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The Effect of a Cognitive Reappraisal Stress Management Intervention on Perceived Stress Among Pre-Licensure Nursing Students

Woolford, Dawn Michele

Abstract Details

, Doctor of Philosophy, University of Toledo, Foundations of Education: Educational Psychology.
The problem of high levels of perceived stress among pre-licensure nursing students is an ongoing concern. Research demonstrates that high levels of perceived stress are correlated with decreased thought processes, loss of motivation, increased college dropout rate, in addition to physical and mental health distress. The purpose of this study was to compare perceived stress among pre-licensure nursing students in clinical nursing courses who participated in a cognitive reappraisal stress management intervention at the beginning of the semester to pre-licensure nursing students who participated in the same intervention at midterm in the semester. The study used a crossover design with a total of 47 pre-licensure nursing students assigned in two groups to compare the perceived stress levels among the two groups. Each group completed the Perceived Stress Scale (PSS) survey prior to the cognitive reappraisal stress management intervention at the beginning of the semester, again during the seventh week and the twelfth week of the semester. The quantitative data results showed participants who completed the intervention at the beginning of the semester reported no significant change in perceived stress level from week 2 to week 7, or week 7 to week 12 of the semester, but these participants did report a significant increase from week 2 to week 12 (p = .006) of the semester. Participants who completed the intervention at midterm of the semester reported a significant increase in perceived stress from week 2 to week 7 (p = .05) of the semester before completing the intervention, no significant change from week 7 to week 12 of the semester, then reported a significant change from week 2 to week 12 (p = .012) of the semester. These results show potential for this intervention to prevent increased levels of perceived stress and more importantly to decrease levels of perceived stress among pre-licensure nursing students.
Robert Topp, PhD (Committee Co-Chair)
Lisa Pescara-Kovach, PhD (Committee Chair)
Kathleen Mitchell, DNP APRN-CNS (Committee Member)
Florian Feucht, PhD (Committee Member)
130 p.

Recommended Citations

Citations

  • Woolford, D. M. (2023). The Effect of a Cognitive Reappraisal Stress Management Intervention on Perceived Stress Among Pre-Licensure Nursing Students [Doctoral dissertation, University of Toledo]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1701867431727135

    APA Style (7th edition)

  • Woolford, Dawn. The Effect of a Cognitive Reappraisal Stress Management Intervention on Perceived Stress Among Pre-Licensure Nursing Students . 2023. University of Toledo, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=toledo1701867431727135.

    MLA Style (8th edition)

  • Woolford, Dawn. "The Effect of a Cognitive Reappraisal Stress Management Intervention on Perceived Stress Among Pre-Licensure Nursing Students ." Doctoral dissertation, University of Toledo, 2023. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1701867431727135

    Chicago Manual of Style (17th edition)