Differences Between Spiritual Mindfulness and Mindfulness Caring in Reducing Academic Pathological Stress in Nursing Students

Authors

  • Badrul Munif Department of Mental Health Nursing, Institute of Health Sciences Banyuwangi, East Java, Jawa Timur 68422, Indonesia
  • Meidiana Dwidiyanti Department of Mental Health Nursing, University of Diponegoro, Jawa Tengah 50275, Indonesia
  • Sholihin Department of Medical Surgical Nursing, Institute of Health Sciences Banyuwangi, East Java, Jawa Timur 68422, Indonesia
  • Akhmad Yanuar Fahmi Pamungkas Department of Community Nursing, Institute of Health Sciences Banyuwangi East Java, Jawa Timur 68422, Indonesia
  • Rudiyanto Department of Community Nursing, Institute of Health Sciences Banyuwangi East Java, Jawa Timur 68422, Indonesia
  • Riyan Dwi Prasetyawan Department of Community Nursing, Institute of Health Sciences Banyuwangi East Java, Jawa Timur 68422, Indonesia

DOI:

https://doi.org/10.31674/mjn.2024.v15i03.015

Abstract

Introduction: Academic pathological stress currently often occurs in students. Mindfulness-based therapy has proven effective in reducing pathological stress among nursing students. Methods: However, there are several differences in the methods of administering mindfulness therapy, so further research is needed to find out these differences. This research aims to determine the difference in the influence of spiritual mindfulness and caring mindfulness in reducing pathological stress in nursing students. This study employed a pre-posttest quasi-experimental design with a control group. The sample was taken using a purposive sampling technique with the inclusion criteria of final-level Nursing undergraduate students who experienced academic pathological stress and were willing respondents (n=36). The sample was then randomly divided into 2 groups, namely spiritual mindfulness (n =18) and mindfulness caring (n=18). Data on pathological stress were collected using the questions in the DASS-42 questionnaire, which are 14 questions about pathological stress. Data analysis used paired t-tests and unpaired t-tests. Results: This research found that both interventions can reduce pathological stress in nursing students. However, there was a difference between spiritual mindfulness intervention (Mean ± SD = 11.39 ± 5.81) and mindfulness caring (Mean ± SD = 16.39 ± 3.55) with a mean difference of 6.38 and a p-value <0.001. Conclusion: In conclusion, although the two interventions provided effective results in reducing academic pathological stress in respondents, it was found that spiritual mindfulness was more able to reduce aggressive stress responses in nursing students. Further research is recommended to reevaluate the sample group, incorporating individuals with diverse mental health issues for re-testing.

Keywords:

Spiritual Mindfulness, Mindfulness Caring, Academic Pathological Stress, Nursing Students

Downloads

Download data is not yet available.

References

Bagereka, P., Ameli, R., Sinaii, N., Vocci, M. C., & Berger, A. (2023). Psychosocial-spiritual well-being is related to resilience and mindfulness in patients with severe and/or life-limiting medical illness. BMC Palliative Care, 22(1). https://doi.org/10.1186/s12904-023-01258-6

Bamber, M. D., & Schneider, J. K. (2016). Mindfulness-based meditation to decrease stress and anxiety in college students : A narrative synthesis of the research. Educational Research Review, 18, 1–32. https://doi.org/10.1016/j.edurev.2015.12.004

Barbayannis, G., Bandari, M., Zheng, X., Baquerizo, H., Pecor, K. W., & Ming, X. (2022). Academic Stress and Mental Well-Being in College Students: Correlations, Affected Groups, and COVID-19. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.886344

Borujeni, S. S., Sharifi, T., Ahmadi, R., & Ghazanfari, A. (2021). Evaluation of the Effectiveness of Mindfulness-based Group Stress reduction Training on Self-criticism of Female Students with Academic Stress A b s t r a c t. Journal of Clinical Nursing and Midwifery, 9(4), 850–860. https://jcnm.skums.ac.ir/article-1-1345-fa.pdf

Chase-Cantarini, S., & Christiaens, G. (2019). Introducing mindfulness moments in the classroom. Journal of Professional Nursing, 35(5), 389–392. https://doi.org/10.1016/j.profnurs.2019.04.002

Cheung, T., Wong, S. Y., Wong, K. Y., Law, L. Y., Ng, K., Tong, M. T., Wong, K. Y., Ng, M. Y., & Yip, P. S. F. (2016). Depression, anxiety and symptoms of stress among baccalaureate nursing students in Hong Kong: A cross-sectional study. International Journal of Environmental Research and Public Health, 13(8). https://doi.org/10.3390/ijerph13080779

Chust‐Hernández, P., Fernández‐García, D., López‐Martínez, L., García‐Montañés, C., & Pérez‐Ros, P. (2021). Female gender and low physical activity are risk factors for academic stress in incoming nursing students. Perspectives in Psychiatric Care, July. https://doi.org/10.1111/ppc.12928

de Diego-Cordero, R., Suárez-Reina, P., Badanta, B., Lucchetti, G., & Vega-Escaño, J. (2022). The efficacy of religious and spiritual interventions in nursing care to promote mental, physical and spiritual health: A systematic review and meta-analysis. Applied Nursing Research, 67. https://doi.org/10.1016/j.apnr.2022.151618

Dwidiyanti, M., Munif, B., & Handayani, F. (2022). SIDE: An Application-Based Happy Spiritual Intervention For Emotion Regulation Among Nursing Students During Online Learning. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 7(4). https://doi.org/10.30604/jika.v7i4.1630

Dwidiyanti, M., Munif, B., Santoso, A., Rahmawati, A. M., & Prasetya, R. L. (2021). DAHAGA: An Islamic spiritual mindfulness-based application to reduce depression among nursing students during the COVID-19 pandemic. Belitung Nursing Journal, 7(3), 219–226. https://doi.org/10.33546/bnj.1494

Dwidiyanti, M., Padma Sari, S., Yulia Wijayanti, D., Eka Wahyu Ningsih, H., Indra Wiguna, R., Yanuar Fahmi Pamungkas, A., & Munif, B. (2020). Effects of Spiritual Mindfulness on Spiritual Self Reliance and Medication Adherence in Patients With Schizophrenia. Jurnal Ilmu Keperawatan Jiwa, 3(3), 385–390. https://doi.org/https://doi.org/10.32584/jikj.v3i3.644

Dwidiyanti, M., Pamungkas, A. Y. F., & Ningsih, H. E. W. (2018). Mindfulness Caring Pada Stress (1st ed.). UNDIP PRESS.

Dwidiyanti, M., Wiguna, R. I., Fahmi, A. Y., Munif, B., & Ningsih, H. E. W. (2019). The Art of Mindfulness Spiritual Islam (1st ed.). UNDIP Press.

Ferrari, A. (2022). Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry, 9(2), 137–150. https://doi.org/10.1016/S2215-0366(21)00395-3

Gargiulo, M. T. (2023). The Role of Religion and Spirituality in Mindfulness Practices: A Qualitative Literature Review. Smaratungga: Jurnal of Education and Buddhist Studies, 3(1), 1–12. https://doi.org/10.53417/sjebs.v3i1.86

Graves, B. S., Hall, M. E., Dias-Karch, C., Haischer, M. H., & Apter, C. (2021). Gender differences in perceived stress and coping among college students. PLoS ONE, 16(8 August). https://doi.org/10.1371/journal.pone.0255634

Hartweg, D. L., & Metcalfe, S. A. (2022). Orem’s Self-Care Deficit Nursing Theory: Relevance and Need for Refinement. Nursing Science Quarterly, 35(1), 70–76. https://doi.org/10.1177/08943184211051369

Hasina, S. N., Noventi, I., Livana, P. H., & Hartono, D. (2021). Mindfulness meditation based on spiritual care to reduce community anxiety due to the impact of pandemic coronavirus disease. Open Access Macedonian Journal of Medical Sciences, 9, 41–46. https://doi.org/10.3889/oamjms.2021.6487

Hwang, E., & Kim, J. (2022). Factors affecting academic burnout of nursing students according to clinical practice experience. BMC Medical Education, 22(1). https://doi.org/10.1186/s12909-022-03422-7

Jacoby, R., Barsky, K. G., Porat, T., Harel, S., Miller, T. H., & Goldzweig, G. (2021). Individual stress response patterns: Preliminary findings and possible implications. PLoS ONE, 16(8 August). https://doi.org/10.1371/journal.pone.0255889

Jin, J. (2023). Factors Influencing Spiritual Health among Nursing Students in the Prolonged COVID-19 Situation. International Journal of Environmental Research and Public Health, 20(4). https://doi.org/10.3390/ijerph20043716

Kachaturoff, M., Caboral-Stevens, M., Gee, M., & Lan, V. M. (2019). Effects of peer-mentoring on stress and anxiety levels of undergraduate nursing students: An integrative review. Journal of Professional Nursing. https://doi.org/10.1016/j.profnurs.2019.12.007

Lavoie-Tremblay, M., Sanzone, L., Aubé, T., & Paquet, M. (2021). Sources of Stress and Coping Strategies Among Undergraduate Nursing Students Across All Years. Canadian Journal of Nursing Research, 084456212110280. https://doi.org/10.1177/08445621211028076

McCarthy, B., Trace, A., O’Donovan, M., Brady-Nevin, C., Murphy, M., O’Shea, M., & O’Regan, P. (2018). Nursing and midwifery students’ stress and coping during their undergraduate education programmes: An integrative review. Nurse Education Today, 61(November 2017), 197–209. https://doi.org/10.1016/j.nedt.2017.11.029

Munif, B., Oktaviana, S., Wirawati, W. A., & Wirawati, W. A. (2020). Effectiveness of Mindfulness in Reducing Academic Stress in Nursing Students: a Systematic Review. The Malaysian Journal of Nursing, 12(2), 119–124. https://doi.org/10.31674/mjn.2020.v12i02.016

Munif, B., Poeranto, S., & Utami, Y. W. (2019). Effects of Islamic Spiritual Mindfulness on Stress among Nursing Students. Nurse Media Journal of Nursing, 9(1), 69–77. https://doi.org/10.14710/nmjn.v9i1.22253

Munif, B., Poeranto, S., & Yulian Wiji Utami. (2019). The Effect of Mindfulness Caring Against the Stress in Nursing Students in Taking on Thesis. International Journal of Psychiatric Nursing, 5(2), 55–59. https://doi.org/10.5958/2395-180X.2019.00029.X

Nilsson, H. (2022). Spiritual Self-Care Management for Nursing Professionals: A Holistic Approach. Journal of Holistic Nursing, 40(1), 64–73. https://doi.org 10.1177/08980101211034341

Proeschold-Bell, R. J., Eagle, D. E., Tice, L. C., Yao, J., Rash, J. A., Choi, J. Y., Stringfield, B., & Labrecque, S. M. (2023). The Selah Pilot Study of Spiritual, Mindfulness, and Stress Inoculation Practices on Stress-Related Outcomes Among United Methodist Clergy in the United States. Journal of Religion and Health, 62(4), 2686–2710. https://doi.org/10.1007/s10943-023-01848-x

Rizvi, F., Qureshi, A., Rajput, A., & Afzal, M. (2015). Prevalence of Depression, Anxiety and Stress (by DASS Scoring System) among Medical Students in Islamabad, Pakistan. British Journal of Medicine and Medical Research, 8(1), 69–75. https://doi.org/10.9734/BJMMR/2015/17193

Rykkje, L., Søvik, M. B., Ross, L., McSherry, W., Cone, P., & Giske, T. (2022). Educational interventions and strategies for spiritual care in nursing and healthcare students and staff: A scoping review. In Journal of Clinical Nursing (Vol. 31, Issues 11–12, pp. 1440–1464). John Wiley and Sons Inc. https://doi.org/10.1111/jocn.16067

Santoso, A., Dwidiyanti, M., Wijayanti, D. Y., Ulliya, S., Munif, B., Karota, E., & Tanjung, D. (2022). Online Nurse: Incorporating Islamic Spiritual Mindfulness to Decrease Anxiety during Online Learning among Nursing Students. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 7(3), 883–888. https://doi.org/10.30604/jika.v7i3.1278

Sibi, K. J., & Sibi, J. (2020). Sigmund Freud and Psychoanalytic Theory. LangLit An International Peer-Reviewed Open Access Journal, 6(Special Issue), 75–79. https://www.researchgate.net/publication/342610778

Song, Y., & Lindquist, R. (2015). Effects of mindfulness-based stress reduction on depression, anxiety, stress and mindfulness in Korean nursing students. Nurse Education Today, 35(1), 86–90. https://doi.org/10.1016/j.nedt.2014.06.010

Wardi, R. (2016). Stress Conditions in Students Completing Thesis. Guidena Jurnal, 6(2), 190–194. https://doi.org/10.24127/gdn.v6i2.512

Widyawati. (2021). Kemenkes Beberkan Masalah Permasalahan Kesehatan Jiwa di Indonesia. Kementria Kesehatan Indonesia. https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20211007/1338675/kemenkes-beberkan-masalah-permasalahan-kesehatan-jiwa-di-indonesia/

Yaribeygi, H., Panahi, Y., Sahraei, H., Johnston, T. P., & Sahebkar, A. (2017). The impact of stress on body function: A review. In EXCLI Journal (Vol. 16, pp. 1057–1072). Leibniz Research Centre for Working Environment and Human Factors. https://doi.org/10.17179/excli2017-480

Yüksel, A., & Bahadır Yılmaz, E. (2020). The effects of group mindfulness-based cognitive therapy in nursing students: A quasi-experimental study. Nurse Education Today, 85, 104268. https://doi.org/10.1016/j.nedt.2019.104268

Zhang, Y., Peters, A., & Bradstreet, J. (2018). Relationships among sleep quality, coping styles, and depressive symptoms among college nursing students: A multiple mediator model. Journal of Professional Nursing, 34(4), 320–325. https://doi.org/10.1016/j.profnurs.2017.12.004

Published

15-01-2024

How to Cite

Munif, B. ., Dwidiyanti, M. ., Sholihin, Fahmi Pamungkas, A. Y., Rudiyanto, & Prasetyawan, R. D. . (2024). Differences Between Spiritual Mindfulness and Mindfulness Caring in Reducing Academic Pathological Stress in Nursing Students. The Malaysian Journal of Nursing (MJN), 15(3), 126-137. https://doi.org/10.31674/mjn.2024.v15i03.015

Metrics