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Longitudinal Associations of Stress, Resilience, and Well-Being in Nursing Students
Tram Thi Bich Nguyen1, Chung-Ying Lin, Pao-Chen Lin
1Author Affiliations: Medical Simulation Center, Duy Tan University, Da Nang, Vietnam (Dr Nguyen); Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan (Dr C-Y Lin); Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan (Dr C-Y Lin); School of Nursing, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan (Dr C-Y Lin); Department of Nursing, National Tainan Junior College of Nursing, Tainan, Taiwan (Drs P-C Lin and Li); Franciscus Academy, Franciscus, Rotterdam, the Netherlands (Dr Aljaberi); Department of Internal Medicine, Section Nursing Science, Erasmus University Medical Center (Erasmus MC), Rotterdam, the Netherlands (Dr Aljaberi); and Institute for Healthcare (IVG), Rotterdam University of Applied Sciences, Rotterdam, the Netherlands (Dr Aljaberi).
Background:
Nursing students experience substantial academic and clinical demands that may impair well-being. However, longitudinal evidence on the roles of perceived stress and resilience remains limited.
Purpose:
To examine the longitudinal associations of resilience and perceived stress with well-being among nursing students.
Methods:
A longitudinal study of 181 nursing students in southern Taiwan assessed well-being, resilience, and perceived stress annually using validated instruments. Multiple linear regression and generalized estimating equations were used for analysis.
Results:
Perceived stress was consistently negatively associated with well-being, whereas resilience was positively associated with well-being, particularly in later years. Longitudinal analyses indicated that perceived stress remained a significant negative predictor, while resilience showed stronger protective effects over time. Well-being declined significantly in years 4 and 5 compared with year 2.
Conclusions:
Perceived stress is a stable risk factor for reduced well-being, whereas resilience plays an increasingly protective role among nursing students.