title: Stress, resilience and psychological well-being in Chinese undergraduate nursing students.
abstract: BACKGROUND
  Globally, stress is a well-recognized feature of the life of undergraduate nursing students. However, there currently is little evidence to suggest what role resilience plays in this issue.
  
  
  OBJECTIVE
  To examine the relationship between stress and resilience on psychological well-being in a cohort of Chinese undergraduate student nurses.
  
  
  METHODS
  A cross-sectional study was conducted using multivariate logistic regression and descriptive statistical analysis in three Chinese nursing schools. A total of 1538 nursing students participated in the study, completing three validated self-administered questionnaires.
  
  
  RESULTS
  Nursing students in their final year reported the highest mean General Health Questionnaire 12 (GHQ-12) scores (Mean 4.50 SD 2.89) and Stress in Nursing Student (SINS CN) scores (Mean 105.11 SD 25.37), Moderate levels of resilience were noted across all four years of nursing training programmes (Mean 121.59 SD 21.49). Resilience scale (RS) scores were negatively correlated with mean total score for stress (r=-0.236, P<0.01) and negatively correlated with psychological well-being (r=-0.411, P<0.01).
  
  
  CONCLUSIONS
  Psychological well-being appears impaired in Chinese nursing students, particularly final year students, prior to registration. Globally, more attention could be given to the potential role of resilience training and other forms effective coping strategies to deal with the inevitable sources of stress in student nurse training.
authors.affiliation: Faculty School of Heath and Social Care of Health and Life Science, Edinburgh Napier University, Edinburgh, UK. Electronic address: GD.Smith@napier.ac.uk.
authors.forename: Graeme D
authors.initials: GD
authors.lastname: Smith
authors.affiliation: School of Nursing of Zhejiang University City College, 310015, China. Electronic address: yangf@zucc.edu.cn.
authors.forename: Fang
authors.initials: F
authors.lastname: Yang
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002681:China; D003430:Cross-Sectional Studies; D004508:Education, Nursing, Baccalaureate / Q000379:methods / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D012649:Self Concept; D013315:Stress, Psychological / Q000523:psychology*; D013338:Students, Nursing / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Nurse education; Psychological well-being; Resilience; Stress; Support