Application Of The Roy Adaptation Model In Reducing Academic Anxiety In Nursing Students Undergoing Nursing Clinical Practice

Abstract

Background: Academic anxiety is a broad general construct that focuses on the preclinical anxiety experienced by learners in various educational contexts, namely the experience of negative affective responses in the presence of perceived academic stressors. Students experience clinical stress for reasons such as insufficient knowledge and skills for practice, fear of hurting patients and making mistakes, lack of clear expectations from their instructors, unknown environment, not trusting their knowledge and skills, thoughts such as facing negative reactions, and low self-confidence. Roy's adaptation model is designed to form an interrelated cycle consisting of input (stimulus), control process (coping mechanism), and output (response or behavior). The purpose of this study was to reduce academic anxiety in nursing students in facing nursing clinical practice using Roy's nursing model.

Method: The research design used a quasi experiment with a population of undergraduate nursing students with a sample size of 100 students. As for the inclusion criteria Regular undergraduate nursing students in 2020, 2021, 2022 and 2023 are active in PDDikti, nursing students undergoing nursing clinical practice, experiencing moderate and severe academic anxiety. The sampling technique used Purposive Sampling. In the study, the independent variable was the roy adaptation model and the dependent variable was academic anxiety. The scale used to measure academic anxiety is the Cognitive Test Anxienty Scale (CTAS) developed test of 24 items, This study analyzed data using the T-test.

Results: From the demographic results, it was found that out of 100 respondents aged 20 years as many as 28 (28%), 58 (58%) men, 88 (54.2%) women. The results of data analysis using Shapiro Wilk obtained a probability value of 0.710> 0.05 so it can be concluded that the data is normally distributed. The mean ± SD value of the Academic Anxiety variable before the application of the Roy Adaptation Model is 43.99 ± 5. The mean ± SD value of the Academic Anxiety variable after the application of the Roy Adaptation Model is 192, while after the application of the Roy Adaptation Model is 45.59 ± 5.888. The results of the Paired Sample Statistics T-Test test obtained a value of 4.222 and a p value = 0.001 <0.05, thus the alternative hypothesis is accepted.

Conclusion: as students must be able to adopt the concept of Roy's Adaptation theory in order to reduce Academic anxiety. for future researchers, it is expected to use stronger experimental designs such as randomized controlled experiments, conduct long-term measurements, analyze more complex data, include additional variables such as moderation or mediation and develop academic anxiety instruments.

Keywords: Academic anxiety; Clinical practice; Nursing Students; Roy's Adaptation Model