Mahima Sharma Dhungana presented a journal club presentation on an article assessing perceived stress and coping strategies among nursing students during the COVID-19 pandemic lockdown. The presentation included an overview of the selected article, journal information, peer review process, critical appraisal of the article contents, strengths and weaknesses. It found that nursing students experienced moderate to high stress levels and used maladaptive coping strategies the most. The presentation contributes to the researcher's own planned study on stress and coping among health science students during the COVID-19 pandemic.

1. Journal Club Presentation
Presented By:
Name: Mahima Sharma Dhungana
Roll No: 14
BPH, VIII Semester, SHAS, PU.
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2. Presented for the partial fulfillment of requirement
of
PHA 451 Journal Club/Health Seminar
of
Bachelor of Public Health, VIII Semester,
School of Health and Allied Sciences, Pokhara University
under the cardinal supervision of
Assistant Professor Dr. Hari Prasad Kaphle
By
Mahima Sharma Dhungana,
Symbol number: 17370191,
Registration number: 2016-1-37-0115
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3. Selected Article for Presentation
• Sheroun D, Wankhar DD, Devrani A, Lissamma PV, Gita S, Chatterjee
K. A Study to Assess the Perceived Stress and Coping Strategies
among B. Sc. Nursing Students of Selected Colleges in Pune during
COVID-19 Pandemic Lockdown'. International Journal of Science and
Healthcare Research. 2020; Vol.5; Issue: 2; Page: 280-288.
• DOI: inrein.com/10.4444/ijshr.1003/458
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4. Journal Information
• International Journal of Science and Healthcare Research
(IJSHR) is a double-blind , quarterly published, peer-reviewed, open
access online international journal dedicated to promotion of research
in the field of science and healthcare since 2016.
• The journal publishes articles on the following categories: Original
Research Articles, Short communications, Review Articles, Brief
Review, Case report/study, Clinical Image.
• It publishes original research article from broad areas of Science and
Healthcare which includes Anthropology, Architecture,
Bioinformatics, Biology, food and nutrition, Pharmacology,
Physiology, Physiotherapy, Public Health etc.
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5. Journal Information
• It is indexed in the following databases/directories:
Index Copernicus, Google Scholar, Academia.edu, J-Gate, Research
Bib, ICMJE (International Committee of Medical Journal Editors),
Science central, Jour Informatics, Internet Archive, Scribd,
AcademicKeys, Mendeley & other databases.
• Publisher : Galore Knowledge Publication Pvt. Ltd.
• As of 2018,Impact Factor is 4.26 (ICV 2018:100.00)
• ISSN (Online): 2455-7587
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6. Journal Information
• Editors: There are 3 main editors with 1 associate editor and 38
editorial team members.
• There is no submission fee. IJSHR charges nominal
publication/processing fee of INR 1,000/- from authors from India and
USD 30 from authors out of India irrespective of number of authors
and page numbers, only after acceptance of article.
• All scientific papers will be independently peer reviewed to determine
the originality of research and the viability of publication.
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7. Peer Review Process
• Submitted manuscript will be initially judged on the basis of relevance,
significance and interest to readers editorial team member.
• Suitable manuscript after primary screening will be checked for plagiarism and
grammatical errors using available software.
• After successful passing of this step, double blind review will be done by
reviewers and submit report after critical appraisal of the manuscript.
• Review report with any modification/correction will be communicated to
corresponding author after review process to make suggested changes.
• Review report and any modification will be analyzed by concerned
associate/assistant editors and will be communicated to chief/managing editor for
his / her approval for publishing in journal.
• After entire review process, authors will be communicated about the decision of
editorial team and if accepted, publication of corrected manuscript in journal and
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8. Critical Appraisal of Journal
• There is an editorial board with highly qualified team members.
• Reviewers with minimum five years of experience in his/her area.
• Has regular publication schedule ,issues and guidelines for
publication.
• Follows rigorous procedure before publishing.
• Stable journal management.
• Free open access abstract and full text articles.
• High impact factor.
• Fast publication process.
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9. Tittle of Article
• A Study to Assess the Perceived Stress and Coping Strategies among
B.Sc. Nursing Students of Selected Colleges in Pune during COVID-
19 Pandemic Lockdown
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10. Critical Appraisal of Tittle
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• Title is meaningful and complete.
• It indicates the topic and focus of the study.
• It gives idea of study population and study setting.
• Title clearly indicate what the research is about without being
extremely long or too short.
• Variables are clearly stated .

11. Authors
• Deepika Sheroun: MSc Nursing Student (Psychiatric Nursing), Department
of Psychiatric Nursing, College of Nursing, AFMC Pune
• Dapple D Wankhar: Asst Professor (Psychiatry Nursing), Department of
Psychiatric Nursing, College of Nursing, AFMC, Pune
• Amita Devrani: Principal and HoD Department of Child Health Nursing,
College of Nursing, AFMC Pune
• Lissamma PV: Professor and Vice Principal, College of Nursing , AFMC
Pune
• S Gita: Professor and HoD, Department of Med & Surg Nursing ,College
of Nursing, AFMC
• Keka Chatterjee: Asst Professor, Department of Obs & Gynae Nursing,
College of Nursing, AFMC
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12. Critical Appraisal of Authors
• Name of the authors are clearly mentioned.
• Professional and academic qualification are clearly mentioned .
• Authors' current position and area of expertise, affiliations are
mentioned.
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13. Abstract
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14. Critical Appraisal of Abstract
• It has provided a succinct summary of the contents of the article.
• Format as per journal guidelines has been followed.
• Informative abstract.
• Comprehensive in its contents.
• Key words has been taken from the title and as per the journal
guidelines.
• Key words selected facilitates data search through search engines.
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15. Introduction
• It has focused on the COVID-19 Pandemic, which is currently
affecting the world, has even affected the mental health due to
numerous reasons – Uncertainty, poor prognosis, economic loss,
insecurity, confusion, emotional isolation, stigma, school/work
closure, inadequate resources for medical response, and deficient
distribution of necessities. As a result people experience a lot of
emotional disturbances such as stress, insomnia, frustration,
irritability.
• From the studies conducted some groups are considered to be
vulnerable among which students are found to be one of them.
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16. Introduction
• It has highlighted the affects on students and educators due to the
change in modality of teaching learning due to the COVID-19
Pandemic.
• Studies have shown that dealing with the hectic student nursing life
the drastic lifestyle changes imposed due to COVID 19 pandemic can
be very challenging among nursing student.
• Thus, the present study attempts to explore the perceived stress and the
coping strategies utilized by the BSc nursing students in the COVID
19 pandemic lockdown.
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17. Critical Appraisal of Introduction
• Relevant background.
• Introduction has been structured in a linear manner under three parts.
• Introduction has been built on existing literature.
• Objectives of the study is clear.
• Need of the study has been justified.
• Meaningful, logically presented and easy to understand.
• Research question and hypothesis has not been stated clearly.
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18. Materials and methods
• Cross sectional Descriptive study design was used.
• Target population were BSc Nursing students of various colleges in
Pune .
• Purposive sampling method was used and data collection was done
through Online Questionnaire.
• Tools used were Perceived Stress Scale and Brief Cope Strategy
Scale
• Data measurement was done by self administered online survey.
• Permission was taken from psychiatric department and ethical
clearance was obtained.
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19. Materials and Methods
• Consent from the participants was obtained and the purpose of the
study was explained to them through online survey questionnaire.
• The data were analyzed and tabulated as percentage distribution.
Inferential statistical analysis was done for the perceived stress and
coping strategies.
• The mean score and SD were also tabulated. The data were analyzed
using the Statistical Package for the Social Sciences statistical
software (SPSS -21) .
• Association between socio demographic data was analyzed using
ANOVA and Mann Whitney test.
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20. Use of Tools
• Perceived Stress Scale : It was developed by Sheldon Cohen in the
year 1983. The Perceived Stress Scale (PSS) is the most widely used
psychological instrument for measuring the perception of stress. The
questions in this scale ask about your feelings and thoughts during the
last month. In each case, respondents are asked how often they
felt/thought in a certain way.
• Scores ranging from 0-13 indicates low stress.
Scores ranging from 14-26 indicates moderate stress.
Scores ranging from 27-40 indicates high perceived stress
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21. Use of Tools
• Brief Cope Strategy Scale : The Brief-COPE is a 28 item self-report
questionnaire designed to measure effective and ineffective ways to
cope with a stressful life event.
• The scale can determine someone’s primary coping styles such as
Emotion Focused Coping, Problem Focused Coping, Adaptive Coping
and Maladaptive Coping.
• The Brief-Cope was developed as a short version of the original 60-
item COPE scale (Carver et al., 1989), which was theoretically derived
based on various models of coping.
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22. Critical Appraisal of Materials and Methods
• Ethical approval and consent of participants was attainted.
• Number of participants their characteristics and selection process has
been described.
• Data collection tools has been described clearly.
• Data analysis process has been described.
• Process of obtaining ethics clearance and how ethical standards were
maintained has not been made clear.
• No any limitations of the study has been discussed.
• The non response rate has not been incorporated.
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23. Results
• Demographic Characteristics: Most of participants were of age
group 21- 25 years with 11 males and rest females out of 427
participants. The maximum number of students were found to be in
their final year of study(31.9%) and followed Hinduism (81%).
Maximum of the participants received information of COVID19
through internet.
• Perceived Stress Score(PSS):High PSS score was seen in 13.35% of
the participants. Final year students were found to have highest scores
for PSS with 2nd year students having lowest score.
• Coping strategies: Maximum of the participants were found to have
moderate coping strategies score(76.58%) with maladaptive coping
scores being the highest and adaptive coping being the least.
• Higher coping strategies score was seen in 1st year students with age
group 17-20 years and least coping score by 4th year students.
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24. Critical Appraisal of Results
• Table and figures has been used for clear representation of data.
• Results has been presented in logical and comprehensible manner.
• Important results are presented both in table and text with proper title
and numbering.
• Results are based on aim and objectives of the study.
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26. Discussion
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27. Critical Appraisal of Discussion
• Important findings has been highlighted with enough explanations.
• Present findings has been correlated with the related previous studies.
• Results has been used to refute the results of other studies.
• Strength, limitations and flaws of the study has not been stated in the
discussion.
• Logical comparison has been made.
• Data presented in results has been discussed again as data along with
text.
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28. Conclusion
• The study highlights the perceived stress by nursing students who
already lead a hectic routine and lifestyle.
• The mean perceived stress score among the participants was 21.88
(+4.30), the mean coping strategies score was 74.38 (+12.30) with
maladaptive coping strategy being the highest in the participants.
• Stress was not affected by any of the socio demographic variables,
whereas coping strategies score was found to be more in age group of
17-20 yrs.
• Authors believes that providing Nursing students psychological
support and assurance can help the students to overcome the stress to
cope in the lockdown and perform better in their studies.
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29. Critical Appraisal of Conclusion
• Conclusion is meaningful and believable.
• The conclusion has been supported by the results drawn.
• They are based on aim and objectives of the study.
• Main points were drawn out.
• Fresh insights and a new perspective on the topic demonstrated.
• There were no any suggestions for future research.
• No new hypothesis has been generated and presented as conclusion.
• No recommendation has been made based on the research.
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30. References
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31. Critical Appraisal of References
• The references are for every citation in the text part of the article.
• All the reference are accurate and is enough for the recent
publications.
• Both primary and secondary references has been used.
• All the references are compete and in Vancouver style as per the
journal guideline.
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32. Strengths
• Research objectives are clearly stated.
• Relevant research topic.
• This article is a reliable and useful source of information for academic
and non academic purposes.
• Portrays psychological status of students during COVID 19 Pandemic.
• The comparison between results of other studies is done well.
• Scientific research design and methods has been applied.
• Writing is well structured and easy to understand.
• Conclusions of the research article is meaningful and based on the
objectives of the study.
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33. Weaknesses
• Strength and Limitations are not discussed.
• Recommendations and suggestions for further research are not made.
• Limited variables are used to find out the association.
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34. Overall significance of the article
• Findings of the article are believable.
• It contributes to the scientific society as the research findings are
published in reputed journal.
• New findings are achieved such as prevalence and significant
associations.
• The study has good generalizability as sample size is large and data is
collected from different sites.
• It suggests a need for psychological counseling aimed at helping
students to overcome with stress.
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35. Contribution in conducting my research
My title for research: “Stress and its Coping Strategies during COVID-
19 Pandemic among Undergraduate Health Science Students of
Pokhara.”
• The tools and sampling technique can be used similarly in my
research.
• Article is also useful in defining study variables.
• The findings from the study can be compared to that of my study.
• References mentioned in this article can also be used for literature
review for my research proposal.
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36. Questions?
Queries?
Suggestions?
Feedbacks?
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37. Thank You!
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