Aqtam Ibrahim, Ayed Ahmad, Alfuqaha Othman A, Shouli Mustafa
Department of Nursing, Ibn Sina College for Health Professions, Nablus University for Vocational and Technical Education, Nablus, Palestine.
Faculty of Nursing, Arab American University, Jenin, Palestine.
PLoS One. 2025 Jun 25;20(6):e0325278. doi: 10.1371/journal.pone.0325278. eCollection 2025.
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.
To quantify perceived stress and resilience among Palestinian nursing students during political violence and examine their relationship and demographic associations.
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.
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).
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.
护理专业是要求最为严苛的本科学位之一，因为学生不仅要掌握严谨的理论知识，还需同时培养实际临床技能。在冲突地区，政治暴力会使临床培训期间的这些挑战进一步加剧。
量化巴勒斯坦护理专业学生在政治暴力期间所感受到的压力和恢复力，并研究它们之间的关系以及与人口统计学因素的关联。
在这项横断面研究中，310名学生完成了经过验证的阿拉伯语版29项感知压力量表（PSS）和10项康纳-戴维森恢复力量表（CD-RISC-10）。完成时间总计平均为10 - 15分钟。分析方法包括皮尔逊相关性分析、t检验、方差分析和多元回归分析。
根据既定的PSS临界值，平均压力较高（81.1±7.3），而按照CD-RISC-10的标准，恢复力处于中等水平（28.0±1.8）。压力和恢复力之间存在中等程度的正相关（r = 0.314，95%置信区间[0.182, 0.442]，p < 0.001）。男生报告的压力高于女生（t(308) = 2.20，p = 0.030，科恩d值 = 0.25）。
研究结果强调了政治暴力给护理专业学生带来的巨大压力负担，并表明需要针对压力水平以及压力与恢复力之间复杂的双向关系制定有针对性的干预措施，这些措施应根据人口统计学风险因素进行调整。
