الفهرس 
Review of Literature Stress
Concept of stressOnly 14 pages are availabe for public view
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Abstract
Stress is seen as a modern society‟s illness
experienced by professionals from different sectors. It has
effects on people‟s behaviors, communications and
efficiency. Healthcare systems usually provide many
stimulus that produce stress especially at the beginning of
the nursing career due to the differences between the real
world and the ideal world of nursing ”reality shock”
(Redhwan et al., 2009).
The aim of the study was to assess levels of stress and
stressors among nurse interns and their perception
regarding coping strategies through:
1. Assessing stress levels among nurse interns.
2. Determining stressors facing nurse interns from their
points of view.
3. Investigating nurse interns’ perception regarding stress
coping strategies.
The present study used the descriptive design to fulfill
the aim. It was conducted in Ain Shams university
hospitals. The subjects for the study included 110 nurses’
interns having their training at Ain shams university
hospitals.Tools of data collection are three types:
- The first one is the perceived Stress Scale (PSS-14) to
assess the stress levels among nurse interns.
- The second tool is the Stressors scale to determine
stressors among nurse interns.
- The third tool is the Coping Behavior Inventory (CBI)
to investigate the nurse interns’ perception regarding
stress coping strategies.
The main study findings revealed the following:
Nurse interns’ age ranged between 21 and 25 years, with
more females (67.7%) they were unmarried
(80.8%).The duration of training in the hospital was
mostly 2 months (68.7 %).
The stress level among nurse interns was moderate
(39.4%).
The highest type of stressors is stress from hospital staff
(2.65± 0.63), while the lowest stressor is stress from
taking care of patient (2.17± 0.72).
The most preferred coping strategy is avoiding (65.7%)
and the least preferred coping strategy is transference
(44.4%). The nurse interns who are less than 24 years have
moderate level of stress (97.4%), also the nurse interns
who were secondary school graduates have moderate
level of stress (87.2%). High level of stress is
experienced by the females (85.2%), while the
unmarried nurse interns experience low level of stress
(90.9%).
It is found that nurse interns who experience high level
of stress had higher percentage of preferring staying
optimistic (92.6%), problem solving (96.3%) and
avoidance coping strategies (88.9%). At the other
extreme the nurse interns who experience low level of
stress had higher percentage of not preferring the
transference coping strategy (93.9%).
It is revealed that there is a positive correlation between
the stress and stressors from changing role(r= 0.016),
stressors from hospital staff (r=0.031) and stressors from
peers and daily life (r=0.004).
In conclusion, the nurses’ interns have moderate
level of stress and they utilized coping strategies which
helped them to adapt to the stress and stressors they faced
during the internship year and this reflects having a
moderate level of stress.In view of the study findings, it is recommended that
the nursing curriculum should be proactive in equipping the
undergraduate nursing student with effective coping skills
before even joining the internship year, which can be called
upon in their future nursing careers. Stress management
workshops are important to train the nurse interns’ different
ways to deal with unexpected stressors which enable them
to cope more effectively with stress by using stress
management techniques which is either physical or mental.
Periodical meetings with the nurse interns should be
conducted to raise their awareness about the coping
strategies with stress. All clinical instructors and educators
should adequately prepare their students before clinical
practice and orient them to the hospital environments, staff
and polices of the clinical training places. There is a need to
compare stress levels among basic classes and higher
classes on stress and ways of coping.