Ebelik Öğrencilerinin İlk Klinik Uygulama Öncesi ve Sonrası Kaygı ve Stres Düzeyleri

Amaç: Bu çalışma ebelik öğrencilerinin ilk klinik uygulama öncesi ve sonrası yaşadıkları kaygı ve stres düzeylerini belirlemek amacıyla yapılmıştır. Yöntem: Çalışmanın örneklemini Türkiye’nin İç Anadolu bölgesinde yer alan bir kamu üniversitesinde birinci sınıfta okuyan ve ilk kez uygulamaya çıkacak olan 63 ebelik öğrencisi oluşturmuştur. Veriler öğrenci bilgi formu, Durumluk-Sürekli Kaygı Envanteri ve Pagana Klinik Stres Anketi (KSA) ile toplanmıştır. Verilerin IBM SPSS 21 programında değerlendirildi. Verilerin analizinde; sayı, yüzde, ortalama, standart sapma, eşli iki örnek t testi ve wilcoxon testi kullanıldı. Bulgular: Öğrenciler ilk klinik uygulama öncesi hissettikleri duyguları; merak (88.9%), heyecan (87.3%), stres (44.4%) ve endişe (38.1) olarak belirtmiştir. Bu duygulara neden olan faktörleri ise; yeni bir şeyler öğrenecek olmak (87.3%), hastaya zarar verme korkusu (60.3%), hastane ortamında bulunacak olmak (60.3%), hata yapmaktan korkmak (31.7%) olarak belirtmişlerdir. Öğrencilerin klinik uygulama sonrasında; durumluk kaygı puan ortalamaları (p

Anahtar Kelimeler:

kaygı, ebe, eğitim, öğrenci, öğrenme

Anxiety and Stress Levels of Midwifery Students Before and After the First Clinical Practice

Purpose: This study is conducted to determine the anxiety and stress levels experienced by midwifery students in their first clinical practice. Methods: The sample of the study was 63 midwifery students studying in first grade at a public university located in the Central Anatolian region of Turkey and going to begin clinical practice. Data were collected by the student information form, The State-Trait Anxiety Inventory (STAI), and Pagana Clinical Stress Questionnaire (CSQ). Results: The students expressed their feelings before the first clinical practice as a curiosity (88.9%), excitement (87.3%), stress (44.4%), and worry (38.1). The factors affecting these feelings are; to be learning something new (87.3%), worrying about harming the patient (60.3%), being in a hospital setting (60.3%), worry about failing (31.7%). After the clinical practice of the students; state anxiety point averages (p

Keywords:

anxiety, midwifery, education, student, learning,

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Açıksöz, S., Uzun, Ş., & Arslan, F. (2016). Hemşirelik öğrencilerinde öz yeterlilik algısı ile klinik uygulamaya ilişkin kaygı ve stres durumu arasındaki ilişkinin incelenmesi. Gülhane Tıp Dergisi, 58(1), 129–135.
Arabaci, L. B., Akin Korhan, E., Tokem, Y., Torun, R., Katip, İ., & Üniversitesi, Ç. (2015). Nursing Students’ Anxiety And Stress Levels And Contributed Factors Before-During And After First Clinical Placement. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi., 2(1), 1–16.
Atay, S., & Yilmaz, F. (2011). Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi (Vol. 14).
Aydın Kartal, Y., & Yazıcı, S. (2017). Ebelik Öğrencilerinin İlk Klinik Deneyim Başlangıcı ve Sonunda Anksiyete ve Stres Düzeylerinin Belirlenmesi. Sağlık Bilimleri ve Meslekleri Dergisi, 4(3).
Bektaş, H., Terkes, N., & Özer, Z. (2018). Stress and ways of coping among first year nursing students: A Turkish perspective. Journal of Human Sciences, 15(1), 319.
Bilgin, Z., Arslan Özkan, H., & Baş, M. (2016). Ebelik Öğrencilerinde Güdülenme Düzeyinin Klinik Uygulama Beklentisine Etkisi. Online Türk Sağlık Bilimleri Dergisi, 1(4), 38–53.
Budu, H. I., Abalo, E. M., Bam, V., Budu, F. A., & Peprah, P. (2019). A survey of the genesis of stress and its effect on the academic performance of midwifery students in a college in Ghana. Midwifery, 73, 69–77.
Cummins, A. M., Catling, C., Hogan, R., & Homer, C. S. E. (2014). Addressing culture shock in first year midwifery students: Maximising the initial clinical experience. Women and Birth, 27(4), 271–275.
Cummins, A. M., Wight, R., Watts, N., & Catling, C. (2018). Introducing sensitive issues and self-care strategies to first year midwifery students. Midwifery, 61, 8–14.
Eswi, A. S., Radi, S., & Youssri, H. (2013). Stress/ stressors as perceived by baccalaureate Saudi nursing students. Middle East Journal of Scientific Research, 14(2), 193–202.
Gemuhay, H. M., Kalolo, A., Mirisho, R., Chipwaza, B., & Nyangena, E. (2019). Factors Affecting Performance in Clinical Practice among Preservice Diploma Nursing Students in Northern Tanzania. Nursing Research and Practice, 2019, 1–9.
Hogan, R., Fox, D., & Barratt-See, G. (2017). Original Research-Qualitative Peer to peer mentoring: Outcomes of third-year midwifery students mentoring first-year students.
Jonsén, E., Melender, H. L., & Hilli, Y. (2013). Finnish and Swedish nursing students’ experiences of their first clinical practice placement - A qualitative study. Nurse Education Today, 33(3), 297–302.
Karagözoğlu, Ş., Özden, D., & Türk, G. (2014). Anxiety, stress levels experienced by nursing students studying in the classical and ıntegrated curriculum in their first clinical practice and some affecting factors. E-Journal of Dokuz Eylul University Nursing Faculty. , 7(4), 266–274.
Karakoc, H., Uctu, A. K., & Bekmezci, E. (2020). The effect of the education model on the levels of state/continuous anxiety and self-efficacy of midwifery students. Nigerian Journal of Clinical Practice, 23(10), 1470–1476.
Köse Tosunöz İ, Güngör, S., & Öztunc, G. (2021). The anxiety before first clinical experience: the case of nursing students. YOBU Faculty of Health Sciences Journal, 2(1), 54–61.
Levett-Jones, T., Pitt, V., Courtney-Pratt, H., Harbrow, G., & Rossiter, R. (2015). What are the primary concerns of nursing students as they prepare for and contemplate their first clinical placement experience? Nurse Education in Practice, 15(4), 304–309.
McCarthy, B., Trace, A., O’Donovan, M., Brady-Nevin, C., Murphy, M., O’Shea, M., & O’Regan, P. (2018). Nursing and midwifery students’ stress and coping during their undergraduate education programmes: An integrative review. In Nurse Education Today (Vol. 61, pp. 197–209). Churchill Livingstone.
Oktay, A. A., Gülpak, M., & Yel, F. (2017). HEMŞİRELİK ÖĞRENCİLERİNE YAPILAN HASTANE TANITIMININ İLK KLİNİK STRES DÜZEYLERİ ÜZERİNE ETKİSİ. INTERNATIONAL REFEREED JOURNAL OF NURSING RESEARCHES, 0(10), 101–118.
Öner, N., & le Compte, A. (1983). Handbook of State-Trait Anxiety Inventory. Boğaziçi Üniversitesi Yayınları.
Polat, Ş., Ayyıldız Erkan, H., Çınar, G., & Afşar Doğrusöz, L. (2018). Opinions of Student Nurses Practicing Clinical Practice in a University Hospital. Sağlık ve Hemşirelik Yönetimi Dergisi.
Rafati, F., Nouhi, E., Sabzehvari, S., & Dehghan-Nayyeri, N. (2017). Iranian Nursing Students’ Experience of Stressors in Their First Clinical Experience. Journal of Professional Nursing, 33(3), 250–257.
Sendir, M., & Acaroglu, R. (2008). Reliability and validity of Turkish version of clinical stress questionnaire. Nurse Education Today, 28(6), 737–743.
Spielberger, C., Gorsuch, R., & Lushene, R. (1970). Manual for Stait-Trait Anxiety Inventory, Consulting Psychologist Press. Consulting Psychologist Press.
Sun, F. K., Long, A., Tseng, Y. S., Huang, H. M., You, J. H., & Chiang, C. Y. (2016). Undergraduate student nurses’ lived experiences of anxiety during their first clinical practicum: A phenomenological study. Nurse Education Today, 37, 21–26.
Yearwood, E., & Riley, J. B. (2010). Curriculum infusion to promote nursing student well-being. Journal of Advanced Nursing, 66(6), 1356–1364.