INTRODUCTION

Stress is simply a reaction to a stimulus that disturbs our physical and mental
equilibrium. In other words, it's an omnipresent part of life. A stressful event can trigger
the fight-or-flight response, causing hormones such as adrenaline and cortisol to surge
through the body.

The student may face many challenges and stressors. However, as a nursing
student they are likely to experience even more stress than their other friends and
colleagues enrolled in other programs. A study comparing the stress levels of various
students found that nursing students experience higher levels of stress than medical,
social work and pharmacy students (Beck, et al.,1997)

In addition to contending with exams, grades, long hours of studying, work,

family and other personal commitments those students are also faced with the challenges
of clinical practice. This profession requires academic and clinical training. The clinical
duties that the nursing students have to undergo are an integral part of the course. Related
Learning Experiences (RLE) is required in the nursing curriculum.

Clinical practice has been identified as one of the most anxiety producing
components in nursing programs.

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Stress may cause raised blood pressure and alter the metabolism of fats, which
contribute to heart disease. Also, high levels of stress increase secretion of noradrenaline,
the aggression hormone,' which may cause disturbances of heart rhythms. Ongoing stress
also increases the prevalence of other risk factors for heart disease, such as smoking lack
of physical activity and over eating.

The researchers chose this study to identify the different stressors and to study the
coping mechanism of nursing students. It is in this context that the study is focused to
help the nursing students identify some stressors during their clinical duties and to
recommend possible solutions on how to manage this stress most importantly.

What will happen if the nurses themselves cannot cope with the anxiety in their
environment? The researchers wanted to conduct a study about how nursing students
cope and handle the stress around them.

Statement of the Problem

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This study was conducted to analyze the stress management and coping
mechanism of selected nursing students of Cavite State University.

Specifically, this study aims to answer the following questions:

1. What is the demographic profile of the participants in terms of:
a) Age
c) Year level
b) Gender
d) Clinical duties
2. What are the common stress management used by participants?
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What are the different coping mechanisms used by the participants

Objective of the Study

The main objective of this study is to analyze the stress management and coping
mechanisms of selected nursing students of Cavite State University.

1. Determine the demographic profile of the participants in terms of;

a) Age
c) Year level
b) Gender
d) Clinical duties
2. Determine the common stress management used by participants.
3. What are the different coping mechanisms used by the participants.

Conceptual Framework

Distribution

of

Stress Management and

Coping mechanism
Performed By Selective
Nursing Students of Cavite
State University

Questionnaire
Research Paradigm
Input

Process

Output

Demographic

Observation
Analysis

using

statistical treatment

profile
1. Age

1.Frequency Count

2. Sex

2. Percentages
3. Average Mean

3. Sex

The

different

coping mechanism
and

stressors

encountered by the
selective

nursing

students of Cavite
State University

The different stress

management
performed by the
participants

Figure 1.

Figure 1
Research paradigm used in this study is illustrated in Figure 1. It shows the
steps adopted by the researchers in order to come up with the output of the
study. It best describes the idea of the procedural design used by the researchers.

Significance of the Study

The result of the study would be significant to the following:
The researchers, Result of this study may contribute to the researcher. Conducting
this study gives knowledge to them. It is important for them to know the different
stressors and coping mechanism to control it and find ways to prevent it. The nursing
students, who may acquire greater insights of the stressors, problems and challenges they
may encounter all throughout their clinical performances which is part of their chosen
career. This knowledge will give them better and wider perspective about their profession
and aid them in enhancing their coping abilities and self-confidence. Faculty, this study

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will give insight to the faculty about the stressors encountered by their students and to
improve their performances. It also gives them the chance to improve the quality of
nursing education for the benefit of the student and the institution as well. Future
Researchers, This study would be significant for future researchers because this may
serve as a reference and a lead for inquiries of those who will utilize the same topic.

Time and Place of the study

The study will be conducted from Jan 2016 to March 2016 in Cavite State
University Main Campus specifically in the College of Nursing.

Scope and Limitation of the Study

This study was entitled stress management and coping mechanism of selected
nursing students of Cavite State University.

The focus of this study is about the different coping mechanism and stress
management of selected nursing students.
The participants of the study were limited to students from the College of Nursing
of Cavite State University under the age of 18 to 22 years old.

Definition of Terms
The following terms are used and defined within the context of this study:
Anxiety. Feeling of worry, nervousness, or unease, typically about an imminent
event or something with an uncertain outcome.
Coping. Expending conscious effort to solve personal and interpersonal
problems, and seeking to master, minimize or tolerate stress or conflict.
Clinical Practice. Statements that include recommendations, intended to optimize
patient care, that are informed by a systematic review of evidence and an assessment of
the benefits and harms of alternative care options

Clinical Duties. Any task or duty involving the professional component of

medical practice, which requires the exercise of clinical judgment with respect to patient
care.
Management. This refers to the act or art of managing the whole system of care
and treatment of a sick individual

Related Learning Experience. Teaching-learning opportunities designed to

develop the competencies of students utilizing processes in various health situations.
Stress. It is your body's way of responding to any kind of demand. It can be
caused by both good and bad experiences.
Stressors. This pertains to the factors affecting the performances of the nursing
students.

Theoretical Framework
COPING MECHANISM
In 1976, Sister Callista Roy developed the Adaptation Model of Nursing, a
prominent nursing theory.
This model comprises four domain concepts of person, health, environment, and
nursing; it involves a six-step nursing process. Andrews & Roy (1991) state that person
can be a representation of an individual or a group of individuals. Roy's model sees
the person as "a bio psychosocial being in constant interaction with a changing
environment." Person is an open, adaptive system who uses coping skills to deal with

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stressors and environment as "all conditions, circumstances and influences that surround
and affect the development and behavior of the person". Roy describes stressors as
stimuli and uses the term residual stimuli to describe those stressors whose influence on
the person is not clear. Originally, she wrote that health and illness are on continuum
with many different states or degrees possible. More recently, she states that health is the
process of being and becoming an integrated and whole person. Her goal for nursing is
"the promotion of adaptation in each of the four modes: physiological, self-concept, role
function and interdependence.

STRESS MANAGEMENT
Hans Selyes (1907-1987) was explained his stress model based on psychology
and psychobiology as General Adaption Gas. His model states that an event that threatens
an organisms well-being (a stressor) leads to a three-stage bodily response:
The stage 1 is alarm that is upon encountering a stressors, body reacts with fightto-flight response sympathetic nervous system activated. Hormones such as cortisol and
adrenalin released into bloodstream to meet the threat or danger. Bodys resources now
mobilized.

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Stage 2 is resistance a parasympathetic in nervous system that returns many
physiological functions to normal levels. Blood glucose levels remain high. Increase HR,
BP, breathing. Body remains on red alert
Stage 3 is exhaustion that continues beyond bodys capacity.

The researchers interpretation in this conceptual framework is to represent the

some aspect of reality according to our topic. Because as nursing students defining stress
would be relatively easy, yet those who have spent most of their studies is still have
trouble defining the terms. Essentially stress is the emotional and physical response that
we experience when we perceive an imbalance between demands placed on you and your
resources at a time when coping is important. Grant me the courage to change the things
I can change, the serenity to accept those that I cannot change and the wisdom to know
the difference Reinhold Niebuhr. This famous quote from philosopher has been the

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inspiration for many people who have successfully managed to turn their lives around by
consciously challenging many of their thoughts and assumptions in order to change the
way they think and feel about their situation. With the day-to-day pressure faced by many
nurses, it is easy for us to fall into negative patterns of thinking that have a big impact on
how we feel at work and at home. The trick is to recognize thinking patterns and works
towards changing them.

References

https://en.m.wikipedia.org/wiki/Adaptation_model_of_nursing
http://www.nursetogether.com/stress-management-nurses

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Stress Management and Coping Mechanism of Selected

Nursing Students of Cavite State University

Research Paper
Submitted to the faculty of
Department of Language and Mass Communication
College of Arts and Sciences
Cavite State University

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In partial fulfillment
Of the requirements for the subject
ENGL12

Aubrey Allana T. Periodico

Ria Rency P. Pipit
Shaira A. Relivo
Javern M. Supnet
Ivan Quimson Sinsay
Rome Kryss-Anne H. Verano
Second Sem A.Y 2015-2016