A Japanese version of the Stressors in Nursing Students (SINS) scale

Research output: Contribution to journalArticle


  • Roger Watson
  • Kumi Watanabe
  • Ayako Yamashita
  • Mieko Yamaguchi

Colleges, School and Institutes

External organisations

  • University of Hull
  • Kagawa University
  • Niimi College
  • Okayama Prefectural University


Objectives: To translate and study the factor structure of a Japanese version of the Stressors in Nursing Students scale.

Methods: The Stressors in Nursing Students scale was translated into Japanese and administered to a large cohort (N = 1,298) of female Japanese nursing students across five universities and across all four years of the nursing programme. The data were analysed using exploratory factor analysis.

Results: Exploratory factor analysis revealed four factors: ‘Clinical’; ‘Conflict and confidence’; ‘Education’; and ‘Free time’. The relationship between the total score on the Stressors in Nursing Students scale and the demographic aspects of the sample was weak but there was a significant increase in the perception of stressors between first and second year students.

Conclusion: There were similarities and differences between the perception of stressors by nursing students in Japan compared with, for example, the United Kingdom and mainland China. While a four-factor structure was found here, the distribution of items in the Stressors in Nursing Students scale differed from previous studies in the United Kingdom and China with the ‘Free time’ factor being unique to this study. Stress is an issue for nursing students and is related to the specific stressors they encounter in the process of their work and study. Findings can inform the development of strategies to reduce such stressors among nursing students in multiple, global contexts.


Original languageEnglish
Pages (from-to)181-185
JournalInternational Journal of Nursing Sciences
Issue number2
Publication statusPublished - 10 Apr 2018


  • nursing students, factor analysis, Japan, stressors