Home⇛Psychology and Education: A Multidisciplinary Journal⇛vol. 35 no. 2 (2025)

Stress, Self-efficacy, And Motivation To Learn: A Causal Model On Academic Burnout Of Student Nurses

Christian V. Villan | Gloria M. Cunanan | Nenita I. Prado

Discipline: others in psychology

 

Abstract:

Attending nursing school is challenging. Students enrolled in a nursing program often complain of being academically burned out. As an educator, seeing, interacting with, and teaching learners suffering from burnout is tough. Nurse educators must be aware of this issue and act toward its resolution. Hence, this study aims to create a causal model on academic burnout, academic stress, self-efficacy, and learning motivation among student nurses. The inquiry was participated in by 719 nursing students from 4 private and state universities in the Philippines, utilizing modified standardized questionnaires and a 5-point Likert scale. Structural equation modeling (SEM) was also used to analyze the data. The best-fit model of the study revealed that students' academic burnout is positively influenced by stress from personal inadequacy, fear of failure, inadequate study facilities, poor teaching methods, and external motivation and negatively impacted by resilience. Recognizing the factors causing academic burnout among student nurses is a crucial step toward enhancing the quality of education and improving the learner's well-being. Furthermore, by understanding students' challenges at school, policymakers and administrators can develop and implement regulations that advocate for a healthier school life for the students. By addressing the concerns of lack of classrooms for studying and ineffective teaching strategies, students' academic burnout may lessen. Moreover, providing counseling to learners and discussing the mentally harmful outcomes of fear of failure, personal inadequacies, and being burdened by external motivations may reduce the effects of academic burnout. Educators may focus on enhancing the student nurses' resilience through better classroom management and adequate mental and emotional support to overcome the damaging effects of academic burnout. Lastly, student nurses may take full advantage of the universities' mental health services, wellness programs, and support systems to reduce feelings of stress and burnout.



References:

  1. Aghajani Liasi, G., Mahdi Nejad, S., Sami, N. et al. The prevalence of educational burnout, depression, anxiety, and stress among medical students of the Islamic Azad University in Tehran, Iran. BMC Med Educ 21, 471 (2021). https://doi.org/10.1186/s12909-021-02874-7
  2. Aguayo, R., Cañadas, G. R., Assbaa-Kaddouri, L., Cañadas-De la Fuente, G. A., Ramírez-Baena, L., & Ortega-Campos, E. (2019). A risk profile of sociodemographic factors in the onset of academic burnout syndrome in a sample of university students. International journal of environmental research and public health, 16(5), 707. https://doi.org/10.3390/ijerph16050707
  3. Alabduljabbar, A., Almana, L., Almansour, A., Alshunaifi, A., Alobaid, N., Alothaim, N., & Shaik, S. A. (2022). Assessment of fear of failure among medical students at King Saud University. Frontiers in psychology, 13, 794700. https://doi.org/10.3389/fpsyg.2022.794700
  4. Allen, H. K., Barrall, A. L., Vincent, K. B., & Arria, A. M. (2021). Stress and burnout among graduate students: Moderation by sleep duration and quality. International journal of behavioral medicine, 28, 21-28. https://doi.org/10.1007/s12529-020-09867-8
  5. Ardeńska, M., Ardeńska, A., & Tomik, R. (2019). Validity and reliability of the Polish version of the Academic Motivation Scale: a measure of intrinsic and extrinsic motivation and amotivation. Health Psychology Report, 7(3), 254–266. https://doi.org/10.5114/hpr.2019.86198
  6. Ariani, D. W. (2019). BASIC PSYCHOLOGICAL NEEDS AS PREDICTORS OF BURNOUT AND ENGAGEMENT. Journal of Psychological & Educational Research, 27(2). Retrieved from: https://www.researchgate.net/publication/352221481
  7. Batista, R. D. S., Santos, M. S. D., Melo, E. C., Moreira, R. C., Martins, J. T., & Galdino, M. J. Q. (2021). Burnout and academic satisfaction of nursing students in traditional and integrated curricula. Revista da Escola de Enfermagem da USP, 55, e03713. https://doi.org/10.1590/S1980-220X2020002003713
  8. Bauernhofer, K., Tanzer, N., Paechter, M., Papousek, I., Fink, A., & Weiss, E. M. (2019, November). Frenetic, underchallenged, and worn-out: Validation of the German “Burnout Clinical Subtypes Questionnaire”—Student survey and exploration of three burnout risk groups in university students. In Frontiers in Education (Vol. 4, p. 137). Frontiers Media SA. https://doi.org/10.3389/feduc.2019.00137
  9. Berdida, D. J. E. (2023). Resilience and academic motivation's mediation effects in nursing students' academic stress and self-directed learning: a multicenter cross-sectional study. Nurse Education in Practice, 69, 103639. https://doi.org/10.1016/j.nepr.2023.103639
  10. Cabaluna, J., Del Rosario, M. K., Antipala, K. C., Alvaran, M. C., Candelaria, C. F., Eder, V. J., & Castelo, A. N. A. (2022). SELECTED NURSING STUDENTS’ACADEMIC STRESS: COPING AND ACHIEVEMENT STRATEGIES AMIDST COVID-19. European Journal of Public Health Studies, 5(2). http://dx.doi.org/10.46827/ejphs.v5i2.123
  11. Çam, Z., & Öğülmüş, S. (2021). Testing of a model on the school burnout among high school students and exploring the model’s prediction level of grade retention: Testing of a model on the school burnout. International Journal of Curriculum and Instruction, 13(2), 950-985. Retrieved from: https://ijci.globets.org/index.php/IJCI/article/view/593
  12. Chen, Z. H., Ma, Y. Y., Feng, X. H., & Lin, Y. (2023). Correlation analysis of self‐directed learning ability, self‐efficacy and academic burnout of junior nursing college students in closed management colleges. Nursing Open, 10(4), 2508-2518. https://doi.org/10.1002/nop2.1509
  13. Compuesto, K. M., Bantog, J., Malabay, G. M., Santibanez, A. M., & Tus, J. (2022). Amidst the Online Learning Modality: The Self-Efficacy and Its Relationship to the Academic Burnout of Senior High School Students. Psychology and Education: A Multidisciplinary Journal, 1(3), 174-184. DOI: 10.5281/zenodo.6654318
  14. Cornér, S., Löfström, E., & Pyhältö, K. (2023). The relationships between doctoral students’ perceptions of supervision and burnout. Retrieved from: https://urn.fi/URN:NBN:fi-fe201801081145
  15. de la Fuente, J., Pachón-Basallo, M., Santos, F. H., Peralta-Sánchez, F. J., González-Torres, M. C., Artuch-Garde, R., ... & Gaetha, M. L. (2021). How has the COVID-19 crisis affected the academic stress of university students? The role of teachers and students. Frontiers in psychology, 12, 626340. https://doi.org/10.3389/fpsyg.2021.626340
  16. Di Mario, S., Rollo, E., Gabellini, S., & Filomeno, L. (2024). How Stress and Burnout Impact the Quality of Life Amongst Healthcare Students: An Integrative Review of the Literature. Teaching and Learning in Nursing. https://doi.org/10.1016/j.teln.2024.04.009
  17. Dullas, A. R. (2018, April). The development of academic self-efficacy scale for Filipino junior high school students. In Frontiers in Education (Vol. 3, p. 19). Frontiers Media SA. https://doi.org/10.3389/feduc.2018.00019
  18. Fariborz, N., Hadi, J., & Ali, T. N. (2019). Students’ academic stress, stress response and academic burnout: Mediating role of self-efficacy. Pertanika Journal of Social Sciences & Humanities, 27(4), 2441-2454.
  19. Ghods, A. A., Ebadi, A., Sharif Nia, H., Allen, K. A., & Ali‐Abadi, T. (2023). Academic burnout in nursing students: An explanatory sequential design. Nursing Open, 10(2), 535-543. https://doi.org/10.1002/nop2.1319
  20. Gonzaga, M. C., & Oblianda, L. R. Mediating Effect of Academic Self-efficacy on the Relationship between Academic Stress and Academic Burnout of Online Class Students during the COVID-19 Pandemic in Davao Region. DOI:10.13140/RG.2.2.12099.27682
  21. Green, Z. A. (2022). Generalized self-efficacy shields on the negative effect of academic anxiety on academic self-efficacy during COVID-19 over time: A mixed-method study. Journal of School and Educational Psychology, 2(1), 44-59. https://doi.org/10.47602/josep.v2i1.17
  22. Haile, Y. G., Senkute, A. L., Alemu, B. T., Bedane, D. M., & Kebede, K. B. (2019). Prevalence and associated factors of burnout among Debre Berhan University medical students: a cross-sectional study. BMC medical education, 19, 1-11. https://doi.org/10.1186/s12909-019-1864-8
  23. Hwang, E., & Kim, J. (2022). Factors affecting academic burnout of nursing students according to clinical practice experience. BMC Medical Education, 22(1), 346. https://doi.org/10.1186/s12909-022-03422-7
  24. Jagodics, B., Nagy, K., Szénási, S., Varga, R., & Szabó, É. (2023). School demands and resources as predictors of student burnout among high school students. School Mental Health, 15(1), 90-104. https://doi.org/10.1007/s12310-022-09534-1
  25. Jagodics, B., & Szabó, É. (2023). Student burnout in higher education: a demand-resource model approach. Trends in Psychology, 31(4), 757-776. https://doi.org/10.1007/s43076-021-00137-4
  26. Kilic, R., Nasello, J. A., Melchior, V., & Triffaux, J. M. (2021). Academic burnout among medical students: respective importance of risk and protective factors. Public Health, 198, 187-195. https://doi.org/10.1016/j.puhe.2021.07.025
  27. Kong, L. N., Yang, L., Pan, Y. N., & Chen, S. Z. (2021). Proactive personality, professional self-efficacy and academic burnout in undergraduate nursing students in China. Journal of Professional Nursing, 37(4), 690-695. https://doi.org/10.1016/j.profnurs.2021.04.003
  28. Lesener, T., Pleiss, L. S., Gusy, B., & Wolter, C. (2020). The study demands-resources framework: An empirical introduction. International Journal of Environmental Research and Public Health, 17(14), 5183. https://doi.org/10.3390/ijerph17145183
  29. Lopes, A. R., & Nihei, O. K. (2020). Burnout among nursing students: predictors and association with empathy and self-efficacy. Revista brasileira de enfermagem, 73(1), e20180280. https://doi.org/10.1590/0034-7167-2018-0280
  30. Ma, H., Zou, J. M., Zhong, Y., Li, J., & He, J. Q. (2022). Perceived stress, coping style and burnout of Chinese nursing students in late-stage clinical practice: a cross-sectional study. Nurse Education in Practice, 62, 103385. https://doi.org/10.1016/j.nepr.2022.103385
  31. Mannerström, R., Haarala-Muhonen, A., Parpala, A., Hailikari, T., & Salmela-Aro, K. (2024). Identity profiles, motivations for attending university and study-related burnout: differences between Finnish students in professional and non-professional fields: identity profiles, motivation and study burnout. European Journal of Psychology of Education, 39(2), 651-669. https://doi.org/10.1007/s10212-023-00706-4
  32. Maslach, C. (2018). Burnout: A multidimensional perspective. In Professional burnout (pp. 19-32). CRC Press. ISBN: 9780203741825
  33. Maslach, C., Jackson, S. E., & Leiter, M. P. (1997). Maslach burnout inventory. Scarecrow Education. Retrieved from: https://psycnet.apa.org/record/1997-09146-011
  34. Molinari, L., & Grazia, V. (2023). Students’ school climate perceptions: Do engagement and burnout matter?. Learning Environments Research, 26(1), 1-18. https://doi.org/10.1007/s10984-021-09384-9
  35. Nazri, N. A., Muhammad, F. H., Sheikh, S. N. Y., Suhaimi, H. N. H., Saidin, N., Ngah, S., & Rahmat, N. H. (2023). What is The Relationship between Burnout and Motivation to Learn. Journal of Academic Research in Business and Social Sciences, 13(8), 1596-1614. https://www.researchgate.net/publication/373678720
  36. Pedroso, J. E. P., Llorico, J. J., & Tagabi, G. A. (2023). Burnout risk of tertiary student leaders in the Philippines. Art Human Open Acc J, 5(3), 158-163. DOI:10.15406/ahoaj.2023.05.00202
  37. Poorgholamy, F., Kazemi, S., Barzegar, M., & Sohrabi, N. (2020). Predicting academic burnout based on achievement goals and self-regulated learning. Iranian Evolutionary Educational Psychology Journal, 2(1), 13-23. 10.29252/ieepj.2.1.13
  38. Rahmatpour, P., Chehrzad, M., Ghanbari, A., & Sadat-Ebrahimi, S. R. (2019). Academic burnout as an educational complication and promotion barrier among undergraduate students: A cross-sectional study. Journal of education and health promotion, 8(1), 201. DOI: 10.4103/jehp.jehp_165_19
  39. Rajendran, R., & Kaliappan, K. V. (1990). Efficacy of behavioural programme in managing the academic stress and improving academic performance. Journal of Personality and Clinical Studies. Retrieved from: https://psycnet.apa.org/record/1991-13972-001
  40. Romano, L., Consiglio, P., Angelini, G., & Fiorilli, C. (2021). Between academic resilience and burnout: the moderating role of satisfaction on school context relationships. European journal of investigation in health, psychology and education, 11(3), 770-780. https://doi.org/10.3390/ejihpe11030055
  41. Schenker, J. D., & Rumrill Jr, P. D. (2004). Causal-comparative research designs. Journal of vocational rehabilitation, 21(3), 117-121. Retrieved from: https://ip.ios.semcs.net/articles/journal-of-vocational-rehabilitation/jvr00260
  42. Seeram, E. (2019). An overview of correlational research. Radiologic technology, 91(2), 176-179. Retrieved from: http://www.radiologictechnology.org/content/91/2/176.extract
  43. Shadid, A., Shadid, A. M., Shadid, A., Almutairi, F. E., Almotairi, K. E., Aldarwish, T., ... & Alkholaiwi, F. (2020). Stress, burnout, and associated risk factors in medical students. Cureus, 12(1). doi: 10.7759/cureus.6633
  44. Sharififard, F., Asayesh, H., Hosseini, M. H. M., & Sepahvandi, M. (2020). Motivation, self-efficacy, stress, and academic performance correlation with academic burnout among nursing students. Journal of Nursing and Midwifery Sciences, 7(2), 88-93.
  45. Siedlecki, S. L. (2020). Understanding descriptive research designs and methods. Clinical Nurse Specialist, 34(1), 8-12. DOI: 10.1097/NUR.0000000000000493
  46. Singh, L. B., Kumar, A., & Srivastava, S. (2021). Academic burnout and student engagement: a moderated mediation model of internal locus of control and loneliness. Journal of International Education in Business, 14(2), 219-239. https://doi.org/10.1108/JIEB-03-2020-0020
  47. Smith, K. J., & Emerson, D. J. (2021). Resilience, psychological distress, and academic burnout among accounting students. Accounting Perspectives, 20(2), 227-254. https://doi.org/10.1111/1911-3838.12254
  48. Souza, G. C. D., Meireles, E., Mira, V. L., & Leite, M. M. J. (2021). Academic motivation scale-reliability and validity evidence among undergraduate nursing students. Revista latino-americana de enfermagem, 29, e3420. https://doi.org/10.1590/1518-8345.3848.3420
  49. Valero-Chillerón, M. J., González-Chordá, V. M., López-Peña, N., Cervera-Gasch, Á., Suárez-Alcázar, M. P., & Mena-Tudela, D. (2019). Burnout syndrome in nursing students: An observational study. Nurse education today, 76, 38-43. https://doi.org/10.1016/j.nedt.2019.01.014
  50. Vallerand, R. J., Pelletier, L. G., Blais, M. R., Briere, N. M., Senecal, C., & Vallieres, E. F. (1992). The Academic Motivation Scale: A measure of intrinsic, extrinsic, and amotivation in education. Educational and psychological measurement, 52(4), 1003-1017. https://doi.org/10.1177/0013164492052004025
  51. Wang, J., Bu, L., Li, Y., Song, J., & Li, N. (2021). The mediating effect of academic engagement between psychological capital and academic burnout among nursing students during the COVID-19 pandemic: A cross-sectional study. Nurse education today, 102, 104938. https://doi.org/10.1016/j.nedt.2021.104938
  52. Wang, Y., & Xian, X. (2024). The teacher–student relationship and student burnout: Mediating effect of supportive school climate. Social Behavior and Personality: an international journal, 52(4), 1-8. https://doi.org/10.2224/sbp.13079
  53. Yıldırım, M., Kaynar, Ö., Chirico, F., & Magnavita, N. (2023). Resilience and extrinsic motivation as mediators in the relationship between fear of failure and burnout. International Journal of Environmental Research and Public Health, 20(10), 5895. https://doi.org/10.3390/ijerph20105895
  54. Yusoff, M. S. B., Hadie, S. N. H., & Yasin, M. A. M. (2021). The roles of emotional intelligence, neuroticism, and academic stress on the relationship between psychological distress and burnout in medical students. BMC medical education, 21(1), 293. https://doi.org/10.1186/s12909-021-02733-5
  55. Zalts, R., Green, N., Tackett, S., & Lubin, R. (2021). The association between medical students' motivation with learning environment, perceived academic rank, and burnout. International journal of medical education, 12, 25. 10.5116/ijme.5ff9.bf5c

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