García-Fernández Beatriz, González-Sanz Pilar, Saiz-Navarro Elena M, Belinchón-deMiguel Pedro, Clemente-Suárez Vicente Javier
Faculty of Medicine, Health, and Sports, Department of Nursing, Universidad Europea de Madrid, Villaviciosa de Odón, Spain.
Faculty of Medicine, Health, and Sports, Universidad Europea de Madrid, Villaviciosa de Odón, Spain.
SAGE Open Nurs. 2025 Aug 6;11:23779608251365805. doi: 10.1177/23779608251365805. eCollection 2025 Jan-Dec.
High-fidelity simulation and Objective Structured Clinical Examinations (OSCEs) are essential tools in nursing education, designed to enhance clinical and non-technical competencies. However, these high-pressure activities can induce significant stress, potentially impacting students' performance and well-being. This study aimed to evaluate the effects of these activities on stress levels, academic performance, and the well-being of nursing students, while exploring the influence of lifestyle habits such as sleep and physical activity.
The study involved 53 third-year nursing students from a single university. Data collection included demographic, psychological, and academic variables, measured through validated tools such as the Perceived Stress Scale and Zung Self-Rating Depression Scale. Physiological and academic performance data from OSCEs were also analysed. Statistical analyses included correlation tests, multiple regression, and ANOVA to identify relationships and group differences.
Results indicated significant physiological stress activation during simulations and OSCEs. However, stress did not adversely affect overall academic performance, suggesting that resilience and coping strategies mitigated the impact of acute stress. Students with better sleep quality and higher levels of physical activity reported lower stress levels, better academic grades, and greater adaptability to complex situations. These findings emphasize the role of healthy habits in moderating the effects of stress in high-demand academic contexts.
This study highlights the need to integrate stress management strategies, such as mindfulness and breathing techniques, into nursing curricula. Promoting sleep hygiene and regular physical activity can enhance students' resilience and preparedness for professional challenges. Future research should include longitudinal and multicentric studies to explore these relationships further and assess the long-term effectiveness of interventions.
高保真模拟和客观结构化临床考试（OSCEs）是护理教育中的重要工具，旨在提高临床和非技术能力。然而，这些高压活动会引发显著的压力，可能影响学生的表现和幸福感。本研究旨在评估这些活动对护理专业学生压力水平、学业成绩和幸福感的影响，同时探讨睡眠和体育活动等生活习惯的影响。
该研究涉及一所大学的53名三年级护理专业学生。数据收集包括人口统计学、心理学和学业变量，通过诸如感知压力量表和zung自评抑郁量表等经过验证的工具进行测量。还分析了OSCEs的生理和学业成绩数据。统计分析包括相关性测试、多元回归和方差分析，以确定关系和组间差异。
结果表明，在模拟和OSCEs期间存在显著的生理应激激活。然而，压力并未对整体学业成绩产生不利影响，这表明恢复力和应对策略减轻了急性压力的影响。睡眠质量较好和体育活动水平较高的学生报告的压力水平较低、学业成绩较好，并且对复杂情况的适应能力更强。这些发现强调了健康习惯在高要求学术环境中调节压力影响方面的作用。
本研究强调有必要将正念和呼吸技巧等压力管理策略纳入护理课程。促进睡眠卫生和定期体育活动可以增强学生的恢复力和应对职业挑战的准备。未来的研究应包括纵向和多中心研究，以进一步探索这些关系并评估干预措施的长期效果。
