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Assessing mental resilience with individual and lifestyle determinants among nursing students: An observational study from Greece

  • Received: 28 March 2024 Revised: 05 June 2024 Accepted: 18 June 2024 Published: 21 August 2024
  • The educational environment is important for the development of life skills of nursing students in late- and post-adolescence. Strengthening their mental resilience, enhancing their individual confidence, and controlling stress are necessary conditions in this direction, which will help them cope with the future challenges of their chosen profession. We aimed to study the resilience profiles of nursing students by investigating their mental resilience and its association with their individual characteristics and lifestyle factors. The Connor-Davidson Resilience Scale (CD–RISC–25) scale for resilience, the Perceived Stress Scale (PSS–14) scale for perceived stress, and the Personal Trust and Connection (PerTC) scale for trust and connections were used. The lifestyle determinants were also assessed. An e-survey that targeted 250 nursing students was conducted from November 22 to April 23. Descriptive and advanced statistical analyses were performed. 146 students participated in the study via an on-line questionnaire; the students were predominantly female (82.2%) with mean age of 22 years (SD = 6.8). Two out of ten students smoked (20.5%), 66.4% consumed at least one drink during a usual week, and 48.0% participated in sports during the last year. The mean hours spent on the Internet daily was 4.2 (SD = 1.8) and on social media was 2.7 (SD = 1.6) hours/day. The students scored highly on the 1-to-10 life-satisfaction item (Mean = 6.3, SD = 1.9), where the perceived stress was assessed as moderate/high with a mean of 33 (SD = 4.4) and trust and connections had a mean of 6.2 (SD = 1.1). In the multivariate analysis, the factors found to significantly associate with resilience (CD–RISC–25; Mean = 64.2, SD = 11.8) were age (β = 0.4; 95% CI: 0.1, 0.7), sports participation (β = 5.7; 95% CI: 2.3, 9.1), hours per day spent on social media (β = -1.3; 95% CI: -2.3, -0.3), and the number of friends (β = 0.3; 95% CI: 0.05, 0.5). Finally, resilience was positively associated with life satisfaction and the trust and connections scale (β = 1.8; 95% CI: 0.9, 2.7 and β = 1.8; 95% CI: 0.2, 3.4, respectively).

    Citation: Maria Antoniou, Evangelos C. Fradelos, Theano Roumeliotaki, Foteini Malli, Emmanouil, K. Symvoulakis, Dimitrios Papagiannis. Assessing mental resilience with individual and lifestyle determinants among nursing students: An observational study from Greece[J]. AIMS Public Health, 2024, 11(3): 947-962. doi: 10.3934/publichealth.2024049

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  • The educational environment is important for the development of life skills of nursing students in late- and post-adolescence. Strengthening their mental resilience, enhancing their individual confidence, and controlling stress are necessary conditions in this direction, which will help them cope with the future challenges of their chosen profession. We aimed to study the resilience profiles of nursing students by investigating their mental resilience and its association with their individual characteristics and lifestyle factors. The Connor-Davidson Resilience Scale (CD–RISC–25) scale for resilience, the Perceived Stress Scale (PSS–14) scale for perceived stress, and the Personal Trust and Connection (PerTC) scale for trust and connections were used. The lifestyle determinants were also assessed. An e-survey that targeted 250 nursing students was conducted from November 22 to April 23. Descriptive and advanced statistical analyses were performed. 146 students participated in the study via an on-line questionnaire; the students were predominantly female (82.2%) with mean age of 22 years (SD = 6.8). Two out of ten students smoked (20.5%), 66.4% consumed at least one drink during a usual week, and 48.0% participated in sports during the last year. The mean hours spent on the Internet daily was 4.2 (SD = 1.8) and on social media was 2.7 (SD = 1.6) hours/day. The students scored highly on the 1-to-10 life-satisfaction item (Mean = 6.3, SD = 1.9), where the perceived stress was assessed as moderate/high with a mean of 33 (SD = 4.4) and trust and connections had a mean of 6.2 (SD = 1.1). In the multivariate analysis, the factors found to significantly associate with resilience (CD–RISC–25; Mean = 64.2, SD = 11.8) were age (β = 0.4; 95% CI: 0.1, 0.7), sports participation (β = 5.7; 95% CI: 2.3, 9.1), hours per day spent on social media (β = -1.3; 95% CI: -2.3, -0.3), and the number of friends (β = 0.3; 95% CI: 0.05, 0.5). Finally, resilience was positively associated with life satisfaction and the trust and connections scale (β = 1.8; 95% CI: 0.9, 2.7 and β = 1.8; 95% CI: 0.2, 3.4, respectively).



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    Acknowledgments



    The authors would like to thank all the students who participated in the present study.

    Author contributions



    Conceptualization, Dimitrios Papagiannis, Maria Antoniou, Emmanouil, K. Symvoulakis; methodology, Maria Antoniou, Evangelos C. Fradelos; Emmanouil, K. Symvoulakis and Dimitrios Papagiannis. Software, Theano Roumeliotaki, Maria Antoniou, and Dimitrios Papagiannis; validation, Theano Roumeliotaki, Maria Antoniou, Emmanouil, K. Symvoulakis, and Dimitrios Papagiannis; formal analysis, Maria Antoniou, Theano Roumeliotaki, Emmanouil, K. Symvoulakis and Dimitrios Papagiannis; investigation, Maria Antoniou, Evangelos C. Fradelos, Foteini Malli and Dimitrios Papagiannis; data curation, Maria Antoniou, Theano Roumeliotaki, Emmanouil, K. Symvoulakis, and Dimitrios Papagiannis; writing original draft preparation, Maria Antoniou, Theano Roumeliotaki, Evangelos C. Fradelos, Foteini Malli, Emmanouil, K. Symvoulakis and Dimitrios Papagiannis; writing, review and editing, Maria Antoniou, Emmanouil, K. Symvoulakis, Theano Roumeliotaki, Evangelos C. Fradelos, and Dimitrios Papagiannis; supervision, Emmanouil, K. Symvoulakis and Dimitrios Papagiannis; project administration, Dimitrios Papagiannis. All authors have read and agreed to the published version of the manuscript.

    Conflict of interest



    Evangelos C. Fradelos is an editorial board member for AIMS Public Health and were not involved in the editorial review or the decision to publish this article. All authors declare that there are no competing interests.

    [1] Anderson K, Priebe S (2021) Concepts of resilience in adolescent mental health research. J Adolesc Health 69: 689-695. https://doi.org/10.1016/j.jadohealth.2021.05.003
    [2] Palamarchuk IS, Vaillancourt T (2021) Mental resilience and coping with stress: A comprehensive, multi-level model of cognitive processing, decision making, and behavior. Front Behav Neurosci 15: 719674. https://doi.org/10.3389/Fnbeh.2021.719674
    [3] Small SP, Cashin G, English D, et al. (2024) “It is essentially about treating each other well”: Insights from faculty on incivility in nursing education. Can J Nurs Res 56: 81-94. https://doi.org/10.1177/08445621231204985
    [4] Gunsilius CZ, Price MM, Rogers SL, et al. (2024) Paying attention to attention: A program evaluation of faculty-delivered mindfulness-based attention training to optimize wellness and professionalism in medical students. BMC Med Educ 24: 182. https://doi.org/10.1186/s12909-024-05119-5
    [5] Li ZS, Hasson F (2020) Resilience, stress, and psychological well-being in nursing students: A systematic review. Nurse Educ Today 90: 104440. https://doi.org/10.1016/J.Nedt.2020.104440
    [6] Masso M, Sim J, Halcomb E, et al. (2022) Practice readiness of new graduate nurses and factors influencing practice readiness: A scoping review of reviews. Int J Nurs Stud 129: 104208. https://doi.org/10.1016/j.ijnurstu.2022.104208
    [7] Gazzaz ZJ, Baig M, Al Alhendi BSM, et al. (2018) Perceived stress, reasons for and sources of stress among medical students at Rabigh Medical College, King Abdulaziz University, Jeddah, Saudi Arabia. BMC Med Educ 18: 29. https://doi.org/10.1186/s12909-018-1133-2
    [8] Hill MR, Goicochea S, Merlo LJ (2018) In their own words: Stressors facing medical students in the millennial generation. Med Educ Online 23: 1530558. https://doi.org/10.1080/10872981.2018.1530558
    [9] Admi H, Moshe-Eilon Y, Sharon D, et al. (2018) Nursing students' stress and satisfaction in clinical practice along different stages: A cross-sectional study. Nurse Educ Today 68: 86-92. https://doi.org/10.1016/j.nedt.2018.05.027
    [10] Zhu Y, Wang H, Wang A (2021) An evaluation of mental health and emotion regulation experienced by undergraduate nursing students in China during the COVID-19 pandemic: A cross-sectional study. Int J Ment Health Nurs 30: 1160-1169. https://doi.org/10.1111/inm.12867
    [11] Devi HM, Purborini N, Chang HJ (2021) Mediating effect of resilience on association among stress, depression, and anxiety in Indonesian nursing students. J Prof Nurs 37: 706-713. https://doi.org/10.1016/j.profnurs.2021.04.004
    [12] Smith GD, Lam L, Poon S, et al. (2023) The impact of COVID-19 on stress and resilience in undergraduate nursing students: A scoping review. Nurse Educ Pract 72: 103785. https://doi.org/10.1016/j.nepr.2023.103785
    [13] Berdida DJE, Grande RAN (2023) Academic stress, COVID-19 anxiety, and quality of life among nursing students: The mediating role of resilience. Int Nurs Rev 70: 34-42. https://doi.org/10.1111/inr.12774
    [14] Keener TA, Hall K, Wang K, et al. (2021) Quality of life, resilience, and related factors of nursing students during the COVID-19 pandemic. Nurse Educ 46: 143-148. https://doi.org/10.1097/NNE.0000000000000969
    [15] Stanton R, Best T, Williams S, et al. (2021) Associations between health behaviors and mental health in Australian nursing students. Nurse Educ Pract 53: 103084. https://doi.org/10.1016/j.nepr.2021.103084
    [16] Howie EK, Guagliano JM, Milton K, et al. (2020) Ten research priorities related to youth sport, physical activity, and health. J Phys Act Health 17: 920-929. https://doi.org/10.1123/jpah.2020-0151
    [17] Wilson GS, Pritchard ME (2005) Comparing sources of stress in college student athletes and non-athletes. Athlet Insight: Online J Sports Psycholo 5: 1-8.
    [18] Ning L, Li S, Li F, et al. (2024) The effect of sleep problems on core self-evaluations in undergraduate nursing students and the role of emotion regulation and resilience: A cross-sectional study. J Prof Nurs 51: 64-73. https://doi.org/10.1016/j.profnurs.2024.02.004
    [19] Persich M, Cloonan S, Grandner M, et al. (2021) 106 self-reported sleep and resilience. Sleep 44: A43-A44. https://doi.org/10.1093/sleep/zsab072.105
    [20] Paruthi S, Brooks LJ, D'Ambrosio C, et al. (2016) Recommended amount of sleep for pediatric populations: A consensus statement of the American academy of sleep medicine. J Clin Sleep Med 12: 785-786. https://doi.org/10.5664/jcsm.5866
    [21] Kim EJ, Dimsdale JE (2007) The effect of psychosocial stress on sleep: A review of polysomnographic evidence. Behav Sleep Med 5: 256-278. https://doi.org/10.1080/15402000701557383
    [22] Aboody D, Siev J, Doron G (2020) Building resilience to body image triggers using brief cognitive training on a mobile application: A randomized controlled trial. Behav Res Ther 134: 103723. https://doi.org/10.1016/j.brat.2020.103723
    [23] Eryılmaz A, Yıldırım-Kurtuluş H, Yıldırım M (2024) A cross-sectional and longitudinal study on the mediation effect of positive and negative affects in the relationship between self-compassion and resilience in early adolescents. Child Youth Serv Rev 161: 107669. https://doi.org/10.1016/j.childyouth.2024.107669
    [24] Zhang Y, Li Y, Jiang T, et al. (2023) Role of body mass index in the relationship between adverse childhood experiences, resilience, and mental health: A multivariate analysis. BMC Psychiatry 23: 460. https://doi.org/10.1186/s12888-023-04869-8
    [25] Uzun ME, Kara Ö, Şirin H, et al. (2023) Examination of relationship factors between psychological resilience and social support in adolescent obesity. Arch Pediatr 30: 277-282. https://doi.org/10.1016/j.arcped.2023.02.008
    [26] Connor KM, Davidson JRT (2003) Development of a new resilience scale: The connor-davidson resilience scale (CD-RISC). Depress Anxiety 18: 76-82. https://doi.org/10.1002/da.10113
    [27] Tsigkaropoulou E, Douzenis A, Tsitas N, et al. (2018) Greek version of the connor-davidson resilience scale: Psychometric properties in a sample of 546 subjects. In Vivo 32: 1629-1634. https://doi.org/10.21873/invivo.11424
    [28] Symvoulakis EK, Volkos P, Kamekis A, et al. (2023) Development and assessment of the scale of personal trust and connections (PerTC): Preliminary data from a hospital employee group. Healthcare (Basel) 11: 13. https://doi.org/10.3390/healthcare11010013
    [29] Andreou E, Alexopoulos EC, Lionis C, et al. (2011) Perceived stress scale: Reliability and validity study in Greece. Int J Environ Res Public Health 8: 3287-3298. https://doi.org/10.3390/ijerph8083287
    [30] Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24: 385-396. https://doi.org/10.2307/2136404
    [31] Lundqvist C (2011) Well-being in competitive sports-The feel-good factor? A review of conceptual considerations of well-being. Int Rev Sport Exerc Psychol 4: 109-127. https://doi.org/10.1080/1750984X.2011.584067
    [32] Eather N, Wade L, Pankowiak A, et al. (2023) The impact of sports participation on mental health and social outcomes in adults: A systematic review and the ‘mental health through sport’ conceptual model. Syst Rev 12: 102. https://doi.org/10.1186/s13643-023-02264-8
    [33] Watson NF, Badr MS, Belenky G, et al. (2015) Recommended amount of sleep for a healthy adult: A joint consensus statement of the American academy of sleep medicine and sleep research society. Sleep 38: 843-844. https://doi.org/10.5665/sleep.4716
    [34] Du C, Zan MCH, Cho MJ, et al. (2021) The effects of sleep quality and resilience on perceived stress, dietary behaviors, and alcohol misuse: A mediation-moderation analysis of higher education students from Asia, Europe, and North America during the COVID-19 pandemic. Nutrients 13: 442. https://doi.org/10.3390/Nu13020442
    [35] Fatima Y, Doi SAR, Mamun AA (2016) Sleep quality and obesity in young subjects: A meta-analysis. Obes Rev 17: 1154-1166. https://doi.org/10.1111/obr.12444
    [36] Gilbert SP, Weaver CC (2010) Sleep quality and academic performance in university students: A Wake-up call for college psychologists. J Coll Stud Psych 24: 295-306. https://doi.org/10.1080/87568225.2010.509245
    [37] Wells ME, Vaughn BV (2012) Poor sleep challenging the health of a nation. Neurodiagn J 52: 233-249. https://doi.org/10.1080/21646821.2012.11079859
    [38] Vannucci A, Flannery KM, Ohannessian CM (2017) Social media use and anxiety in emerging adults. J Affect Disord 207: 163-166. https://doi.org/10.1016/j.jad.2016.08.040
    [39] Gecaite-Stonciene J, Saudargiene A, Pranckeviciene A, et al. (2021) Impulsivity mediates associations between problematic internet use, anxiety, and depressive symptoms in students: A cross-sectional COVID-19 study. Front Psychiatry 12: 634464. https://doi.org/10.3389/Fpsyt.2021.634464
    [40] Davydov DM, Stewart R, Ritchie K, et al. (2010) Resilience and mental health. Clin Psych Rev 30: 479-495. https://doi.org/10.1016/j.cpr.2010.03.003
    [41] Brand M, Young KS, Laier C, et al. (2016) Integrating psychological and neurobiological considerations regarding the development and maintenance of specific internet-use disorders: An interaction of person-affect-cognition-execution (I-PACE) model. Neurosci Biobehav Rev 71: 252-266. https://doi.org/10.1016/j.neubiorev.2016.08.033
    [42] van Harmelen AL, Blakemore SJ, Goodyer IM, et al. (2021) The interplay between adolescent friendship quality and resilient functioning following childhood and adolescent adversity. Advers Resil Sci 2: 37-50. https://doi.org/10.1007/s42844-020-00027-1
    [43] Graber R, Turner R, Madill A (2016) Best friends and better coping: Facilitating psychological resilience through boys' and girls' closest friendships. Br J Psychol 107: 338-358. https://doi.org/10.1111/bjop.12135
    [44] Ertekin Pinar S, Yildirim G, Sayin N (2018) Investigating the psychological resilience, self-confidence and problem-solving skills of midwife candidates. Nurse Educ Today 64: 144-149. https://doi.org/10.1016/j.nedt.2018.02.014
    [45] Clohessy N, McKellar L, Fleet J (2019) Bounce back- bounce forward: Midwifery students experience of resilience. Nurse Educ Pract 37: 22-28. https://doi.org/10.1016/j.nepr.2019.04.011
    [46] Aryuwat P, Asp M, Lövenmark A, et al. (2023) An integrative review of resilience among nursing students in the context of nursing education. Nurs Open 10: 2793-2818. https://doi.org/10.1002/nop2.1559
    [47] Arian M, Jamshidbeigi A, Kamali A, et al. (2023) The prevalence of burnout syndrome in nursing students: A systematic review and meta-analysis. Teach Learn Nurs 18: 512-520. https://doi.org/10.1016/j.teln.2023.04.015
    [48] Hughes V, Cologer S, Swoboda S, et al. (2021) Strengthening internal resources to promote resilience among prelicensure nursing students. J Prof Nurs 37: 777-783. https://doi.org/10.1016/j.profnurs.2021.05.008
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