Fear, Stress, and Knowledge regarding COVID-19 in Nursing Students and Recent Graduates in Mexico

Isai Arturo Medina Fernández, Sonia Carreño Moreno, Lorena Chaparro Díaz, Ruth Magdalena Gallegos-Torres, Josué Arturo Medina Fernández, Eva Kerena Hernández Martínez, Isai Arturo Medina Fernández, Sonia Carreño Moreno, Lorena Chaparro Díaz, Ruth Magdalena Gallegos-Torres, Josué Arturo Medina Fernández, Eva Kerena Hernández Martínez

Abstract

Objectives: The study sought to correlate fear, stress, knowledge regarding COVID-19 in Nursing students and recent graduates in Mexico.

Methods: Correlational design, sample comprising 912 nursing students and graduates during the last 18 months from public and private universities of Mexico. To measure the variables, the study applied the instrument Fear of COVID-19 Scale, knowledge subscale of the scale Knowledge, attitudes, and practices towards COVID-19, and the instrument COVID Stress Scale.

Results: Relationship was found of the age variable with fear, danger of contamination, traumatic stress, knowledge and minor socioeconomic consequences (p<0.05). Likewise, relationship was observed of fear with stress regarding COVID-19, danger of contamination, socioeconomic consequences, xenophobia, traumatic stress, and compulsive checking (p<0.05). Stress and knowledge explain the presence of fear regarding COVID-19 in 50.3%, and fear and knowledge explain stress regarding COVID-19 in 50.4%.

Conclusions: Nursing students and recent graduates have high levels of stress and fear, besides low level of knowledge. The presence of high stress and low knowledge predict fear regarding COVID-19. Interventions are required on knowledge, stress, and fear regarding COVID-19 in the population studied.

Keywords: coronavirus infections; fear; knowledge; nurses; pandemics; stress, psychological; students, nursing.

Conflict of interest statement

The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose.

Copyright by the Universidad de Antioquia.

References

    1. Caldera-Villalobos C, Garza-Veloz I, Martínez-Ávila N, Delgado-Enciso I, Ortiz-Castro Y, Cabral-Pacheco GA, et al. El desafío de la enfermedad del coronavirus (COVID-19) en México: una reflexión crítica y forzada como individuos y sociedad. Frente a la Salud Pública. 2020:8:337–8:337.
    1. Camjhi E. La pandemia golpea a casi 2.000 profesionales de la salud en México. [27 Nov 2020];El País. 2020 May 04; Available from: .
    1. Pakpour AH, Griffiths MD. The fear of COVID-19 and its role in preventive behaviors. [20 Mar 2020];J. Concurr. Disord. 2020 Available from:
    1. Harper CA, Satchell LP, Fido D, Latzman RD. Functional Fear Predicts Public Health Compliance in the COVID-19 Pandemic. [27 Nov 2020];Int. J. Ment. Health Addict. 2020 doi: 10.1007/s11469-020-00281-5. Available from:
    1. Bohlken J, Schömig F, Lemke MR, Pumberger M R-HS. COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review. Psychiatr. Prax. 2020;47(4):190–197.
    1. Wu W, Zhang Y, Wang P, Zhang L, Wang G, Lei G, et al. Psychological stress of medical staffs during outbreak of COVID‐19 and adjustment strategy. [27 Nov 2020];J. Med. Virol. 2020 doi: 10.1002/jmv.25914. Available from:
    1. Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. [27 Nov 2020];J. Nurs. Manag. 2020 doi: 10.1111/jonm.13014. Available from:
    1. Khader Y, Al Nsour M, Al-Batayneh OB, Saadeh R, Bashier H, Alfaqih M, et al. Dentists’ Awareness, Perception, and Attitude Regarding COVID-19 and Infection Control: Cross-Sectional Study Among Jordanian Dentists. JMIR Public Health Surveill. 2020;6(2):e18798.
    1. Moro M, Pietro Vigezzi G, Capraro M, Biancardi A, Nizzero P, Signorelli C, et al. 2019-novel coronavirus survey: Knowledge and attitudes of hospital staff of a large Italian teaching hospital. Acta Biomed. 2020;91:29–34.
    1. Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian Medical Students; A Survey on Their Related-Knowledge, Preventive Behaviors and Risk Perception. Arch. Iran Med. 2020;23(4):249–254.
    1. Carolan C, Davies C, Crookes P, McGhee S, Roxburgh M. COVID 19: Disruptive impacts and transformative opportunities in undergraduate nurse education. Nurse Educ. Pract. 2020;46:102807–102807.
    1. Kwasi D, Chung-Ying L, Imani V, Saffari M, Griffiths M, Pakpour A. The Fear of COVID-19 Scale: Development and Initial Validation. Int. J. Ment. Health Addict. 2020;27:1–9.
    1. Taylor S, Landry CA, Paluszek MM, Fergus TA, McKay D, Asmundson GJG. Development and initial validation of the COVID Stress Scales. J. Anxiety Disord. 2020;72:102232–102232.
    1. Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, et al. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int. J. Biol. Sci. 2020;16(10):1745–1752.
    1. Winter T, Riordan BC, Pakpour AH, Griffiths MD, Mason A, Poulgrain JW, et al. Evaluation of the English Version of the Fear of COVID-19 Scale and Its Relationship with Behavior Change and Political Beliefs. Int. J. Ment. Health Addict. 2020:1–11.
    1. Sakib N, Bhuiyan AKMI, Hossain S, Al Mamun F, Hosen I, Abdullah AH, et al. Psychometric Validation of the Bangla Fear of COVID-19 Scale: Confirmatory Factor Analysis and Rasch Analysis. Int. J. Ment. Health Addict. 2020:1–12.
    1. Huang L, Xu FM, Hong Liu. Emotional responses and coping strategies of nurses and nursing college students during COVID-19 outbreak. PLoS One. 2020;15(8):e0237303.
    1. Trinidad R, Lacaran K. Covid stress predicts depression, anxiety and stress symptoms of Filipino respondents Renz. Res. Bus. Soc. Sci. 2020;9(4):78–103.
    1. Asmundson G, Paluszek MM, Landry CA, Rachor GS, McKay D, Taylor S. Do pre-existing anxiety-related and mood disorders differentially impact COVID-19 stress responses and coping? J. Anxiety Disord. 2020;74:1–6.
    1. Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. PLoS One. 2020;15(5):e0233668.
    1. Begum F. Knowledge, Attitudes, and Practices towards COVID-19 among . Nursing Students in Selected Nursing Institution in Saudi Arabia during COVID-19 Outbreak: An Online Survey Knowledge. Saudi J. Nurs. Health Care. 2020;3(7):194–198.
    1. Afzal MS, Khan A, Qureshi UUR, Saleem S, Saqib MAN, Shabbir RMK, et al. Community-Based Assessment of Knowledge, Attitude, Practices and Risk Factors Regarding COVID-19 Among Pakistanis Residents During a Recent Outbreak: A Cross-Sectional Survey. J Community Health. 2020:1–11.
    1. Maarefvand M, Hosseinzadeh S, Farmani O, Farahani AS, Khubchandani J. Coronavirus outbreak and stress in iranians. Int. J. Environ. Res. Public. Health. 2020;17(12):4441–4441.
    1. Zhi X, Lu L, Pu Y, Ai Meng, Zhao Y, Cheng F, et al. vestigation and analysis of psychological stress and professional identity of nursing students during COVID-19 pandemic. Indian. J. Exp. Biol. 2020;58:426–432.
    1. Ali M, Uddin Z, Chanda P, Hegazy F, Zamman S, Mohammed A, et al. Knowledge, attitude, practice and fear of COVID-19: A cross-cultural study. [27 Nov 2020];medRxiv. 2020 doi: 10.1101/2020.05.26.20113233. Available from:
    1. Hossain M, Hossarin A, Walton L, Uddin Z, Haque O, Kabir F, et al. Knowledge, Attitudes, and Fear of COVID-19 during the Rapid Rise Period in Bangladesh. [27 Nov 2020];medRxiv. 2020 doi: 10.1101/2020.06.17.20133611. Available from:
    1. McEachan R, Taylor N, Harrison R, Lawton R, Gardner P, Conner M. Meta-Analysis of the Reasoned Action Approach (RAA) to Understanding Health Behaviors. Ann. Behav. Med. 2016;50(4):592–612.
    1. Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and Positivity: Mediating Role of Intolerance of Uncertainty, Depression, Anxiety, and Stress. Int. J. Ment. Health Addict. 2020:20201–20214.
    1. Franco JA, Levi PA. Feelings, Stress, and Adaptation Strategies of Nurses against COVID-19 in Guayaquil. Invest. Educ. Enferm. 2020;38(3):e07

Source: PubMed

3
订阅