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Thesis Nurs. 1995 C814S
c.2
Cornell, Margaret
Norgang.
Stress and academic
performance /
1995.
STRESS AND ACADEMIC PERFORMANCE
by
Margaret Norgang Cornell BSN, RN
Submitted in Partial Fulfillment of the Requirements
for the Master of Science in Nursing Degree
Approved by:
PM/t
pPtidM,
Chairperson/ thesis
tPn Ms.
Committee
Edinboro University of Pennsylvania
Committee Member
Committee Member
Date
Date
ABSTRACT
This study examines the correlation between stress
and academic performance using the life events model to
measure stress.
Full-time nursing students enrolled in
an associate degree program at a rural community
college were participants in this study.
This study
concludes that there is a weak negative correlation
between stress and grade point average; r=.2553 with a
significance of .024.
Further study is recommended to
examine the effect of coping strategies, age,
socioeconomic status on stress and its relationship to
academic performance among community college students.
iii
ACKNOWLEDGEMENTS
The writer wishes to express sincere thanks and
appreciation to Charlotte Paul PhD, RN, Mary Lou
Keller, PhD, RN and James Palmer, MA for their time,
guidance and especially their patience in completing
this study.
In addition the writer wishes to express gratitude
to the many people at Jamestown Community College who
made this study possible.
A special thanks to my husband William for his
support and encouragement and to my son Stephen for his
inspiration.
MNC
May 1995
iv
Table of Contents
Abstract
Acknowledgments
Table of Contents
ii
iii
iv
List of Figures
v
Chapter
1. INTRODUCTION
Background of the problem
Statement of the purpose
Statement of the Problem
Assumptions
Definition of Terms
Limitations of the Study
1
4
5
5
5
6
2. REVIEW OF LITERATURE
7
3. METHODOLOGY
Setting
Sample
Instrumentation
Collection of Data
19
19
19
20
20
4. DATA ANALYSIS
24
5. CONCLUSIONS & SUMMARY
Recommendations
33
35
APPENDICES
A PERMISSION FOR RESEARCH APPROVAL
B PERMISSION FOR RESEARCH APPROVAL
C PERMISSION FOR QUESTIONNAIRE
D COVER LETTER FOR QUESTIONNAIRE
E STUDENT CONSENT
F HOLMES AND RAHE QUESTIONNAIRE
G ORIGINAL COLLECTED DATA
36
37
38
39
40
41
REFERENCES
42
V
LIST OF FIGURES
FIGURE
PAGE
1.
Frequency distribution of age
25
2.
Frequency distribution of marital status
26
3.
Frequency distribution of number of children
living in family
27
4.
Frequency distribution of annual household
incomes
28
5.
Frequency distribution of SRE scores
29
6.
Frequency distribution of GPA scores
30
7.
Scatter plot of correlation between SRE
and GPA
31
1
CHAPTER 1
INTRODUCTION
BACKGROUND OF THE PROBLEM
Academic problems facing our nation's colleges and
universities have been well documented.
Many authors
generally agreed that a decline in academic performance
has been occurring for several years.
Although many
examples have been cited, the following are most
noteworthy:
First of all, national statistics indicate that
students either failed or withdrew from forty percent
of their classes each semester (Roueche et al., 1989).
Secondly, student performance on global tests in
mathematics and science was reported to be poorer
according to a recent State University of New York
publication (University Faculty Senate, 1992) .
Lastly, it was noted by The Association of
American Colleges that decline is everywhere and that
approximately one half of all freshman classes
demonstrated deficiencies in mathematics and English
(Douglas, 1993).
2
Although there is consensus about the decline in
academic performance there are several opinions
regarding the cause.
Several factors contributing to
this decline have been well publicized.
Students doing
less work (Douglas,1993) and poor leadership (Roueche
et al, 1989) have been cited as examples.
Eroding
academic standards, inadequate secondary education,
grade inflation, cheating, social income, family
support and poor teaching have also been cited as
factors affecting academic performance.
(Sowell, 1993)
Stress has also been considered to affect
performance (Veninga, Spradey, 1981) and more
specifically teacher performance (Farber, 1991).
Authors of The Work Stress Connection pointed out that
job stress results in poor performance ie; making more
mistakes, avoiding decision making, being less creative
and having more on-the-job accidents (1981).
A similar
finding was also noted by Farber (1991) with regard to
teacher performance.
He found that stress resulted in
poorer performance and suggested that this had
potentially devastating effects on pupil education.
Grades are presumed to reflect performance.
Research on stress and its direct effect on academic
performance indicates that there is a relationship
3
between stress and academic performance (Wildman,
1978). Wildman's study (1978) concluded that stress had
an adverse affect on grades after a certain level of
stress was reached.
Because research in this area is
limited, Wildman recommended that further studies be
conducted.
Stress research was pioneered by Canadian
physician Hans Selye.
His research primarily focused
on the physiological responses of stress.
In his book,
The Stress of Life, he clearly presents convincing
evidence of the mind-body connection and its
relationship to illness by application of his general
adaptation syndrome model (Selye, 1956).
Holmes and Rahe pioneered research on the
relationship of life events to physical and mental
illnesses.
Their research demonstrated that certain
life events were stress producing and consequently
affected health.
Holmes and Rahe were responsible for
creating the Social Readjustment Rating Scale (SRRS)
which assigned a numeric value to each life experience
(1967) .
This tool has been used in a number of
experiments and is considered valid and reliable.
In conclusion, our educational institutions are
having serious problems with a decline in academic
4
performance.
Several sources have recommended that we
examine more closely the reasons for this decline.
In
particular, The State University of New York and The
Middle States Association
of Colleges on Schools
recommend an ongoing evaluation of academic performance
and student retention (Commission on Higher Education,
1983) .
Several contributing factors have been associated
with this decline.
Stress in particular has been found
to affect job performance, teacher performance,
academic performance and health.
Additional research
was recommended by one author (Wildman) to examine the
relationship between stress and academic performance.
Based on the above conclusions and
recommendations, research on the relationship between
stress and academic performance seems pertinent.
PURPOSE OF THIS STUDY
The purpose of this study is to examine the degree
to which stress and academic performance are related.
In doing so, the results will provide insight into a
possible contributing factor affecting the decline in
academic performance at the community college level.
If the level of stress is a predictor of academic
5
performance, perhaps early stress assessments can be
considered and possible stress management interventions
entertained.
STATEMENT OF THE PROBLEM
To what degree does stress impact on academic
performance among full-time community college nursing
students?
This study is designed to demonstrate that
there is a strong negative correlation between stress
and grade point average.
ASSUMPTIONS
An assumption congruent with research is that
stress can be measured.
Several measurement tools have
been validated through research.
Life events have been
thought to be indicators of stress and therefore have
been used as a measurement tool.
Another assumption is
that academic performance can be measured.
DEFINITION OF TERMS
1.
Stress is defined as the sum of self-reported life
change units on the SRRS occurring within a six month
period.
6
2.
Academic performance is defined as the fall
semester Grade Point Average as reported by the college
registrar.
3.
Student is defined as full-time sophomore nursing
student.
4.
Full time is defined as the total number of credit
hours taken in a semester to be between ten and not to
exceed seventeen.
LIMITATIONS OF STUDY
1.
The findings reflect responses from sophomore
student nurses enrolled in one associate degree
program.
2.
The findings cannot be generalized to nursing
students at other community colleges.
3.
Use of the self reported instrument may not
reflect accurate information.
7
CHAPTER II
REVIEW OF LITERATURE
The purpose of this study is to examine the
relationship between stress and academic performance.
This study will attempt to answer the question of
whether or not high levels of stress affect academic
performance among community college nursing students.
The theoretical background for this study was
based on Seyle's concept of stress (Selye,1956).
Selye
believed that stress was a non-specific response of the
body to any demand.
His research concluded that
several physiological adaptations occurred as a result
of repeated exposures to stress and that this caused
many pathological conditions.
Selye found that stress
produced a decrease in eosinophils and an increase in
serum cholesterol, glucagon, insulin, prolactin, and a
constant release of corticosteroids.
Selye also noted
that the adrenal cortex became enlarged, but the thymus
gland, spleen, and lymph nodes atrophied.
Ulcers were
noted in the stomachs and colon of experimental
animals.
Selye referred to these changes, the body
trying to adapt, for example, as the General Adaptation
8
Syndrome and identified three stages of this syndrome.
Stage one or stage of alarm is the initial stage in
which forces are mobilized to maintain life and cope
with the stressor. In stage two or stage of resistance,
the body is attempting to restore homeostasis even
though the stress still exists. In stage three or stage
of exhaustion, the body can no longer respond and
begins to fail ultimately resulting in death.
Selye outlined several signs and symptoms
occurring as a result of these stress induced
physiological changes.
Examples include: increased
blood pressure and accelerated heart rate, diaphoresis,
irritability, dry mouth, weakness, dizziness, insomnia,
diarrhea, and indigestion.
A case can be made that
these symptoms interfere with cognition, however, there
are two other reported symptoms that are more pertinent
to this study.
They are fatigue and the inability to
concentrate due to a flight of thoughts and general
disorientation (Selye, 1956).
Major life events have also been considered
stressors causing disease.
The relationship between
major life events and negative health outcomes is well
documented.
In 1964, Rahe, et al published results of
research in this area.
After surveying thousands of
9
individuals, forty three common life events were
identified as those responsible for activating stress.
After identifying these specific life events as
stressors, several physicians were asked to compare
health changes with the occurrence of life events.
There proved to be a significant correlation between
high life event scores and negative health outcomes
(Rahe, 1964)
In 1967, Holmes and Rahe further
developed this tool by adding a weighted numerical
value to each event.
This was called the Social
Readjustment Rating Scale (SRRS).
The SRRS has been used in several studies and has
been validated.
In 1975, a longitudinal study examined
the effects recent life changes have on cardiac events.
A correlation was found between life changes and
cardiac events such as arrhythmias and ventricular
contraction.
These findings were thought to validate
previous studies that indicated that life change events
were measures of stress and predictive of physiological
changes.(Theorell, Rahe, 1975)
Another study examined the influence of recent
life experiences on subsequent illnesses of the college
freshman.
The College Schedule of Recent Experiences
was used.
An association was found between high levels
10
of life change and increased illnesses.
(Marx, et al,
1975)
In 1979, a retrospective study looked at the
association between life change and the onset of
ulcers.
This study indicated that ulcer operations
occurred at a time following increased life changes.
Also reported was a correlation between life change and
post-operative gastrointestinal symptoms.
(Stevenson,
et al)
In summary, many studies have utilized life events
to measure stress and have found it predictive of
performance and physiological changes.
Therefore it is
generally considered to be a reliable, valid tool.
In 1978, another life events model was developed
called the Life Experience Survey (LES).
This model
listed forty seven life events, but did not assign a
value to their importance.
Instead each participant is
asked to rate the degree of distress experienced.
Results achieved with this model were very similar to
those achieved using the SRRS (Sarason, et al).
Research regarding the possible relationship
between stress and academic performance is difficult to
find.
Most of the research in this area is dedicated
to test anxiety.
11
The research conducted by Knapp (1975) looked at
utilization of life events as an indicator of the
amount of stress by summing the total number of events
experienced in a given time period and rating the life
event as either desirable or undesirable.
In this
study, college students rated the life events that had
occurred within the past year.
Desirable life events
did not correlate with grade point average.
Undesirable life events strongly correlated with lower
grade point averages when academic ability and past
academic performance were factored out.
This study
concludes that undesirable life events are a better
predictor of grade point average.
In 1989, Chapin questioned whether or not anxiety
is always a debilitating factor, even though it is most
commonly considered one in college students with regard
to academic performance.
He compared high-anxious high
performance students (HAHP) with high-anxious low
performance college students (HALP).
This study
suggested that HAHP and HALP students do experience
anxiety differently.
anxiety
The HAHP student found that
facilitated their performance while HALP found
that anxiety debilitates performance. The study found
that these differences held true regardless of the type
12
of anxiety, but failed to take coping
and performance
into account. Furthermore, it failed to control for
scholastic aptitude.
In Chapin's second study, however, scholastic
aptitude was taken into consideration.
This study
found that scholastic aptitude was a significant
covariant with both manifest anxiety and academic
performance.
It concluded that anxiety can facilitate
as well as debilitate students' performance.
In conclusion, it
suggests that anxiety may not
always be considered a debilitation factor.
Both of
the studies also suggested that stress can be a
facilitating factor if properly channeled.
Chartrand (1990) examined nontraditional student
adjustment with regard to student role evaluation,
commitment to student role and self-good student role
congruence.
The purpose of this research was to
determine if these were predictors of personal distress
and academic performance.
Two variables, anxiety and
depression were operationalized as personal distress.
The State scale of the State-trait Anxiety Inventory
was used to measure anxiety and the Beck Depression
Inventory was used to measure depression.
Academic
performance was defined as the grade point average.
13
Nontraditional students face difficulties of commitment
to the role of a student because they are
simultaneously being committed to other life roles such
as mother, parent, employee etc..
Maintaining a high
degree of commitment among all of the different life
roles is often difficult and stressful.
The results of this study suggest that self
evaluation and commitment to student role had an affect
on student role congruence.
Student role congruence
was found in turn, to be a predictor of personal
distress and
grade point average.
The multistage causal learning model of academic
achievement developed and validated in 1989 looks at
the effects of the following on academic achievement:
reading, language, math ability, life stress,
motivation, self-monitoring/use of study strategies,
and concentration and preparation for class.
(Chacko,1991)
In this study, the ASSET test was used
to measure cognitive ability; the Life Experience
Survey (LES) developed in 1978 by Sarason, Johnson and
Seigel measured the individual 's life stress, and a
modified learning and study strategies inventory
(Weinstein, 1987, Chacko, 1989) measured affective
learning strategy variables.
The instrument used to
14
measure stress consisted of forty-seven life events.
A
Likert scale ranging from extremely positive (+3) to
extremely negative (-3) was incorporated into this
survey.
Chacko's study found that life stress was directly
related to the students' level of preparedness for
class and concentration in class (1991).
It supported
the view that life stress may have a negative
relationship with academic achievement.
However, the
relationship between stress and academic performance
was found to be weak.
A limitation of this study was
in the use of self-reported instruments to measure all
independent variables with the exception of reading,
language and math ability.
This may lead to the
subjects' perceptions rather than actual behaviors.
Four other studies examined the relationship
between stress and grade point average by using life
events as the instrument to measure stress.
(Wildman,
1978; Lloyd, et al 1980; deMeuse, 1993; Huerta, 1990)
Wildman 1s research examined various tools for
measuring stress based on life events.
were devised to measure life events.
Four methods
One method simply
counted the number of events occurring within a given
time frame, another weighted each event according to
15
severity and the weighted values were counted, the
third method, counted how many times each event
occurred (up to four for each event) but weighted
values were not assigned,
and the last method
multiplied the number of times each event occurred with
the weighted value and added the numbers together.
Results suggested that the individual events had the
most impact on academic performance and not the
multiple occurrences of an event.
Results also
indicated that there was a threshold affect.
It
appeared that stress had an adverse affect on grades
after a certain point.
Further study on the affect of
stress on grades was one of the recommendations of this
study.
Lloyd et al (1980) used the Barron Ego-Strength
Scale, a revision of the Schedule of Recent Life
Events, and a form for rating the degree of
readjustment required by the life events to calculate
life changes.
Results demonstrated a significant
negative relationship between life change and academic
performance.
This study also suggested a threshold
effect, since the detrimental impact of life change
appeared evident only after the occurrence of about
twelve events in the one year time period.
DeMuse
16
(1985) , on the other hand,
used the Social Readjustment
Rating Scale to measure stressful life
events.
Correlation of the students responses with later
measures of academic performance upon completion of the
course indicated that life stress was a predictor of
exam scores, extra-credit points, and total course
points.
In conclusion, life stress was found to be a
predictor of final grades.
Huerta (1990) conducted a study involving nursing
students because of stress-related high attrition
rates.
The purpose of this study was to investigate
the relationship between stress and academic
achievement.
The Life Experiences Survey was used to
measure stress.
The results found that negative change
stress had a significant relationship with academic
achievement.
few.
Identification of positive stressors were
The academic environment was identified as a
contributor to the students1 stress by infringing on
personal time, causing illness and producing clinical,
academic and financial pressures.
Hensley's (1991) research focused on developing an
instrument to measure stress specifically for
undergraduate college students.
His sample consisted
of students in a highly competitive university setting.
17
The questionnaire consisted of events that
were
categorized under four classifications:
death/injury
to a valued other, academic achievement, general
college pressures and college nuisances,
Participants
were asked to identify the degree of stress for each of
the fifty-two events.
The results indicated that
females reported more stress than males in all areas.
A final questionnaire listing twenty events proved to
be a fairly reliable instrument for measuring stress
among college students.
The relative magnitude of
certain stressors was enlightening.
In summary, stress and its affect on physiological
function has been well researched and documented.
It
has also been demonstrated that stress and academic
performance are related.
The life events model has
proven to be an effective tool to measure stress and
has been used most frequently in research to measure
the affect of stress on academic performance.
Several
authors have concluded that certain life events
occurring within one year are predictors of academic
performance (Chacko, 1991; Wildman, 1978; Lloyd, et al
1980; deMeuse, 1993; Huerta, 1990).
While some
investigators used the Social Readjustment Rating Scale
to measure stress, others used a similar model that
18
rated the degree of distress caused by the event.
Both
found a relationship between stress and academic
performance.
Results achieved by one author using The
Life Experience Survey were rated to be very similar to
the Social Readjustment Rating Scale Schedule (Sarason
et al, 1978).
Other authors have developed and tested
other models, however, their use is not widespread
(Sarason, Lloyd, Knapp, Hensley).
19
CHAPTER III
METHODOLOGY
The purpose of this study is to examine the degree
to which stress and academic performance are related
among community college sophomore nursing students.
This study took place in a small rural community
college setting.
RESPONDENTS
Participants in this study consisted of first
semester full-time sophomore nursing students enrolled
in an associate degree program at two separate campuses
in a small rural community college in Western New York.
The campuses are approximately sixty miles apart.
This
convenience sample represents all full-time sophomore
nursing students attending this college who were
present during data collection.
Eighty-two full-time
nursing students are currently enrolled in the
sophomore nursing program at the college.
Sophomore nursing students were selected for this
study because of certain homogenous characteristics,
namely,
familiarity with the college, the environment,
20
and academic expectations, similar
course content and
prior GPA of 2.7 or better, This narrowed the number
of possible variables affecting this study.
INSTRUMENTATION
The Social Readjustment Rating Scale (SRRS)
developed by Holmes and Rahe was used as the stress
survey in this study (see appendix F) . Permission to
use this tool was granted by the Journal of
Psychosomatic Research as indicated by their signature
on a letter of request (see appendix C). Forty-three
life events are listed from the most stressful to the
least stressful event.
Events include both positive
and negative life events.
Each event has been weighted
according to its stress potential and a numeric value,
called "life change units," has been assigned to each
accordingly.
The life change units are added together
and a total score is obtained.
Subjects whose total
score is above 150 points are considered at risk of
developing a negative health outcome within two years.
COLLECTION OF DATA
Permission to conduct this research was solicited
from the following:
21
-Dean of Institutional
Research
-Director of Nursing Education
-Student nurses
All of the above have granted their permission as
indicated by their signature on a letter (see
appendixes A and B) , or consent form (see appendix E).
Students were informed of the nature of the study (see
appendix D) , methods of data collection, and assured
that confidentiality would be maintained.
Students were gathered in separate groups on each
campus.
Each student was given a copy of The Schedule
of Recent Experiences and instructions for completion
were read to each group as follows:
1.
Write your name, social security
number, gender, marital status, annual
household income, number of children
living with you and number of credits
you are taking this semester on the
back of the questionnaire.
2.
Under the column labeled RANK, circle
the number associated with each event
that has occurred in your life from
1994.
June 1/ 1994 through November 30,
22
3.
I will remain present to answer any
questions.
Upon completion, all surveys were collected.
survey was analyzed for completion.
Each
Life change units
were compiled in relationship to event and added
together to obtain a total score. Mid semester grade
point averages and age of participants were obtained
from the registrars office using name and social
security number.
Each grade point average was entered
on the individual survey correlating with that name and
social security number.
Data collection information
was kept strictly confidential and the original data
destroyed after computation.
DATA ANALYSIS
Descriptive methods were utilized to analyze this
data.
A scatter plot diagram was constructed to
demonstrate the correlation between the two variables.
Person's r correlation coefficient
was computed by
utilizing Excel software to measure the correlation
between stress and grade point average and the level of
significance.
Also bar graphs were used to show
frequency of age, marital status, number of children in
the household, annual household income, SRE scores, and
23
GPA scores.
It was determined that a significant
finding would be one of .05 or less.
24
CHAPTER IV
DATA ANALYSIS
CHARACTERISTICS OF THE SAMPLE
Seventy-eight out of a possible eighty-two
eligible participants were present and responded to the
survey on the day the data was collected.
Sixty-five
of the respondents were female and thirteen were male.
Forty-one of the students reported that they were
working at least on a part-time basis, twelve reported
that they were working on a full-time basis, and
twenty-five reported that they were not working.
Forty-one students were taking ten credit hours, seven
taking 12 hours, twenty-three taking 13 hours, six
taking 14 hours and only one student taking seventeen
credit hours during the Fall semester.
The following pages depict frequency distributions
of age, marital status, number of children in the
family, annual household income, SRE scores and GPA
scores.
(
25
The majority of students (55) were twenty-six
years of age or older.
the oldest fifty.
The youngest was nineteen and
The mean age of this sample is
thirty-one which is higher than the overall college
mean age of twenty-nine.
This sample clearly
represents the non-traditional aged student and also
represents a very broad age span.
This could
contribute significantly to the interpretation of the
findings.
Figure 1
Ages of Students
35
-- J
30-
25-r
u
c
a>
3
20 f;
SI 15-K
u.
$
io-i
I
5-
0 +L__
19-25
25-35
36-45
Age Range
45-50
26
The majority of the students in this sample were
married (thirty-nine) and those without partners ie;
single, separated, divorced or widowed also equaled
thirty-nine.
The number reporting to be separated was
three, divorced ten, single twenty-four and widowed
two.
Figure 2
MARITAL STATUS
' yjl
40-fii
35
o
H 30-1
LU
□ 25
□
H
(a
u. 20
o
02
111
tn
iI
./ I
15-i
—t
04
I
1
||
Z
□ io-S
z
Q
LU
Q
LU
<
ar
<
a.
O'
LU
w
O
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Q
LU
-J
o
z
w
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5o
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$
27
Although the majority of respondents reported
being married, the majority reported having no children
in their family ie; twenty-three.
Nineteen reported
one child, sixteen reported two children, eleven
reported three children, seven reported four and only
two reported that five children were living with them.
Figure 3
NUMBER OF CHILDREN
25i
tn
H
Z
20
111
§ 15
CO
U_
O
OS
111
tn
s
10
I1-,
4 5
number of children in family
28
The majority of students reported an annual
household income ranging from twenty-one to thirty
thousand dollars.
Of the six reporting zero to four
thousand dollars per year, two reported zero income,
one a questionable income, one a "poor” income and one
failed to report any income.
Figure 4
INCOME RANGES
1
25-r
20-'’
(J)
H
Z
id
a 15-*
□
to
Hi
IL
o
O'
Id
10-kl
tn
□
z
5
o
■li|
Bpi
1
11-20
21-30
31-40
INCOME IN THOUSANDS OF DOLLARS
29
Forty six respondents scored between two hundred
(200) and five hundred thirty-six (536) on the SRRS
questionnaire.
Thirty-two scored below two hundred. An
equal number of students (twenty-three) scored between
two hundred (200) and two hundred ninety-nine (299) and
three hundred (300) and five hundred thirty-six (536) .
The lowest score was twenty-six (26) and the highest
five hundred thirty-six (536) .
Figure 5
SRE SCORES
25-]
■
20-K
zId
□□ 15w
u.
o
a 10in
to
S
□z
■
26-149
150-199
200-299
SRE SCORE RANGES
300-536
30
The distribution for grade point average resembles
a normal distribution pattern.
The majority of
students fell within the 2.6 to 3.0 GPA range.
mean grade point average equaled 2.77.
Figure 6
GRADE POINT AVERAGE
30-i
25 Yl
w
S 20W
Q
□
H
CO
IL
i
154
O
Z
id
co
S 1(H
■
D
Z
0
1.0-2.0
' IK*
■IIE
2.1-2.5
2.6-3.0
GPA RANGE
3.1-3.5
3.5-4.0
The
31
Figure 7 depicts the scatter plot derived from
plotting the SRE scores and GPA scores with a predicted
regression solution (predicted Y) .
The correlation
between GPA and SRE is negative r=. 2553 (p=. 024) and
significance F = 0.024.
Figure 7
Correlation of SRE Score to GPA
4
<3.5 0
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a
to
u
. ♦
3 ' **
♦. . % ♦ ♦
-*♦
*
*
♦1#
♦;
<
*«*-♦*„
♦
<2.5 ” ♦ :
♦:
♦ ♦♦
♦
♦
♦
Q.
♦Y
♦
♦ ♦♦♦♦♦ f
* Wi
■ Predicted Y
w
C
£ 2•o
10
01.5 -
1 +
0
100
200
300
400
500
A
600
SRE Score
The
research question in this study asked to what
does stress impact on academic performance among
degree
full-time community college nursing students. This
study was
designed to examine the degree of correlation
32
between stress and GPA.
The results of this study
conclude that there is a weak negative correlation
between stress and grade point average and that this
finding is significant.
33
CHAPTER V
CONCLUSIONS AND SUMMARY
The correlation between stress and academic
performance has been researched and the findings
demonstrate that there is a relationship between these
two variables.
Several authors have concluded that
certain life events occurring within one year are
considered stressful and predictors of academic
performance (Chacko, 1991, Wildman, 1978, Lloyd et al,
1980, deMeuse 1993, Huerta, 1990).
This study, like Chacko's (1991) found that there
was a weak negative correlation between stress and
grade point average.
However, like Chapin's study
(1989) it failed to take coping into account but did
take scholastic aptitude into consideration as all of
the respondents achieved a GPA of 2.7 or above prior to
admission to the nursing program.
Unlike Wildman's (1978) and Lloyd's (1980)
studies
this study did not consistently find a
threshold effect.
In fact, several of the students who
reported stress scores above three hundrM
averages above three. There could be
grade point
34
several explanations fox* this finding.
Perhaps not all
students perceived each stress event as undesirable and
past research has demonstrated that undesirable life
events were better predictors of performance (1975).
Also, some students perform better under stress.
For
example, Chapin's study reported that anxiety may not
always be debilitating but can be a facilitating
factor.
This study did not examine the effect of socio
economic status, number of children in the family,
other role commitments such as mother, worker etc.,
coping strategies, perception of stress and age on the
relationship between stress and academic performance.
The mean age of the participants in this study was
thirty-one and the majority's annual household income
was between twenty-one and thirty thousand dollars per
year.
This study also failed to compare previous
performance levels without high stress levels to
performance under high stress levels. This comparison
demonstrate that an "A" student
may have been able to
when subjected to high levels of
became a "B" student
stressful life events.
35
RECOMMENDATIONS
This study found that there was a weak but
significant negative correlation between stress and
academic performance.
Further studies should be
conducted that also examine the impact of coping
strategies, age, socio-economic status and perception
of stress on academic performance.
Comparison studies
are also recommended to examine prior academic
performance without stress with academic performance
while under stress.
36
APPENDIX A
MEMORANDUM
TO:
Margaret Cornell
FROM:
Dean of Institutional Research
DATE:
April 21, 1994
RE:
Research Approval
(Name) Community College gives its approval to Ms.
Margaret Cornell to conduct her research on stress.
This approval allows Ms. Cornell to collect information
from students using a standard survey instrument and to
collect certain academic information such as student
QPAs.
Ms. Cornell will ensure the confidentiality of
this student information.
37
APPENDIX B
November 16, 1994
Dear Margaret:
It is my understanding that you would like to
survey the sophomore nursing students on the (name)
Community College campuses this Fall semester for the
purpose of conducting research for your thesis.
I have reviewed the survey tool by Holmes and Rahe
and grant permission for you to use it with the
students.
Please share the results of your findings with us
at the conclusion of your study.
Sincerely,
Director, Nursing Education
38
APPENDIX C
October 24, 1994
Journal of Psychosomatic Research
To Whom It May Concern:
I am in the process of completing my thesis for a
Masters of Science degree in Nursing.
The purpose of
this letter is to seek your permission to use the
Holmes and Rahe Social Readjustment Rating Scale to
collect data.
Thank you for your assistance.
Sincerely,
Margaret Cornell
39
appendix d
April 18, 1994
Dear Student:
I am in the process of completing my thesis as a
requirement for obtaining a master of science degree in
nursing at Edinboro University of Pennsylvania.
I am
studying the affect of stress on academic performance.
Perhaps the results of this study will provide enough
data to determine if stress assessment and
interventions are indicated for nursing students at
this college.
A questionnaire is attached.
answer all of the questions.
Please take time to
I will be available for
your inquiries while you are completing this survey.
The results of this questionnaire will be compared
with your grade point average for this semester.
your permission, I will request the registrar to
data. All data will
provide me with the necessary
remain strictly confidential.
Thank you for your assistance.
Sincerely,
Margaret Cornell
With
40
APPENDIX E
CONSENT
I hereby authorize Margaret Cornell to request
information about my grade point average from the
registrars office at (name) Community College for the
Fall semester of 1994.
I understand that this
information is being used for the sole purpose of
completing research for a thesis.
I also understand
that all data used for this purpose will remain
strictly confidential.
Student Signature
Date
41
APPENDIX F
RANK
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
EVENT
LIFE CHANGE UNITS
Death of spouse
100
Divorce
73
Marital separation
65
Jail term
63
Death of close family member
63
Personal injury or illness
53
Marriage
50
Fired from Job
47
Marital reconciliation
45
Retirement
45
Change in Health of Family Member
44
Pregnancy
40
Sex Difficulties
39
Gain of New Family Member
39
Business Adjustment
39
Change in financial state
38
Death of a Close Friend
37
Change to different line of Work
36
Change in # of arguments with spouse
35
Mortgage over $10,000
31
Foreclosure of mortgage or loan
30
Change in responsibilities at Work
29
Son or Daughter leaving home
29
Trouble With In-laws
29
Outstanding Personal Achievement
28
26
Wife Begin or Stop Work
26
Begin or End School
25
Change in Living Conditions
24
Revision of Personal Habits
23
Trouble With Boss
20
Change in Work Hours or Conditions
20
Change in Residence
20
Change in Schools
19
Change in Recreation
19
Change in Church Activities
18
Change in Social Activities
17
Loan
Less
Than
$10,000
Mortgage or
16
Changein Sleeping Habits
15
Change
Change in Number of family Get-Togethers
15
Change in Eating Habits
13
Vacation
12
Christmas
11
Minor Violations of The Law
42
REFERENCES
Arsenault, A. , and Dolan, S.
(1983) The role of
personality, occupation and organization in
understanding the relationship between job stress,
performance and absenteeism: Journal of
Occupational Psychology, 56, 227-240
Chacko, S.B., Huba, M.E., (June 1991) Academic
Achievement Among Undergraduate Nursing Students:
The Development and test of a Causal Model.
Journal of Nursing Education, Vol. 30 No. 6
Chapin, Theodore J., (May 1989) The relationship of
trait anxiety and academic performance to
achievement anxiety: students at risk. Journal
of College Student Development, 229-36
Chartrand, Judy M.
(1990) A causal analysis to predict
the personal and academic adjustment of nontraditional students. Journal of Counseling
Psychology 37, 65-73
DeMuse, K.P.
(1985) The relationship between life
events and indices of classroom performance.
Teaching of Psychology, 12, 146-219
(January, 1993 pg 82) Resolving the
Douglas, Jack D.
crisis in Higher Education, USA Today (Magazine)
Farber, Barry (1991) Crisis in Education, Jossey-Bass
Publishers San Francisco/Oxford, pg 86-96
The measurement or
of
Hensley, Wayne E., (Oct 31, 1991) Tne
stress among college students. 1Paper presented at
the Speech Communication Associated Convention
R.H., (1967) The social
Holmes, T.H., Rahe, h..--,
readjustment rating scale. Journal of
Psychosomatic Research/ H• 213-218
Texas A & M
University Ed.u
43
napp
Samuel, (1975) The relationship of life events
co academic performance in college students
Research Report
Lloyd, C., Alexander, A.A. , D. G.,
C Greenfield, N.S.
G., j(1980) Life events as predictors of academic
performance. Journal of Human Stress. 6 (3), 1525
Marx, B. , Garrity, T. and Bowers, F.
(1975) The
influence of recent life experiences on the health
of college students. Journal of Psychosomatic
Research, 19, 87-103
Rahe, R. H. , Meyer, M. , Smith, M. , Kajoer, G., and
Holmes, T. , (1964) Social Stress and illness
onset, Journal of Psychosomatic Research, 8: 3544
—
Roueche, John E., Baker, George A., Rose, Robert R,
(1989) Shared Vision, The Community College Press.
American Association of Community and Junior
Colleges
Sarason, I.G., Johnson, J. H., and Siegel, J. M.,
(1978) Assessing the impact of life changes:
Development of the Life experiences survey.
Journal of Consulting and Clinical Psychology, 46,
932-946
Selye, Hans (1956) The Stress of Life, New York:
McGraw Hill
- -1 (1993) Inside American Education, New
Sowell/ —
Thomas,
York The Free Press, A division of Macmillan, Inc.
Stevenson, D. K., Nabseth, D. C., Masuda, M., and
Holmes T. H.
H. , (1979) Duodenal ulcers, Journal of
Human Stress, 5, 19-28
Theorell/ T. and Rahe, R. H., (1975) Life change
events,/ballistocardiography and coronary death.
journal of Human Stress, 1, 18-24
a Robert L./ and Spradey, James P., (1981) The
Venmga,
connection. Little, Brown and Co.,
44
Wildman, Richard C., (March, 1978) Life change with
college grades as a role-performance variable.
Social Psychology, 41; 1; 34-46
c.2
Cornell, Margaret
Norgang.
Stress and academic
performance /
1995.
STRESS AND ACADEMIC PERFORMANCE
by
Margaret Norgang Cornell BSN, RN
Submitted in Partial Fulfillment of the Requirements
for the Master of Science in Nursing Degree
Approved by:
PM/t
pPtidM,
Chairperson/ thesis
tPn Ms.
Committee
Edinboro University of Pennsylvania
Committee Member
Committee Member
Date
Date
ABSTRACT
This study examines the correlation between stress
and academic performance using the life events model to
measure stress.
Full-time nursing students enrolled in
an associate degree program at a rural community
college were participants in this study.
This study
concludes that there is a weak negative correlation
between stress and grade point average; r=.2553 with a
significance of .024.
Further study is recommended to
examine the effect of coping strategies, age,
socioeconomic status on stress and its relationship to
academic performance among community college students.
iii
ACKNOWLEDGEMENTS
The writer wishes to express sincere thanks and
appreciation to Charlotte Paul PhD, RN, Mary Lou
Keller, PhD, RN and James Palmer, MA for their time,
guidance and especially their patience in completing
this study.
In addition the writer wishes to express gratitude
to the many people at Jamestown Community College who
made this study possible.
A special thanks to my husband William for his
support and encouragement and to my son Stephen for his
inspiration.
MNC
May 1995
iv
Table of Contents
Abstract
Acknowledgments
Table of Contents
ii
iii
iv
List of Figures
v
Chapter
1. INTRODUCTION
Background of the problem
Statement of the purpose
Statement of the Problem
Assumptions
Definition of Terms
Limitations of the Study
1
4
5
5
5
6
2. REVIEW OF LITERATURE
7
3. METHODOLOGY
Setting
Sample
Instrumentation
Collection of Data
19
19
19
20
20
4. DATA ANALYSIS
24
5. CONCLUSIONS & SUMMARY
Recommendations
33
35
APPENDICES
A PERMISSION FOR RESEARCH APPROVAL
B PERMISSION FOR RESEARCH APPROVAL
C PERMISSION FOR QUESTIONNAIRE
D COVER LETTER FOR QUESTIONNAIRE
E STUDENT CONSENT
F HOLMES AND RAHE QUESTIONNAIRE
G ORIGINAL COLLECTED DATA
36
37
38
39
40
41
REFERENCES
42
V
LIST OF FIGURES
FIGURE
PAGE
1.
Frequency distribution of age
25
2.
Frequency distribution of marital status
26
3.
Frequency distribution of number of children
living in family
27
4.
Frequency distribution of annual household
incomes
28
5.
Frequency distribution of SRE scores
29
6.
Frequency distribution of GPA scores
30
7.
Scatter plot of correlation between SRE
and GPA
31
1
CHAPTER 1
INTRODUCTION
BACKGROUND OF THE PROBLEM
Academic problems facing our nation's colleges and
universities have been well documented.
Many authors
generally agreed that a decline in academic performance
has been occurring for several years.
Although many
examples have been cited, the following are most
noteworthy:
First of all, national statistics indicate that
students either failed or withdrew from forty percent
of their classes each semester (Roueche et al., 1989).
Secondly, student performance on global tests in
mathematics and science was reported to be poorer
according to a recent State University of New York
publication (University Faculty Senate, 1992) .
Lastly, it was noted by The Association of
American Colleges that decline is everywhere and that
approximately one half of all freshman classes
demonstrated deficiencies in mathematics and English
(Douglas, 1993).
2
Although there is consensus about the decline in
academic performance there are several opinions
regarding the cause.
Several factors contributing to
this decline have been well publicized.
Students doing
less work (Douglas,1993) and poor leadership (Roueche
et al, 1989) have been cited as examples.
Eroding
academic standards, inadequate secondary education,
grade inflation, cheating, social income, family
support and poor teaching have also been cited as
factors affecting academic performance.
(Sowell, 1993)
Stress has also been considered to affect
performance (Veninga, Spradey, 1981) and more
specifically teacher performance (Farber, 1991).
Authors of The Work Stress Connection pointed out that
job stress results in poor performance ie; making more
mistakes, avoiding decision making, being less creative
and having more on-the-job accidents (1981).
A similar
finding was also noted by Farber (1991) with regard to
teacher performance.
He found that stress resulted in
poorer performance and suggested that this had
potentially devastating effects on pupil education.
Grades are presumed to reflect performance.
Research on stress and its direct effect on academic
performance indicates that there is a relationship
3
between stress and academic performance (Wildman,
1978). Wildman's study (1978) concluded that stress had
an adverse affect on grades after a certain level of
stress was reached.
Because research in this area is
limited, Wildman recommended that further studies be
conducted.
Stress research was pioneered by Canadian
physician Hans Selye.
His research primarily focused
on the physiological responses of stress.
In his book,
The Stress of Life, he clearly presents convincing
evidence of the mind-body connection and its
relationship to illness by application of his general
adaptation syndrome model (Selye, 1956).
Holmes and Rahe pioneered research on the
relationship of life events to physical and mental
illnesses.
Their research demonstrated that certain
life events were stress producing and consequently
affected health.
Holmes and Rahe were responsible for
creating the Social Readjustment Rating Scale (SRRS)
which assigned a numeric value to each life experience
(1967) .
This tool has been used in a number of
experiments and is considered valid and reliable.
In conclusion, our educational institutions are
having serious problems with a decline in academic
4
performance.
Several sources have recommended that we
examine more closely the reasons for this decline.
In
particular, The State University of New York and The
Middle States Association
of Colleges on Schools
recommend an ongoing evaluation of academic performance
and student retention (Commission on Higher Education,
1983) .
Several contributing factors have been associated
with this decline.
Stress in particular has been found
to affect job performance, teacher performance,
academic performance and health.
Additional research
was recommended by one author (Wildman) to examine the
relationship between stress and academic performance.
Based on the above conclusions and
recommendations, research on the relationship between
stress and academic performance seems pertinent.
PURPOSE OF THIS STUDY
The purpose of this study is to examine the degree
to which stress and academic performance are related.
In doing so, the results will provide insight into a
possible contributing factor affecting the decline in
academic performance at the community college level.
If the level of stress is a predictor of academic
5
performance, perhaps early stress assessments can be
considered and possible stress management interventions
entertained.
STATEMENT OF THE PROBLEM
To what degree does stress impact on academic
performance among full-time community college nursing
students?
This study is designed to demonstrate that
there is a strong negative correlation between stress
and grade point average.
ASSUMPTIONS
An assumption congruent with research is that
stress can be measured.
Several measurement tools have
been validated through research.
Life events have been
thought to be indicators of stress and therefore have
been used as a measurement tool.
Another assumption is
that academic performance can be measured.
DEFINITION OF TERMS
1.
Stress is defined as the sum of self-reported life
change units on the SRRS occurring within a six month
period.
6
2.
Academic performance is defined as the fall
semester Grade Point Average as reported by the college
registrar.
3.
Student is defined as full-time sophomore nursing
student.
4.
Full time is defined as the total number of credit
hours taken in a semester to be between ten and not to
exceed seventeen.
LIMITATIONS OF STUDY
1.
The findings reflect responses from sophomore
student nurses enrolled in one associate degree
program.
2.
The findings cannot be generalized to nursing
students at other community colleges.
3.
Use of the self reported instrument may not
reflect accurate information.
7
CHAPTER II
REVIEW OF LITERATURE
The purpose of this study is to examine the
relationship between stress and academic performance.
This study will attempt to answer the question of
whether or not high levels of stress affect academic
performance among community college nursing students.
The theoretical background for this study was
based on Seyle's concept of stress (Selye,1956).
Selye
believed that stress was a non-specific response of the
body to any demand.
His research concluded that
several physiological adaptations occurred as a result
of repeated exposures to stress and that this caused
many pathological conditions.
Selye found that stress
produced a decrease in eosinophils and an increase in
serum cholesterol, glucagon, insulin, prolactin, and a
constant release of corticosteroids.
Selye also noted
that the adrenal cortex became enlarged, but the thymus
gland, spleen, and lymph nodes atrophied.
Ulcers were
noted in the stomachs and colon of experimental
animals.
Selye referred to these changes, the body
trying to adapt, for example, as the General Adaptation
8
Syndrome and identified three stages of this syndrome.
Stage one or stage of alarm is the initial stage in
which forces are mobilized to maintain life and cope
with the stressor. In stage two or stage of resistance,
the body is attempting to restore homeostasis even
though the stress still exists. In stage three or stage
of exhaustion, the body can no longer respond and
begins to fail ultimately resulting in death.
Selye outlined several signs and symptoms
occurring as a result of these stress induced
physiological changes.
Examples include: increased
blood pressure and accelerated heart rate, diaphoresis,
irritability, dry mouth, weakness, dizziness, insomnia,
diarrhea, and indigestion.
A case can be made that
these symptoms interfere with cognition, however, there
are two other reported symptoms that are more pertinent
to this study.
They are fatigue and the inability to
concentrate due to a flight of thoughts and general
disorientation (Selye, 1956).
Major life events have also been considered
stressors causing disease.
The relationship between
major life events and negative health outcomes is well
documented.
In 1964, Rahe, et al published results of
research in this area.
After surveying thousands of
9
individuals, forty three common life events were
identified as those responsible for activating stress.
After identifying these specific life events as
stressors, several physicians were asked to compare
health changes with the occurrence of life events.
There proved to be a significant correlation between
high life event scores and negative health outcomes
(Rahe, 1964)
In 1967, Holmes and Rahe further
developed this tool by adding a weighted numerical
value to each event.
This was called the Social
Readjustment Rating Scale (SRRS).
The SRRS has been used in several studies and has
been validated.
In 1975, a longitudinal study examined
the effects recent life changes have on cardiac events.
A correlation was found between life changes and
cardiac events such as arrhythmias and ventricular
contraction.
These findings were thought to validate
previous studies that indicated that life change events
were measures of stress and predictive of physiological
changes.(Theorell, Rahe, 1975)
Another study examined the influence of recent
life experiences on subsequent illnesses of the college
freshman.
The College Schedule of Recent Experiences
was used.
An association was found between high levels
10
of life change and increased illnesses.
(Marx, et al,
1975)
In 1979, a retrospective study looked at the
association between life change and the onset of
ulcers.
This study indicated that ulcer operations
occurred at a time following increased life changes.
Also reported was a correlation between life change and
post-operative gastrointestinal symptoms.
(Stevenson,
et al)
In summary, many studies have utilized life events
to measure stress and have found it predictive of
performance and physiological changes.
Therefore it is
generally considered to be a reliable, valid tool.
In 1978, another life events model was developed
called the Life Experience Survey (LES).
This model
listed forty seven life events, but did not assign a
value to their importance.
Instead each participant is
asked to rate the degree of distress experienced.
Results achieved with this model were very similar to
those achieved using the SRRS (Sarason, et al).
Research regarding the possible relationship
between stress and academic performance is difficult to
find.
Most of the research in this area is dedicated
to test anxiety.
11
The research conducted by Knapp (1975) looked at
utilization of life events as an indicator of the
amount of stress by summing the total number of events
experienced in a given time period and rating the life
event as either desirable or undesirable.
In this
study, college students rated the life events that had
occurred within the past year.
Desirable life events
did not correlate with grade point average.
Undesirable life events strongly correlated with lower
grade point averages when academic ability and past
academic performance were factored out.
This study
concludes that undesirable life events are a better
predictor of grade point average.
In 1989, Chapin questioned whether or not anxiety
is always a debilitating factor, even though it is most
commonly considered one in college students with regard
to academic performance.
He compared high-anxious high
performance students (HAHP) with high-anxious low
performance college students (HALP).
This study
suggested that HAHP and HALP students do experience
anxiety differently.
anxiety
The HAHP student found that
facilitated their performance while HALP found
that anxiety debilitates performance. The study found
that these differences held true regardless of the type
12
of anxiety, but failed to take coping
and performance
into account. Furthermore, it failed to control for
scholastic aptitude.
In Chapin's second study, however, scholastic
aptitude was taken into consideration.
This study
found that scholastic aptitude was a significant
covariant with both manifest anxiety and academic
performance.
It concluded that anxiety can facilitate
as well as debilitate students' performance.
In conclusion, it
suggests that anxiety may not
always be considered a debilitation factor.
Both of
the studies also suggested that stress can be a
facilitating factor if properly channeled.
Chartrand (1990) examined nontraditional student
adjustment with regard to student role evaluation,
commitment to student role and self-good student role
congruence.
The purpose of this research was to
determine if these were predictors of personal distress
and academic performance.
Two variables, anxiety and
depression were operationalized as personal distress.
The State scale of the State-trait Anxiety Inventory
was used to measure anxiety and the Beck Depression
Inventory was used to measure depression.
Academic
performance was defined as the grade point average.
13
Nontraditional students face difficulties of commitment
to the role of a student because they are
simultaneously being committed to other life roles such
as mother, parent, employee etc..
Maintaining a high
degree of commitment among all of the different life
roles is often difficult and stressful.
The results of this study suggest that self
evaluation and commitment to student role had an affect
on student role congruence.
Student role congruence
was found in turn, to be a predictor of personal
distress and
grade point average.
The multistage causal learning model of academic
achievement developed and validated in 1989 looks at
the effects of the following on academic achievement:
reading, language, math ability, life stress,
motivation, self-monitoring/use of study strategies,
and concentration and preparation for class.
(Chacko,1991)
In this study, the ASSET test was used
to measure cognitive ability; the Life Experience
Survey (LES) developed in 1978 by Sarason, Johnson and
Seigel measured the individual 's life stress, and a
modified learning and study strategies inventory
(Weinstein, 1987, Chacko, 1989) measured affective
learning strategy variables.
The instrument used to
14
measure stress consisted of forty-seven life events.
A
Likert scale ranging from extremely positive (+3) to
extremely negative (-3) was incorporated into this
survey.
Chacko's study found that life stress was directly
related to the students' level of preparedness for
class and concentration in class (1991).
It supported
the view that life stress may have a negative
relationship with academic achievement.
However, the
relationship between stress and academic performance
was found to be weak.
A limitation of this study was
in the use of self-reported instruments to measure all
independent variables with the exception of reading,
language and math ability.
This may lead to the
subjects' perceptions rather than actual behaviors.
Four other studies examined the relationship
between stress and grade point average by using life
events as the instrument to measure stress.
(Wildman,
1978; Lloyd, et al 1980; deMeuse, 1993; Huerta, 1990)
Wildman 1s research examined various tools for
measuring stress based on life events.
were devised to measure life events.
Four methods
One method simply
counted the number of events occurring within a given
time frame, another weighted each event according to
15
severity and the weighted values were counted, the
third method, counted how many times each event
occurred (up to four for each event) but weighted
values were not assigned,
and the last method
multiplied the number of times each event occurred with
the weighted value and added the numbers together.
Results suggested that the individual events had the
most impact on academic performance and not the
multiple occurrences of an event.
Results also
indicated that there was a threshold affect.
It
appeared that stress had an adverse affect on grades
after a certain point.
Further study on the affect of
stress on grades was one of the recommendations of this
study.
Lloyd et al (1980) used the Barron Ego-Strength
Scale, a revision of the Schedule of Recent Life
Events, and a form for rating the degree of
readjustment required by the life events to calculate
life changes.
Results demonstrated a significant
negative relationship between life change and academic
performance.
This study also suggested a threshold
effect, since the detrimental impact of life change
appeared evident only after the occurrence of about
twelve events in the one year time period.
DeMuse
16
(1985) , on the other hand,
used the Social Readjustment
Rating Scale to measure stressful life
events.
Correlation of the students responses with later
measures of academic performance upon completion of the
course indicated that life stress was a predictor of
exam scores, extra-credit points, and total course
points.
In conclusion, life stress was found to be a
predictor of final grades.
Huerta (1990) conducted a study involving nursing
students because of stress-related high attrition
rates.
The purpose of this study was to investigate
the relationship between stress and academic
achievement.
The Life Experiences Survey was used to
measure stress.
The results found that negative change
stress had a significant relationship with academic
achievement.
few.
Identification of positive stressors were
The academic environment was identified as a
contributor to the students1 stress by infringing on
personal time, causing illness and producing clinical,
academic and financial pressures.
Hensley's (1991) research focused on developing an
instrument to measure stress specifically for
undergraduate college students.
His sample consisted
of students in a highly competitive university setting.
17
The questionnaire consisted of events that
were
categorized under four classifications:
death/injury
to a valued other, academic achievement, general
college pressures and college nuisances,
Participants
were asked to identify the degree of stress for each of
the fifty-two events.
The results indicated that
females reported more stress than males in all areas.
A final questionnaire listing twenty events proved to
be a fairly reliable instrument for measuring stress
among college students.
The relative magnitude of
certain stressors was enlightening.
In summary, stress and its affect on physiological
function has been well researched and documented.
It
has also been demonstrated that stress and academic
performance are related.
The life events model has
proven to be an effective tool to measure stress and
has been used most frequently in research to measure
the affect of stress on academic performance.
Several
authors have concluded that certain life events
occurring within one year are predictors of academic
performance (Chacko, 1991; Wildman, 1978; Lloyd, et al
1980; deMeuse, 1993; Huerta, 1990).
While some
investigators used the Social Readjustment Rating Scale
to measure stress, others used a similar model that
18
rated the degree of distress caused by the event.
Both
found a relationship between stress and academic
performance.
Results achieved by one author using The
Life Experience Survey were rated to be very similar to
the Social Readjustment Rating Scale Schedule (Sarason
et al, 1978).
Other authors have developed and tested
other models, however, their use is not widespread
(Sarason, Lloyd, Knapp, Hensley).
19
CHAPTER III
METHODOLOGY
The purpose of this study is to examine the degree
to which stress and academic performance are related
among community college sophomore nursing students.
This study took place in a small rural community
college setting.
RESPONDENTS
Participants in this study consisted of first
semester full-time sophomore nursing students enrolled
in an associate degree program at two separate campuses
in a small rural community college in Western New York.
The campuses are approximately sixty miles apart.
This
convenience sample represents all full-time sophomore
nursing students attending this college who were
present during data collection.
Eighty-two full-time
nursing students are currently enrolled in the
sophomore nursing program at the college.
Sophomore nursing students were selected for this
study because of certain homogenous characteristics,
namely,
familiarity with the college, the environment,
20
and academic expectations, similar
course content and
prior GPA of 2.7 or better, This narrowed the number
of possible variables affecting this study.
INSTRUMENTATION
The Social Readjustment Rating Scale (SRRS)
developed by Holmes and Rahe was used as the stress
survey in this study (see appendix F) . Permission to
use this tool was granted by the Journal of
Psychosomatic Research as indicated by their signature
on a letter of request (see appendix C). Forty-three
life events are listed from the most stressful to the
least stressful event.
Events include both positive
and negative life events.
Each event has been weighted
according to its stress potential and a numeric value,
called "life change units," has been assigned to each
accordingly.
The life change units are added together
and a total score is obtained.
Subjects whose total
score is above 150 points are considered at risk of
developing a negative health outcome within two years.
COLLECTION OF DATA
Permission to conduct this research was solicited
from the following:
21
-Dean of Institutional
Research
-Director of Nursing Education
-Student nurses
All of the above have granted their permission as
indicated by their signature on a letter (see
appendixes A and B) , or consent form (see appendix E).
Students were informed of the nature of the study (see
appendix D) , methods of data collection, and assured
that confidentiality would be maintained.
Students were gathered in separate groups on each
campus.
Each student was given a copy of The Schedule
of Recent Experiences and instructions for completion
were read to each group as follows:
1.
Write your name, social security
number, gender, marital status, annual
household income, number of children
living with you and number of credits
you are taking this semester on the
back of the questionnaire.
2.
Under the column labeled RANK, circle
the number associated with each event
that has occurred in your life from
1994.
June 1/ 1994 through November 30,
22
3.
I will remain present to answer any
questions.
Upon completion, all surveys were collected.
survey was analyzed for completion.
Each
Life change units
were compiled in relationship to event and added
together to obtain a total score. Mid semester grade
point averages and age of participants were obtained
from the registrars office using name and social
security number.
Each grade point average was entered
on the individual survey correlating with that name and
social security number.
Data collection information
was kept strictly confidential and the original data
destroyed after computation.
DATA ANALYSIS
Descriptive methods were utilized to analyze this
data.
A scatter plot diagram was constructed to
demonstrate the correlation between the two variables.
Person's r correlation coefficient
was computed by
utilizing Excel software to measure the correlation
between stress and grade point average and the level of
significance.
Also bar graphs were used to show
frequency of age, marital status, number of children in
the household, annual household income, SRE scores, and
23
GPA scores.
It was determined that a significant
finding would be one of .05 or less.
24
CHAPTER IV
DATA ANALYSIS
CHARACTERISTICS OF THE SAMPLE
Seventy-eight out of a possible eighty-two
eligible participants were present and responded to the
survey on the day the data was collected.
Sixty-five
of the respondents were female and thirteen were male.
Forty-one of the students reported that they were
working at least on a part-time basis, twelve reported
that they were working on a full-time basis, and
twenty-five reported that they were not working.
Forty-one students were taking ten credit hours, seven
taking 12 hours, twenty-three taking 13 hours, six
taking 14 hours and only one student taking seventeen
credit hours during the Fall semester.
The following pages depict frequency distributions
of age, marital status, number of children in the
family, annual household income, SRE scores and GPA
scores.
(
25
The majority of students (55) were twenty-six
years of age or older.
the oldest fifty.
The youngest was nineteen and
The mean age of this sample is
thirty-one which is higher than the overall college
mean age of twenty-nine.
This sample clearly
represents the non-traditional aged student and also
represents a very broad age span.
This could
contribute significantly to the interpretation of the
findings.
Figure 1
Ages of Students
35
-- J
30-
25-r
u
c
a>
3
20 f;
SI 15-K
u.
$
io-i
I
5-
0 +L__
19-25
25-35
36-45
Age Range
45-50
26
The majority of the students in this sample were
married (thirty-nine) and those without partners ie;
single, separated, divorced or widowed also equaled
thirty-nine.
The number reporting to be separated was
three, divorced ten, single twenty-four and widowed
two.
Figure 2
MARITAL STATUS
' yjl
40-fii
35
o
H 30-1
LU
□ 25
□
H
(a
u. 20
o
02
111
tn
iI
./ I
15-i
—t
04
I
1
||
Z
□ io-S
z
Q
LU
Q
LU
<
ar
<
a.
O'
LU
w
O
O
>
Q
LU
-J
o
z
w
Q
LU
5o
Q
$
27
Although the majority of respondents reported
being married, the majority reported having no children
in their family ie; twenty-three.
Nineteen reported
one child, sixteen reported two children, eleven
reported three children, seven reported four and only
two reported that five children were living with them.
Figure 3
NUMBER OF CHILDREN
25i
tn
H
Z
20
111
§ 15
CO
U_
O
OS
111
tn
s
10
I1-,
4 5
number of children in family
28
The majority of students reported an annual
household income ranging from twenty-one to thirty
thousand dollars.
Of the six reporting zero to four
thousand dollars per year, two reported zero income,
one a questionable income, one a "poor” income and one
failed to report any income.
Figure 4
INCOME RANGES
1
25-r
20-'’
(J)
H
Z
id
a 15-*
□
to
Hi
IL
o
O'
Id
10-kl
tn
□
z
5
o
■li|
Bpi
1
11-20
21-30
31-40
INCOME IN THOUSANDS OF DOLLARS
29
Forty six respondents scored between two hundred
(200) and five hundred thirty-six (536) on the SRRS
questionnaire.
Thirty-two scored below two hundred. An
equal number of students (twenty-three) scored between
two hundred (200) and two hundred ninety-nine (299) and
three hundred (300) and five hundred thirty-six (536) .
The lowest score was twenty-six (26) and the highest
five hundred thirty-six (536) .
Figure 5
SRE SCORES
25-]
■
20-K
zId
□□ 15w
u.
o
a 10in
to
S
□z
■
26-149
150-199
200-299
SRE SCORE RANGES
300-536
30
The distribution for grade point average resembles
a normal distribution pattern.
The majority of
students fell within the 2.6 to 3.0 GPA range.
mean grade point average equaled 2.77.
Figure 6
GRADE POINT AVERAGE
30-i
25 Yl
w
S 20W
Q
□
H
CO
IL
i
154
O
Z
id
co
S 1(H
■
D
Z
0
1.0-2.0
' IK*
■IIE
2.1-2.5
2.6-3.0
GPA RANGE
3.1-3.5
3.5-4.0
The
31
Figure 7 depicts the scatter plot derived from
plotting the SRE scores and GPA scores with a predicted
regression solution (predicted Y) .
The correlation
between GPA and SRE is negative r=. 2553 (p=. 024) and
significance F = 0.024.
Figure 7
Correlation of SRE Score to GPA
4
<3.5 0
fl>
a
to
u
. ♦
3 ' **
♦. . % ♦ ♦
-*♦
*
*
♦1#
♦;
<
*«*-♦*„
♦
<2.5 ” ♦ :
♦:
♦ ♦♦
♦
♦
♦
Q.
♦Y
♦
♦ ♦♦♦♦♦ f
* Wi
■ Predicted Y
w
C
£ 2•o
10
01.5 -
1 +
0
100
200
300
400
500
A
600
SRE Score
The
research question in this study asked to what
does stress impact on academic performance among
degree
full-time community college nursing students. This
study was
designed to examine the degree of correlation
32
between stress and GPA.
The results of this study
conclude that there is a weak negative correlation
between stress and grade point average and that this
finding is significant.
33
CHAPTER V
CONCLUSIONS AND SUMMARY
The correlation between stress and academic
performance has been researched and the findings
demonstrate that there is a relationship between these
two variables.
Several authors have concluded that
certain life events occurring within one year are
considered stressful and predictors of academic
performance (Chacko, 1991, Wildman, 1978, Lloyd et al,
1980, deMeuse 1993, Huerta, 1990).
This study, like Chacko's (1991) found that there
was a weak negative correlation between stress and
grade point average.
However, like Chapin's study
(1989) it failed to take coping into account but did
take scholastic aptitude into consideration as all of
the respondents achieved a GPA of 2.7 or above prior to
admission to the nursing program.
Unlike Wildman's (1978) and Lloyd's (1980)
studies
this study did not consistently find a
threshold effect.
In fact, several of the students who
reported stress scores above three hundrM
averages above three. There could be
grade point
34
several explanations fox* this finding.
Perhaps not all
students perceived each stress event as undesirable and
past research has demonstrated that undesirable life
events were better predictors of performance (1975).
Also, some students perform better under stress.
For
example, Chapin's study reported that anxiety may not
always be debilitating but can be a facilitating
factor.
This study did not examine the effect of socio
economic status, number of children in the family,
other role commitments such as mother, worker etc.,
coping strategies, perception of stress and age on the
relationship between stress and academic performance.
The mean age of the participants in this study was
thirty-one and the majority's annual household income
was between twenty-one and thirty thousand dollars per
year.
This study also failed to compare previous
performance levels without high stress levels to
performance under high stress levels. This comparison
demonstrate that an "A" student
may have been able to
when subjected to high levels of
became a "B" student
stressful life events.
35
RECOMMENDATIONS
This study found that there was a weak but
significant negative correlation between stress and
academic performance.
Further studies should be
conducted that also examine the impact of coping
strategies, age, socio-economic status and perception
of stress on academic performance.
Comparison studies
are also recommended to examine prior academic
performance without stress with academic performance
while under stress.
36
APPENDIX A
MEMORANDUM
TO:
Margaret Cornell
FROM:
Dean of Institutional Research
DATE:
April 21, 1994
RE:
Research Approval
(Name) Community College gives its approval to Ms.
Margaret Cornell to conduct her research on stress.
This approval allows Ms. Cornell to collect information
from students using a standard survey instrument and to
collect certain academic information such as student
QPAs.
Ms. Cornell will ensure the confidentiality of
this student information.
37
APPENDIX B
November 16, 1994
Dear Margaret:
It is my understanding that you would like to
survey the sophomore nursing students on the (name)
Community College campuses this Fall semester for the
purpose of conducting research for your thesis.
I have reviewed the survey tool by Holmes and Rahe
and grant permission for you to use it with the
students.
Please share the results of your findings with us
at the conclusion of your study.
Sincerely,
Director, Nursing Education
38
APPENDIX C
October 24, 1994
Journal of Psychosomatic Research
To Whom It May Concern:
I am in the process of completing my thesis for a
Masters of Science degree in Nursing.
The purpose of
this letter is to seek your permission to use the
Holmes and Rahe Social Readjustment Rating Scale to
collect data.
Thank you for your assistance.
Sincerely,
Margaret Cornell
39
appendix d
April 18, 1994
Dear Student:
I am in the process of completing my thesis as a
requirement for obtaining a master of science degree in
nursing at Edinboro University of Pennsylvania.
I am
studying the affect of stress on academic performance.
Perhaps the results of this study will provide enough
data to determine if stress assessment and
interventions are indicated for nursing students at
this college.
A questionnaire is attached.
answer all of the questions.
Please take time to
I will be available for
your inquiries while you are completing this survey.
The results of this questionnaire will be compared
with your grade point average for this semester.
your permission, I will request the registrar to
data. All data will
provide me with the necessary
remain strictly confidential.
Thank you for your assistance.
Sincerely,
Margaret Cornell
With
40
APPENDIX E
CONSENT
I hereby authorize Margaret Cornell to request
information about my grade point average from the
registrars office at (name) Community College for the
Fall semester of 1994.
I understand that this
information is being used for the sole purpose of
completing research for a thesis.
I also understand
that all data used for this purpose will remain
strictly confidential.
Student Signature
Date
41
APPENDIX F
RANK
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
EVENT
LIFE CHANGE UNITS
Death of spouse
100
Divorce
73
Marital separation
65
Jail term
63
Death of close family member
63
Personal injury or illness
53
Marriage
50
Fired from Job
47
Marital reconciliation
45
Retirement
45
Change in Health of Family Member
44
Pregnancy
40
Sex Difficulties
39
Gain of New Family Member
39
Business Adjustment
39
Change in financial state
38
Death of a Close Friend
37
Change to different line of Work
36
Change in # of arguments with spouse
35
Mortgage over $10,000
31
Foreclosure of mortgage or loan
30
Change in responsibilities at Work
29
Son or Daughter leaving home
29
Trouble With In-laws
29
Outstanding Personal Achievement
28
26
Wife Begin or Stop Work
26
Begin or End School
25
Change in Living Conditions
24
Revision of Personal Habits
23
Trouble With Boss
20
Change in Work Hours or Conditions
20
Change in Residence
20
Change in Schools
19
Change in Recreation
19
Change in Church Activities
18
Change in Social Activities
17
Loan
Less
Than
$10,000
Mortgage or
16
Changein Sleeping Habits
15
Change
Change in Number of family Get-Togethers
15
Change in Eating Habits
13
Vacation
12
Christmas
11
Minor Violations of The Law
42
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Media of