الفهرس 
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Abstract
Quality of life is defined as the degree to which an individual is healthy, comfortable and able to participate in or enjoy life events. It can refer to both the individual life experience and living conditions in which they live. QOL is highly subjective as wealth or satisfaction with life or capabilities, it encompasses the whole person as it affects their abilities to work, enjoy life and learn. It require individuals to be in good physical, psychological, social and environmental status to be able to concentrate, be attentive, study, do assignments, communicate with teachers and students, able to handle stressors, enjoy life, manage their times and handle their personal responsibilities successfully.
There are many factors that may affect students’ academic achievement including socio-demographic characteristics, socio-economic status, personal factors, academic factors including; educational environment, peer and teacher relationship, academic communication, language of instruction, academic stressors and previous grades. Also physical health, diet, stress and sleep may affect academic achievement. Nursing students’ life is very stressful so it is necessary to assess theses stressors and to focus on exploring nursing students coping patterns and abilities, to design courses to help student to cope with their life stressors. Several studies were conducted to assess nursing students ’ QOL and they confirmed that their life is very stressful, but few studies done to assess to what extent these stressors and other life aspects may affect academic achievement. So it was necessary to explore the relationship between nursing students’ QOL and their academic achievement
Research aim:
This study aimed to explore the relationship between nursing students’ quality of life and their academic achievement.
Research question:
Is there a relationship between nursing students’ quality of life and their academic achievement?
Materials:
Design: An exploratory descriptive design was used to carry out this study
Setting: The study was conducted at the Faculty of Nursing, Damanhour University; at all faculty scientific departments, throughout the academic year 2019-2020. Damanhur University educational system is based on traditional policy without credit hours.
Subjects: The sample consisted of 440 nursing students who were selected systematic, randomly (every other one) to represent 1014 nursing students enrolled in the 4 academic years of Damanhour Faculty of Nursing
Tools: Two tools were used in this study.
Tool I: Student Quality of Life Assessment Questionnaire (SQLAQ)
This tool was developed by the researcher after thorough review of related literature to assess nursing students’ quality of life.
Tool II: The students’ academic achievement
It was students’ final grades total and percentage after first semester exam.
Method
Tool I was tested for its content validity by five experts in the related field and the necessary modifications were done.
Tool I was tested for its reliability and it was reliable.
A pilot study was carried out on approximately 10% of sample size (44) students to test the clarity and applicability of the tool. Accordingly, the necessary modifications were done.
Data was collected from nursing students at the four academic years after clinical day and/ or after theoretical lecture.
The questionnaire was answered within approximately 15 minutes.
The data collection covered a period of one month starting from the middle of November 2019 until second week of December.
A list of students’ names of each academic year was prepared to obtain their grades, which represent their academic achievement.
Permission to collect students’ grades after first semester exam of 2019-2020 academic year from faculty dean was obtained.
The researcher estimated the total grades and percentage of students by adding all grades of all subjects and dividing it on total grade of first term subjects of each academic year and then multiplying of 100 ,finally estimated the achievement of each participant.
The necessary statistical analysis was done.
The following are the main results of the current study:
Related to quality of life domains:
There were statistically significant difference regarding physical and lifestyle domain aspects and total score, also regarding psychological and emotional domain aspects and total score, as well as socioeconomic domain aspects and total score, significant difference regarding environmental domain aspects and total score and finally regarding academic domain aspects and total score where (p<0.001).
Related to relations:
There were significant strong relationship between quality of life domains and academic achievement levels, also between overall descriptive QOL and academic achievement, in the same line relationship between socio-demographic data and QOL domains, socio-demographic data and academic achievement and finally between QOL and academic year.
It can be concluded from the present study that:
Ensuring the highest level of wellbeing and QOL among nursing students maximizes their learning and satisfaction in life, where it influences their ability to learn and achieve. Students should enjoy good physical status, energy and cognitive abilities to be able to pay attention, concentration and perform different academic tasks. Also they should enjoy good psychological stability, self-esteem which are required to be self-regulated, open minded, enjoys learning and meaningful life especially for the reason that nursing students’ life is very busy and loaded, so the psychological status, academic workload and stressors must be assessed more concisely with stress level assessment tool and to explore how and to what extent such stressors affect their QOL and academic achievement.
In the same line, social support and good supportive relationships outside and inside school, residence and economic level, availability of resources, academic resources impact their learning process and educational level. So it is the responsibility of nursing education settings to care for students as a whole including all their life aspects to improve their QOL, academic level and professional abilities for the benefit of the community and health care sector. from this study, we study all QOL domains
Recommendations
Based on the findings of the present study, the following recommendations are suggested:
Recommendations related to nursing educators
• Conduct workshops about communication skills and effective teaching strategies to improve their teaching ability and enhance their satisfaction.
• Conduct workshops about time management and stress management strategies to improve their QOL.
Recommendations related to faculty
• Activate policies centered on holistic development of nursing students physically, psychologically, socially, environmental and academic.
• Redesign education system to make students more active to improve their life satisfaction and QOL.
Recommendations for students
• Conduct workshops about time management, stress management and problem solving strategies
• Conduct courses about healthy lifestyle to improve their physical health
Recommendations for further studies
• Study to assess QOL among nursing students: a longitudinal study.
• Study to assess QOL and performance among students’ interns.
• Study to investigate nursing students’ coping strategies with stress and its effect on their QOL.