Fear, Stress, and Knowledge regarding COVID-19 in Nursing Students and Recent Graduates in Mexico


  • Isai Arturo Medina Fernández Autonomous University of Coahuila
  • Sonia Carreño Moreno National University of Colombia
  • Lorena Chaparro Díaz National University of Colombia
  • Ruth Magdalena Gallegos-Torres Autonomous University of Queretaro
  • Josué Arturo Medina Fernández XXI Century University Center
  • Eva Kerena Hernández Martínez Autonomous University of Coahuila




fear, psychological stress, knowledge, nursing students, nurses, coronavirus infections, pandemics


Objective. The study sought to correlate fear, stress, knowledge regarding COVID-19 in Nursing students and recent graduates in Mexico. Methods. Correlational design, sample comprising 912 nursing students and graduates during the last 18 months from public and private universities of Mexico. To measure the variables, the study applied the instrument Fear of COVID-19 Scale, knowledge subscale of the scale Knowledge, attitudes, and practices towards COVID-19, and the instrument COVID Stress Scale. Results. Relationship was found of the age variable with fear, danger of contamination, traumatic stress, knowledge and minor socioeconomic consequences (p<0.05). Likewise, relationship was observed of fear with stress regarding COVID-19, danger of contamination, socioeconomic consequences, xenophobia, traumatic stress, and compulsive checking (p<0.05). Stress and knowledge explain the presence of fear regarding COVID-19 in 50.3%, and fear and knowledge explain stress regarding COVID-19 in 50.4%. Conclusion. Nursing students and recent graduates have high levels of stress and fear, besides low level of knowledge. The presence of high stress and low knowledge predict fear regarding COVID-19. Interventions are required on knowledge, stress, and fear regarding COVID-19 in the population studied.

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Author Biographies

Isai Arturo Medina Fernández, Autonomous University of Coahuila

Nurse, Masters. Professor. Autonomous University of Coahuila, México.

Sonia Carreño Moreno, National University of Colombia

Nurse, PhD in Nursing. Associate professor. National University of Colombia.

Lorena Chaparro Díaz, National University of Colombia

Nurse, PhD in Nursing. Associate professor. National University of Colombia.

Ruth Magdalena Gallegos-Torres, Autonomous University of Queretaro

 Nurse, PhD. Professor. Autonomous University of Queretaro.

Josué Arturo Medina Fernández, XXI Century University Center

Nurse, Master. Professor. XXI Century University Center.

Eva Kerena Hernández Martínez, Autonomous University of Coahuila

 Nurse, PhD. Professor. Autonomous University of Coahuila.


Caldera-Villalobos C, Garza-Veloz I, Martínez-Ávila N, Delgado-Enciso I, Ortiz-Castro Y, Cabral-Pacheco GA et al. El desafío de la enfermedad del coronavirus (COVID-19) en México: una reflexión crítica y forzada como individuos y sociedad. Frente a la Salud Pública. 2020; 8:337.

Camjhi E. La pandemia golpea a casi 2.000 profesionales de la salud en México. El País; 4 May 2020 [cited 27 Nov 2020]. Available from: https://elpais.com/sociedad/2020-05-04/la-pandemia-golpea-a-casi-2000-profesionales-de-la-salud-en-mexico.html

Pakpour AH, Griffiths MD. The fear of COVID-19 and its role in preventive behaviors. J. Concurr. Disord. [nternet]. 2020. [cited 20 Mar 2020]. Available from: http://irep.ntu.ac.uk/id/eprint/39561/

Harper CA, Satchell LP, Fido D, Latzman RD. Functional Fear Predicts Public Health Compliance in the COVID-19 Pandemic. Int. J. Ment. Health Addict. [Internet]. 2020 [cited 27 Nov 2020]. Available from: https://doi.org/10.1007/s11469-020-00281-5

Bohlken J, Schömig F, Lemke MR, Pumberger M R-HS. COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review. Psychiatr. Prax. 2020; 47(4):190-197.

Wu W, Zhang Y, Wang P, Zhang L, Wang G, Lei G, et al. Psychological stress of medical staffs during outbreak of COVID‐19 and adjustment strategy. J. Med. Virol. [Internet] 2020 [cited 27 Nov 2020]. Available from: https://doi.org/10.1002/jmv.25914

Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J. Nurs. Manag. 2020 [cited 27 Nov 2020]. Available from: https://doi.org/10.1111/jonm.13014

Khader Y, Al Nsour M, Al-Batayneh OB, Saadeh R, Bashier H, Alfaqih M, et al. Dentists’ Awareness, Perception, and Attitude Regarding COVID-19 and Infection Control: Cross-Sectional Study Among Jordanian Dentists. JMIR Public Health Surveill. 2020; 6(2):e18798.

Moro M, Vigezzi G Pietro, Capraro M, Biancardi A, Nizzero P, Signorelli C, et al. 2019-novel coronavirus survey: Knowledge and attitudes of hospital staff of a large Italian teaching hospital. Acta Biomed. 2020; 91:29–34.

Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian Medical Students; A Survey on Their Related-Knowledge, Preventive Behaviors and Risk Perception. Arch. Iran Med. 2020; 23(4):249–54.

Carolan C, Davies C, Crookes P, McGhee S, Roxburgh M. COVID 19: Disruptive impacts and transformative opportunities in undergraduate nurse education. Nurse Educ. Pract. 2020; 46:102807

Kwasi D, Chung-Ying L, Imani V, Saffari M, Griffiths M, Pakpour A. The Fear of COVID-19 Scale: Development and Initial Validation. Int. J. Ment. Health Addict. 2020; 27:1–9.

Taylor S, Landry CA, Paluszek MM, Fergus TA, McKay D, Asmundson GJG. Development and initial validation of the COVID Stress Scales. J. Anxiety Disord. 2020; 72:102232.

Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, et al. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int. J. Biol. Sci. 2020; 16(10):1745–52.

Winter T, Riordan BC, Pakpour AH, Griffiths MD, Mason A, Poulgrain JW, et al. Evaluation of the English Version of the Fear of COVID-19 Scale and Its Relationship with Behavior Change and Political Beliefs. Int. J. Ment. Health Addict. 2020;1-11.

Sakib N, Bhuiyan AKMI, Hossain S, Al Mamun F, Hosen I, Abdullah AH, et al. Psychometric Validation of the Bangla Fear of COVID-19 Scale: Confirmatory Factor Analysis and Rasch Analysis. Int. J. Ment. Health Addict. 2020;1–12.

Huang L, Xu FM, Liu Hong. Emotional responses and coping strategies of nurses and nursing college students during COVID-19 outbreak. PLoS One. 2020; 15(8):e0237303.

Trinidad R, Lacaran K. Covid stress predicts depression, anxiety and stress symptoms of Filipino respondents Renz. Res. Bus. Soc. Sci. 2020; 9(4):78–103.

Asmundson G, Paluszek MM, Landry CA, Rachor GS, McKay D, Taylor S. Do pre-existing anxiety-related and mood disorders differentially impact COVID-19 stress responses and coping? J. Anxiety Disord. 2020; 74:1–6.

Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. PLoS One. 2020; 15(5):e0233668.

Begum F. Knowledge, Attitudes, and Practices towards COVID-19 among B.Sc. Nursing Students in Selected Nursing Institution in Saudi Arabia during COVID-19 Outbreak: An Online Survey Knowledge, Attitudes, and Practices towards COVID-19 among B.Sc. Nursing. Saudi J. Nurs. Health Care. 2020; 3(7):194–8.

Afzal MS, Khan A, Qureshi UUR, Saleem S, Saqib MAN, Shabbir RMK, et al. Community-Based Assessment of Knowledge, Attitude, Practices and Risk Factors Regarding COVID-19 Among Pakistanis Residents During a Recent Outbreak: A Cross-Sectional Survey. J Community Health. 2020; 1-11.

Maarefvand M, Hosseinzadeh S, Farmani O, Farahani AS, Khubchandani J. Coronavirus outbreak and stress in iranians. Int. J. Environ. Res. Public. Health. 2020;17(12):4441.

Zhi X, Lu L, Pu Y, Meng Ai, Zhao Y, Cheng F, et al. Investigation and analysis of psychological stress and professional identity of nursing students during COVID-19 pandemic. Indian. J. Exp. Biol. 2020; 58:426–32.

Ali M, Uddin Z, Chanda P, Hegazy F, Zamman S, Mohammed A, et al. Knowledge, attitude, practice and fear of COVID-19: A cross-cultural study. medRxiv. 2020 [cited 27 Nov 2020]. Available from: https://doi.org/10.1101/2020.05.26.20113233

Hossain M, Hossarin A, Walton L, Uddin Z, Haque O, Kabir F, et al. Knowledge, Attitudes, and Fear of COVID-19 during the Rapid Rise Period in Bangladesh. medRxiv. 2020 [cited 27 Nov 2020]. Available from: https://doi.org/10.1101/2020.06.17.20133611

McEachan R, Taylor N, Harrison R, Lawton R, Gardner P, Conner M. Meta-Analysis of the Reasoned Action Approach (RAA) to Understanding Health Behaviors. Ann. Behav. Med. 2016; 50(4):592–612

Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and Positivity: Mediating Role of Intolerance of Uncertainty, Depression, Anxiety, and Stress. Int. J. Ment. Health Addict. 20201-14.

Franco JA, Levi PA. Feelings, Stress, and Adaptation Strategies of Nurses against COVID-19 in Guayaquil. Invest. Educ. Enferm. 2020; 38(3):e07.



How to Cite

Medina Fernández, I. A., Carreño Moreno, S., Chaparro Díaz, L., Gallegos-Torres, R. M., Medina Fernández, J. A., & Hernández Martínez, E. K. (2021). Fear, Stress, and Knowledge regarding COVID-19 in Nursing Students and Recent Graduates in Mexico . Investigación Y Educación En Enfermería, 39(1). https://doi.org/10.17533/udea.iee.v39n1e05




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