Stress factor/item | M | SD | Range | Item ranking | Factor ranking |
---|---|---|---|---|---|
I. Stress from taking care of patients | Â | Â | Â | Â | 1 |
 Lack of experience and ability in providing nursing care and in making judgments (Q2) | 1.94 | 0.89 | 0–4 | 1 |  |
 Lack of knowledge about how to help patients with physio-psycho-social problems(Q3) | 1.74 | 0.89 | 0–4 | 5 |  |
 Do not know how to communicate with patients(Q4) | 1.41 | 0.86 | 0–4 | 13 |  |
 Worry about not being trusted or accepted by patients or patients’ family(Q8) | 1.47 | 0.91 | 0–4 | 11 |  |
 Experience difficulties in changing from the role of a student to that of a nurse(Q9) | 1.12 | 0.85 | 0–4 | 17 |  |
 Inability to provide appropriate responses to doctors’, teachers’, and patients’ question(Q10) | 1.77 | 0.81 | 0–4 | 3 |  |
 Inability to reach one’s expectations dealing with challenges arising from the gap between clinical performance and self-expectation (Q11) | 1.87 | 0.92 | 0–4 | 2 |  |
 Unable to provide patients with good nursing care(Q12) | 1.50 | 0.76 | 0–4 | 9 |  |
II. Stress from teachers and nursing staff | Â | Â | Â | Â | 4 |
 Experience discrepancy between theory and practice (Q1) | 1.62 | 0.89 | 0–4 | 7 |  |
 Feel that teachers do not give fair evaluation on students (Q14) | 0.73 | 0.78 | 0–4 | 26 |  |
 Medical personnel lack empathy and are not willing to help(Q17) | 0.72 | 0.73 | 0–4 | 27 |  |
 Do not know how to discuss patients’ illness with teachers, and medical and nursing personnel(Q18) | 1.12 | 0.85 | 0–4 | 18 |  |
 Feel stressed that teacher’s instruction is different from one’s expectations(Q20) | 1.04 | 0.81 | 0–4 | 19 |  |
 Lack of care and guidance from teachers(Q25) | 0.68 | 0.73 | 0–4 | 28 |  |
III. Stress from assignments and workload | Â | Â | Â | Â | 2 |
 Worry about bad grades(Q13) | 1.76 | 1.08 | 0–4 | 4 |  |
 Feel that the requirements of clinical practice exceed one’s physical and emotional endurance (Q15) | 1.34 | 0.88 | 0–4 | 14 |  |
 Experience pressure from the nature and quality of clinical practice (Q16) | 1.70 | 1.09 | 0–4 | 6 |  |
 Feel that dull and inflexible clinical practice affects one’s family and social life (Q19) | 1.49 | 1.05 | 0–4 | 10 |  |
 Feel that one’s performance does not meet teachers’ expectations (Q22) | 1.31 | 0.88 | 0–4 | 15 |  |
V. Stress from peers and daily life | Â | Â | Â | Â | 6 |
 Feel that clinical practice affects one’s involvement in extracurricular activities (Q5) | 0.84 | 1.00 | 0–4 | 24 |  |
 Feel pressure from teachers who evaluate students’ performance by comparison (Q21) | 0.76 | 0.79 | 0–4 | 25 |  |
 Cannot get along with other peers in the group(Q23) | 0.67 | 0.73 | 0–4 | 29 |  |
 Experience competition from peers in school and clinical practice(Q24) | 0.89 | 0.81 | 0–4 | 23 |  |
IV. Stress from lack of professional knowledge and skills | Â | Â | Â | Â | 3 |
 Unfamiliar with patients’ diagnoses and treatments(Q6) | 1.42 | 0.76 | 0–4 | 12 |  |
 Unfamiliar with medical history and terms(Q7) | 1.51 | 0.82 | 0–4 | 8 |  |
 Unfamiliar with professional nursing skills(Q26) | 1.29 | 0.83 | 0–4 | 16 |  |
V. Stress from the environment | Â | Â | Â | Â | 5 |
 Feel stressed from the rapid change in patient’s condition(Q27) | 0.93 | 0.72 | 0–4 | 22 |  |
 Unfamiliar with the ward facilities(Q28) | 0.95 | 0.79 | 0–4 | 21 |  |
 Feel stressed in the hospital environment where clinical practice takes place(Q29) | 1.00 | 0.90 | 0–4 | 20 |  |
Overall | 36.65 | 15.95 | 0–95 | – | – |