Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2007 Fall;21(2):129-37.
doi: 10.7899/1042-5055-21.2.129.

Chiropractic interns' perceptions of stress and confidence

Affiliations

Chiropractic interns' perceptions of stress and confidence

Adele Mattinat Spegman et al. J Chiropr Educ. 2007 Fall.

Abstract

Objective: Psychological stress has been shown to influence learning and performance among medical and graduate students. Few studies have examined psychological stress in chiropractic students and interns. This preliminary study explored interns' perceptions around stress and confidence at the midpoint of professional training.

Methods: This pilot study used a mixed-methods approach, combining rating scales and modified qualitative methods, to explore interns' lived experience. Eighty-eight interns provided ratings of stress and confidence and narrative responses to broad questions.

Results: Participants reported multiple sources of stress; stress and confidence ratings were inversely related. Interns described stress as forced priorities, inadequate time, and perceptions of weak performance. Two themes, "convey respect" and "guide real-world learning," describe faculty actions that minimized stress and promoted confidence.

Conclusion: Chiropractic interns experience varying degrees of stress, which is managed with diverse strategies. The development of confidence appears to be influenced by the consistency and manner in which feedback is provided. Although faculty cannot control the amount or sources of stress, awareness of interns' perceptions can strengthen our effectiveness as educators.

Keywords: education; mixed methods; professional; qualitative studies; stress, psychological.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Data collection instrument used for the study.
Figure 2
Figure 2
Associations between stress and confidence according to quarter of study: scatterplot of scale-level data
Figure 3
Figure 3
Relationships between stress and confidence according to quarter of study: interval-level data

References

    1. Lazarus RS. Psychological stress and the coping process. New York: McGraw-Hill; 1966.
    1. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.
    1. Lewis B, Langworthy JM. Anxiety in new chiropractic clinic interns. Eur J Chiropr. 1993;41:89–94.
    1. Bougie JD, Singh BB. Screening for harmful and hazardous drinking by chiropractic students. J Chiropr Educ. 2005;19:85–90.
    1. Newbury-Birch D, Walshaw D, Kamali F. Drink and drugs: from medical students to doctors. Drug Alcohol Depend. 2001;64:265–70. - PubMed