Evidence map›Paper›PMID 41585847›Full record

ArticleBelitung nursing journal2026

Stress levels, stressors, and coping strategies among nursing students during maternal and child health clinical rotations: A cross-sectional study in Saudi Arabia.

Amaal Samir Abdelmaksoud, Doaa El Sayed Fadila, Bandar Naffaa Alhumaidi, Khaled Mohammed Al-Sayaghi, Mark Yuga Roque, Joyce Toriente Relloso, Hammad Ali Fadlalmola

Abstract read
In one paragraph

Article in Belitung nursing journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Amaal Samir AbdelmaksoudDepartment of Medical Surgical Nursing, Nursing College, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.ORCID https://orcid.org/0000-0002-3055-0981
Doaa El Sayed FadilaDepartment of Community Health Nursing, Nursing College, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.ORCID https://orcid.org/0000-0002-3760-6693
Bandar Naffaa AlhumaidiDepartment of Community Health Nursing, Nursing College, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.ORCID https://orcid.org/0009-0008-4671-1162
Khaled Mohammed Al-SayaghiDepartment of Medical Surgical Nursing, Nursing College, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.ORCID https://orcid.org/0000-0002-9508-3050
Mark Yuga RoqueDepartment of Maternity & Childhood, Nursing College, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.ORCID https://orcid.org/0000-0003-3401-3152
Joyce Toriente RellosoDepartment of Medical Surgical Nursing, Nursing College, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.ORCID https://orcid.org/0009-0007-5000-5757
Hammad Ali FadlalmolaDepartment of Community Health Nursing, Nursing College, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.ORCID https://orcid.org/0000-0002-5065-9626

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nursing students often experience high levels of stress during clinical training, particularly in maternal and child health (MCH) rotations, which may affect learning and well-being. Understanding stress levels, stressors, and coping strategies can inform the development of supportive and culturally appropriate educational approaches. Objective: To assess perceived stress levels, identify clinical stressors, and examine coping strategies among nursing students during MCH clinical rotations in Saudi Arabia. Methods: A cross-sectional study was conducted in 2024 among 187 female nursing students enrolled in MCH clinical rotations. Data were collected using validated Arabic versions of the Perceived Stress Scale (PSS-10), the Nursing Student Clinical Stressor Scale (NSCSS), and the Brief COPE Inventory. Descriptive statistics and Spearman's rho correlation analyses were performed using SPSS. Results: Most students reported moderate perceived stress (75.4%), with a mean PSS-10 score of 20.5 ± 5.9. The highest stressor domains were MCH-specific challenges (9.13 ± 5.00), academic pressures (8.72 ± 3.95), and the clinical environment (7.65 ± 3.64). Religion (5.20 ± 2.06) and acceptance (4.79 ± 1.80) had the highest mean scores among coping strategies, while substance use was least reported (3.04 ± 1.40). Self-blame showed the strongest association with total clinical stressors (rho = 0.501, Conclusion: Female nursing students experienced moderate stress during MCH clinical rotations, largely related to clinical and academic demands. Coping strategies were predominantly emotion-focused, with self-blame showing a strong association with higher stress levels. These findings highlight the importance of culturally sensitive support strategies in nursing education.

Indexed as

coping strategiesmaternal and child healthnursing studentsSaudi Arabiastress

Identifiers

PMID41585847
PMCPMC12828567

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.