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Journals / Balıkesir Sağlık Bilimleri Dergisi / 2026 / Volume: 15 Issue: 3

Does Clinical Stress Squelch Nursing Students' Pediatric Nursing Competency? Examining Stressor Perceptions

Yeliz Taşdelen(KARABÜK ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0002-0444-3904
İrem Yirmibeş(KARABÜK ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0009-0009-8668-2914
Senanur Gökmen(KARABÜK ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0009-0005-3638-2324
Ayşenur Özbay(KARABÜK ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0009-0007-4709-1551
Pages
—
Publication Date
2026-10-08
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Keywords: Professional Competence, Stress, Nursing Student, Pediatric Nursing.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study aimed to determine nursing students' pediatric nursing competency and clinical stress levels, identify the demographic and clinical variables affecting these levels, and examine the predictive role of clinical stressors on pediatric nursing competency.
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Key Findings & Data:Materials and Methods: 239 third and fourth-year nursing students participated in this cross-sectional, descriptive study.
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Conclusion & Impact:Keywords: Professional Competence, Stress, Nursing Student, Pediatric Nursing.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Professional Competence · Stress · Nursing Student

Abstract

Objective: This study aimed to determine nursing students' pediatric nursing competency and clinical stress levels, identify the demographic and clinical variables affecting these levels, and examine the predictive role of clinical stressors on pediatric nursing competency. Materials and Methods: 239 third and fourth-year nursing students participated in this cross-sectional, descriptive study. The Nursing Students' Perceptions of Clinical Stressors Scale (NSPCSS), the Pediatric Nursing Competency Scale for Nursing Students (PNCS), and a Sociodemographic Information Form were used to gather data. Results: A moderate negative correlation was found between pediatric nursing competency and clinical stressors. Grade level, gender, grade point average, willingness to work in the field of pediatrics, inappropriate clinical situations, inappropriate instructor behaviors, and the instructor's teaching attitude were identified as significant predictors of pediatric nursing competency. Conclusion: It was shown that nursing students' pediatric nursing competency declined as their clinical stress levels improved. To support student competence, it is advised to improve the clinical learning environment and the relationships between instructors and students. Keywords: Professional Competence, Stress, Nursing Student, Pediatric Nursing.

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Cite This Article

Taşdelen, Y., Yirmibeş, İ., Gökmen, S., Özbay, A. (2026). Does Clinical Stress Squelch Nursing Students' Pediatric Nursing Competency? Examining Stressor Perceptions. Balıkesir Sağlık Bilimleri Dergisi, Volume: 15 Issue: 3. https://doi.org/10.53424/balikesirsbd.1985985

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References (31)

  1. Ahmed, F. A., Alrashidi, N., Mohamed, R. A., Asiri, A., Al Ali, A., Aly, K. H., Nouh, W. G., Demerdash, N. A., Marzouk, S. A., Omar, A. M., Marzouk, M. M., Alkalash, S. H., Moursy, S. M., Fadila, D. E., Eldin, S. S., & Almowafy, A. A. (2023). Satisfaction and anxiety level during clinical training among nursing students. BMC Nursing, 22(1), 187. https://doi.org/10.1186/s12912-023-01352-3
  2. Alkan, S. A., Özdelikara, A., & Boğa, N. M. (2017). Hemşirelik öğrencilerinin sağlık algılarının belirlenmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 6, 11–21.
  3. Aloufi, M. A., Jarden, R. J., Gerdtz, M. F., & Kapp, S. (2021). Reducing stress, anxiety and depression in undergraduate nursing students: Systematic review. In Nurse Education Today (Vol. 102). Churchill Livingstone. https://doi.org/10.1016/j.nedt.2021.104877
  4. Ambrosio‐Mawhirter, D. A., & Criscitelli, T. M. (2018). Preparing Novice Perioperative Nurses Using the QSEN Methodology. AORN Journal, 108(2), 204–208. https://doi.org/10.1002/aorn.12344
  5. Aydın, M., Erdöl, H., Görgöz, M., & Aksu, E. F. (2022). Turkish validity and reliability study of “Nursing Students’’ perceptions of Clinical Stressors Scale”.” Nurse Education in Practice, 64. https://doi.org/10.1016/j.nepr.2022.103440
  6. Bektaş, İ., Bektaş, M., & Ayar, D. (2020). Developing and Evaluating the Psychometric Properties of the Pediatric Nursing Competency Scale for Nursing Students. Florence Nightingale Journal of Nursing, 28(2), 133–142. https://doi.org/10.5152/FNJN.2020.19065
  7. Bulduk, M., Can, V., & Muhafiz, E. N. (2024). Relationship between nursing students’ levels of liking children and self-efficacy in paediatric medication administration. BMC Medical Education, 24(1), 1385. https://doi.org/10.1186/s12909-024-06386-y
  8. Butun, A., & Ertekin, K. (2025). Determining the self-evaluation levels of nursing students’ competency in child patient safety. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-04085-7
  9. Chang, L.-C., Chen, C.-J., Chen, C.-I., & Sun, F.-K. (2024). The initial experiences of junior nursing college students when communicating with children during pediatric clinical practicum: A phenomenological study. Journal of Pediatric Nursing, 76, e77–e84. https://doi.org/10.1016/j.pedn.2024.01.022
  10. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates. Cole, B. (2024). Enhancing clinical reasoning and student confidence through pediatric simulation. Journal of Pediatric Nursing, 78, e432–e437. https://doi.org/10.1016/j.pedn.2024.08.005
  11. Derso, Y. A., Adisu, M. A., Kitaw, T. A., Dadi, H. H., Beriso, H. B., Abebe, W., Habtie, T. E., Tigabu, D., Munie, M. A., Gessesse, A. D., & Hiwot, A. Y. (2026). Clinical Practice Competency and Associated Factors Among Midwifery and Nursing Students in Ethiopia: A Systematic Review and Meta-Analysis. In Nursing Open (Vol. 13, Number 2). John Wiley and Sons Inc. https://doi.org/10.1002/nop2.70413
  12. Gurková, E., & Zeleníková, R. (2018). Nursing students’ perceived stress, coping strategies, health and supervisory approaches in clinical practice: A Slovak and Czech perspective. Nurse Education Today, 65, 4–10. https://doi.org/10.1016/j.nedt.2018.02.023
  13. Kaur, G., Chernomas, W. M., & Scanlan, J. M. (2020). Nursing students’ perceptions of and experiences coping with stress in clinical practice. International Journal of Nursing Education Scholarship, 17(1). https://doi.org/10.1515/ijnes-2020-0005
  14. Lassche, M., Al-Qaaydeh, S., Macintosh, C. I., & Black, M. (2013). Identifying Changes in Comfort and Worry Among Pediatric Nursing Students Following Clinical Rotations. Journal of Pediatric Nursing, 28(1), 48–54. https://doi.org/10.1016/j.pedn.2011.12.008
  15. Mazalová, L., Gurková, E., & Štureková, L. (2022). Nursing students’ perceived stress and clinical learning experience. Nurse Education in Practice, 64. https://doi.org/10.1016/j.nepr.2022.103457
  16. 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). https://doi.org/10.1186/s12909-020-02294-z
  17. Ozdemir, N. G., Dalcali, B. K., & Berse, S. (2025). The effects of stressors on readiness for clinical practice in novice nursing students: a path analysis. BMC Medical Education, 25(1). https://doi.org/10.1186/s12909-025-08079-6
  18. Ozsaker, E., Aykut, Z., Doruker, N. C., Koze, B. S., & Gecit, S. (2025). The relationship between the academic self-efficacy and perceived stressors among nursing students in clinical settings: a cross-sectional study. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-02836-0
  19. Page-Cutrara, K., & Turk, M. (2017). Impact of prebriefing on competency performance, clinical judgment and experience in simulation: An experimental study. Nurse Education Today, 48, 78–83. https://doi.org/10.1016/j.nedt.2016.09.012
  20. Purabdollah, M., Zamanzadeh, V., Ghahramanian, A., Valizadeh, L., Mousavi, S., & Ghasempour, M. (2023). Competencies expected of undergraduate nursing students: A scoping review. Nursing Open, 10(12), 7487–7508. https://doi.org/10.1002/nop2.2020
  21. Rafati, F., Sharif Nia, H., Khoshnood, Z., & Allen, K.-A. (2021). Development and psychometric testing of nursing students’ perceptions of clinical stressors scale: an instrument design study. BMC Psychiatry, 21(1), 1. https://doi.org/10.1186/s12888-020-02964-8
  22. Regino, D. da S. G., Nascimento, J. da S. G., Parada, C. M. G. de L., Duarte, M. T. C., & Tonete, V. L. P. (2019). Training and evaluation of professional competency in pediatric nursing: Perspective of university professors. Revista Da Escola de Enfermagem, 53. https://doi.org/10.1590/S1980-220X2018002703454
  23. Reid-Searl, K., Crowley, K., Anderson, C., Blunt, N., Cole, R., & Suraweera, D. (2021). A medical play experience: Preparing undergraduate nursing students for clinical practice. Nurse Education Today, 100. https://doi.org/10.1016/j.nedt.2021.104821
  24. Shao, A. T. (2002). Marketing Research: An Aid to Decision Making. South-Western/Thomson Learning. Topan, A., Öztürk, Ö., & Taşdelen, Y. (2026). Therapeutic communication and stress coping behaviors as predictors of pediatric nursing competencies in nursing students: a cross-sectional study. Psychology, Health & Medicine, 1–13. https://doi.org/10.1080/13548506.2026.2649148
  25. Topan, A., Üstüner Top, F., & Kurt, A. (2023). Investigation of the relationship between nursing students’ knowledge level of paediatric emergency practices and paediatric comfort and worry. Journal of Pediatric Nursing, 73, e612–e617. https://doi.org/10.1016/j.pedn.2023.11.005
  26. Vindo Galaresa, A., Firmansyah, F., Firdaus, A. M., & Reggi Prathama. (2025). The Relationship between Student Self-Efficacy and Students’ Stress Level Undergoing Clinical Practice for the First Time. KESANS: International Journal of Health and Science, 5(3), 445–453. https://doi.org/10.54543/kesans.v5i3.511
  27. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies. Ann Intern Med. 2007;147(8):573-577. https://doi.org/10.7326/0003-4819-147-8-200710160-00010
  28. World Health Organization. (2020). State of the world’s nursing 2020: investing in education, jobs and leadership. https://www.who.int/publications/i/item/9789240003279
  29. Yu, M., Tong, H., Li, S., Wu, X. V., Hong, J., & Wang, W. (2021). Clinical competence and its association with self-efficacy and clinical learning environments among Chinese undergraduate nursing students. Nurse Education in Practice, 53. https://doi.org/10.1016/j.nepr.2021.103055
  30. Shao, A. T. (2002). Marketing Research: An Aid to Decision Making. South-Western/Thomson Learning. Topan, A., Öztürk, Ö., & Taşdelen, Y. (2026). Therapeutic communication and stress coping behaviors as predictors of pediatric nursing competencies in nursing students: a cross-sectional study. Psychology, Health & Medicine, 1–13. https://doi.org/10.1080/13548506.2026.2649148
  31. Vindo Galaresa, A., Firmansyah, F., Firdaus, A. M., & Reggi Prathama. (2025). The Relationship between Student Self-Efficacy and Students’ Stress Level Undergoing Clinical Practice for the First Time. KESANS: International Journal of Health and Science, 5(3), 445–453. https://doi.org/10.54543/kesans.v5i3.511