Beyond the Pressure: Understanding Stress and Coping Strategies of 4th Year Nursing Students at University of Perpetual Help System Manila

Abstract

Fourth year nursing students often experience high levels of stress due to academic demands and clinical responsibilities, particularly during the final phase of their nursing education. This study aims to explore the sources of stress, subjective levels of stress, and coping strategies of 4th year nursing students at University of Perpetual Help System Manila.. A qualitative and descriptive research design was utilized. Data were collected by semi-structured interviews with selected 4th year nursing students. The responses were analyzed using thematic analysis to identify patterns regarding the different individual stressors and coping strategies. The findings revealed that 4th year nursing students are significantly influenced by various stressors such as heavy academic workload, time constraint, academic pressure in requirements for graduation, long hours of clinical duty, inability to rest, and preparation for the licensure exam and career anxiety about the future. Several students also indicate they are struggling to keep up with their study commitments alongside family and personal responsibilities, which also increases their level of stress. To cope with all these problems, students reported a range of coping strategies. Problem-focused coping strategies were seen as well, such as effective time management, work prioritization, seeking academic assistance, and collaboration with classmates. Strategies like mindfulness practice, relaxation, journaling, engaging in hobbies, and turning to faith or spirituality were also practiced on a regular basis. Social support from peers, family, and clinical instructors served as a support system against emotional and physical exhaustion. The study highlights the resilience of nursing students despite the challenges they face, while emphasizing the need for structured mental health and wellness programs in nursing schools. The findings suggest that implementing stress management interventions and accessible support systems to students may help promote the well-being of future nurses.