Mindfulness Skills Intervention for Alleviating Stress Manifestations Among Nursing Students in Ilorin Metropolis, Nigeria

Authors

DOI:

https://doi.org/10.57125/FED.2023.12.25.09

Keywords:

Mindfulness skills intervention, alleviating stress manifestations, nursing students, Ilorin metropolis, Nigeria

Abstract

The literature has indicated that nursing students are among the healthcare students that experience higher level of stress; which makes it imperative to provide them with relevant skills they can employ to overcome stressful life conditions. This study thus adopted mindfulness skills intervention to alleviate stress manifestations among nursing students in Ilorin metropolis, Kwara State, Nigeria. The objectives of the study were to examine the effect of mindfulness skills training on physical, behavioural and psychological manifestations of stress among the participants. Using a quasi-experimental study of the pre-test, post-test design, three null hypotheses guided the conduct of this study. The population of the study consisted of 234 University of Ilorin Teaching Hospital nursing school students. A purposive sampling technique was used to select 15 participants in the treatment group. An adapted “Stress Questionnaire” (with a Reliability Index of .88) from Sinha et al. (2016) was used for data collection. The data collected were analysed using percentage and paired t-test was used to test the null hypotheses formulated at .05 level of significance. The findings revealed that mindfulness skills intervention reduced the physical (t = 19.17, p < .05); behavioural (t = 11.25, p < .05); and psychological (t = 11.51, p < .05) manifestations of stress among the study participants. Based on these findings, it was concluded that mindfulness skills intervention is not only applicable in clinical setting but can also be applied in an educational environment; hence, a comprehensive knowledge of the process and steps involved in these training becomes imperative for school counsellors to avail themselves with for imparting positive change in clients who are going through stressful situations. Therefore, it was recommended, among others, that professional counsellors should equip nursing students with such skills in order to help them overcome the physical, behavioural and psychological manifestations of stress.

References

Ajibade, B. L., Olabisi, O. O., Fabiyi, B., Ajao, O. O., & Ayeni, A. R. (2016). Stress, types of stressors and coping strategies amongst selected nursing schools students in south-west, Nigeria. European Journal of Biology and Medical Science Research, 4 (3), 1-15. https://www.eajournals.org/wp-content/uploads/Stress-Types-of-Stressors-and-Coping-Strategies-Amongst-Selected-Nursing-Schools-Students-in-South-West-Nigeria.pdf

Akdeniz, H. B., Akdeniz, N. T. & Akdeniz, Z. O. (2018). Stress and ways of coping among first year nursing students: A Turkish perspective. Journal of Human Sciences, 15(1), 319–330. https://www.j-humansciences.com/ojs/index.php/IJHS/article/view/4626

Bjorkman, S. M. (2007). Relationships among academic stress, social support, and internalizing and externalizing behaviour in adolescence [Unpublished PhD thesis]. Northern Illinois University.

Blomberg, K., Bisholt, B., Kullen Engstrom, A., Ohlsson, U., Sundler Johansson, A., & Gustafsson, M. (2014). Swedish nursing students experience of stress during clinical practice in relation to clinical setting characteristics and the organisation of the clinical education. Journal of Clinical Nursing, 23(15-16), 2264–2271. https://doi.org/10.1111/jocn.12506

Burton, A., Burgess, C., Dean, S., Koutsopoulou, G. Z., & Hugh-Jones, S. (2016). How effective are mindfulness-based interventions for reducing stress among healthcare professionals? A systematic review and meta-analysis. Stress and Health, 33(1), 3–11. https://doi.org/10.1002/smi.2673

Chaskalson, M., & Hadley, S. G. (2015). Mindfulness: Historical and contemplative context and recent developments. In J. Reb & P. W. B. Atkins (Eds.), Mindfulness in organizations : Foundations, research and applications (pp. 42–66). Cambridge University Press.

Chiesa, A., & Serretti A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. The Journal of Alternative and Complementary Medicine,15(5), 593–600. https://doi.org/10.1089/acm.2008.0495

Dawes, J. (2008). Do data characteristics change according to the number of scale points used? An experiment using 5-point, 7-point and 10-point scales. International Journal of Market Research, 50(1), 61–104. https://doi.org/10.1177/147078530805000106

de Vibe, M., Solhaug, I., Tyssen, R., Friborg, O., Rosenvinge, J. H., & Sorlie, T. (2013). Mindfulness training for stress management: A randomised controlled study of medical and psychology students. BMC Medical Education, 13, Article 107. https://doi.org/10.1186/1472-6920-13-107

Dike, F. M., Nyege, S. B., & Omaig, B. (2017). Coping mechanisms utilised for stressors among nursing students on clinical posting at University of Port Harcourt Teaching Hospital, Rivers State. International Journal of Contemporary Medical Research, 4(8), 1683–1688. https://www.ijcmr.com/uploads/7/7/4/6/77464738/ijcmr_1606.pdf

Eberth, J., & Sedlmeier, P. (2012). The effects of mindfulness meditation: A meta-analysis. Mindfulness, 3(3), 174–189. https://doi.org/10.1007/s12671-012-0101-x

Essel, G., & Owusu, P. (2017). Causes of students’ stress, its effects on their academic success and stress management by students. [Unpublished thesis]. Seinajoki University of Applied Sciences. https://www.theseus.fi/bitstream/handle/10024/124792/Thesis%20Document.pdf

Ezhumalai, S., Muralidhar, D., Dhanasekarapandian, R., & Nikketha, B. S. (2018). Group interventions. Indian Journal of Psyhiatry, 60(4), S514–S521. https://doi.org/10.4103%2Fpsychiatry.IndianJPsychiatry_42_18

Felton, T. M., Coates, L., & Christopher, J. C. (2015). Impact of mindfulness training on counselling students’ perceptions of stress. Mindfulness, 6, 159–169. https://doi.org/10.1007/s12671-013-0240-8

Fink, G. (2016). Chapter 1 – Stress, definitions, mechanisms and effects outlined: Lessons from anxiety. In G. Fink (Ed.), Stress: Concepts, cognition, emotion, and behaviour: Handbook of stress series Volume 1 (pp. 3–11). Academic Press. https://doi.org/10.1016/B978-0-12-800951-2.00001-7

Fink, G. (2017). Stress: concepts, definition and history. In Reference module in neuroscience and biobehavioral psychology. https://doi.org/10.1016/B978-0-12-809324-5.02208-2

Galante, J., Dufour, G., Vainre, M., Wagner, A. P., Stochl, J., & Benton, A. (2013). A mindfulness-based intervention to increase resilience to stress in university students (the Mindful Student Study): A pragmatic randomised controlled trial. Lancet Public Health, 3, e72–e81. https://doi.org/10.1016/S2468-2667(17)30231-1

Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and well-being? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. https://doi.org/10.1016/j.cpr.2015.01.006

Hayes, A. (2023, April 5). T-Test: What it is with multiple formulas and when to use them. Investopedia. https://www.investopedia.com/terms/t/t-test.asp

Ilbay, A. B., & Akin, A. (2014). The impact of solution-focused brief group psychological counselling on University students’ burnout levels. Universitepark Bülten, 3(1-2), 28–43.

Jacob, T., & Einstein, O. (2016). Stress among bachelor physical therapy students in Israel during clinical practice and its association with academic achievements: Results of a longitudinal study. Internet Journal of Allied Health Sciences and Practice, 14(1), Article 9. https://doi.org/10.46743/1540-580X/2016.1563

Janssen, M., Heerken, Y., Kuijer, W., van der Heijden, B., & Engels, J. (2018). Effects of Mindfulness-Based Stress Reduction on employees’ mental health: A systematic review. PLoS ONE, 13(1), Article e0191332. https://doi.org/10.1371/journal.pone.0191332

Jinpa, T. (2019). The question of mindfulness’ connection with ethics and compassion. Current Opinion in Psychology, 28, 71–75. https://doi.org/10.1016/j.copsyc.2018.10.016

Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041–1056. https://doi.org/10.1016/j.cpr.2011.04.006

Krosnick, J. A., & Presser, S. (2010). Question and questionnaire design. Handbook of survey research (2nd ed.). Emerald Group Publishing Limited.

Lu, J., Mumba, M. N., Lynch, S., Li, C., Hua, C., & Allen, R. S. (2019). Trait mindfulness and nursing students' psychological stress: A regression and mediation analysis. Nurse Education Today, 75, 41–46. https://doi.org/10.1016/j.nedt.2018.12.011

Marks, H. (2023, October 8). Stress symptoms. WebMD. https://www.webmd.com/balance/stress-management/stress-symptoms-effects_of-stress-on-the-body

Regehr, C., Glancy, D., Pitts, A., & LeBlanc, V. R. (2014). Interventions to reduce the consequences of stress in physicians. A review and meta-analysis. The Journal of Nervous and Mental Disease, 202(5), 353–359. https://doi.org/10.1097/NMD.0000000000000130

Rodriguez-Rey, R., Palacios, A., Alonso-Tapia, J., Perez, E., Alvarez, E., Coca, A. … Llorente, A. (2019). Burnout and posttraumatic stress in paediatric critical care personnel: prediction from resilience and coping styles. Australian Critical Care, 32(1), 46–53. https://doi.org/10.1016/j.aucc.2018.02.003

Schuman-Olivier, Z., Trombka, M., Lovas, D. A., Brewer, A. J., Vago, D. R., Gawande, R. … Fulwiler, C. (2020). Mindfulness and behavior change. Harvard Review of Psychiatry, 28 (6), 371–394. https://doi.org/10.1097/HRP.0000000000000277

Sedlmeier, P., Beckel, A., Conrad, S., Husmann, J., Kullrich, L., Lange, R. … Witzel, B. (2023). Mindfulness meditation according to the Satipatthana Sutta: A Single-case study with participants as collaborators. Mindfullness, 14, 1636–1649. https://doi.org/10.1007/s12671-023-02160-1

Segal, J., Smith, M., & Robinson, L. (2023, April 5). Stress symptoms, signs, and causes. HelpGuide.org. https://www.helpguide.org/articles/stress/stress-symptoms-signs-and-causes.htm

Serdar, C. C., Cihan, M., Yucel, D., & Serdar, M. A. (2021). Sample size, power and effect size revisited: simplified and practical approaches in pre-clinical, clinical and laboratory studies. Biochemical Medicine, 31(1), Article 010502. https://doi.org/10.11613/BM.2021.010502

Shuttleworth, M. (n. d.). Quasi experimental design. Explorable.com. https://explorable.com/quasi-experimental-design

Simonelli-Munoz, A. J., Balanza, S., Rivera-Caravaca, J. M., Vera-Catalan, T., Lorente, A. M., & Gallego-Gomez, J. I. (2018). Reliability and validity of the student stress inventory-stress manifestations questionnaire and its association with personal and academic factors in university students. Nurse Education Today, 64, 156–160. https://doi.org/10.1016/j.nedt.2018.02.019

Sinha, A., Das, P., Gavas, R., Chatterjee, D., & Saha S. K. (2016). Physiological sensing based stress analysis during assessment. In 2016 IEEE frontiers in education conference proceedings. IEEE. https://doi.org/10.1109/FIE.2016.7757587

Sivasubramoney, K., Lekshmy, K., & Menon, S. (2017). A study of changes in perceived stress following an 8 week mindfulness intervention (Mindful life management). Journal of Dental and Medical Sciences, 16(5), 108–114.

Smith, E. N., Santoro, E., Moraveji, N., Susi, M., & Crum, A. J. (2020). Integrating wearables in stress management interventions: Promising evidence from a randomized trial. International Journal of Stress Management, 27(2), 172–182. https://doi.org/10.1037/str0000137

Solhaug, I., de Vibe, M., Friborg, O., Sorlie, T., Tyssen, R., Bjorndal, A., & Rosenvinge, J. H. (2019). Long-term mental health effects of mindfulness training: A 4-year follow-up study. Mindfulness, 10, 1661–1672. https://doi.org/10.1007/s12671-019-01100-2

Spinelli, C., Wisener, M., & Khaoury, B. (2019). Mindfulness training for healthcare professionals and trainees: A meta-analysis of randomized controlled trials. Journal of Psychosomatic Research, 120, 29–38. https://doi.org/10.1016/j.jpsychores.2019.03.003

Tams, L. (2023, October 4). Mindfulness practice can be formal or informal. Michigan State University. https://www.canr.msu.edu/news/your_mindfulness_practice_can_be_formal_or_informal

Torre, M., Santos-Popper, M. C., & Bergesio, A. (2018). Prevalencia de burnout entre las enfermeras de cuidados intensivos en Argentina [Burnout prevalence in intensive care nurses in Argentina]. Enfermería Intensiva, 30(3), 108–115. https://doi.org/10.1016/j.enfi.2018.04.005

Turow, R. G. (2023). Mindfulness, meditation and self-compassion – A clinical psychologist explains how these science-backed practices can improve mental health. The Conversation. https://theconversation.com/mindfulness-meditation-and-self-compassion-a-clinical-psychologist-explains-how-these-science-backed-practices-can-improve-mental-health-198731

Whitesman, S., & Mash, R. (2015). Examining the effects of a mindfulness-based professional training module on mindfulness, perceived stress, self-compassion and self-determination. African Journal of Health Professions Education, 7(2), 220–223. https://hdl.handle.net/10520/EJC181744

Wills, F. (2022). Beck’s cognitive therapy: Distinctive features (2nd ed.). Routledge.

Zhang, J., Lu, H., Zeng, H., Zhang, S., Du, Q., Jiang, T., & Du, B. (2020). The differential psychological distress of populations affected by the COVID-19 pandemic. Brain, Behavior, and Immunity, 87, 49–50. https://doi.org/10.1016/j.bbi.2020.04.031

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Published

2023-11-10

How to Cite

Adigun, A. A., Mustapha, I. A., Adisa, S. A., & Tukur, H. A. (2023). Mindfulness Skills Intervention for Alleviating Stress Manifestations Among Nursing Students in Ilorin Metropolis, Nigeria. Futurity Education, 3(4), 150–166. https://doi.org/10.57125/FED.2023.12.25.09