Vol. 2 No. 2 (2023): Promoting Integrative Healthcare: Education, Policy, and Management

Original Research Article

Anxiety among student nurses in the Philippines: A gender and year-level analysis and its contributing factors in the COVID-19 context

Florence L. Pulido
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Richelle Faith D. Cayabyab
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Allura Xandra M. Adversalo
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Alyssa V. Baylon
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Aubrey N. Centeno
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Aea Jainey G. Dizon
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Marc Andrei L. Formoso
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Alexis Angel P. Hernando
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Eric Jon Luis B. Jucutan
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Justine Anthonell G. Maltu
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Daniel Joy R. Pia
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Chaste Priel T. Sally
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio
Angeline Ysabelle R. Tulagan
School of Nursing, Allied Health and Biological Sciences, Saint Louis University, Philippines
Bio

Keywords

COVID-19, anxiety, student nurses, pandemics, male, female, year level, contributing factors

How to Cite

Crossref
Scopus
Google Scholar

Link to Google Scholar

Accepted for publication: 2023-09-04
Peer reviewed: Yes


Search Relations - Article by Author(s)

Share this article on:

Abstract

Background: The shift to online learning during the COVID-19 pandemic has raised concerns and heightened anxiety levels, especially among student nurses adapting to academic and clinical challenges.

Objective: This study aimed to assess the anxiety levels of student nurses during the COVID-19 pandemic, examining gender and year-level differences and identifying contributing factors.

Methods: A quantitative descriptive research design was employed, involving 305 student nurses from Levels 1 to 4, selected using proportionate stratified and systematic random sampling at a Philippine nursing school. Data were collected in March 2022 using the Beck Anxiety Inventory (BAI) and a self-made questionnaire. Descriptive and inferential statistics, including frequencies, percentages, means, Independent t-tests, and ANOVA, were utilized with a significance level of 0.05.

Results: The mean anxiety level among student nurses was 1.61, significantly differing by year level and gender (p <0.05). The most contributing factor of anxiety was ‘the adjustments to make with the sudden change of face-to-face classes to online or distance learning mode’ (90.16%), while the least factor was ‘lack of financial sources' (46.23%).

Conclusion: Student nurses had moderate anxiety levels, with gender and year level as significant contributing factors. Female student nurses experienced higher anxiety levels than males, and lower-level students experienced greater anxiety than their higher-level counterparts. Various factors, including academic, social, financial, and perceived health risk-related factors, affected student nurses’ anxiety levels, with academic-related factors having the most significant impact and financial-related factors having the least impact.


Total views 568 [Abstract: 388 | PDF: 180 ]

Funding Description

This study was not funded by any organization, but all the costs were shouldered by the research group

Downloads

Download data is not yet available.

Declaration of Conflicting Interest

The authors declared no conflicting interests in this study.

Acknowledgment

The authors acknowledged the participants who joined this study.

Authors’ Contributions

FLP is a Lead Person in this study who constructed and checked all the contents of the study output as well as drafted and revised the manuscript. Other authors contributed to the study design, data collection, analysis, and manuscript writing. All authors were accountable for the study and approved the final version of the article to be published.

Data Availability Statement

Data were available upon request to the corresponding author.

Declaration of the Use of AI in Scientific Writing

The article was subjected to Plagscan and Grammarly before it was submitted for publication.

References

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. https://doi.org/10.1111%2Fppc.12851

Bartlett, M. L., Taylor, H., & Nelson, J. D. (2016). Comparison of mental health characteristics and stress between baccalaureate nursing students and non-nursing students. Journal of Nursing Education, 55(2), 87-90. https://doi.org/10.3928/01484834-20160114-05

Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic books.

Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893-897. https://doi.org/10.1037/0022-006X.56.6.893

Chen, T., & Lucock, M. (2022). The mental health of university students during the COVID-19 pandemic: An online survey in the UK. PloS One, 17(1), e0262562. https://doi.org/10.1371/journal.pone.0262562

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. https://doi.org/10.1016%2Fj.nedt.2020.104471

Dhar, B. K., Ayittey, F. K., & Sarkar, S. M. (2020). Impact of COVID‐19 on psychology among the university students. Global Challenges, 4(11), 2000038. https://doi.org/10.1002/gch2.202000038

Dickler, J. (2020). Due to pandemic, more than 13 million college students are worried about their financial future: study. CNBC. https://www.cnbc.com/2020/08/31/majority-of-college-students-are-worried-about-money-due-to-covid-19.html

Falguera, C. C., Labrague, L. J., & De los Santos, J. A. A. (2023). The relationship between COVID-19 anxiety and student nurses’ perceived health, sleep quality, and psychological well-being. Acta Medica Philippina, 57(5). https://doi.org/10.47895/amp.vi0.4486

Fancourt, D., Steptoe, A., & Bu, F. (2021). Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England: A longitudinal observational study. The Lancet Psychiatry, 8(2), 141-149. https://doi.org/10.1016/S2215-0366(20)30482-X

Fawaz, M., & Samaha, A. (2021). E‐learning: Depression, anxiety, and stress symptomatology among Lebanese university students during COVID‐19 quarantine. Nursing Forum, 56, 52-57. https://doi.org/10.1111/nuf.12521

Galasso, V., Pons, V., Profeta, P., Becher, M., Brouard, S., & Foucault, M. (2020). Gender differences in COVID-19 attitudes and behavior: Panel evidence from eight countries. Proceedings of the National Academy of Sciences, 117(44), 27285-27291. https://doi.org/10.1073/pnas.2012520117

Islam, M. A., Barna, S. D., Raihan, H., Khan, M. N. A., & Hossain, M. T. (2020). Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey. PloS One, 15(8), e0238162. https://doi.org/10.1371/journal.pone.0238162

Ji, X., Yu, R., Mou, M., Chen, L., Zhao, H., Zhou, Q., Deng, X., & Yang, X. (2020). Analysis of psychological state in sichuan area nursing undergraduate’s during the epidemic of COVID-19. Medical Education Research and Practice, 28, 225-228.

Juvonen, J., Schacter, H. L., & Lessard, L. M. (2021). Connecting electronically with friends to cope with isolation during COVID-19 pandemic. Journal of Social and Personal Relationships, 38(6), 1782-1799. https://doi.org/10.1177/0265407521998459

Kokturk Dalcali, B., Durgun, H., & Taş, A. S. (2021). Anxiety levels and sleep quality in nursing students during the COVID‐19 pandemic. Perspectives in Psychiatric Care, 57(4), 1999-2005. https://doi.org/10.1111/ppc.12839

Lee, J., Solomon, M., Stead, T., Kwon, B., & Ganti, L. (2021). Impact of COVID-19 on the mental health of US college students. BMC Psychology, 9(1), 95. https://doi.org/10.1186/s40359-021-00598-3

Li, D., Zou, L., Zhang, Z., Zhang, P., Zhang, J., Fu, W., Mao, J., & Cao, S. (2021). The psychological effect of COVID-19 on home-quarantined nursing students in China. Frontiers in Psychiatry, 12, 652296. https://doi.org/10.3389/fpsyt.2021.652296

Masha’al, D., Shahrour, G., & Aldalaykeh, M. (2022). Anxiety and coping strategies among nursing students returning to university during the COVID-19 pandemic. Heliyon, 8(1), e08734. https://doi.org/10.1016/j.heliyon.2022.e08734

Mcleod, S. (2023). Erik Erikson’s stages of psychosocial development. Simply Psychology. https://www.simplypsychology.org/erik-erikson.html#generativity

Oducado, R. M. F. (2021). Gender differences in COVID-19 anxiety syndrome among Filipino nursing students. (JKG) Jurnal Keperawatan Global, 6(1), 1-8. https://doi.org/10.37341/jkg.v0i0.170

Onieva-Zafra, M. D., Fernández-Muñoz, J. J., Fernández-Martínez, E., García-Sánchez, F. J., Abreu-Sánchez, A., & Parra-Fernández, M. L. (2020). Anxiety, perceived stress and coping strategies in nursing students: A cross-sectional, correlational, descriptive study. BMC Medical Education, 20, 1-9. https://doi.org/10.1186/s12909-020-02294-z

Rondinelli, E. M., Hodgson, K. J., Ballash, S. L., & Augustynovich, J. C. (2015). Development of a modified cervical collar to eliminate overheating and dysphagia side effects. Williams Honors College / Honors Research Projects / University of Akron. https://ideaexchange.uakron.edu/honors_research_projects/81

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, 102809. https://doi.org/10.1016/j.nepr.2020.102809

Sayeed, A., Kundu, S., Al Banna, M. H., Hasan, M. T., Begum, M. R., & Khan, M. S. I. (2020). Mental health outcomes during the COVID-19 and perceptions towards the pandemic: Findings from a cross sectional study among Bangladeshi students. Children and Youth Services Review, 119, 105658. https://doi.org/10.1016/j.childyouth.2020.105658

Schiff, M., Zasiekina, L., Pat-Horenczyk, R., & Benbenishty, R. (2021). COVID-related functional difficulties and concerns among university students during COVID-19 pandemic: A binational perspective. Journal of Community Health, 46, 667-675. https://doi.org/10.1007/s10900-020-00930-9

Schultz, J. M., & Videbeck, S. L. (2005). Lippincott’s manual of psychiatric nursing care plans (7th ed.). Philadelphia: Lippincott Williams & Wilkins.

Shafiei Sarvestani, M., Mohammadi, M., Afshin, J., & Raeisy, L. (2019). Students’ experiences of e-learning challenges; a phenomenological study. Interdisciplinary Journal of Virtual Learning in Medical Sciences, 10(3), 1-10. https://doi.org/10.30476/ijvlms.2019.45841

Sundarasen, S., Chinna, K., Kamaludin, K., Nurunnabi, M., Baloch, G. M., Khoshaim, H. B., Hossain, S. F. A., & Sukayt, A. (2020). Psychological impact of COVID-19 and lockdown among university students in Malaysia: Implications and policy recommendations. International Journal of Environmental Research and Public Health, 17(17), 6206. https://doi.org/10.3390/ijerph17176206

Taghrir, M. H., Borazjani, R., & Shiraly, R. (2020). COVID-19 and Iranian medical students; A survey on their related-knowledge, preventive behaviors and risk perception. Archives of Iranian Medicine (AIM), 23(4), 249-254. https://doi.org/10.34172/aim.2020.06

Temiz, Z. (2020). Nursing students’ anxiety levels and coping strategies during the COVID-19 pandemic. International Archives of Nursing and Health Care, 6, 150. https://doi.org/10.23937/2469-5823/1510150

Thahir, A., Bulantika, S. Z., & Novita, T. (2021). Gender differences on Covid-19 related anxiety among students. Pakistan Journal of Psychological Research, 36(1), 71-83. https://doi:org/10.33824/PJPR.2021.36.1.05

Videbeck, S. L. (2011). Psychiatric–mental health nursing (5th ed.). Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins.

Yamane, T. (1973). Statistics: An introductory analysis. London: John Weather Hill, Inc.


Readers are able to give us their valuable feedbacks here. The comments will be reviewed by the editors and then published here. Important Note: The "Comments" related to the Galley Proof PDF must NOT be submitted via this form. Authors should submit their comments on their galley proofs only via system