Acta Scientific Paediatrics (ISSN: 2581-883X)

Short Communication Volume 3 Issue 8

Atypical Skin Rash in Two Infants Suspected to have Multi System Inflammatory Syndrome in a Developing Country with Positive COVID-19 Cases: Challenges Encountered

Nira Tamang1,2*, Saroj Rai3, Ping Ni2 and Jing Mao2

1Department of Nursing, Norvic International Hospital, Kathmandu, Nepal
2School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
3Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal

*Corresponding Author: Nira Tamang, Department of Nursing, Norvic International Hospital, Kathmandu, Nepal.

Received: July 27, 2020; Published: July 30, 2020



Purpose: This study aimed to determine and compare the stress level, stressors and coping strategies and to investigate the relationship between stress, coping strategy and demographic characteristics among undergraduate health professional students.

Methods: In this cross-sectional, non-experimental and comparative study, a convenience sampling technique used to collect data from 280 students. We used a self-reported questionnaire including demographic characteristics of participants, Perceived Stress Scale, and Coping Behavior Inventory.

Results: Health professional students reported overall moderate level of stress while, nursing students showed mild stress whereas dental and clinical medicine students showed moderate stress. However, students were highly stressed by patient’s care, assignment and workload, lack of professional knowledge and skills, and environment, and minimally stressed by peers and daily life and teachers and other staffs. Stay-optimistic was mostly used coping strategy by nursing students and transference by dental and clinical medicine students whereas avoidance was the least used by all. Significant correlation of stress was found with coping strategy and previous health training.

Conclusion and Clinical Implications: Students face varieties of stressors during their clinical education. Therefore, students should be encouraged and motivated to adopt effective coping. Additionally, health training found positive role in reducing student’s stress so that medical courses are very necessary to the students before entering medical school.

Keywords: Stress; Stressor; Coping Strategy; Clinical Education; Health Professional Students



  1. Wolf L., et al. “Predictors of stress and coping strategies of US accelerated vs. generic Baccalaureate Nursing students: an embedded mixed methods study”. Nurse Education Today1 (2015): 201-205.
  2. Lazarus R and Folkman S. Stress: Appraisal and Coping. Stress, Appraisal and Coping. New York, NY: Springer New York (1984).
  3. Abasmi E., et al. “The Experience of Stress among Nursing students in Nursing Training Colleges in Tamale, Ghana”. International Journal of Psychology and Behavioural Science2 (2015): 89-97.
  4. Basols AMS., et al. “Stress and coping in a sample of medical students in Brazil”. Revista De Psiquiatria Clinica 1 (2015): 1-5.
  5. Rosiek A., et al. “Chronic Stress and Suicidal Thinking Among Medical Students”. International Journal of Environmental Research and Public Health 2 (2016): 212.
  6. Hayes A., et al. “Perceived causes of stress among a group of western Canadian dental students”. BMC Research Notes1 (2017): 714.
  7. Alzayyat A and Al-Gamal E. “A review of the literature regarding stress among nursing students during their clinical education”. International Nursing Review 3 (2014): 406-415.
  8. Sharma N and Kaur A. “Factors associated with stress among nursing students”. Nursing and Midwifery Research Journal 1 (2011).
  9. Singh Charanjeev SS and Sharma Ravinder Kumar. “Level of stress and coping strategies used by nursing interns”. Nursing and Midwifery Research Journal4 (2011).
  10. de La Rosa-Rojas G., et al. “Level of stress and coping strategy in medical students compared with students of other careers”. Gaceta Medica De Mexico4 (2015): 443-449.
  11. Hirsch CD., et al. “Coping strategies of nursing students for dealing with university stress”. Revista Brasileira De Enfermagem5 (2015): 501-508.
  12. Labrague LJ., et al. “A cross-country comparative study on stress and quality of life in nursing students”. Perspectives in Psychiatric Care (2017).
  13. Rahimi B., et al. “Resilience, stress, and coping among Canadian medical students”. Canadian Medical Education Journal 1 (2014): e5-e12.
  14. Elani HW., et al. “A systematic review of stress in dental students”. Journal of Dentistry Education2 (2014): 226-242.
  15. Gomathi KG., et al. “Causes of stress and coping strategies adopted by undergraduate health professions students in a university in the United arab emirates”. Sultan Qaboos University Medical Journal 3 (2013): 437-441.
  16. Amanya SB., et al. “A cross-sectional study of stress and its sources among health professional students at Makerere University, Uganda”. Nursing Open1 (2018): 70-76.
  17. Birks Y., et al. “Emotional intelligence and perceived stress in healthcare students: a multi-institutional, multi-professional survey”. BMC Medical Education1 (2009).
  18. Omigbodun OO., et al. “Stressors and psychological symptoms in students of medicine and allied health professions in Nigeria”. Social Psychiatry and Psychiatric Epidemiology 5 (2006): 415-421.
  19. Racic M., et al. “Self-Perceived Stress in Relation to Anxiety, Depression and Health-Related Quality of Life among Health Professions Students: A Cross-Sectional Study from Bosnia and Herzegovina”. Zdravstveno Varstvo4 (2017): 251-259.
  20. Zarifsanaiey N and Pakdel F. “A Comparative Study of Stressors in Medical and Nursing Students of Shiraz University of Medical Sciences and how they Correlate with Their Academic Progress: A Cross-Sectional Study”. (2015).
  21. Dutta AP., et al. “Stress in health professions students: myth or reality? A review of the existing literature”. Journal of the National Black Nurses Association 1 (2005): 63-68.
  22. Almojali AI., et al. “The prevalence and association of stress with sleep quality among medical students”. Journal of Epidemiology Global Health3 (2017): 169-174.
  23. Książek P., et al. “Stress and methods of coping with it among students of the Medical University of Lublin”. (2015).
  24. Gomathi KG., et al. “Psychological health of first-year health professional students in a medical university in the United arab emirates”. Sultan Qaboos University Medical Journal 2 (2012): 206-213.
  25. Sheu S., et al. “Perceived stress and physio-psycho-social status of nursing students during their initial period of clinical practice: the effect of coping behaviors”. International Journal of Nursing Studies 2 (2002): 165-175.
  26. Watson R., et al. “A study of stress and burnout in nursing students in Hong Kong: a questionnaire survey”. International Journal of Nursing Studies 10 (2008): 1534-1542.
  27. Chan CK., et al. “Hong Kong baccalaureate nursing students' stress and their coping strategies in clinical practice”. Journal of Professional Nursing 5 (2009): 307-313.
  28. Dyrbye LN., et al. “Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students”. Academic Medicine 814 (2006): 354-373.
  29. Gherardi-Donato EC., et al. “Association between depression and work stress in nursing professionals with technical education level”. Revista Latino-Americana de Enfermagem4 (2015): 733-740.
  30. Al-Dubai SA., et al. “Stress and coping strategies of students in a medical faculty in Malaysia”. Malaysian Journal of Medical Sciences 3 (2011): 57-64.
  31. Shaban IA., et al. “Undergraduate nursing students' stress sources and coping behaviours during their initial period of clinical training: a Jordanian perspective”. Nurse Education Practice4 (2012): 204-209.
  32. Zhao FF., et al. “The study of perceived stress, coping strategy and self-efficacy of Chinese undergraduate nursing students in clinical practice”. International Journal of Nursing Practice4 (2015): 401-419.
  33. Sandover S., et al. “Graduate entry and undergraduate medical students' study approaches, stress levels and ways of coping: a five year longitudinal study”. BMC Medical Education 15 (2015): 5.
  34. Sheu S. “The development and testing of perceived stress scale of clinical practice”. (1997) 341-351.
  35. Murphy RJ., et al. “A comparative study of professional student stress”. Journal of Dental Education 3 (2009): 328-337.
  36. Fonseca J., et al. “Perceived sources of stress amongst Chilean and Argentinean dental students”. European Journal of Dental Education 1 (2013): 30-38.
  37. Ben Loubir D., et al. “Prevalence of stress in Casablanca medical students: a cross-sectional study”. Pan African Medical Journal 19 (2014): 149.
  38. Qamar K., et al. “Factors associated with stress among medical students”. Journal of Pakistan Medical Association 7 (2015): 753-755.
  39. Harikiran AG., et al. “Perceived sources of stress amongst final year dental under graduate students in a dental teaching institution at Bangalore, India: a cross sectional study”. Indian Journal of Dental Research 3 (2012): 331-336.
  40. Polychronopoulou A and Divaris K. “Dental students' perceived sources of stress: a multi-country study”. Journal of Dentistry Education5 (2009): 631-639.
  41. Oku A., et al. “Prevalence of stress, stressors and coping strategies among medical students in a Nigerian medical school”. (2015): 29-34.
  42. Al-Gamal E., et al. “Stress and coping strategies among Saudi nursing students during clinical education”. Perspective Psychiatry Care 18 (2017).
  43. Evans W and Kelly B. Pre-registration diploma student nurse stress and coping measures”. Nurse Education Today 6 (2004): 473-482.
  44. Labrague lJ. “Stress, stressors and stress Responses of student nurses in a Government Nursing School”. Health Science Journal4 (2013).


Citation: Nira Tamang., et al. “Perceived Level of Stress, Stressors and Coping Strategies among Undergraduate Health Professional Students during their Clinical Education: A Comparative Study”.Acta Scientific Paediatrics 3.8 (2020): 41-48.


Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor1.197

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US