Nursing students’ emotional and physical well-being during the adaptation of an online learning platform due to the COVID-19 pandemicGoldberg, Isabella Lilly (2023) Nursing students’ emotional and physical well-being during the adaptation of an online learning platform due to the COVID-19 pandemic. Undergraduate Thesis, University of Pittsburgh. (Unpublished)
AbstractPurpose: Colleges were forced to create online learning platforms to provide high-quality education during the COVID-19 pandemic which compounded high stress levels in students. Resilience has shown promise in buffering negative emotional and physical response to stress. This study examined the impact of resilience on undergraduate nursing students’ emotional and physical well-being at both the height and stabilization of the pandemic. Framework: The Pittsburgh Mind Body Center Model was used to examine how students’ resilience influenced their emotional and physical response to stress. Methods: A cross-sectional, descriptive study collected data at two time points (height of the pandemic, n=112, and stabilization of the pandemic, n=225) to determine the impact of resilience on nursing students’ anxiety, depressive symptoms, attentional fatigue, eye strain, headache, and overall physical health. Undergraduate students enrolled in an urban School of Nursing completed an online survey assessing outcomes of interest and gender, year in program, financial hardship, grade point average, campus living, and prior mental health diagnosis. Multivariable linear regression models were used at each timepoint in SPSS v. 28. Independent sample t-tests compared outcome variables between timepoints. Results: Controlling for covariates, higher levels of resilience were significantly (p<0.01 for all associations) associated with lower levels of anxiety, depressive symptoms, attentional fatigue, eye strain, headache, and higher levels of overall physical health at both timepoints (R2: 0.09 to 0.41). There was a significant (p<0.01) decrease in anxiety and depressive symptoms and improvement in attentional fatigue and overall physical health as the pandemic stabilized. When standard cutoff scores were applied, the percentage of students at risk for moderate to severe anxiety dropped from 44% during the pandemic height to 9% as the pandemic stabilized. Students identified as at risk for moderate to severe depression dropped slightly from 59% to 46%. Mean resilience scores were relatively stable across time (m=18.67, SD=4.65 versus m=19.03, SD=4.81). Conclusions and Implications: Findings demonstrate poor emotional and physical well-being during the pandemic with resilience as the most consistent predictor. These data underscore the role of resilience in nursing students’ well-being and highlight that poor emotional and physical well-being may continue as the pandemic stabilizes. Share
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