Relationship between Self-Esteem and Stress Coping Strategies among Internship Nursing Students


  • Khaled M. Al-Sayaghi Department of Medical Surgical Nursing
  • Masouda H. Atrous Department of Nursing, College of Applied Medical Sciences, Jouf University, Sakakah, KSA; Department of Critical Care and Emergency Nursing, Faculty of Nursing, University of Alexandria, Alexandria, Egypt
  • Eman A. Alkaluby Department of Community Health Nursing
  • Fadi A. Albakoor Central Nursing Directorate
  • Abdulqader Al-Hebshi Pediatric Hematology Oncology Consultant
  • Sami M. Aloush Department of Adult Health Nursing
  • Sami A. AL-Dubai Joint Program of Preventive Medicine Postgraduate Studies
  • Mustafa J. Alkhalaf Lecturer of Psychatric Nursing and Mental Health, Ebn Khaldoon Psychatric Hospital, Aleppo, Syria
  • Hammad A. Fadlalmola Department of Community Health Nursing, College of Nursing, Taibah University, Medina, Saudi Arabia



Intern, Nursing, Self-esteem, Relationship, Stress Coping Strategies


BACKGROUND: Self-esteem is an essential personality trait in nursing professionals and nursing students need to have a high self-esteem and effective coping strategies to be successful in their future career.

AIM: This study aimed to assess the relationship between the level of self-esteem and the stress coping strategies, used by internship nursing students (intern-nurses), at the completion of their internship training.

METHODS: A descriptive correlational cross-sectional design was used to measure self-esteem and identify the stress coping strategies of intern-nurses at Alexandria University. Data were collected with a self-administered questionnaire, including the Rosenberg self-esteem scale and the Brief Coping Orientation to Problems Experienced (Brief COPE). The questionnaire was distributed to all intern-nurses (273 intern-nurses) during their last rotation in the internship training. In total, 150 completed the survey, resulting in 54.9% response rate. SPSS software was used for the analysis.

RESULTS: In total, 150 intern-nurses participated in the study. The majority of the sample had a moderate to high self-esteem, and the mean total self-esteem was 29.21/40 ± 4.44. The most frequently used coping strategy was problem-solving, followed by social support, positive thinking, and lastly an avoidance coping strategy. There was a positive correlation between self-esteem with both the problem-solving and social support coping strategies. However, there was a negative correlation between the self-esteem score and the avoidance coping strategy.

CONCLUSION: The majority of the sample had a moderate to high self-esteem and they use problem-solving and social support coping strategies to manage stress. Intern-nurses with a high self-esteem cope positively and effectively with stress. Conversely, intern-nurses with a low self-esteem cope negatively with stress. Counseling and stress intervention programs are essential to promote nursing students self-esteem and assist them to develop positive and active stress coping strategies.


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Author Biography

Mustafa J. Alkhalaf, Lecturer of Psychatric Nursing and Mental Health, Ebn Khaldoon Psychatric Hospital, Aleppo, Syria

Ebn Khaldoon psychatric hospital, Aleppo, Syria.


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How to Cite

Al-Sayaghi KM, Atrous MH, Alkaluby EA, Albakoor FA, Al-Hebshi A, Aloush SM, AL-Dubai SA, Alkhalaf MJ, Fadlalmola HA. Relationship between Self-Esteem and Stress Coping Strategies among Internship Nursing Students. Open Access Maced J Med Sci [Internet]. 2023 Jan. 2 [cited 2023 Mar. 21];11(G):26-32. Available from:



Nursing Informatics