especially regarding support.
- The SSQ framework aids in identifying clinical training gaps.
- Interventions can foster resilience and align student expectations with practice realities.
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