Stress and resilience of nursing students in clinical training during political violence: A palestinian perspective.

<h4>Introduction</h4>Nursing is one of the most demanding undergraduate degrees because students must master rigorous theory while simultaneously developing hands-on clinical skills. In conflict zones, political violence magnifies these challenges during clinical training.<h4>Objec...

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Main Authors: Ibrahim Aqtam, Ahmad Ayed, Othman A Alfuqaha, Mustafa Shouli
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0325278
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author Ibrahim Aqtam
Ahmad Ayed
Othman A Alfuqaha
Mustafa Shouli
author_facet Ibrahim Aqtam
Ahmad Ayed
Othman A Alfuqaha
Mustafa Shouli
author_sort Ibrahim Aqtam
collection DOAJ
description <h4>Introduction</h4>Nursing is one of the most demanding undergraduate degrees because students must master rigorous theory while simultaneously developing hands-on clinical skills. In conflict zones, political violence magnifies these challenges during clinical training.<h4>Objective</h4>To quantify perceived stress and resilience among Palestinian nursing students during political violence and examine their relationship and demographic associations.<h4>Methods</h4>In this cross-sectional study, 310 students completed validated Arabic versions of the 29-item Perceived Stress Scale (PSS) and 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Completion time averaged 10-15 minutes total. Analyses included Pearson correlation, t-tests, ANOVA, and multiple regression.<h4>Results</h4>Mean stress was high (81.1 ± 7.3) based on established PSS cutoffs, while resilience was moderate (28.0 ± 1.8) according to CD-RISC-10 norms. A moderate positive correlation linked stress and resilience (r = 0.314, 95% CI [0.182, 0.442], p < 0.001). Male students reported higher stress than females (t(308) = 2.20, p = 0.030, Cohen's d = 0.25).<h4>Conclusion</h4>Findings underscore the significant stress burden of political violence on nursing students and signal the need for targeted interventions that address both stress levels and the complex bidirectional relationship with resilience, tailored to demographic risk factors.
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spelling doaj-art-68cb40edf5cf4d81b0e664e849d12a802025-08-20T03:29:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01206e032527810.1371/journal.pone.0325278Stress and resilience of nursing students in clinical training during political violence: A palestinian perspective.Ibrahim AqtamAhmad AyedOthman A AlfuqahaMustafa Shouli<h4>Introduction</h4>Nursing is one of the most demanding undergraduate degrees because students must master rigorous theory while simultaneously developing hands-on clinical skills. In conflict zones, political violence magnifies these challenges during clinical training.<h4>Objective</h4>To quantify perceived stress and resilience among Palestinian nursing students during political violence and examine their relationship and demographic associations.<h4>Methods</h4>In this cross-sectional study, 310 students completed validated Arabic versions of the 29-item Perceived Stress Scale (PSS) and 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Completion time averaged 10-15 minutes total. Analyses included Pearson correlation, t-tests, ANOVA, and multiple regression.<h4>Results</h4>Mean stress was high (81.1 ± 7.3) based on established PSS cutoffs, while resilience was moderate (28.0 ± 1.8) according to CD-RISC-10 norms. A moderate positive correlation linked stress and resilience (r = 0.314, 95% CI [0.182, 0.442], p < 0.001). Male students reported higher stress than females (t(308) = 2.20, p = 0.030, Cohen's d = 0.25).<h4>Conclusion</h4>Findings underscore the significant stress burden of political violence on nursing students and signal the need for targeted interventions that address both stress levels and the complex bidirectional relationship with resilience, tailored to demographic risk factors.https://doi.org/10.1371/journal.pone.0325278
spellingShingle Ibrahim Aqtam
Ahmad Ayed
Othman A Alfuqaha
Mustafa Shouli
Stress and resilience of nursing students in clinical training during political violence: A palestinian perspective.
PLoS ONE
title Stress and resilience of nursing students in clinical training during political violence: A palestinian perspective.
title_full Stress and resilience of nursing students in clinical training during political violence: A palestinian perspective.
title_fullStr Stress and resilience of nursing students in clinical training during political violence: A palestinian perspective.
title_full_unstemmed Stress and resilience of nursing students in clinical training during political violence: A palestinian perspective.
title_short Stress and resilience of nursing students in clinical training during political violence: A palestinian perspective.
title_sort stress and resilience of nursing students in clinical training during political violence a palestinian perspective
url https://doi.org/10.1371/journal.pone.0325278
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AT othmanaalfuqaha stressandresilienceofnursingstudentsinclinicaltrainingduringpoliticalviolenceapalestinianperspective
AT mustafashouli stressandresilienceofnursingstudentsinclinicaltrainingduringpoliticalviolenceapalestinianperspective