Ways of Coping and Mental Health among Nursing Students Transitioning from Online Learning to In-Person Classes in a University Setting


  • Ashley Bangcola College of Health Sciences, Mindanao State University, 9700 Marawi City, Philippines




Background: Education is one of the sectors where the COVID-19 pandemic has had the biggest impact. Schools all throughout the world had to make adjustments, and after many years, virtual learning is now transitioning back to traditional in-person learning. During the Pandemic, concerns about mental and psychological health are becoming increasingly prevalent, especially among university students. Objective: The purpose of this study is to analyze the impact of shifting from online or virtual classrooms to in-person classes on nursing students' mental health and coping strategies. Methods: A cross-sectional and descriptive-correlational research design with a survey questionnaire was used among 405 nursing students from Mindanao State University's College of Health Sciences to determine how nursing students adjust to returning to school after more than two years of taking online classes due to pandemic restrictions. Results: The study revealed that the students' psychological well-being was much higher than their emotional and social well-being. This study's findings demonstrated a substantial positive correlation between nursing students' proactive coping and mental wellbeing, implying that as proactive coping improves, so does mental wellbeing. Conclusion: It can be concluded that utilizing proactive coping methods helps nursing students maintain their mental health when transitioning from online to face-to-face classes. The current study's findings suggest that proactive coping practices contribute significantly to mental health.


COVID-19, Mental Health, Nursing Students, Ways of Coping


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Al-Dubai, S. A. R., Al-Naggar, R. A., Alshagga, M. A., & Rampal, K. G. (2011). Stress and Coping Strategies of Students in a Medical Faculty in Malaysia. The Malaysian Journal of Medical Sciences: (MJMS), 18(3), 57. http://www.mjms.usm.my/MJMS18032011/09MJMS18032011oa.pdf

Al Jazeera and News Agencies. (2022). Philippine Schools Reopen after one of World’s Longest Shutdowns. https://www.aljazeera.com/news/2022/8/22/philippine-schools-reopen-after-one-of-worlds-longest shutdowns#:~:text=Millions%20of%20children%20in%20the,they%20returned%20to%20their%20classrooms. Accessed on 22th July, 2022

Bogdan, C., Rioux, L., & Negovan, V. (2012). Place Attachment, Proactive Coping and Well-Being in University Environment. Procedia-Social and Behavioral Sciences, 33, 865-869. https://doi.org/10.1016/j.sbspro.2012.01.245

Cheung, T., Fong, T. K., & Bressington, D. (2021). COVID‐19 Under the SARS Cloud: Mental Health Nursing During the Pandemic in Hong Kong. Journal of Psychiatric and Mental Health Nursing, 28(2), 115. https://doi.org/10.1111/jpm.12639

Creswell, J. W., & Clark, V. L. P. (2017). Designing and Conducting Mixed Methods Research. 3rd Edition. USA: Sage Publications. https://us.sagepub.com/en-us/nam/designing-and-conducting-mixed-methods-research/book241842. Accessed on 17th August, 2022

Cucinotta, D., & Vanelli, M. (2020). WHO Declares COVID-19 A Pandemic. Acta Bio Medica: Atenei Parmensis, 91(1), 157. https://doi.org/10.23750/abm.v91i1.9397

Cacayan, E. B., Baua, M. E. C., & Alvarado, A. E. (2020). Challenges In Nursing Education in The New Normal: Basis for Faculty Enhancement Program. Health Notions, 4(8), 234-247. https://dx.doi.org/10.33846/hn40801

Edwards, D., Burnard, P., Bennett, K., & Hebden, U. (2010). A Longitudinal Study of Stress and Self-Esteem in Student Nurses. Nurse Education Today, 30(1), 78-84. https://doi.org/10.1016/j.nedt.2009.06.008

El Masri, A., & Sabzalieva, E. (2020). Dealing with Disruption, Rethinking Recovery: Policy Responses to the COVID-19 Pandemic in Higher Education. Policy Design and Practice, 3(3), 312-333. https://doi.org/10.1080/25741292.2020.1813359

Ergini, E., Ceviki, K., & Cetin, S. P. (2018). An Investigation of Nursing Students' Perceptions and Coping Behaviors of Education-Related Stress/Hemsirelik Ogrencilerinin Egitimlerine Iliskin Algiladigi Stres ve Stresle Bas Etme Davranislarinin Incelenmesi. Journal of Education and Research in Nursing, 15(1), 16-23. https://doi.org/10.5222/HEAD.2018.016

Gan, Y., Hu, Y., & Zhang, Y. (2010). Proactive and Preventive Coping in Adjustment to College. The Psychological Record, 60, 643-658. https://doi.org/10.1007/BF03395737

Gao, J., Wang, F., Guo, S., & Hu, F. (2021). Mental Health of Nursing Students amid Coronavirus Disease 2019 Pandemic. Frontiers In Psychology, 12, 699558. https://doi.org/10.3389/fpsyg.2021.699558

Greenglass, E., Schwarzer, R., Jakubiec, D., Fiksenbaum, L., & Taubert, S. (1999, July). The proactive coping inventory (PCI): A Multidimensional Research Instrument. In 20th International Conference of The Stress and Anxiety Research Society (STAR), Cracow, Poland (Vol. 12, p. 14). https://estherg.info.yorku.ca/files/2014/09/pci.pdf

Hamadi, H. Y., Zakari, N. M., Jibreel, E., Al Nami, F. N., Smida, J. A., & Ben Haddad, H. H. (2021). Stress and Coping Strategies among Nursing Students in Clinical Practice During COVID-19. Nursing Reports, 11(3), 629-639. https://doi.org/10.3390/nursrep11030060

Huang, Y., & Zhao, N. (2020). Generalized Anxiety Disorder, Depressive Symptoms and Sleep Quality During COVID-19 Outbreak in China: A Web-Based Cross-Sectional Survey. Psychiatry Research, 288, 112954. https://doi.org10.1016/j.psychres.2020.112954

Kadhiravan, S., & Kumar, K. (2012). Enhancing Stress Coping Skills among College Students. Researchers World, 3(4), 49. http://www.researchersworld.com/vol3/issue4/vol3_issue4_1/Paper_07.pdf. Accessed on 28th July 2022

Keyes, C. L. (2006). Mental Health in Adolescence: Is America's Youth Flourishing?. American Journal of Orthopsychiatry, 76(3), 395-402. https://doi.org/10.1037/0002-9432.76.3.395

Kishore, T., Kunjukunju, A., & Yusof, P. (2022). Adapting to COVID-19 pandemic: a critical literature review of the psychological impact among nursing students. The Malaysian Journal of Nursing (MJN), 13(4), 81-91. https://doi.org/10.31674/mjn.2022.v13i04.012

Kumar, S. K., & Bharti, D. A. (2018). Role Of Proactive Coping in Psychological Wellbeing of Healthy Indian Youth. Journal of Indian Health Psychology, 12, 76-90. https://doi.org/10.6084/m9.figshare.14182538

Lazarus, R. S. (2013). Fifty Years of The Research and Theory of RS Lazarus: An Analysis of Historical and Perennial Issues. United Kingdom: Psychology Press.

Logel, C., Oreopoulos, P., & Petronijevic, U. (2021). Experiences and Coping Strategies of College Students During the Covid-19 Pandemic (No. w28803). National Bureau of Economic Research. https://www.nber.org/papers/w28803. Accessed on July 18th July 2022

Mboya, I. B., John, B., Kibopile, E. S., Mhando, L., George, J., & Ngocho, J. S. (2020). Factors Associated with Mental Distress Among Undergraduate Students in Northern Tanzania. BMC Psychiatry, 20, 1-7. https://doi.org/10.1186/s12888-020-2448-1

Oner Altiok, H., & Ustun, B. (2013). The Stress Sources of Nursing Students. Educational Sciences: Theory and Practice, 13(2), 760-766. https://eric.ed.gov/?id=EJ1017246. Accessed on 10th July, 2023

Özkan, S., & Yılmaz, E. (2010). Adaptation Status of University Students to University Life (Bandırma Example). Fırat Sağlık Hizmetleri Dergisi, 5(13), 153-171. https://doi.org/10.23937/2469-5823/1510150

Savitsky, B., Findling, Y., Ereli, A., & Hendel, T. (2020). Anxiety and Coping Strategies among Nursing Students During the Covid-19 Pandemic. Nurse Education in Practice, 46, 102809. https://doi.org/10.1016/j.nepr.2020.102809

Schwarzer, R., & Taubert, S. (2002). Tenacious Goal Pursuits and Striving Toward Personal Growth: Proactive Coping. in Beyond Coping: Meeting Goals, Visions and Challenges (1), 19-35. https://doi.org/10.1093/med:psych/9780198508144.003.0002

Seyedfatemi, N., Tafreshi, M., & Hagani, H. (2007). Experienced Stressors and Coping Strategies among Iranian Nursing Students. BMC Nursing, 6, 1-10. https://doi.org/10.1186/1472-6955-6-11

Tharbe, I. H. A. (2006). Coping With Stress: Are Our Students Proactive? Masalah Pendidikan, 29, 57-66. https://doi.org/10.3389/fpsyg.2022.949708

The Hamilton Project (2017, April 26). Age Distribution of Undergraduate Students, by Type of Institution. Education. https://www.hamiltonproject.org/data/age-distribution-of-undergraduate-students-by-type-of-institution/. Accessed on September 23rd 2022

Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R. S., ... & Ho, C. (2020). A Longitudinal Study on The Mental Health of General Population During The COVID-19 Epidemic in China. Brain, Behavior, and Immunity, 87, 40-48. https://doi.org/10.1016/j.bbi.2020.04.028

Wang, D., Hu, B., Hu, C., Zhu, F., Liu, X., Zhang, J., ... & Peng, Z. (2020). Clinical Characteristics of 138 Hospitalized Patients with 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China. Jama, 323(11), 1061-1069. https://doi.org/10.1001/jama.2020.1585

World Health Organization. (2016). Health Workforce Requirements for Universal Health Coverage and The Sustainable Development Goals. (Human Resources for Health Observer, 17). https://apps.who.int/iris/handle/10665/250330. Accessed on 29th September, 20



How to Cite

Bangcola, A. (2023). Ways of Coping and Mental Health among Nursing Students Transitioning from Online Learning to In-Person Classes in a University Setting. The Malaysian Journal of Nursing (MJN), 15(1), 70-78. https://doi.org/10.31674/mjn.2023.v15i01.008