The Relationship Between Coping Mechanisms And Stress Levels In Nursing Students During Clinical Practice
DOI:
https://doi.org/10.59585/ijhs.v3i4.890Keywords:
Coping Mechanism, Stress Level, Nursing Students, Clinical PracticeAbstract
Background: The clinical practice period is a crucial stage in nursing education, aimed at developing students' professional competence. However, this phase is often a source of stress due to academic demands, clinical responsibilities, and the pressures of the hospital environment. Poorly managed stress can reduce students' performance, motivation, and mental health. One factor influencing stress levels is coping mechanisms, namely how individuals deal with psychological pressure.
Objective: This study aims to analyze the relationship between coping mechanisms and stress levels in nursing students during clinical practice at a teaching hospital.
Method: This study used a correlational analytical design with a cross-sectional approach. The study population was all final-year nursing students who were practicing clinically at Hospital X, totaling 100 people, with a sample of 80 respondents selected using purposive sampling. The instrument used was the Perceived Nursing Questionnaire. Stress Scale (PSS) to measure stress levels and Coping Orientation to Problems Experienced (COPE Inventory) to assess coping mechanisms. Data were analyzed using the Spearman test. Rank to find out the relationship between variables.
Results: Most students used adaptive coping mechanisms (72.5%) and experienced moderate stress levels (65%). The analysis showed a significant negative relationship between coping mechanisms and stress levels (p = 0.001; r = -0.512). This means that the more adaptive the coping mechanisms used, the lower the students' stress levels during clinical practice.
Conclusion: There is a significant relationship between coping mechanisms and stress levels in nursing students. Adaptive coping mechanisms have been shown to play a significant role in reducing stress during clinical practice. Support from educational institutions through stress management training programs and psychological counseling is needed to enable students to effectively cope with academic and work pressures.
Downloads
References
Abu Bakar Betan., Hastutiningtyas, W. R., Abdullah, A., Aisyah, S., Ayu, N. M. S., Noviar, R. A., Mulia, M., & Latif, S. A. (2024). The Incident of Depression In Post Stroke Patients In the Nervous Polyclinic Room of Daya General Hospital Makassar City, South Sulawesi. International Journal of Health Sciences, 2(3), 918–926. https://doi.org/10.59585/ijhs.v2i3.436
Afandi, R., & Hidayat, M. (2021). The Relationship between Coping Mechanisms and Stress Levels of Nursing Students During Clinical Practice. Indonesian Nursing Journal, 24(2), 75–84. https://doi.org/10.7454/jki.v24i2.1234
Arifin, N., & Wulandari, E. (2020). Analysis of Factors Related to Stress in Nursing Students During Clinical Practice. Journal of Nursing and Midwifery, 11(1), 45–52.
Azizah, S., & Rahmawati, L. (2022). The Effect of Social Support on Stress Levels in Nursing Students. Nursing Science Journal, 10(3), 112–120.
Dewi, RK, & Sari, MP (2021). Stress Management in Nursing Students Facing Clinical Practice. Journal of Public Health and Nursing, 13(1), 55–62.
Fitriani, A. (2021). Stress Levels and Coping Strategies of Nursing Students in Clinical Practice at a Hospital. Indonesian Nursing Journal, 9(2), 87–94.
Handayani, F., Nugroho, P., & Rahayu, I. (2022). The Relationship between Social Support and Nursing Students' Coping Mechanisms. Journal of Psychology and Mental Health, 7(1), 33–41.
Idris, I., Pannyiwi, R., Ula, Z., & Singga, S. (2023). Provisions of Clean Water Facilities with the Incident of Diarrhea in the Ujung Pandang Baru Health Center Working Area. International Journal of Health Sciences, 1 (4), 576–588. https://doi.org/10.59585/ijhs.v1i4.186
Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: Springer Publishing Company.
Lestari, D., & Santosa, R. (2020). The Relationship between Self-Efficacy and Stress Levels of Nursing Students During Clinical Practice. Muhammadiyah Nursing Journal, 5(2), 73–80.
Malaha, N., Rusdi, M., Syafri, M., Pannyiwi, R., Sima, Y., & Rahmat, RA (2022). The Relationship Between Knowledge Level and Smoking Behavior at SMA N 1 Liang, Banggai Islands Regency. Barongko: Journal of Health Sciences, 1 (1), 11–16. https://doi.org/10.59585/bajik.v1i1.17
Nurnainah, N., Betan, A., Rukayah, S., Purbanova, R., Purwoto, A., Rusli, R., & Prabu Aji, S. (2023). Management of Nursing Care Implementation Through the Recovery Rate of Inpatients in Hospitals. Sahabat Sosial: Journal of Community Service, 1 (2), 83–85. https://doi.org/10.59585/sosisabdimas.v1i2.36
Ningsih, W., & Astuti, R. (2023). The Influence of Coping Strategies on the Psychological Well-being of Nursing Students. Scientific Journal of Health, 15(1), 98–106. https://doi.org/10.31219/osf.io/xyz45
Pertiwi, S., & Yuliana, M. (2022). The Role of Emotional Intelligence in Reducing Nursing Students' Stress During Practice. Nursing Education Journal, 8(3), 201–210.
Pannyiwi, R., Ali, A., & Yulis, DM (2025). The Relationship Between Family Roles and Drug Abuse Behavior in Adolescents in Sidenreng Rappang Regency. JIMAD: Multidisciplinary Scientific Journal, 2 (3), 184–190. https://doi.org/10.59585/jimad.v2i3.855
Putri, DA, & Rahmawati, T. (2020). The Relationship between Adaptive Coping Strategies and Stress Levels in Nursing Students. Indonesian Journal of Nursing and Midwifery, 9(1), 12–19.
Pannyiwi, R., Zulham, Z., Rahmat, RA, Kusumawati, I., & Yusrianto, Y. (2023). Business Funding Assistance and 1 Motorcycle to Help the Health Economy of the Gowa Community. Sahabat Sosial: Journal of Community Service, 2(1), 13–20. https://doi.org/10.59585/sosisabdimas.v2i1.180
Rohmah, N., Sari, ID, & Prasetyo, Y. (2021). Coping Strategies and Academic Stress of Nursing Students. Journal of Nursing and Public Health, 10(2), 45–53.
Setiawan, E., & Nuraini, S. (2023). Mindfulness and Self-Regulation as Efforts to Reduce Academic Stress in Nursing Students. Journal of Applied Psychology, 14(2), 88–97.
Wati, R., & Hidayah, N. (2021). Factors Influencing Stress in Nursing Professional Students During the COVID-19 Pandemic. Soedirman Nursing Journal, 16(2), 134–141.
Yuliani, E., & Kurniawan, A. (2022). The Effectiveness of Group Counseling Programs in Reducing Stress in Nursing Students. Journal of Holistic Health, 6(4), 255–263.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nurnainah Nurnainah, Abdurrahman Abdurrahman, Abu Bakar Betan

This work is licensed under a Creative Commons Attribution 4.0 International License.

