Well-being among Nursing Students: Relationship between Lifestyle Behaviours, Sleep Quality and Resilience

Authors

  • Ramya Kundayi Ravi RAK Medical and Health Sciences University
  • Mona Gamal

DOI:

https://doi.org/10.25159/2520-5293/12619

Keywords:

Well-being, nursing students, lifestly behaviours, sleep quality, resilience

Abstract

Well-being is considered a positive state influenced by one’s mental, physical, emotional and cultural factors. High-level well-being enables a person to live at full potential. In this study, we investigated the level of well-being and its associated factors among nursing students studying at a selected university in Ras Al Khaimah in the United Arab Emirates. A quantitative descriptive study was conducted among undergraduate nursing students enrolled in this university. A convenient sampling technique was used to recruit the participants. Measures included the WHO-5 well-being index, a lifestyle behaviour questionnaire, the Pittsburgh sleep quality index and a brief resilience scale. Nearly two-thirds (65.4%) of the study participants reported good well-being, whereas the remaining 34.6% reported low well-being. In general, better well-being was found to be associated with moderate or vigorous physical activity for at least 30 minutes three or more times a week (p < 0.05), and a habit of skipping breakfast (p < 0.05). It was also found to be associated with better subjective sleep quality (p < 0.001), less sleep latency (p < 0.01), fewer sleep disturbances (p < 0.001), and less daytime dysfunction (p < 0.001). These results support the need to improve the well-being of nursing students. We recommend interventions that promote physical activity and sleep quality to improve the well-being of undergraduate nursing students.

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References

Aloba, O., O. Olabisi, and T. Aloba. 2016. “The 10-Item Connor-Davidson Resilience Scale: Factorial Structure, Reliability, Validity, and Correlates Among Student Nurses in Southwestern Nigeria.” Journal of the American Psychiatric Nurses Association 22 (1): 43–51. https://doi.org/10.1177/1078390316629971.

Amiri, M., R. Chaman, and A. Khosravi. 2019. “The Relationship Between Health-Promoting Lifestyle and its Related Factors with Self-Efficacy and Well-being of Students.” Osong Public Health and Research Perspectives 10 (4): 221. https://doi.org/10.24171/j.phrp.2019.10.4.04.

Belvederi Murri, M., F. Folesani, L. Zerbinati, M. G. Nanni, H. Ounalli, R. Caruso, and L. Grassi. 2020. “Physical Activity Promotes Health and Reduces Cardiovascular Mortality in Depressed Populations: A Literature Overview.” International Journal of Environmental Research and Public Health 17 (15): 5545. https://doi.org/10.3390/ijerph17155545.

Brajsa-Zganec, A., L. K. Lipovcan, D. Ivanovic, and Z. P. Larsen. 2017. “Well-being of Nursing Students: Role of Affect Regulation, Self-esteem, Family Cohesion and Social Support.” Open Public Health Journal 10 (1). https://doi.org/10.2174/1874944501710010069.

Campbell-Sills, L., S. L. Cohan, and M. B. Stein. 2006. “Relationship of Resilience to Personality, Coping, and Psychiatric Symptoms in Young Adults.” Behaviour Research and Therapy 44 (4): 585–99. https://doi.org/10.1016/j.brat.2005.05.001.

Chamberlain, D., A. Williams, D. Stanley, P. Mellor, W. Cross, and L. Siegloff. 2016. “Dispositional Mindfulness and Employment Status as Predictors of Resilience in Third Year Nursing Students: A Quantitative Study.” Nursing Open 3 (4): 212–21. https://doi.org/10.1002/nop2.56.

Chow, K. M., W. K. F. Tang, W. H. C. Chan, W. H. J. Sit, K. C. Choi, and S. Chan. 2018. “Resilience and Well-being of University Nursing Students in Hong Kong: A Cross-sectional Study.” BMC Medical Education 18 (1): 1–8. https://doi.org/10.1186/s12909-018-1119-0.

Dattilo, M., H. K. M. Antunes, A. Medeiros, M. M. Neto, H. S. D. Souza, S. Tufik, and M. T. de Mello. 2011. “Sleep and Muscle Recovery: Endocrinological and Molecular Basis for a New and Promising Hypothesis.” Medical Hypotheses 77 (2): 220–2. https://doi.org/10.1016/j.mehy.2011.04.017.

De la Vega, R., C. Tomé-Pires, E. Solé, M. Racine, E. Castarlenas, M. P. Jensen, and J. Miró. 2015. “The Pittsburgh Sleep Quality Index: Validity and Factor Structure in Young People.” Psychological Assessment 27 (4): e22. https://doi.org/10.1037/pas0000128.

Diener, E. (Ed.). 2009. Assessing Well-being: The Collected Works of Ed Diener. New York: Springer. https://doi.org/10.1007/978-90-481-2354-4.

Diener, E., and M. E. Seligman. 2004. “Beyond Money: Toward an Economy of Well-being.” Psychological Science in the Public Interest 5 (1): 1–31. https://doi.org/10.1111/j.0963-7214.2004.00501001.x.

Donald, W. E., and D. Jackson. 2022. “Subjective Wellbeing Among University Students and Recent Graduates: Evidence from the United Kingdom.” International Journal of Environmental Research and Public Health 19 (11): 6911. https://doi.org/10.3390/ijerph19116911.

Ekkekakis, P., E. E. Hall, L. M. VanLanduyt, and S. J. Petruzzello. 2000. “Walking in (Affective) Circles: Can Short Walks Enhance Affect?” Journal of Behavioral Medicine 23 (3): 245–75. https://doi.org/10.1023/A:1005558025163.

Ghali, H., R. Ghammem, I. Baccouche, M. Hamrouni, N. Jedidi, H. Smaali, and F. Jdidi. 2022. “Association Between Lifestyle Choices and Mental Health Among Medical Students During the Covid-19 Pandemic: A Cross-Sectional Study.” PLOS One 17 (10): e0274525. https://doi.org/10.1371/journal.pone.0274525.

Green, S. B. 1991. “How Many Subjects Does It Take to Do a Regression Analysis.” Multivariate Behavioral Research 26 (3): 499–510. https://doi.org/10.1207/s15327906mbr2603_7.

Gualdi-Russo, E., and L. Zaccagni. 2021. “Physical Activity for Health and Wellness.” International Journal of Environmental Research and Public Health 18 (15): 7823. https://doi.org/10.3390/ijerph18157823.

Hogan, C. L., L. I. Catalino, J. Mata, and B. L. Fredrickson. 2015. “Beyond Emotional Benefits: Physical Activity and Sedentary Behaviour Affect Psychosocial Resources Through Emotions.” Psychology & Health 30 (3): 354–369. https://doi.org/10.1080/08870446.2014.973410.

Howell, R. T., M. L. Kern, and S. Lyubomirsky. 2007. “Health Benefits: Meta-Analytically Determining the Impact of Well-being on Objective Health Outcomes.” Health Psychology Review 1 (1): 83–136. https://doi.org/10.1080/17437190701492486.

Javadi-Pashaki, N., and A. Darvishpour. 2018. “What Are the Predictor Variables of Social Well-being Among the Medical Science Students?” Journal of Education and Health Promotion 7. https://doi.org/10.4103/jehp.jehp_89_17.

Kendig, H., C. J. Browning, S. A. Thomas, and Y. Wells. 2014. “Health, Lifestyle, and Gender Influences on Aging Well: An Australian Longitudinal Analysis to Guide Health Promotion.” Frontiers in Public Health 2: 70. https://doi.org/10.3389/fpubh.2014.00070.

Keyes, C. L. 2002. “The Mental Health Continuum: From Languishing to Flourishing in Life.” Journal of Health and Social Behavior 207–22. https://doi.org/10.2307/3090197.

Kilani, H. 2020, February. “Actness Curve Model Neuroplasticity for All.” In Wellness Jo Conference, Towards Healthy Lifestyle, 22–23. Amman, Jordan.

Kilani, H. A., M. A. F. Bataineh, A. Al-Nawayseh, K. Atiyat, O. Obeid, M. M. Abu-Hilal, and A. Kilani. 2020. “Healthy Lifestyle Behaviors are Major Predictors of Mental Wellbeing During Covid-19 Pandemic Confinement: A Study on Adult Arabs in Higher Educational Institutions.” PLOS One 15 (12): e0243524. https://doi.org/10.1371/journal.pone.0243524.

Lee, C. H., and C. G. Sibley. 2019. “Sleep Duration and Psychological Well-being Among New Zealanders.” Sleep Health 5 (6): 606–14. https://doi.org/10.1016/j.sleh.2019.06.008.

Lemma, S., B. Gelaye, Y. Berhane, A. Worku, and M. A. Williams. 2012. “Sleep Quality and Its Psychological Correlates Among University Students in Ethiopia: A Cross-Sectional Study.” BMC Psychiatry 12 (1): 1–7. https://doi.org/10.1186/1471-244X-12-237.

Liu, C., M. McCabe, A. Dawson, C. Cyrzon, S. Shankar, N. Gerges, and K. Cornish. 2021. “Identifying Predictors of University Students’ Wellbeing during the Covid-19 Pandemic: A Data-driven Approach.” International Journal of Environmental Research and Public Health 18 (13): 6730. https://doi.org/10.3390/ijerph18136730.

Martínez, S. 2020. “Wellbeing and Mental Health During the Covid-19 Pandemic: Data from Three Population Groups in Colombia.” Data in Brief 32. https://doi.org/10.1016/j.dib.2020.106287.

McGregor, A., S. Coulthard, and L. Camfield. 2015. “Measuring What Matters: The Role of Well-being Methods in Development Policy and Practice.” Project paper for the Overseas Development Institute London, development progress.

McIntosh, E. A., and J. Shaw. 2017. Student Resilience: Exploring the Positive Case for Resilience. Unite Students.

Menon, B., H. P. Karishma, and I. V. Mamatha. 2015. “Sleep Quality and Health Complaints Among Nursing Students.” Annals of Indian Academy of Neurology 18 (3): 363. https://doi.org/10.4103/0972-2327.157252.

Mo’ath, F. B., A. Al-Nawayseh, K. Atyat, O. Obeid, M. M. Abu-Hilal, T. Mansi, and A. H. Kilani. 2020. Healthy Lifestyle Behaviors are Major Predictors of Mental Wellbeing During Covid-19 Pandemic Confinement: A Study on Adult Arabs in Higher Educational Institutions.

Nicholson, C. R. 2006. “Importance of Sleep: Six Reasons Not to Scrimp on Sleep.” http://www.health.harvard.edu/press_releases/importance_of_sleep_and_health.

Pahl, K., J. S. Brook, J. Koppel, J. Y. Lee. 2011. “Unexpected Benefits: Pathways from Smoking Restrictions in the Home to Psychological Well-being and Distress among Urban Black and Puerto Rican Americans.” Nicotine and Tobacco Research 13 (8): 706–13. https://doi.org/10.1093/ntr/ntr062.

Pieh, C., T. O’Rourke, S. Budimir, and T. Probst. 2020. “Relationship Quality and Mental Health During Covid-19 Lockdown.” PLOS One 15 (9): e0238906. https://doi.org/10.1371/journal.pone.0238906.

Ratanasiripong, P., and C. C. D. Wang. 2011. Psychological Well-being of Thai Nursing Students. Nurse Education Today, 31 (4), 412–416. https://doi.org/10.1016/j.nedt.2010.08.002

Ríos-Risquez, M. I., M. García-Izquierdo, E. D. L. A. Sabuco-Tebar, C. Carrillo-Garcia, and M. E. Martinez-Roche. 2016. “An Exploratory Study of the Relationship between Resilience, Academic Burnout and Psychological Health in Nursing Students.” Contemporary Nurse 52 (4): 430–9. https://doi.org/10.1080/10376178.2016.1213648.

Rutten, B. P., C. Hammels, N. Geschwind, C. Menne‐Lothmann, E. Pishva, K. Schruers, and M. Wichers. 2013. “Resilience in Mental Health: Linking Psychological and Neurobiological Perspectives.” Acta Psychiatrica Scandinavica 128 (1): 3–20. https://doi.org/10.1111/acps.12095.

Schaefer, C., D. Kunz, and F. Bes. 2017. “Melatonin Effects in REM Sleep Behavior Disorder Associated with Obstructive Sleep Apnea Syndrome: A Case Series.” Current Alzheimer Research 14 (10): 1084–89. https://doi.org/10.2174/1567205014666170523094938.

Schotanus-Dijkstra, M., M. E. Pieterse, C. H. Drossaert, G. J. Westerhof, R. de Graaf, M. ten Have, J. A. Walburg, and E. T. Bohlmeijer. 2016. “What Factors are Associated with Flourishing? Results from a Large Representative National Sample.” Journal of Happiness Studies 17 (4): 1351–70. https://doi.org/10.1007/s10902-015-9647-3.

Smith, B. W., J. Dalen, K. Wiggins, E. Tooley, P. Christopher, and J. Bernard. 2008. “The Brief Resilience Scale: Assessing the Ability to Bounce Back.” International Journal of Behavioral Medicine 15 (3): 194–200. https://doi.org/10.1080/10705500802222972.

Stephens, T. M. 2013, April). “Nursing Student Resilience: A Concept Clarification.” Nursing Forum 48 (2): 125–33. https://doi.org/10.1111/nuf.12015.

Stoll, L., J. Michaelson, and C. Seaford. 2012. Well-being Evidence for Policy: A Review. New Economics Foundation.

Takao, T., N. Sumi, Y. Yamanaka, S. Fujimoto, and T. Kamada. 2021. “Associations between Lifestyle Behaviour Changes and the Optimal Well-being of Middle-aged Japanese Individuals.” BioPsychoSocial Medicine 15 (1): 1–11. https://doi.org/10.1186/s13030-021-00210-5.

Thomas, C. M., C. E. McIntosh, R. A. Lamar, and R. L. Allen. 2017. “Sleep Deprivation in Nursing Students: The Negative Impact for Quality and Safety.” Journal of Nursing Education and Practice 7 (5): 87. https://doi.org/10.5430/jnep.v7n5p87.

Usán Supervía, P., C. Salavera Bordás, and V. Murillo Lorente. 2020. “Psychological Analysis Among Goal Orientation, Emotional Intelligence and Academic Burnout in Middle School Students.” International Journal of Environmental Research and Public Health 17 (21): 8160. https://doi.org/10.3390/ijerph17218160.

Wang, C., P. W. Horby, F. G. Hayden, and G. F. Gao. 2020. “A Novel Coronavirus Outbreak of Global Health Concern.” Lancet 395 (10223): 470–73. https://doi.org/10.1016/S0140-6736(20)30185-9.

WHO (World Health Organisation). n.d. Constitution. Accessed 15 June, 2021. https://www.who.int/about/governance/constitution#:~:text=The%20Constitution%20was%20adopted%20by,are%20incorporated%20into%20this%20text.

WHO (World Health Organisation). 2012. “Measurement of and Target-setting for Well-being: An Initiative by the WHO Regional Office for Europe.” Accessed 15 June, 2021. https://www.euro.who.int/__data/assets/pdf_file/0003/180048/E96732.pdf.

Zhai, K., X. Gao, and G. Wang. 2018. “The Role of Sleep Quality in the Psychological Well-being of Final Year Undergraduate Students in China.” International Journal of Environmental Research and Public Health 15 (12): 2881. https://doi.org/10.3390/ijerph15122881.

Published

2023-02-27

How to Cite

Kundayi Ravi, Ramya, and Mona Gamal. 2022. “Well-Being Among Nursing Students: Relationship Between Lifestyle Behaviours, Sleep Quality and Resilience”. Africa Journal of Nursing and Midwifery 24 (3). https://doi.org/10.25159/2520-5293/12619.
Received 2022-11-15
Accepted 2022-11-22
Published 2023-02-27