• Myung Ah Kim, Jiyoung Kim, and Eun Jung Kim.
• Department of Nursing, College of Nursing, CHA University, Bundang CHA Medical Center, Yatap-dong, Bundang-gu, Seongnam, Gyeonggi-do, 463-712, Korea. Electronic address: myungahk@hanmail.net.
• Nurse Educ Today. 2015 Mar 1; 35 (3): 456-60.

BackgroundSenior nursing students are faced with various types of stressful events such as taking the national licensure exam or finding employment. Such stress can generate maladaptive behaviors as well as physical and psychological symptoms. There is evidence supporting the use of rational emotive behavior therapy (REBT) for reducing disruptive behaviors and negative emotions as well as improving self-efficacy and stress-coping strategies.ObjectivesThe purpose of this study is to examine the effects of rational emotive behavior therapy (REBT) on stress coping strategies and self-efficacy for senior nursing students.MethodsThirty-four senior nursing students in a nursing college were assigned randomly to an experimental group (n=18) and a control group (n=16). The REBT program consisted of 8 sessions, and it was implemented for a 4-week period. Outcome measures assessed stress-coping strategies and self-efficacy before and after intervention.ResultsAfter intervention with REBT, the mean difference scores for self-efficacy (p=.032) were significantly higher in the experimental group than in the control group. However, the mean difference scores for seeking social support (p=.166), problem solving (p=.126), and avoidance (p=.154) in stress-coping strategies were not significantly different between the two groups.ConclusionThe results imply that group counseling based on REBT enhances the self-efficacy among senior nursing students before graduation. As regards stress coping strategies, a longer intervention period is suggested.Copyright © 2014 Elsevier Ltd. All rights reserved.

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