Nurse-Midwife Students’ Stress Resilience During Online Learning Amidst COVID-19 in Thailand: A Mixed Methods Study

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Sirawan Karuna
Wareerat Jittitaworn


Objectives: To explore and understand the ability to recover from stress prompted by online learning amidst COVID-19 among the nurse-midwife students. Methods: This study was conducted using an explanatory sequential design. Two hundred nurse-midwife students participated in the quantitative part of the study using a stress resilience questionnaire adapted from Connor-Davidson Resilience Scale (CD-RISC). In the qualitative part, four focus groups were conducted until data saturation of a total of 20 students using semi-structured interviews with open-ended questions. Results: Nurse-midwife students suffered from stress caused by abrupt change amidst the COVID-19 crisis. Most of the 200 participants had moderate levels of stress resilience. In the focus groups the following key themes were identified: 1) recognising the effects of COVID-19 on learning and life, 2) perceiving change as a learning opportunity and a challenge that improves self-discipline, and 3) recovering with family, teacher, and peer support. Conclusions: Adaptability and resilience helped nurse-midwife students recover from stressful events caused by change in learning modes amidst COVID-19. Having stress resilience in the face of stressful experience will facilitate their transition to the nursing and midwifery profession and might improve their job retention in the future.



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Karuna, S. ., & Jittitaworn, W. . (2023). Nurse-Midwife Students’ Stress Resilience During Online Learning Amidst COVID-19 in Thailand: A Mixed Methods Study. Journal of Research in Nursing-Midwifery and Health Sciences, 43(2), 54–67. Retrieved from
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