Association between stress and coping strategies in Chinese nursing students: A cross-sectional study

Xiao Chen , Jie Bai , Cheng Cheng

Journal of Nursing Education and Practice ›› 2025, Vol. 15 ›› Issue (4) : 25 -31.

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Journal of Nursing Education and Practice ›› 2025, Vol. 15 ›› Issue (4) : 25 -31. DOI: 10.5430/jnep.v15n4p25
ORIGINAL RESEARCH
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Association between stress and coping strategies in Chinese nursing students: A cross-sectional study

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Abstract

Background and objective: Stress and mental health concerns have increasingly been studied among Chinese nursing students. Understanding stress levels in this population is essential for addressing their psychological well-being. This study aims to examine the stress levels of Chinese nursing students and explore their association with coping strategies.

Methods: This cross-sectional study surveyed 180 Chinese nursing students from a medical university in Anhui during the 2022/23 academic year. Data were collected using an online self-report questionnaire assessing demographic details, stress levels (Student Nurse Stress Index), and coping strategies (Brief COPE Inventory). Descriptive statistics, correlation analysis, and stepwise regression were used for data analysis.

Results: A total of 170 nursing students completed the survey, revealing a mean stress level of 52.99. Regression analysis indicated that denial, self-blame, and acceptance significantly predicted stress, with acceptance associated with lower stress and denial and self-blame linked to higher stress.

Conclusions: This study highlights the impact of cultural factors on stress responses and emphasizes the potential benefits of promoting acceptance as a coping mechanism among Chinese nursing students.

Keywords

Nursing students / Coping strategies / Stress / Psychometric properties

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Xiao Chen, Jie Bai, Cheng Cheng. Association between stress and coping strategies in Chinese nursing students: A cross-sectional study. Journal of Nursing Education and Practice, 2025, 15(4): 25-31 DOI:10.5430/jnep.v15n4p25

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References

[1]

Martin B, Kaminski-Ozturk N, O’Hara C, et al. Examining the Impact of the COVID-19 Pandemic on Burnout and Stress Among U.S. Nurses. J Nurs Regul. 2023; 14(1): 4-12. PMid:37035777 https://doi.org/10.1016/S2155-8256(23)00063-7

[2]

Labrague LJ. Umbrella Review: Stress Levels, Sources of Stress, and Coping Mechanisms among Student Nurses. Nurs Rep. 2024; 14(1): 362-75. PMid:38391073 https://doi.org/10.3390/nursrep14010028

[3]

Zheng YX, Jiao JR, Hao WN. Stress levels of nursing students: A systematic review and meta-analysis. Medicine (Baltimore). 2022; 101(36): e30547. PMid:36086725 https://doi.org/10.1097/MD.0000000000030547

[4]

Toqan D, Ayed A, Malak MZ, et al. Sources of Stress and Coping Behaviors among Nursing Students Throughout Their First Clinical Training. SAGE Open Nurs. 2023.

[5]

Mazalová L, Gurková E, Štureková L. Nursing students’ perceived stress and clinical learning experience. Nurse Educ Pract. 2022; 64: 103457. PMid:36182730 https://doi.org/10.1016/j.nepr.2022.103457

[6]

Guo L, Jones MC, Liu Y, et al. Cross-cultural validation of the Student Nurse Stress Index Scale: A descriptive survey targeting student nurses in China. Journal of Affective Disorders. 2019; 251: 31-8. PMid:30901599 https://doi.org/10.1016/j.jad.2019.03.017

[7]

Mohamed NA, Ali SO, Ehrahim EEE, Ahmed AL, Wahba AM. Predictors of Academic and Clinical Stress Among Nursing Students. SAGE Open Nurs. 2024. PMid:39469726 https://doi.org/10.1177/23779608241290392

[8]

Manley AE, Biddle L, Savović J, et al. The positive and negative consequences of stress and its relationship with coping in medical students: A qualitative study. Med Teach. 2024; 1-6. PMid:38593839 https://doi.org/10.1080/0142159X.2024.2333799

[9]

Sonmez Y, Akdemir M, Meydanlioglu A, et al. Psychological Distress, Depression, and Anxiety in Nursing Students: A Longitudinal Study. Healthcare. 2023; 11(5): 636. PMid:36900639 https://doi.org/10.3390/healthcare11050636

[10]

Alwhaibi M, Al Aloola NA. Associations between Stress, Anxiety, Depression and Sleep Quality among Healthcare Students. J Clin Med. 2023; 12(13). PMid:37445375 https://doi.org/10.3390/jcm12134340

[11]

Galeano-Rojas D, Cuadros-Juárez M, León Reyes BB, et al. Association between Academic Performance, Physical Activity, and Academic Stress in Compulsory Secondary Education: An Analysis by Sex. Children. 2024; 11(10): 1161. PMid:39457126 https://doi.org/10.3390/children11101161

[12]

Kang YS, Choi SY, Ryu E. The effectiveness of a stress coping program based on mindfulness meditation on the stress, anxiety, and depression experienced by nursing students in Korea. Nurse Education Today. 2009; 29(5): 538-43. PMid:19141364 https://doi.org/10.1016/j.nedt.2008.12.003

[13]

Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.

[14]

Clark AA, Hovanitz CA. Dimensions of coping that contribute to psychopathology. J Clin Psychol. 1989; 45(1): 28-36. PMid:2925882 https://doi.org/10.1002/1097-4679(198901)45:1<28::AID-JCLP2270450104>3.0.CO;2-8

[15]

Somech A, Drach-Zahavy A. Understanding the role of personal coping strategy in decreasing work and family conflict:A cross-cultural perspective. The work-family interface in global context. New York, NY, US: Routledge/Taylor & Francis Group; 2017. p. 318-37. https://doi.org/10.4324/9781315732084-18

[16]

Labrague LJ, McEnroe-Petitte DM, Al Amri M, et al. An integrative review on coping skills in nursing students: implications for policymaking. Int Nurs Rev. 2018; 65(2): 279-91. PMid:28664984 https://doi.org/10.1111/inr.12393

[17]

Lo R. A longitudinal study of perceived level of stress, coping and self-esteem of undergraduate nursing students: an Australian case study. J Adv Nurs. 2002; 39(2): 119-26. PMid:12100655 https://doi.org/10.1046/j.1365-2648.2000.02251.x

[18]

Lavoie-Tremblay M, Sanzone L, Aubé T, et al. Sources of Stress and Coping Strategies Among Undergraduate Nursing Students Across All Years. Can J Nurs Res. 2022; 54(3): 261-71. PMid:34192949 https://doi.org/10.1177/08445621211028076

[19]

vonElm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelinesforreportingobservationalstudies. JClinEpidemiol. 2008; 61(4): 344-9. PMid:18313558 https://doi.org/10.1016/j.jclinepi.2007.11.008

[20]

Jones MC, Johnston DW. The derivation of a brief Student Nurse Stress Index. Work & Stress. 1999; 13(2): 162-81. https://doi.org/10.1080/026783799296129

[21]

Zhu Y, Liu Y, Guo L, et al. Testing Two Student Nurse Stress Instruments in Chinese Nursing Students: A Comparative Study Using Exploratory Factor Analysis. Biomed Res Int. 2020; 2020: 6987198. PMid:33083478 https://doi.org/10.1155/2020/6987198

[22]

Carver CS. You want to measure coping but your protocol’s too long: consider the brief COPE. Int J Behav Med. 1997; 4(1): 92-100. PMid:16250744 https://doi.org/10.1207/s15327558ijbm0401_6

[23]

YU YL, WANG DF, Bob L, et al. Reliability and validity of Brief COPE Scale in medical college students. Journal of Shandong University (Health Sciences). 2019; 57(1): 101-6.

[24]

Melaku L, Bulcha G, Worku D. Stress, Anxiety, and Depression among Medical Undergraduate Students and Their Coping Strategies. Education Research International. 2021; 2021(1): 9880309. https://doi.org/10.1155/2021/9880309

[25]

Straud CL, McNaughton-Cassill M. Self-blame and stress in undergraduate college students: The mediating role of proactive coping. J Am Coll Health. 2019; 67(4): 367-73. PMid:29979933 https://doi.org/10.1080/07448481.2018.1484360

[26]

Costa RM. Denial (Defense Mechanism). In: Zeigler-Hill V, Shackelford TK, editors. Encyclopedia of Personality and Individual Differences. Cham: Springer International Publishing; 2017. p. 1-3. https://doi.org/10.1007/978-3-319-28099-8_1373-1

[27]

Levine J, Warrenburg S, Kerns R, et al. The role of denial in recovery from coronary heart disease. Psychosom Med. 1987; 49(2): 109-17. PMid:3575599 https://doi.org/10.1097/00006842-198703000-00001

[28]

Neufeld A, Malin G. How medical students cope with stress: a cross-sectional look at strategies and their sociodemographic antecedents. BMC Med Educ. 2021; 21(1): 299. PMid:34034732 https://doi.org/10.1186/s12909-021-02734-4

[29]

Hooker SA. Self-Blame. In: Gellman MD, Turner JR, editors. Encyclopedia of Behavioral Medicine. New York, NY: Springer New York; 2013. p. 1731-2. https://doi.org/10.1007/978-1-4419-1005-9_1496

[30]

Green S, Moll J, Deakin JF, et al. Proneness to decreased negative emotions in major depressive disorder when blaming others rather than oneself. Psychopathology. 2013; 46(1): 34-44. PMid:22890331 https://doi.org/10.1159/000338632

[31]

Tan JB, Yates S. Academic expectations as sources of stress in Asian students. Social Psychology of Education. 2011; 14(3): 389-407. https://doi.org/10.1007/s11218-010-9146-7

[32]

Mrazek MD, Dow BR, Richelle J, et al. Aspects of acceptance: building a shared conceptual understanding. Front Psychol. 2024; 15: 1423976. PMid:38974104 https://doi.org/10.3389/fpsyg.2024.1423976

[33]

Ford BQ, Lam P, John OP, et al. The psychological health benefits of accepting negative emotions and thoughts: Laboratory, diary, and longitudinal evidence. J Pers Soc Psychol. 2018; 115(6): 1075-92. PMid:28703602 https://doi.org/10.1037/pspp0000157

[34]

Siu Ol, Spector PE, Cooper CL. A three-phase study to develop and validate a Chinese coping strategies scales in Greater China. Personality and Individual Differences. 2006; 41(3): 537-48. https://doi.org/10.1016/j.paid.2006.02.012

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