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Effects of a Cognitive Behavioral-Based Stress Management Program on Stress Management Competency, Self-efficacy and Self-esteem Experienced by Nursing Students

Terp, Ulrik, MSc; Hjärthag, Fredrik, PhD; Bisholt, Birgitta, PhD, RN

doi: 10.1097/NNE.0000000000000492
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Nursing students’ exposure to stress negatively affects both academic and clinical performance and potentially their future as professional nurses. This pilot study measured the effects of a 10-week cognitive behavioral therapy–based stress management program, using a quasi-experimental design. Independent t tests showed positive effects of the training program compared with a control group. Students’ perceived stress management competency, self-efficacy, and self-esteem were higher 1 year after the intervention.

Author Affiliations: PhD Student (Mr Terp), Assistant Professor (Dr Hjärthag), Department of Social and Psychological Studies, and Associate Professor (Dr Bisholt), Department of Nursing, Karlstad University, Sweden.

The authors declare no conflicts of interest.

Correspondence: Mr Terp, Department of Social and Psychological Studies, Universitetsgatan 2, SE-651 88 Karlstad, Sweden (

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (

Accepted for publication: November 1, 2017

Published ahead of print: December 28, 2017

Cite this article as: Terp U, Hjärthag F, Bisholt B. Effects of a cognitive behavioral-based stress management program on stress management competency, self-efficacy and self-esteem experienced by nursing students. Nurse Educ. 2019;44(1):E1-E5. DOI:10.1097/NNE.0000000000000492

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