how to write a problem statement in nursing research

• Research Process

What is a Problem Statement? [with examples]

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The statement of the problem is one of the first things that a colleague or potential client will read. With the vastness of the information available at one’s fingertips in the online9 world, your work may have just a few seconds to draw in a reader to take a deeper look at your proposal before moving on to the next option. It explains quickly to the reader, the problem at hand, the need for research, and how you intend to do it.

A strong, clear description of the problem that drew you to your research has to be straightforward, easy to read and, most important, relevant. Why do you care about this problem? How can solving this problem impact the world? The problem statement is your opportunity to explain why you care and what you propose to do in the way of researching the problem.

A problem statement is an explanation in research that describes the issue that is in need of study . What problem is the research attempting to address? Having a Problem Statement allows the reader to quickly understand the purpose and intent of the research. The importance of writing your research proposal cannot be stressed enough. Check for more information on Writing a Scientific Research Project Proposal .

It is expected to be brief and concise , and should not include the findings of the research or detailed data . The average length of a research statement is generally about one page . It is going to define the problem, which can be thought of as a gap in the information base. There may be several solutions to this gap or lack of information, but that is not the concern of the problem statement. Its purpose is to summarize the current information and where a lack of knowledge may be presenting a problem that needs to be investigated .

The purpose of the problem statement is to identify the issue that is a concern and focus it in a way that allows it to be studied in a systematic way . It defines the problem and proposes a way to research a solution, or demonstrates why further information is needed in order for a solution to become possible.

What is Included in a Problem Statement?

Besides identifying the gap of understanding or the weakness of necessary data, it is important to explain the significance of this lack.

-How will your research contribute to the existing knowledge base in your field of study?

-How is it significant?

-Why does it matter?

Not all problems have only one solution so demonstrating the need for additional research can also be included in your problem statement. Once you identify the problem and the need for a solution, or for further study, then you can show how you intend to collect the needed data and present it.

How to Write a Statement of Problem in Research Proposal

It is helpful to begin with your goal. What do you see as the achievable goal if the problem you outline is solved? How will the proposed research theoretically change anything? What are the potential outcomes?

Then you can discuss how the problem prevents the ability to reach your realistic and achievable solution. It is what stands in the way of changing an issue for the better. Talk about the present state of affairs and how the problem impacts a person’s life, for example.

It’s helpful at this point to generally layout the present knowledge and understanding of the subject at hand, before then describing the gaps of knowledge that are currently in need of study. Your problem statement is a proposed solution to address one of these gaps.

A good problem statement will also layout the repercussions of leaving the problem as it currently stands. What is the significance of not addressing this problem? What are the possible future outcomes?

Example of Problem Statement in Research Proposal

If, for example , you intended to research the effect of vitamin D supplementation on the immune system , you would begin with a review of the current knowledge of vitamin D’s known function in relation to the immune system and how a deficiency of it impacts a person’s defenses.

You would describe the ideal environment in the body when there is a sufficient level of vitamin D. Then, begin to identify the problems associated with vitamin D deficiency and the difficulty of raising the level through supplementation, along with the consequences of that deficiency. Here you are beginning to identify the problem of a common deficiency and the current difficulty of increasing the level of vitamin D in the blood.

At this stage, you may begin to identify the problem and narrow it down in a way that is practical to a research project. Perhaps you are proposing a novel way of introducing Vitamin D in a way that allows for better absorption by the gut, or in a combination with another product that increases its level in the blood.

Describe the way your research in this area will contribute to the knowledge base on how to increase levels of vitamin D in a specific group of subjects, perhaps menopausal women with breast cancer. The research proposal is then described in practical terms.

How to write a problem statement in research?

Problem statements differ depending on the type and topic of research and vary between a few sentences to a few paragraphs.

However, the problem statement should not drag on needlessly. Despite the absence of a fixed format, a good research problem statement usually consists of three main parts:

Context: This section explains the background for your research. It identifies the problem and describes an ideal scenario that could exist in the absence of the problem. It also includes any past attempts and shortcomings at solving the problem.

Significance: This section defines how the problem prevents the ideal scenario from being achieved, including its negative impacts on the society or field of research. It should include who will be the most affected by a solution to the problem, the relevance of the study that you are proposing, and how it can contribute to the existing body of research.

Solution: This section describes the aim and objectives of your research, and your solution to overcome the problem. Finally, it need not focus on the perfect solution, but rather on addressing a realistic goal to move closer to the ideal scenario.

Here is a cheat sheet to help you with formulating a good problem statement.

1. Begin with a clear indication that the problem statement is going to be discussed next. You can start with a generic sentence like, “The problem that this study addresses…” This will inform your readers of what to expect next.

2. Next, mention the consequences of not solving the problem . You can touch upon who is or will be affected if the problem continues, and how.

3. Conclude with indicating the type of research /information that is needed to solve the problem. Be sure to reference authors who may have suggested the necessity of such research.

This will then directly lead to your proposed research objective and workplan and how that is expected to solve the problem i.e., close the research gap.

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Research Problem Statement — Find out how to write an impactful one!

Table of Contents

What Is a Research Problem Statement?

A research problem statement is a clear, concise, and specific statement that describes the issue or problem that the research project addresses. It should be written in a way that is easily understandable to both experts and non-experts in the field.

To write a research problem statement, you should:

• Identify the general area of interest: Start by identifying the general area of research that interests you.
• Define the specific problem: Narrow down the general area of interest to a specific problem or issue.
• Explain the significance of the problem: Provide context for the problem by explaining why it is important to study and what gap in current knowledge or understanding it fills.
• Provide a clear and concise statement: State the problem in a clear and concise manner, making sure to use language that is easily understood by your intended audience.
• Use a scientific and objective tone: The problem statement should be written in a neutral and objective tone, avoiding any subjective language and personal bias .

An Example of a Research Problem Statement

“The increasing prevalence of obesity in children is a growing public health concern. Despite the availability of information on healthy eating and physical activity, many children are still not engaging in healthy lifestyle behaviors. The problem this study addresses is the lack of understanding of the barriers and facilitators to healthy lifestyle behaviors in children.”

When to Write a Problem Statement in Research?

A research problem statement should be written at the beginning of the research process, before any data collection or analysis takes place. This is because the statement sets the foundation for the entire research project by clearly defining the problem that the research is trying to address.

Writing a problem statement early in the research process helps to guide the research design and methodology , and ensures that the research is focused on addressing the specific problem at hand. It also helps to ensure that the research is relevant and addresses a gap in current knowledge or understanding.

In addition, a well-written problem statement effectively communicates the purpose and significance of the research to potential funders, collaborators, and other stakeholders. It also generates interest and support for the research project.

It’s also important to note that, during the research process, the statement can be refined or updated as new information is discovered or as the research progresses. This is normal and it’s a good idea to revise the statement as needed to ensure that it remains clear and concise and that it accurately reflects the current focus of the research project.

What Does a Research Problem Statement Include?

A research problem statement typically includes the following elements:

1. The research topic:

The general area of interest or field of study that the research project addresses.

2. The specific problem or issue:

A clear and concise statement of the problem or issue that the research project aims to address.

3. The significance of the problem:

A discussion of why the problem is important and what gap in current knowledge or understanding it fills.

4. The research questions:

A set of questions that the research project aims to answer, in order to address the problem or issue.

5. The research objectives:

A set of specific and measurable objectives that the research project aims to achieve.

6. The scope of the research:

A description of the specific population, setting, or context that the research project will focus on.

7. The theoretical framework:

A discussion of the theoretical concepts and principles that inform the research project.

8. The research design:

A description of the research methodologies that will be used to collect and analyze data in order to address the research questions and objectives.

It’s important to note that the problem statement is usually brief and concise, typically a few sentences or a short paragraph. But it should provide enough information to convey the main idea of the research project.

Important Features of Research Problem Statement

The problem statement should be clear and easy to understand. Write it in a way that is accessible to both experts and non-experts in the field.

2. Specificity

The statement should be specific and clearly define the problem or issue that the research project aims to address. It should be narrow enough to be manageable, but broad enough to be of interest to others in the field.

3. Significance

The statement should explain why the problem is important and what gap in current knowledge or understanding it fills. It should provide context for the research project and help to justify its importance.

4. Relevance

The statement should be relevant to the field of study and address an issue that is currently of concern to researchers.

5. Research questions

The statement should include a set of research questions that the research project aims to answer in order to address the problem or issue.

6. Research objectives

The statement should include a set of specific and measurable objectives that the research project aims to achieve.

The statement should define the specific population, setting, or context that the research project will focus on.

8. Theoretical framework

The statement should provide an overview of the theoretical concepts and principles that inform the research project.

9. Research design

The statement should provide an overview of the research methodologies. This will be useful collect and analyze data in order to address the research questions and objectives.

Difference Between a Thesis Statement and a Problem Statement

A thesis statement and a problem statement are related but distinct elements of a research project.

A thesis statement is a statement that summarizes the central argument or claim of a research paper or essay. It presents the main idea of the paper and sets the direction for the rest of the content. It’s usually located at the end of the introduction, and it’s often one sentence.

A problem statement, on the other hand, is a statement that describes a specific problem or issue that the research project aims to address. It sets the foundation for the entire research project by clearly defining the research problem. It is usually located at the beginning of a research paper or proposal, and is of one or a few paragraphs.

In summary, a thesis statement is a summary of the main point or key argument of the research paper. A problem statement describes the specific issue that the research project aims to address. A thesis statement is more focused on the final outcome of the research. While a problem statement is focused on the current state of knowledge and the gap in understanding that the research project aims to fill.

In Conclusion

A problem statement is a critical component of the research project, as it provides a clear and concise roadmap for the research, and helps to ensure that the research is well-designed and addresses a significant and relevant issue.

We hope this blog has clarified your doubts and confusion associated with research problem statement and helps you write an effective statement for your research project!

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How to Write a Problem and Purpose Statement in Nursing Research

Susan ruckdeschel.

The most important components of a research paper are the problem and purpose statements. They communicate the reason for the research, what will be researched, what will be accomplished and how the study will proceed. Communicating the problem and purpose statements clearly and concisely will help reviewers develop a clear understanding for what you’re doing, while persuading them as to its merits as a worthy contribution to the nursing community.

Explore this article

• The Problem Statement
• State the general problem
• Include in the problem statement
• Include clear identification
• The Purpose Statement
• Begin the next paragraph
• Use a single statement
• Offer a hint
• Identify and state the research variables

1 The Problem Statement

2 state the general problem.

Clearly and concisely state the general problem to be addressed through the research. Describe in detail the need for the study. Be clear and use all past-tense language without first-person references. For example, if the problem states that there is a shortage of volunteers in the HIV unit, describe why these volunteers are needed by the hospital, unit or staff.

3 Include in the problem statement

Include in the problem statement a description of the method and research design. Detail briefly how the design is appropriate to the problem. Use introductory language such as, “This study will examine…” and “This study will compare…” State the research design clearly, and make sure it contains enough detail to demonstrate and communicate that the design is appropriate for the study.

4 Include clear identification

Include clear identification of the general population and geographic location of the study in the problem statement. For example, if the general population is children under the age of five from households with an annual income of less than $30,000, state it clearly. The entire problem statement should not be more than one paragraph or three to four statements altogether.

5 The Purpose Statement

6 begin the next paragraph.

Begin the next paragraph with a purpose statement that identifies the type of study to be conducted: qualitative, quantitative or a mixed method. Define the specific area of research, for example science, pharmacy or the social sciences. Keep the purpose statement and study details brief enough to revisit and expand upon later on in the paper. For example, “This quantitative study will analyze the effects of Rx on…”

7 Use a single statement

Use a single statement to explain what the study intends to accomplish. Structure it as a goals statement for example, “The purpose of this study is to examine…” or “The purpose of this qualitative study is to compare the treatment effects of…”

8 Offer a hint

Offer a hint, but only a hint, at the hypothesis and significance or importance of the study in the purpose statement. Keep this brief so that it too can be expanded upon later. For example, if the hypothesis is that Group A will respond more favorably to a certain treatment and Group B will not respond at all, establish this in the purpose statement generally, for example “Groups A and Group B will be tested for a reaction” and leave the details to expand upon later in the paper.

9 Identify and state the research variables

Identify and state what the research variables are: independent, dependent, relationships, comparisons. Variables are the causes and effects of the study; they are the actions and the reactions under study, where one variable operates independently, and the other operates dependently in reaction. Be very clear about the distinction between the independent and dependent variables by identifying each variable as it is - either dependent or independent.

• Be careful not to get too detailed about the problem statement, otherwise the readers will lose focus of the problem.
• A good problem statement will answer the question: "Why does this research need to be conducted?"

About the Author

Susan Ruckdeschel began writing in 1989 as a guest columnist for the "Rochester Democrat and Chronicle." Her work continues to blossom, with the recent publication of a handbook for teachers and numerous other books soon to be released. Ruckdeschel has a Master of Science in education from Nazareth College and is completing her Doctor of Philosophy in educational leadership.

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Research Problems, Research Questions, and Hypotheses

  Describe the process of developing and refining a research problem   Distinguish the functions and forms of statements of purpose and research questions for quantitative and qualitative studies   Describe the function and characteristics of research hypotheses   Critique statements of purpose, research questions, and hypotheses in research reports with respect to their placement, clarity, wording, and significance   Define new terms in the chapter Key Terms   Directional hypothesis   Hypothesis   Nondirectional hypothesis   Null hypothesis   Problem statement   Research hypothesis   Research problem   Research question   Statement of purpose OVERVIEW OF RESEARCH PROBLEMS Studies begin in much the same fashion as an evidence-based practice (EBP) effort—as problems that need to be solved or questions that need to be answered. This chapter discusses research problems and research questions. We begin by clarifying some terms. Basic Terminology Researchers begin with a topic on which to focus. Examples of research topics are claustrophobia during magnetic resonance imaging (MRI) tests and pain management for sickle cell disease. Within broad topic areas are many possible research problems. In this section, we illustrate various terms using the topic side effects of chemotherapy. A research problem is an enigmatic or troubling condition. The purpose of research is to “solve” the problem—or to contribute to its solution—by gathering relevant data. A problem statement articulates the problem and an argument that explains the need for a study. Table 6.1 presents a simplified problem statement related to the topic of side effects of chemotherapy. Many reports provide a statement of purpose (or purpose statement ), which is a summary of an overall goal. Sometimes the words aim or objective are used in lieu of purpose. Research questions are the specific queries researchers want to answer. Researchers who make specific predictions about answers to research questions pose hypotheses that are then tested. These terms are not always consistently defined in research textbooks. Table 6.1 illustrates the interrelationships among terms as we define them. Research Problems and Paradigms Some research problems are better suited to qualitative versus quantitative inquiry. Quantitative studies usually involve concepts that are well developed and for which methods of measurement have been (or can be) developed. For example, a quantitative study might be undertaken to assess whether people with chronic illness are more depressed than people without a chronic illness. There are relatively good measures of depression that would yield quantitative data about the level of depression in those with and without a chronic illness. Qualitative studies are undertaken because a researcher wants to develop a rich, context-bound understanding of a poorly understood phenomenon. Qualitative methods would not be well suited to comparing levels of depression among those with and without chronic illness, but they would be ideal for exploring the meaning of depression among chronically ill people. In evaluating a research report, one consideration is whether the research problem is suitable for the chosen paradigm. Sources of Research Problems Where do ideas for research problems come from? At the most basic level, research topics originate with researchers’ interests. Because research is a time-consuming enterprise, curiosity about and interest in a topic are essential to a project’s success. Research reports rarely indicate the source of researchers’ inspiration for a study, but a variety of explicit sources can fuel their curiosity, such as nurses’ clinical experience and readings in the nursing literature. Also, topics are sometimes suggested by global social or political issues of relevance to the health care community (e.g., health disparities). Theories from nursing and other disciplines sometimes suggest a research problem. Additionally, researchers who have developed a program of research may get inspiration for “next steps” from their own findings or from a discussion of those findings with others. Example of a problem source for a quantitative study Beck, one of this book’s authors, has developed a strong research program on postpartum depression (PPD). Beck was approached by Dr. Carol Lammi-Keefe, a professor in nutritional sciences and her PhD student, Michelle Judge, who had been researching the effect of DHA (docosahexaemoic acid, a fat found in cold-water fish) on fetal brain development. The literature suggested that DHA might play a role in reducing the severity of PPD, and so these researchers collaborated in a project to test the effectiveness of dietary supplements of DHA during pregnancy on the incidence and severity of PPD. The researchers found that women in the DHA experimental group had fewer symptoms of PPD compared to women who did not receive the DHA intervention ( Judge et al., 2014 ). Development and Refinement of Research Problems Developing a research problem is a creative process. Researchers often begin with interests in a broad topic area and then develop a more specific researchable problem. For example, suppose a hospital nurse begins to wonder why some patients complain about having to wait for pain medication when certain nurses are assigned to them. The general topic is differences in patients’ complaints about pain medications. The nurse might ask, What accounts for this discrepancy? This broad question may lead to other questions, such as How do the nurses differ? or What characteristics do patients with complaints share? The nurse may then observe that the ethnic background of the patients and nurses could be relevant. This may direct the nurse to look at the literature on nursing behaviors and ethnicity, or it may lead to a discussion with peers. These efforts may result in several research questions, such as the following:   What is the nature of patient complaints among patients of different ethnic backgrounds?   Is the ethnic background of nurses related to the frequency with which they dispense pain medication?   Does the number of patient complaints increase when patients are of dissimilar ethnic backgrounds as opposed to when they are of the same ethnic background as nurses? These questions stem from the same problem, yet each would be studied differently; for example, some suggest a qualitative approach, and others suggest a quantitative one. Both ethnicity and nurses’ dispensing behaviors are variables that can be measured reliably. A qualitative researcher would be more interested in understanding the essence of patients’ complaints, patients’ experience of frustration, or the process by which the problem got resolved. These aspects of the problem would be difficult to measure. Researchers choose a problem to study based on its inherent interest to them and on its fit with a paradigm of preference. COMMUNICATING RESEARCH PROBLEMS AND QUESTIONS Every study needs a problem statement that articulates what is problematic and what must be solved. Most research reports also present either a statement of purpose, research questions, or hypotheses, and often, combinations of these three elements are included. Many students do not really understand problem statements and may have trouble identifying them in a research article. A problem statement is presented early and often begins with the first sentence after the abstract. Research questions, purpose statements, or hypotheses appear later in the introduction. Problem Statements A good problem statement is a declaration of what it is that is problematic, what it is that “needs fixing,” or what it is that is poorly understood. Problem statements, especially for quantitative studies, often have most of the following six components: 1.   Problem identification : What is wrong with the current situation? 2.   Background : What is the nature of the problem, or the context of the situation, that readers need to understand? 3.   Scope of the problem : How big a problem is it, and how many people are affected? 4.   Consequences of the problem : What is the cost of not fixing the problem? 5.   Knowledge gaps : What information about the problem is lacking? 6.   Proposed solution : How will the new study contribute to the solution of the problem? Let us suppose that our topic was humor as a complementary therapy for reducing stress in hospitalized patients with cancer. One research question (discussed later in this section) might be “What is the effect of nurses’ use of humor on stress and natural killer cell activity in hospitalized cancer patients?” Box 6.1 presents a rough draft of a problem statement for such a study. This problem statement is a reasonable draft, but it could be improved. Box 6.1   Draft Problem Statement on Humor and Stress A diagnosis of cancer is associated with high levels of stress. Sizeable numbers of patients who receive a cancer diagnosis describe feelings of uncertainty, fear, anger, and loss of control. Interpersonal relationships, psychological functioning, and role performance have all been found to suffer following cancer diagnosis and treatment. A variety of alternative/complementary therapies have been developed in an effort to decrease the harmful effects of cancer-related stress on psychological and physiological functioning, and resources devoted to these therapies (money and staff) have increased in recent years. However, many of these therapies have not been carefully evaluated to assess their efficacy, safety, or cost-effectiveness. For example, the use of humor has been recommended as a therapeutic device to improve quality of life, decrease stress, and perhaps improve immune functioning, but the evidence to justify its advocacy is scant. Box 6.2 illustrates how the problem statement could be made stronger by adding information about scope (component 3), long-term consequences (component 4), and possible solutions (component 6). This second draft builds a more compelling argument for new research: Millions of people are affected by cancer, and the disease has adverse consequences not only for patients and their families but also for society. The revised problem statement also suggests a basis for the new study by describing a possible solution on which the new study might build. Box 6.2   Some Possible Improvements to Problem Statement on Humor and Stress Each year, more than 1 million people are diagnosed with cancer, which remains one of the top causes of death among both men and women (reference citations). * Numerous studies have documented that a diagnosis of cancer is associated with high levels of stress. Sizeable numbers of patients who receive a cancer diagnosis describe feelings of uncertainty, fear, anger, and loss of control (citations) . Interpersonal relationships, psychological functioning, and role performance have all been found to suffer following cancer diagnosis and treatment (citations). These stressful outcomes can, in turn, adversely affect health, long-term prognosis, and medical costs among cancer survivors (citations). A variety of alternative/complementary therapies have been developed in an effort to decrease the harmful effects of cancer-related stress on psychological and physiological functioning, and resources devoted to these therapies (money and staff) have increased in recent years (citations) . However, many of these therapies have not been carefully evaluated to assess their efficacy, safety, or cost-effectiveness. For example, the use of humor has been recommended as a therapeutic device to improve quality of life, decrease stress, and perhaps improve immune functioning (citations) , but the evidence to justify its advocacy is scant. Preliminary findings from a recent small-scale endocrinology study with a healthy sample exposed to a humorous intervention (citation), however, holds promise for further inquiry with immuno-compromised populations. * Reference citations would be inserted to support the statements. HOW-TO-TELL TIP How can you tell a problem statement? Problem statements are rarely explicitly labeled. The first sentence of a research report is often the starting point of a problem statement. The problem statement is usually interwoven with findings from the research literature. Prior findings provide evidence supporting assertions in the problem statement and suggest gaps in knowledge. In many articles, it is difficult to disentangle the problem statement from the literature review, unless there is a subsection specifically labeled “Literature Review” or something similar. Problem statements for a qualitative study similarly express the nature of the problem, its context, its scope, and information needed to address it. Qualitative studies embedded in a research tradition often incorporate terms and concepts that foreshadow the tradition in their problem statements. For example, a problem statement for a phenomenological study might note the need to know more about people’s experiences or meanings they attribute to those experiences. Statements of Purpose Many researchers articulate their research goals as a statement of purpose. The purpose statement establishes the general direction of the inquiry and captures the study’s substance. It is usually easy to identify a purpose statement because the word purpose is explicitly stated: “The purpose of this study was . . . ”—although sometimes the words aim , goal , or objective are used instead, as in “The aim of this study was . . . .” In a quantitative study, a statement of purpose identifies the key study variables and their possible interrelationships as well as the population of interest (i.e., all the PICO elements). Example of a statement of purpose from a quantitative study The purpose of this study was to examine the effects of an education-support intervention delivered in home settings to people with chronic heart failure, in terms of their functional status, self-efficacy, quality of life, and self-care ability ( Clark et al., 2015 ). This purpose statement identifies the population (P) of interest as patients with heart failure living at home. The key study variables were the patients’ exposure or nonexposure to the special intervention (the independent variable encompassing the I and C components) and the patient’s functional status, self-efficacy, quality of life, and self-care ability (the dependent variables or Os). In qualitative studies, the statement of purpose indicates the nature of the inquiry; the key concept or phenomenon; and the group, community, or setting under study. Example of a statement of purpose from a qualitative study The purpose of this study was to explore the influence of religiosity and spirituality on rural parents’ decision to vaccinate their 9- to 13-year-old children against human papillomavirus (HPV) ( Thomas et al., 2015 ). This statement indicates that the group under study is rural parents with children aged 9 to 13 years and the central phenomenon is the parent’s decision making about vaccinations within the context of their spirituality and religious beliefs. Researchers often communicate information about their approach through their choice of verbs. A study whose purpose is to explore or describe some phenomenon is likely to be an investigation of a little-researched topic, often involving a qualitative approach such as phenomenology or ethnography. A statement of purpose for a qualitative study—especially a grounded theory study—may also use verbs such as understand , discover , or generate . Statements of purpose in qualitative studies also may “encode” the tradition of inquiry through certain terms or “buzz words” associated with those traditions, as follows:    Grounded theory : processes; social structures; social interactions    Phenomenological studies : experience; lived experience; meaning; essence    Ethnographic studies : culture; roles; lifeways; cultural behavior Quantitative researchers also use verbs to communicate the nature of the inquiry. A statement indicating that the study purpose is to test or evaluate something (e.g., an intervention) suggests an experimental design, for example. A study whose purpose is to examine or explore the relationship between two variables is more likely to involve a nonexperimental design. Sometimes the verb is ambiguous: If a purpose statement states that the researcher’s intent is to compare two things, the comparison could involve alternative treatments (using an experimental design) or two preexisting groups such as smokers and nonsmokers (using a nonexperimental design). In any event, verbs such as test , evaluate , and compare suggest quantifiable variables and designs with scientific controls. The verbs in a purpose statement should connote objectivity. A statement of purpose indicating that the study goal was to prove , demonstrate , or show something suggests a bias. Research Questions Research questions are, in some cases, direct rewordings of statements of purpose, phrased interrogatively rather than declaratively, as in the following example:    Purpose : The purpose of this study is to assess the relationship between the functional dependence level of renal transplant recipients and their rate of recovery.    Question : Is the functional dependence level (I) of renal transplant recipients (P) related to their rate of recovery (O)? Some research articles omit a statement of purpose and state only research questions, but in many cases researchers use research questions to add greater specificity to a global purpose statement. Research Questions in Quantitative Studies In Chapter 2 , we discussed clinical foreground questions to guide an EBP inquiry. The EBP question templates in Table 2.1 could yield questions to guide a research project as well, but researchers tend to conceptualize their questions in terms of their variables . Take, for example, the first question in Table 2.1 : “In (population), what is the effect of (intervention) on (outcome)?”A researcher would be more likely to think of the question in these terms: “In (population), what is the effect of (independent variable) on (dependent variable)?” Thinking in terms of variables helps to guide researchers’ decisions about how to operationalize them. Thus, in quantitative studies, research questions identify the population (P) under study, the key study variables (I, C, and O components), and relationships among the variables. Most research questions concern relationships among variables, and thus, many quantitative research questions could be articulated using a general question template: “In (population), what is the relationship between (independent variable or IV) and (dependent variable or DV)?” Examples of variations include the following:    Therapy/treatment/intervention : In (population), what is the effect of (IV: intervention vs. an alternative) on (DV)?    Prognosis : In (population), does (IV: disease or illness vs. its absence) affect or increase the risk of (DV)?    Etiology/harm : In (population), does (IV: exposure vs. nonexposure) cause or increase risk of (DV)? Not all research questions are about relationships—some are descriptive. As examples, here are two descriptive questions that could be answered in a quantitative study on nurses’ use of humor:   What is the frequency with which nurses use humor as a complementary therapy with hospitalized cancer patients?   What are the characteristics of nurses who use humor as a complementary therapy with hospitalized cancer patients? Answers to such questions might be useful in developing effective strategies for reducing stress in patients with cancer. Example of a research question from a quantitative study Chang and colleagues (2015) undertook a study that addressed the following question: Among community-dwelling elders aged 65 years and older, does regular exercise have an association with depressive symptoms?

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Demystifying nursing research: defining the problem to be studied

Affiliation.

• 1 Oregon Health and Sciences University, School of Nursing, Portland, OR, USA.
• PMID: 12861742

Determining potential areas to examine for researchable nursing practice problems, stating the problem/question for study, and areas to consider after tentatively selecting a problem for study are all fundamental elements of sound research study design. At this point, if you have a problem in mind, write it in a declarative sentence beginning with: "The purpose of this study is to...". After the word "to" place an active verb such as examine, describe, determine, compare, or explore. This is only a suggested short list, but after writing the verb, go on to say what will be compared, explored, etc. Now you have declared how to begin your research "journey" and where you expect it to lead. It may take several tries before clearly capturing and stating the study problem. After you are satisfied with the problem statement, you are ready to conduct a focused literature review on the topic. Suggestions for efficient ways to do this will be covered in the next article in this series.

• Clinical Nursing Research / methods*
• Health Priorities
• Planning Techniques
• Research Design*

Writing a Thesis for Nursing School

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Writing a thesis presents an opportunity for graduate students to conduct scholarly inquiry, with the potential of publishing their finished paper. A thesis requires nursing students to identify a problem in nursing, and review academic literature while developing advanced research skills. Thesis advisors and committees guide students from the proposal phase to the final oral defense, a process that spans about two semesters.

Not every nursing student is required to complete a thesis. Some nursing programs offer a non-thesis option, in which candidates complete a final capstone project or oral examination on topics such as nursing theories and clinical practices.

The thesis process and requirements vary by school. Ohio State University’s master of science in nursing program’s final examination includes oral and written portions.

Want to know what to expect during the thesis process? Read on to learn how you can choose a thesis topic and orally defend your paper.

Choosing Your Nursing Thesis Topic

Nursing students must choose a thesis topic before they begin the research and writing process, typically within the first two terms of nursing school. A solid thesis must present an original argument, manageable research scope, and worthy academic pursuit. A thesis advisor or research professor will help to guide each student through the process of choosing a topic.

In the conceptual phase, candidates research potential thesis topics based on their interests within their nursing specialty. Students may start with a broad topic such as obesity and weight management, depression, or cardiovascular disease. To narrow their thesis argument, graduate students might focus on racial or ethnic groups, socio-economic issues, or current events.

After settling on a topic, students draft and submit a thesis proposal to an advisor or committee chair. Once this proposal has been approved, students can begin the formal work on his or her approved thesis topic.

While graduate students must complete a thesis to fulfill the requirements of a master’s degree in nursing, the thesis process also offers a chance for future nurses to immerse themselves in current academic literature and collaborate with fellow graduate students, faculty, and professors. A thesis can also serve as the foundation for doctoral studies. A thesis at the doctoral (PhD) level is called a dissertation.

Completing Your Nursing Thesis

Brainstorming a thesis topic begins as early as the first semester of a master’s in nursing program. The formal thesis process, which typically spans multiple terms, does not take place until the student’s final year, usually during the last term.

Thesis requirements vary by school, and students must meet specific deadlines and take prerequisite courses beforehand. At the University of Texas-Houston’s School of Nursing , candidates take a public health class before they submit a thesis proposal.

Future nurses work under the guidance of a thesis committee and advisor. The experience of writing a thesis trains students in original investigation, data collection, implementing research design, and public speaking. Candidates also learn to flex their analytical thinking skills and master a specific area of nursing as they develop the ability to analyze and draw conclusions through data.

At a program’s conclusion, students submit their thesis as a bound manuscript or electronic file. In addition to submitting a written report, students orally defend their final thesis in front of the committee. Many graduates also submit their manuscripts for publication.

Presenting Your Nursing Thesis

Graduate students generally orally defend their proposal and present their completed thesis in front of their committee. This committee also includes the thesis mentor, a faculty member specializing in the nursing discipline of their scholarly inquiry. There are generally 3 total committee members on a thesis committee.

Fellow graduate students or consultants outside of the college may attend presentations, if the process is open to the public. Otherwise, the thesis defense remains a private session, with students presenting their findings. The oral examination of the thesis takes up to one hour, but can last longer depending on how many questions the committee has for the student.

During that time, the committee evaluates the thesis based on how the research experience has shaped the student’s graduate education and the findings’ significance to the nursing field. When the exam concludes, the committee either accepts or rejects the thesis defense.

How is a Nursing Thesis Graded?

Nursing schools rely on each committee to formally grade each product in the thesis process. Some graduate nursing students may receive a letter grade, while other nursing schools adhere to a “pass” or “fail” policy.

To determine a grade, the committee assesses the thesis based on set criteria. Committee members look at the project’s key components, including the statement of purpose, literature review, research methodology, analysis, findings, and implications. The process and grading criteria for the thesis process can be found in the school’s graduate handbook. Most of these handbooks are published online for student review.

The thesis must identify significant issues or service gaps in nursing and present them in a concise and coherent fashion. Candidates must support all findings and analysis by research and explain the implications for healthcare.

The oral defense also factors into the grade. The committee grades the defense based on the quality of the student’s presentation, taking into consideration if the student spoke clearly and presented a logical and well-organized argument.

What is the Difference Between a Nursing Thesis and a Capstone?

A nursing thesis and a capstone demonstrate the student’s comprehensive knowledge and educational journey. Graduate students in a non-research track may have the choice of completing a clinical project. Doctoral of Nursing ( DNP ) students complete a capstone project.

Graduate-level nursing students work on an original scholarly inquiry during their thesis, while undergraduates recap their cumulative learning experience. The thesis process, which includes completing nursing courses and writing a proposal, takes place over the entire program.

Learn more about the difference between a thesis and capstone project on this page .

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Problem Statements Handout Instruction

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The following activities are designed to be sequential. They can be done in combination with the Problem Statement PowerPoint Slide Presentation, but they can also be conducted separately. The handouts assume that all the audience participants are working on their projects, and that they might not be entirely familiar with the kinds of research that their peers are conducting.

Instructions for the participants are included in the handouts themselves, but presenters should briefly review the instructions in order to help participants organize their time.

Problem Statement Handout 1: Situating Your Work

This exercise is designed to help workshop participants discuss how the work they’ve already done fits in with the work of other scholars. It includes quick writing about important aspects about a participant’s project, small group discussion that requires participants to summarize their projects, and listen actively as others describe their projects. This first exercise will take at least fifteen minutes to complete.

If necessary, question #6 in the first exercise, which asks participants to briefly write about their projects, can be skipped or reserved for post-workshop reflection.

Problem Statement Handout 2: Reading a Project Poster

This exercise is designed to simulate the effect of having to read about someone’s project on a poster, rather than listening to the researcher’s explanation at length. It includes quick writing to summarize the participant’s own project, reading the summaries of other participants, and discussing the assumptions the participant makes based on those summarizes. This second exercise will take at least ten minutes to complete.

If necessary, question #5 in the second exercise, which asks the participants to briefly write about how they might reframe their projects for different audiences, can be skipped or reserved for post-workshop reflection.

Depending on the time available, presenters could leave time for the final questions from each handout to be filled out, or they could lead a larger group discussion about how participants’ expectations may or may not have been fulfilled.

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Effective problem statements have these 5 components

We’ve all encountered problems on the job. After all, that’s what a lot of work is about. Solving meaningful problems to help improve something. 

Developing a problem statement that provides a brief description of an issue you want to solve is an important early step in problem-solving .

It sounds deceptively simple. But creating an effective problem statement isn’t that easy, even for a genius like Albert Einstein. Given one hour to work on a problem, he’d spend 55 minutes thinking about the problem and five minutes finding solutions. (Or so the story goes.)

Einstein was probably exaggerating to make a point. But considering his success in solving complex problems, we think he was on to something. 

As humans, we’re wired to jump past the problem and go directly to the solution stage. In emergencies, this behavior can be lifesaving, as in leaping out of the way of a speeding car. But when dealing with longer-range issues in the workplace, this can lead to bad decisions or half-baked solutions. 

That’s where problem statements come in handy. They help to meaningfully outline objectives to reach effective solutions. Knowing how to develop a great problem statement is also a valuable tool for honing your management skills .

But what exactly is a problem statement, when should you use one, and how do you go about writing one? In this article, we'll answer those questions and give you some tips for writing effective problem statements. Then you'll be ready to take on more challenges large and small.

What is a problem statement?

First, let’s start by defining a problem statement. 

A problem statement is a short, clear explanation of an issue or challenge that sums up what you want to change. It helps you, team members, and other stakeholders to focus on the problem, why it’s important, and who it impacts. 

A good problem statement should create awareness and stimulate creative thinking . It should not identify a solution or create a bias toward a specific strategy.

Taking time to work on a problem statement is a great way to short-circuit the tendency to rush to solutions. It helps to make sure you’re focusing on the right problem and have a well-informed understanding of the root causes. The process can also help you take a more proactive than reactive approach to problem-solving . This can help position you and your team to avoid getting stuck in constant fire-fighting mode. That way, you can take advantage of more growth opportunities.  

When to use a problem statement

The best time to create a problem statement is before you start thinking of solutions. If you catch yourself or your team rushing to the solution stage when you’re first discussing a problem, hit the brakes. Go back and work on the statement of the problem to make sure everyone understands and agrees on what the real problem is. 

Here are some common situations where writing problem statements might come in handy: 

• Writing an executive summary for a project proposal or research project
• Collaborating   on a cross-functional project with several team members
• Defining the customer issue that a proposed product or service aims to solve
• Using design thinking to improve user experience
• Tackling a problem that previous actions failed to solve 

How to identify a problem statement

Like the unseen body of an iceberg, the root cause of a specific problem isn’t always obvious. So when developing a problem statement, how do you go about identifying the true, underlying problem?

These two steps will help you uncover the root cause of a problem :

• Collect information from the research and previous experience with the problem
• Talk to multiple stakeholders who are impacted by the problem

People often perceive problems differently. Interviewing stakeholders will help you understand the problem from diverse points of view. It can also help you develop some case studies to illustrate the problem. 

Combining these insights with research data will help you identify root causes more accurately. In turn, this methodology will help you craft a problem statement that will lead to more viable solutions. 

What are problem statements used for?

You can use problem statements for a variety of purposes. For an organization, it might be solving customer and employee issues. For the government, it could be improving public health. For individuals, it can mean enhancing their own personal well-being . Generally, problem statements can be used to:

• Identify opportunities for improvement
• Focus on the right problems or issues to launch more successful initiatives – a common challenge in leadership
• Help you communicate a problem to others who need to be involved in finding a solution
• Serve as the basis for developing an action plan or goals that need to be accomplished to help solve the problem
• Stimulate thinking outside the box  and other types of creative brainstorming techniques

3 examples of problem statements

When you want to be sure you understand a concept or tool, it helps to see an example. There can also be some differences in opinion about what a problem statement should look like. For instance, some frameworks include a proposed solution as part of the problem statement. But if the goal is to stimulate fresh ideas, it’s better not to suggest a solution within the problem statement. 

In our experience, an effective problem statement is brief, preferably one sentence. It’s also specific and descriptive without being prescriptive. 

Here are three problem statement examples. While these examples represent three types of problems or goals, keep in mind that there can be many other types of problem statements.        

Example Problem Statement 1: The Status Quo Problem Statement

Example: 

The average customer service on-hold time for Example company exceeds five minutes during both its busy and slow seasons.

This can be used to describe a current pain point within an organization that may need to be addressed. Note that the statement specifies that the issue occurs during the company’s slow time as well as the busy season. This is helpful in performing the root cause analysis and determining how this problem can be solved. 

The average customer service on-hold time for Example company exceeds five minutes during both its busy and slow seasons. The company is currently understaffed and customer service representatives are overwhelmed.

Background:

Example company is facing a significant challenge in managing their customer service on-hold times. In the past, the company had been known for its efficient and timely customer service, but due to a combination of factors, including understaffing and increased customer demand, the on-hold times have exceeded five minutes consistently. This has resulted in frustration and dissatisfaction among customers, negatively impacting the company's reputation and customer loyalty.

Reducing the on-hold times for customer service callers is crucial for Example company. Prolonged waiting times have a detrimental effect on customer satisfaction and loyalty, leading to potential customer churn and loss of revenue. Additionally, the company's declining reputation in terms of customer service can have a lasting impact on its competitive position in the market. Addressing this problem is of utmost importance to improve customer experience and maintain a positive brand image.

Objectives:

The primary objective of this project is to reduce the on-hold times for customer service callers at Example company. The specific objectives include:

• Analyzing the current customer service workflow and identifying bottlenecks contributing to increased on-hold times.
• Assessing the staffing levels and resource allocation to determine the extent of understaffing and its impact on customer service.
• Developing strategies and implementing measures to optimize the customer service workflow and reduce on-hold times.
• Monitoring and evaluating the effectiveness of the implemented measures through key performance indicators (KPIs) such as average on-hold time, customer satisfaction ratings, and customer feedback.
• Establishing a sustainable approach to maintain reduced on-hold times, taking into account both busy and slow seasons, through proper resource planning, training, and process improvements.

Example Problem Statement 2: The Destination Problem Statement

Leaders at Example company want to increase net revenue for its premium product line of widgets by 5% for the next fiscal year. 

This approach can be used to describe where an organization wants to be in the future. This type of problem statement is useful for launching initiatives to help an organization achieve its desired state. 

Like creating SMART goals , you want to be as specific as possible. Note that the statement specifies “net revenue” instead of “gross revenue." This will help keep options open for potential actions. It also makes it clear that merely increasing sales is not an acceptable solution if higher marketing costs offset the net gains. 

Leaders at Example company aim to increase net revenue for its premium product line of widgets by 5% for the next fiscal year. However, the company currently lacks the necessary teams to tackle this objective effectively. To achieve this growth target, the company needs to expand its marketing and PR teams, as well as its product development teams, to prepare for scaling. 

Example company faces the challenge of generating a 5% increase in net revenue for its premium product line of widgets in the upcoming fiscal year. Currently, the company lacks the required workforce to drive this growth. Without adequate staff in the marketing, PR, and product development departments, the company's ability to effectively promote, position, and innovate its premium product line will be hindered. To achieve this kind of growth, it is essential that Example company expands teams, enhances capabilities, and strategically taps into the existing pool of loyal customers.

Increasing net revenue for the premium product line is crucial for Example company's overall business success. Failure to achieve the targeted growth rate can lead to missed revenue opportunities and stagnation in the market. By expanding the marketing and PR teams, Example company can strengthen its brand presence, effectively communicate the value proposition of its premium product line, and attract new customers.

Additionally, expanding the product development teams will enable the company to introduce new features and innovations, further enticing existing and potential customers. Therefore, addressing the workforce shortage and investing in the necessary resources are vital for achieving the revenue growth objective.

The primary objective of this project is to increase net revenue for Example company's premium product line of widgets by 5% in the next fiscal year. The specific objectives include:

• Assessing the current workforce and identifying the gaps in the marketing, PR, and product development teams.
• Expanding the marketing and PR teams by hiring skilled professionals who can effectively promote the premium product line and engage with the target audience.
• Strengthening the product development teams by recruiting qualified individuals who can drive innovation, enhance product features, and meet customer demands.
• Developing a comprehensive marketing and PR strategy to effectively communicate the value proposition of the premium product line and attract new customers.
• Leveraging the existing base of loyal customers to increase repeat purchases, referrals, and brand advocacy.
• Allocating sufficient resources, both time and manpower, to support the expansion and scaling efforts required to achieve the ambitious revenue growth target.
• Monitoring and analyzing key performance indicators (KPIs) such as net revenue, customer acquisition, customer retention, and customer satisfaction to measure the success of the growth initiatives.
• Establishing a sustainable plan to maintain the increased revenue growth beyond the next fiscal year by implementing strategies for continuous improvement and adaptation to market dynamics.

Example Problem Statement 3 The Stakeholder Problem Statement

In the last three quarterly employee engagement surveys , less than 30% of employees at Eample company stated that they feel valued by the company. This represents a 20% decline compared to the same period in the year prior. 

This strategy can be used to describe how a specific stakeholder group views the organization. It can be useful for exploring issues and potential solutions that impact specific groups of people. 

Note the statement makes it clear that the issue has been present in multiple surveys and it's significantly worse than the previous year. When researching root causes, the HR team will want to zero in on factors that changed since the previous year.

In the last three quarterly employee engagement surveys, less than 30% of employees at the Example company stated that they feel valued by the company. This indicates a significant decline of 20% compared to the same period in the previous year.

The company aspires to reduce this percentage further to under 10%. However, achieving this goal would require filling specialized roles and implementing substantial cultural changes within the organization.

Example company is facing a pressing issue regarding employee engagement and perceived value within the company. Over the past year, there has been a notable decline in the percentage of employees who feel valued. This decline is evident in the results of the quarterly employee engagement surveys, which consistently show less than 30% of employees reporting a sense of value by the company.

This decline of 20% compared to the previous year's data signifies a concerning trend. To address this problem effectively, Example company needs to undertake significant measures that go beyond superficial changes and necessitate filling specialized roles and transforming the company culture.

Employee engagement and a sense of value are crucial for organizational success. When employees feel valued, they tend to be more productive, committed, and motivated. Conversely, a lack of perceived value can lead to decreased morale, increased turnover rates, and diminished overall performance.

By addressing the decline in employees feeling valued, Example company can improve employee satisfaction, retention, and ultimately, overall productivity. Achieving the desired reduction to under 10% is essential to restore a positive work environment and build a culture of appreciation and respect.

The primary objective of this project is to increase the percentage of employees who feel valued by Example company, aiming to reduce it to under 10%. The specific objectives include:

• Conducting a comprehensive analysis of the factors contributing to the decline in employees feeling valued, including organizational policies, communication practices, leadership styles, and cultural norms.
• Identifying and filling specialized roles, such as employee engagement specialists or culture change agents, who can provide expertise and guidance in fostering a culture of value and appreciation.
• Developing a holistic employee engagement strategy that encompasses various initiatives, including training programs, recognition programs, feedback mechanisms, and communication channels, to enhance employee value perception.
• Implementing cultural changes within the organization that align with the values of appreciation, respect, and recognition, while fostering an environment where employees feel valued.
• Communicating the importance of employee value and engagement throughout all levels of the organization, including leadership teams, managers, and supervisors, to ensure consistent messaging and support.
• Monitoring progress through regular employee surveys, feedback sessions, and key performance indicators (KPIs) related to employee satisfaction, turnover rates, and overall engagement levels.
• Providing ongoing support, resources, and training to managers and supervisors to enable them to effectively recognize and appreciate their teams and foster a culture of value within their respective departments.
• Establishing a sustainable framework for maintaining high employee value perception in the long term, including regular evaluation and adaptation of employee engagement initiatives to address evolving needs and expectations.

What are the 5 components of a problem statement?

In developing a problem statement, it helps to think like a journalist by focusing on the five Ws: who, what, when, where, and why or how. Keep in mind that every statement may not explicitly include each component. But asking these questions is a good way to make sure you’re covering the key elements:

• Who: Who are the stakeholders that are affected by the problem?
• What: What is the current state, desired state, or unmet need? 
• When: When is the issue occurring or what is the timeframe involved?
• Where: Where is the problem occurring? For example, is it in a specific department, location, or region?
• Why: Why is this important or worth solving? How is the problem impacting your customers, employees, other stakeholders, or the organization? What is the magnitude of the problem? How large is the gap between the current and desired state? 

How do you write a problem statement?

There are many frameworks designed to help people write a problem statement. One example is outlined in the book, The Conclusion Trap: Four Steps to Better Decisions, ” by Daniel Markovitz. A faculty member at the Lean Enterprise Institute, the author uses many case studies from his work as a business consultant.

To simplify the process, we’ve broken it down into three steps:

1. Gather data and observe

Use data from research and reports, as well as facts from direct observation to answer the five Ws: who, what, when, where, and why. 

Whenever possible, get out in the field and talk directly with stakeholders impacted by the problem. Get a firsthand look at the work environment and equipment. This may mean spending time on the production floor asking employees questions about their work and challenges. Or taking customer service calls to learn more about customer pain points and problems your employees may be grappling with.    

2. Frame the problem properly  

A well-framed problem will help you avoid cognitive bias and open avenues for discussion. It will also encourage the exploration of more options.

A good way to test a problem statement for bias is to ask questions like these:

3. Keep asking why (and check in on the progress)

When it comes to problem-solving, stay curious. Lean on your growth mindset to keep asking why — and check in on the progress. 

Asking why until you’re satisfied that you’ve uncovered the root cause of the problem will help you avoid ineffective band-aid solutions.

Refining your problem statements

When solving any sort of problem, there’s likely a slew of questions that might arise for you. In order to holistically understand the root cause of the problem at hand, your workforce needs to stay curious. 

An effective problem statement creates the space you and your team need to explore, gain insight, and get buy-in before taking action.

If you have embarked on a proposed solution, it’s also important to understand that solutions are malleable. There may be no single best solution. Solutions can change and adapt as external factors change, too. It’s more important than ever that organizations stay agile . This means that interactive check-ins are critical to solving tough problems. By keeping a good pulse on your course of action, you’ll be better equipped to pivot when the time comes to change. 

BetterUp can help. With access to virtual coaching , your people can get personalized support to help solve tough problems of the future.

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Steps to write a good nursing research problem statement

Nursing assignments involve a lot of meticulous research and writing. Moreover, a problem statement helps you simplify things to a large extent. However, formatting a good research problem statement is no child’s play.

Statement of purpose and problem statement are vital aspects of your paper. They give the reader a brief idea about the scope and nature of your topic. You can refer to this guide by Nova South-eastern University for more details. 

Here is a step by step approach to developing a problem statement for you to follow:

1} Problem statement VS statement of purpose

Statement of purpose state the intent of the paper. The problem statement highlights the core issues you discuss in your research. The problem statement deals with the who, what, where, why, when of your research (but more on that later)

Write the problem statement after the abstract, but before the introduction. The statement of purpose soon follows the problem statement. Your paper then expands on the research methodology and central themes of the subject.  

Step 1: Understand your topic

Firstly, you need to understand the nursing topic before you begin the problem. What is your paper about? What are your key points of discussion? What do you plan to achieve from this research? These are some core questions you need clear answers for. 

The problem statement is different from a hypothesis , which is a logical construct to prove or disprove your research. In nursing assignments, the problem statement states the crux of the issue.

Note that you can only use third-person pronouns in the problem statement. Also, this section must be in the past tense. Discuss the nature, purpose, and other details of the paper in a nutshell. 

Step 2: Listing the details

Collect all the details you want to include in the problem statement. This is a short section that shouldn’t extend more than 7-10 lines max. You can start with an introductory line. 

The problem statement is both informative and persuasive . It effectively sets the background for your introduction. It also gives you the space to reinstate the main points of your paper. 

Step 3: In-depth analysis

The problem statement though short is very comprehensive. Include some details about your paper. The main purpose of any research is to shed more light in their area of study. State the sector, organization, and core issues of your paper. 

For instance, you can add details about your department and compare it to the other factions of the hospital. Begin with a statement like “this paper examines….” It sets the context of your research. 

To write a good nursing research problem statement

Step 4: summarize your points..

The problem statement and purpose of research pitches the research subject. It is one of the first things the reader comes across. Keep the language professional, academic, but intriguing. 

With a problem statement, you highlight the research topic, methodology and how to accomplish it. Ensure that your problem statement is readable and relevant.

Step 5: Clarity and conciseness

The problem statement educates the reader about the research. At the same time, it also discusses the practical application of the research in everyday life . The problem statement furthers the argument in your nursing paper. 

The trick is to get straight to the point. Don’t beat around the bush, begin straightway with the core issues of your research. If your paper talks about the shortage of nursing equipment, then start with a stat or report on the same.

2} The three elements of a problem statement

Every problem statement has three main elements – the vision, the issue, and the research methodology. These three parts together constitute the foundation of your research. Your main paper further discusses these factors by using charts and stats. 

Every paper must have a unique vision, purpose, and approach. It gives the reader an insight into your understanding of the topic. Plus, you also get the space to elaborate on your arguments and express them.

A research paper is incomplete without a holistic vision. A nursing assignment is not just a collection of references and findings of other people. You must also add your two cents to the subject. 

With the vision, you briefly explain the things you want to accomplish with your research. Students have the choice to either take a localized approach or write a paper that deals with a universal issue.

This is where you discuss the details of your research. What are the main areas you plan to focus on? You can talk about the books, journals and scholars cited in the paper. Students can even discuss how the research would benefit a certain aspect of the nursing industry. 

Consider the issue as the main body of your problem statement. It is a section where you get to set the premise and points of your research. Structure your arguments in a way that gives the reader an idea about your paper. 

Professors also look into the research methodology used for completing the paper. Nursing research papers can either be descriptive, critical, or statistical. The problem statement must be instead of this format.  

You can also add extra footnotes and annotations towards the end of your statement. Also, don’t forget to add a citation for all the quotes and figures included. For nursing papers, I recommend APA or Harvard style referencing . Check out the university guide or citation generators for quick and accurate citations. 

3} How to write a nursing research problem statement?

Writing a nursing research problem statement is easier said than done. There are five main questions or focus areas every problem statement covers. These questions define the content, research tools and essential accomplishment of the paper. 

So, without further ado, let us discuss these five elements and what to include in them. 

This is the section that determines your reader base. Who are you writing this paper for? Frequently, your nursing research contributes to a specific department, group, or organization. You might have to tweak your language a bit according to your audience base. Academic writing is quite different from a professional one.

This section covers the boundaries of your research. It gives you a general format to your paper. What would your paper include? What is the significant impact of the issue? Here, you talk about the contribution of your research. 

The problem statement lays down the problem areas of your topic and how to resolve it. Towards the conclusion, you can also discuss the scope of your research and its effect on the healthcare industry.

The “when” part of the problem statement sets your research in a specific time frame. It determines the relevance and credibility of your study. You can also discuss the short-term and long -term impacts of your proposal throughout your paper.

Addressing the “when” part of the question gives your paper more credibility. Which medical practice do you refer to? What is the context and background of your research? These are a few aspects you must cover here.

 Every nation has a set of medical standards, techniques, and practices. And most students prefer keeping their study restricted to their country or state.  

The nursing regulations and eligibility also vary from place to place. You can discuss theories which are universal to all healthcare sectors. But that’s a very exhaustive process which requires in-depth study and analysis. 

Saving the best for last, the “why” is vital to your research. Here, you talk about the reason why your paper is essential for the nursing community. This section also considers the impact your research has on the treatment and diagnosis of an ailment. 

I suggest my students devote maximum space and time to this section. This is the crux of your problem statement that you expand upon in the main body of your paper.

4} What is the problem statement?

A problem statement comes at the very beginning of your paper, right after the abstract. It is a section that outlines the critical aspects of your research. It is a clear-cut description of the issue and the methods used to resolve it. Read through some samples and templates online for a better idea.

With the problem statement, you clarify a lot of aspects of your research to the reader. It also simplifies your paper. A cursory reading of the report would tell the reader everything about your assignment.

Students who are not familiar with academic writing might find this a bit complicated. Don’t worry, though, this is where I come to help. You can consult your professors and peers for more. 

5} The bottom line

The problem statement presents the main questions discussed in the paper. Anyone can understand the central themes and nature of the research after reading the problem statement. I hope this guide was useful and would help you ace your assignment. Good luck!

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Problem statement overview.

The dissertation problem needs to be very focused because everything else from the dissertation research logically flows from the problem. You may say that the problem statement is the very core of a dissertation research study. If the problem is too big or too vague, it will be difficult to scope out a purpose that is manageable for one person, given the time available to execute and finish the dissertation research study.

Through your research, your aim is to obtain information that helps address a problem so it can be resolved. Note that the researcher does not actually solve the problem themselves by conducting research but provides new knowledge that can be used toward a resolution. Typically, the problem is solved (or partially solved) by practitioners in the field, using input from researchers.

Given the above, the problem statement should do three things:

• Specify and describe the problem (with appropriate citations)
• Explain the consequences of NOT solving the problem

Explain the knowledge needed to solve the problem (i.e., what is currently unknown about the problem and its resolution – also referred to as a gap )

What is a problem?

The world is full of problems! Not all problems make good dissertation research problems, however, because they are either too big, complex, or risky for doctorate candidates to solve. A proper research problem can be defined as a specific, evidence-based, real-life issue faced by certain people or organizations that have significant negative implications to the involved parties.

Example of a proper, specific, evidence-based, real-life dissertation research problem:

“Only 6% of CEOs in Fortune 500 companies are women” (Center for Leadership Studies, 2019).

Specific refers to the scope of the problem, which should be sufficiently manageable and focused to address with dissertation research. For example, the problem “terrorism kills thousands of people each year” is probably not specific enough in terms of who gets killed by which terrorists, to work for a doctorate candidate; or “Social media use among call-center employees may be problematic because it could reduce productivity,” which contains speculations about the magnitude of the problem and the possible negative effects.

Evidence-based here means that the problem is well-documented by recent research findings and/or statistics from credible sources. Anecdotal evidence does not qualify in this regard. Quantitative evidence is generally preferred over qualitative ditto when establishing a problem because quantitative evidence (from a credible source) usually reflects generalizable facts, whereas qualitative evidence in the form of research conclusions tend to only apply to the study sample and may not be generalizable to a larger population. Example of a problem that isn’t evidence-based: “Based on the researcher’s experience, the problem is that people don’t accept female leaders;” which is an opinion-based statement based on personal (anecdotal) experience.

Real-life means that a problem exists regardless of whether research is conducted or not. This means that “lack of knowledge” or “lack of research” cannot be used as the problem for a dissertation study because it’s an academic issue or a gap; and not a real-life problem experienced by people or organizations.  Example of a problem that doesn’t exist in real life: “There is not enough research on the reasons why people distrust minority healthcare workers.” This type of statement also reveals the assumption that people actually do mistrust minority healthcare workers; something that needs to be supported by actual, credible evidence to potentially work as an underlying research problem.

What are consequences?

Consequences are negative implications experienced by a group of people or organizations, as a result of the problem. The negative effects should be of a certain magnitude to warrant research. For example, if fewer than 1% of the stakeholders experience a negative consequence of a problem and that consequence only constitutes a minor inconvenience, research is probably not warranted. Negative consequences that can be measured weigh stronger than those that cannot be put on some kind of scale.

In the example above, a significant negative consequence is that women face much larger barriers than men when attempting to get promoted to executive jobs; or are 94% less likely than men to get to that level in Corporate America.

What is a gap?

To establish a complete basis for a dissertation research study, the problem has to be accompanied by a gap . A gap is missing knowledge or insights about a particular issue that contributes to the persistence of the problem. We use gaps to “situate” new research in the existing literature by adding to the knowledge base in the business research field, in a specific manner (determined by the purpose of the research). Identifying gaps requires you to review the literature in a thorough fashion, to establish a complete understanding of what is known and what isn’t known about a certain problem.  In the example from above about the underrepresentation of female CEOs, a gap may be that male-dominated boards have not been studied extensively in terms of their CEO hiring decisions, which might then warrant a study of such boards, to uncover implicit biases and discriminatory practices against female candidates.

How to Write a Problem Statement

How to write a problem statement.

• Here is one way to construct a problem section (keep in mind you have a 250-300 word limit, but you can write first and edit later):

It is helpful to begin the problem statement with a sentence :  “The problem to be addressed through this study is… ”  Then, fill out the rest of the paragraph with elaboration of that specific problem, making sure to “document” it, as NU reviewers will look for research-based evidence that it is indeed a problem (emphasis also on timeliness of the problem, supported by citations within the last 5 years).

Next, write a paragraph explaining the consequences of NOT solving the problem. Who will be affected? How will they be affected? How important is it to fix the problem? Again, NU reviewers will want to see research-based citations and statistics that indicate the negative implications are significant.

In the final paragraph, you will explain what information (research) is needed in order to fix the problem. This paragraph shows that the problem is worthy of doctoral-level research. What isn’t known about the problem? Ie, what is the gap? Presumably, if your problem and purpose are aligned, your research will try to close or minimize this gap by investigating the problem. Have other researchers investigated the issue? What has their research left unanswered?

• Another way to tackle the Statement of the Problem:

The Statement of the Problem section is a very clear, concise identification of the problem. It must stay within the template guidelines of 250-300 words but more importantly, must contain four elements as outlined below. A dissertation worthy problem should be able to address all of the following points:

-->identification of the problem itself--what is "going wrong" (Ellis & Levy, 2008)

-->who is affected by the problem

-->the consequences that will result from a continuation of the problem

-->a brief discussion of 1) at least 3 authors’ research related to the problem; and 2)   their stated suggestion/recommendation for further research related to the problem

Use the following to work on the Statement of the Problem by first outlining the section as follows:

1. One clear, concise statement that tells the reader what is not working, what is “going wrong”. Be specific and support it with current studies.

2. Tell who is affected by the problem identified in #1. 

3. Briefly tell what will happen if the problem isn’t addressed.

4. Find at least 3 current studies and write a sentence or two for each study that

i. briefly discusses the author(s)’ work, what they studied, and

ii. state their recommendation for further research about the problem

• Finally, you can follow this simple 3-part outline when writing the statement of the problem section:

Your problem statement is a short (250-300 words), 3 paragraph section, in which you

• Explain context and state problem (“the problem is XYZ”), supported by statistics and/or recent research findings
• Explain the negative consequences of the problem to stakeholders, supported by statistics and/or recent research findings
• Explain the gap in the literature.

Example of a problem statement that follows the 3-part outline (295 words):

The problem to be addressed by this study is the decline of employee well-being for followers of novice mid-level managers and the corresponding rise in employee turnover faced by business leaders across the financial services industry (Oh et al., 2014).  Low levels of employee well-being are toxic for morale and result in expensive turnover costs, dysfunctional work environments, anemic corporate cultures, and poor customer service (Compdata, 2018; Oh et al., 2014).  According to Ufer (2017), the financial services industry suffers from one of the highest turnover rates among millennial-aged employees in all industries in the developed world, at 18.6% annually.  Starkman (2015) reported that 50% of those surveyed in financial services were not satisfied with a single one of the four key workplace aspects: job, firm, pay or career path. 

Low levels of employee well-being interrupt a financial services’ company’s ability to deliver outstanding customer service in a world increasingly dependent on that commodity (Wladawsky-Berger, 2018).Mid-level managers play an essential role in support of the success of many of top businesses today (Anicich & Hirsh, 2017). 

The current body of literature does not adequately address the well-being issue in the financial services industry from the follower’s perspective (Uhl-Bien, Riggio, Lowe, & Carsten, 2014). Strategic direction flows top-down from senior executives and passes through mid-level leadership to individual contributors at more junior grades.  The mid-level managers’ teams are tasked with the achievement of core tasks and the managers themselves are expected to maintain the workforce’s morale, motivation and welfare (Anicich & Hirsh, 2017).  Unless industry leaders better understand the phenomenon of employee well-being from the follower perspective and its role in positioning employees to provide a premium client experience, they may be handicapped from preserving their most significant principal market differentiator: customer service (Wladawsky-Berger, 2018). 

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How to write a Nursing Research Problem Statement?

• March 9, 2021
• Academic Help , Assignment help , Assignment Writing Service , Education , general awareness , general knowledge , informative blogs , Some Advice

Nursing students have to involve a lot of meticulous research with a great amount of writing to compile their assignments. Moreover, in that sense, problem statements can help them simplify things to a larger extent. But when it actually comes to compiling a good research problem statement, that too for a nursing assignment , it is no child’s play as it requires a lot of hard work and efforts.

And no one can deny compiling such assignments , as problem statements and statements of purpose are vital aspects of their academic assignment. This is because it gives them a brief idea about the scope of study on a particular topic. And to resolve more of your queries regarding this aspect, here we have provided a complete guide on writing a nursing research problem statement for students.

Step 1: Briefly understand your topic

Before beginning to write your assignment, make sure that you understand your topic wisely and what is its future scope of the study. Understand what is your paper all about? What are the key points of your discussion? What is the purpose of this study, and how you plan to achieve something from this research?

Always remember that you can only use third-person pronouns in your problem statement. Also, this needs to be written in the past tense. All you need to is discuss the nature of your study, its purpose, and other necessary details for the project.

Step 2: List all the details

Beginning with an impressive introductory line, this section must provide all the details that are necessary for the problem statement. This one is a short section, which is limited to about 7-10 lines max. Check all the details carefully before including them in your paper.

Step 3: Provide an in-depth analysis

Generally, the problem statement is very short in nature, but it needs to be comprehensive in every sense. And for doing that, make sure that you include enough information and facts regarding it. The main purpose and objective of any research is to shed more light on the specific area of study, and this can be done by stating the sector, organization, and core issues regarding the topic of study.

Step 4: Summarize the points

The problem statement that you write for your assignment must benevolently pitch for the research subject as this is something that the readers are going to read first. So, keep the language, tone, format, and structure of your study professional but a bit intriguing. With the help of your problem statement, you tend to highlight the research topic, its methodology, and successful accomplishment. In that sense, ensure that the problem statement you address is readable and relevant as per its context.

Step 5: Conciseness and Clarity

With the help of a problem statement, the writer tries to educate the readers about his research. Along with this, it also discusses and informs them about the practical application of research in everyday life. The only thing that you need to focus on here is to get things straight to the point. Begin straight away with the core issues of your research instead of roaming around those unnecessary facts and information.

As we all know that a problem statement comes at the very beginning of a paper, right after the abstract gets displayed. So, it needs to outline the critical aspects of your research – along with a clear-cut description of the issue and the methods employed for its resolution. You must go through the sample papers and templates available online for a better idea and guidance. Students who are not familiar with this concept of academic writing can take help from our online academic writing experts who provide professional guidance in the field you require. So, don’t worry about your academic papers , as we are here to help you out with the situation.

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How to Write a Problem Statement in a Nursing Research Paper?

Are you a student in any reputed nursing institutes in Australia, UK, USA, UAE or other Countries? Are you under the pressure of your problem statement in your nursing research papers ? Then, you always need the top online nursing research problem statement help service provider.

Solving a nursing problem research paper is not an easy task. A lot of time, study and research is required to write it in a proper way. The problem statement and statement of purpose are 2 major aspects of your nursing research paper.

Your writing pattern also largely depends on your writing topic. You always need to adhere to your writing topic while preparing the research paper.

What Are the Main Types of Nursing Research Paper?

• Problem focused : irregular breathing pattern, coughing, RT decreased expansion of lung, AEB dyspnea, etc.
• Health promotions : enhanced coping for family
• Risks : risks for the ineffective clearance of the airway, RT accumulation, lung secretion, etc.
• Possible : low self-esteem for chronic causes
• Syndromes : chronic pain syndrome

Nursing Research Problem Statement is the most important document which mostly nursing students and staff use to get high remarks from their classes. Get online Nursing Case Study Assignment Help from Subject Experts at Case Study Help.

What Is Problem and Purpose Statement in Nursing Research?

According to our Research statement for nursing help provider experts the statement of nursing paper state the actual intent of your paper. The nursing research paper problem and Purpose statement focuses on the main issues that is being discussed in your research paper.

This problem statement deals with the what, who, where, when, why, etc. of your nursing research paper. So, you always need to write the problem statement after the abstract and before your paper introduction.

Your statement of purpose of the nursing research paper follows just after the problem statement. Then, you need to expand your nursing research paper on research methodology as well the subject central themes.

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How to Write a Nursing Research Problem Statement Paper?

5 easy steps to write a good nursing research problem statement.

• Understanding the given topic : First, you always need to go through and understand your given nursing research topic very thoroughly before starting to write. Here the key points that are to be noted include paper subject, main points to discuss, aim of your research paper, etc. This problem statement is quite different from the hypothesis that is a logical thing to prove your research. In your nursing assignment paper , the problem statement stats the core issue. Here you can use only the 3 rd person with past tense. Here you always need to discuss the purpose, nature and every other detail of the nursing research paper in a whole nutshell.
• The problem : the root cause of the nursing problem statement
• Effects : processes or people who are affected
• The results : root cause of the discussed problem
• The solution : the best proposed solution with benefits
• An In-Depth Analysis: Although the problem statement is short but it is quite comprehensive. It includes certain details of your nursing research paper. The actual purpose of your nursing problem research paper is to highlight more in your own study area. It is also the statement of the organization, sector, as well core issues of the nursing research paper.
• Summarizing your points: The nursing problem statement gives a thorough description of your subject topic. This is the very first thing that your reader sees first. Thus, you always need to keep your writing language academic, professional as well intriguing. In your nursing research problem statement, you need to highlight the research topic, methodology and solutions. The problem statement always needs to be very much relevant as well as to the point.
• Clarifying : Your nursing problem statement tells your reader regarding your research. Along with this it also discusses all the practical applications of the nursing research in practical life. This problem statement takes the argument in your nursing paper further. Here you need to write to the point. Write straight with the core issues of your nursing research paper. Ex: if your nursing problem research paper is about shortage of major nursing equipment then, start with a statistical report or something similar.

Also Read:  What Are the Guidelines for Writing a Nursing Case Study?

What are the 3 Elements of a Nursing Research Problem Statement in Community?

Every nursing problem statement has 3 main elements: The vision, issue and research methodologies. All these elements together constitute the foundation of your nursing research paper. Your main nursing research paper discusses the 3 factors by using stats, charts, tables and calculations.

All types of research papers need to have a very unique vision, approach and purpose. It gives your readers a deep insight about your topic. Here, you can also get an opportunity in elaborating on your stated arguments as well expressing. Each of these 3 elements are elaborated below:

• Vision : Your research paper is aways incomplete without a proper vision. Along with the with collection and references of other people’s data you also need to add your own vision on the given topic. With the help of this vision, you can also explain briefly things you need to accomplish in your nursing problem research paper. As a student, you can choose to take a localized as well universal one.
• Issue : Here, you need to discuss all the details of your research. Here you need to find out the main areas you need to focus in your nursing research paper. Here you can also write about the journals, books, as well scholarly articles from where you have cited in your papers. In this part you can also discuss how your research paper can benefits certain aspects in nursing profession. The issues are to be considered as the body of your nursing problem case research paper. In this section you need to state your points and premises of your research. In this section, you need to present your arguments in such way to give your assessors a clear idea on the given topic.
• Method : Your professors or the assessors always look into your nursing research methodology in your paper. Your nursing research paper can be critical, statistical or descriptive. Here, students can also add extra annotations and footnotes towards the problem statement end. Do not forget to mention all your citations in your nursing research paper.

Useful Link:   How to Write a Nursing Case Study Assignment Essay Sample?

How to Write a Nursing Research Problem Statement?

There are 5 main questions to be focused in your nursing research problem statement. These are as follows:

• Who : This section determines your reader base that is for whom you are writing this research paper. The nursing papers commonly relates to any specific department, organization or group. You need to write likewise.
• What : This section covers your nursing research boundaries. It gives the general format on what to be included in your research paper.
• When : This part of your nursing research problem statement sets your research frame. Here you need to discuss regarding the long term as well short-term goals of your paper. Thus, it given a lot of insight and credibility to your nursing problem research paper.
• Where : Every country has its own set of medical guidelines, techniques, and procedures. And the majority of students want to limit their studies to their home country or state.
• Why : The “why” is crucial to your investigation, so save it for last. You explain why your paper is important to the nursing community in this section. This part also analyses the impact of your study on disease treatment and diagnosis.

If you avail our online problem and purpose statements in Nursing Research Paper Writing Service , we will help you the best in writing it in the best possible way following the above format.

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• Published: 17 April 2024

Deciphering the influence: academic stress and its role in shaping learning approaches among nursing students: a cross-sectional study

• Rawhia Salah Dogham 1 ,
• Heba Fakieh Mansy Ali 1 ,
• Asmaa Saber Ghaly 3 ,
• Nermine M. Elcokany 2 ,
• Mohamed Mahmoud Seweid 4 &
• Ayman Mohamed El-Ashry   ORCID: orcid.org/0000-0001-7718-4942 5  

BMC Nursing volume  23 , Article number:  249 ( 2024 ) Cite this article

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Nursing education presents unique challenges, including high levels of academic stress and varied learning approaches among students. Understanding the relationship between academic stress and learning approaches is crucial for enhancing nursing education effectiveness and student well-being.

This study aimed to investigate the prevalence of academic stress and its correlation with learning approaches among nursing students.

Design and Method

A cross-sectional descriptive correlation research design was employed. A convenient sample of 1010 nursing students participated, completing socio-demographic data, the Perceived Stress Scale (PSS), and the Revised Study Process Questionnaire (R-SPQ-2 F).

Most nursing students experienced moderate academic stress (56.3%) and exhibited moderate levels of deep learning approaches (55.0%). Stress from a lack of professional knowledge and skills negatively correlates with deep learning approaches (r = -0.392) and positively correlates with surface learning approaches (r = 0.365). Female students showed higher deep learning approach scores, while male students exhibited higher surface learning approach scores. Age, gender, educational level, and academic stress significantly influenced learning approaches.

Academic stress significantly impacts learning approaches among nursing students. Strategies addressing stressors and promoting healthy learning approaches are essential for enhancing nursing education and student well-being.

Nursing implication

Understanding academic stress’s impact on nursing students’ learning approaches enables tailored interventions. Recognizing stressors informs strategies for promoting adaptive coping, fostering deep learning, and creating supportive environments. Integrating stress management, mentorship, and counseling enhances student well-being and nursing education quality.

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Introduction

Nursing education is a demanding field that requires students to acquire extensive knowledge and skills to provide competent and compassionate care. Nursing education curriculum involves high-stress environments that can significantly impact students’ learning approaches and academic performance [ 1 , 2 ]. Numerous studies have investigated learning approaches in nursing education, highlighting the importance of identifying individual students’ preferred approaches. The most studied learning approaches include deep, surface, and strategic approaches. Deep learning approaches involve students actively seeking meaning, making connections, and critically analyzing information. Surface learning approaches focus on memorization and reproducing information without a more profound understanding. Strategic learning approaches aim to achieve high grades by adopting specific strategies, such as memorization techniques or time management skills [ 3 , 4 , 5 ].

Nursing education stands out due to its focus on practical training, where the blend of academic and clinical coursework becomes a significant stressor for students, despite academic stress being shared among all university students [ 6 , 7 , 8 ]. Consequently, nursing students are recognized as prone to high-stress levels. Stress is the physiological and psychological response that occurs when a biological control system identifies a deviation between the desired (target) state and the actual state of a fitness-critical variable, whether that discrepancy arises internally or externally to the human [ 9 ]. Stress levels can vary from objective threats to subjective appraisals, making it a highly personalized response to circumstances. Failure to manage these demands leads to stress imbalance [ 10 ].

Nursing students face three primary stressors during their education: academic, clinical, and personal/social stress. Academic stress is caused by the fear of failure in exams, assessments, and training, as well as workload concerns [ 11 ]. Clinical stress, on the other hand, arises from work-related difficulties such as coping with death, fear of failure, and interpersonal dynamics within the organization. Personal and social stressors are caused by an imbalance between home and school, financial hardships, and other factors. Throughout their education, nursing students have to deal with heavy workloads, time constraints, clinical placements, and high academic expectations. Multiple studies have shown that nursing students experience higher stress levels compared to students in other fields [ 12 , 13 , 14 ].

Research has examined the relationship between academic stress and coping strategies among nursing students, but no studies focus specifically on the learning approach and academic stress. However, existing literature suggests that students interested in nursing tend to experience lower levels of academic stress [ 7 ]. Therefore, interest in nursing can lead to deep learning approaches, which promote a comprehensive understanding of the subject matter, allowing students to feel more confident and less overwhelmed by coursework and exams. Conversely, students employing surface learning approaches may experience higher stress levels due to the reliance on memorization [ 3 ].

Understanding the interplay between academic stress and learning approaches among nursing students is essential for designing effective educational interventions. Nursing educators can foster deep learning approaches by incorporating active learning strategies, critical thinking exercises, and reflection activities into the curriculum [ 15 ]. Creating supportive learning environments encouraging collaboration, self-care, and stress management techniques can help alleviate academic stress. Additionally, providing mentorship and counselling services tailored to nursing students’ unique challenges can contribute to their overall well-being and academic success [ 16 , 17 , 18 ].

Despite the scarcity of research focusing on the link between academic stress and learning methods in nursing students, it’s crucial to identify the unique stressors they encounter. The intensity of these stressors can be connected to the learning strategies employed by these students. Academic stress and learning approach are intertwined aspects of the student experience. While academic stress can influence learning approaches, the choice of learning approach can also impact the level of academic stress experienced. By understanding this relationship and implementing strategies to promote healthy learning approaches and manage academic stress, educators and institutions can foster an environment conducive to deep learning and student well-being.

Hence, this study aims to investigate the correlation between academic stress and learning approaches experienced by nursing students.

Study objectives

Assess the levels of academic stress among nursing students.

Assess the learning approaches among nursing students.

Identify the relationship between academic stress and learning approach among nursing students.

Identify the effect of academic stress and related factors on learning approach and among nursing students.

Materials and methods

Research design.

A cross-sectional descriptive correlation research design adhering to the STROBE guidelines was used for this study.

A research project was conducted at Alexandria Nursing College, situated in Egypt. The college adheres to the national standards for nursing education and functions under the jurisdiction of the Egyptian Ministry of Higher Education. Alexandria Nursing College comprises nine specialized nursing departments that offer various nursing specializations. These departments include Nursing Administration, Community Health Nursing, Gerontological Nursing, Medical-Surgical Nursing, Critical Care Nursing, Pediatric Nursing, Obstetric and Gynecological Nursing, Nursing Education, and Psychiatric Nursing and Mental Health. The credit hour system is the fundamental basis of both undergraduate and graduate programs. This framework guarantees a thorough evaluation of academic outcomes by providing an organized structure for tracking academic progress and conducting analyses.

Participants and sample size calculation

The researchers used the Epi Info 7 program to calculate the sample size. The calculations were based on specific parameters such as a population size of 9886 students for the academic year 2022–2023, an expected frequency of 50%, a maximum margin of error of 5%, and a confidence coefficient of 99.9%. Based on these parameters, the program indicated that a minimum sample size of 976 students was required. As a result, the researchers recruited a convenient sample of 1010 nursing students from different academic levels during the 2022–2023 academic year [ 19 ]. This sample size was larger than the minimum required, which could help to increase the accuracy and reliability of the study results. Participation in the study required enrollment in a nursing program and voluntary agreement to take part. The exclusion criteria included individuals with mental illnesses based on their response and those who failed to complete the questionnaires.

socio-demographic data that include students’ age, sex, educational level, hours of sleep at night, hours spent studying, and GPA from the previous semester.

Tool two: the perceived stress scale (PSS)

It was initially created by Sheu et al. (1997) to gauge the level and nature of stress perceived by nursing students attending Taiwanese universities [ 20 ]. It comprises 29 items rated on a 5-point Likert scale, where (0 = never, 1 = rarely, 2 = sometimes, 3 = reasonably often, and 4 = very often), with a total score ranging from 0 to 116. The cut-off points of levels of perceived stress scale according to score percentage were low < 33.33%, moderate 33.33–66.66%, and high more than 66.66%. Higher scores indicate higher stress levels. The items are categorized into six subscales reflecting different sources of stress. The first subscale assesses “stress stemming from lack of professional knowledge and skills” and includes 3 items. The second subscale evaluates “stress from caring for patients” with 8 items. The third subscale measures “stress from assignments and workload” with 5 items. The fourth subscale focuses on “stress from interactions with teachers and nursing staff” with 6 items. The fifth subscale gauges “stress from the clinical environment” with 3 items. The sixth subscale addresses “stress from peers and daily life” with 4 items. El-Ashry et al. (2022) reported an excellent internal consistency reliability of 0.83 [ 21 ]. Two bilingual translators translated the English version of the scale into Arabic and then back-translated it into English by two other independent translators to verify its accuracy. The suitability of the translated version was confirmed through a confirmatory factor analysis (CFA), which yielded goodness-of-fit indices such as a comparative fit index (CFI) of 0.712, a Tucker-Lewis index (TLI) of 0.812, and a root mean square error of approximation (RMSEA) of 0.100.

Tool three: revised study process questionnaire (R-SPQ-2 F)

It was developed by Biggs et al. (2001). It examines deep and surface learning approaches using only 20 questions; each subscale contains 10 questions [ 22 ]. On a 5-point Likert scale ranging from 0 (never or only rarely true of me) to 4 (always or almost always accurate of me). The total score ranged from 0 to 80, with a higher score reflecting more deep or surface learning approaches. The cut-off points of levels of revised study process questionnaire according to score percentage were low < 33%, moderate 33–66%, and high more than 66%. Biggs et al. (2001) found that Cronbach alpha value was 0.73 for deep learning approach and 0.64 for the surface learning approach, which was considered acceptable. Two translators fluent in English and Arabic initially translated a scale from English to Arabic. To ensure the accuracy of the translation, they translated it back into English. The translated version’s appropriateness was evaluated using a confirmatory factor analysis (CFA). The CFA produced several goodness-of-fit indices, including a Comparative Fit Index (CFI) of 0.790, a Tucker-Lewis Index (TLI) of 0.912, and a Root Mean Square Error of Approximation (RMSEA) of 0.100. Comparative Fit Index (CFI) of 0.790, a Tucker-Lewis Index (TLI) of 0.912, and a Root Mean Square Error of Approximation (RMSEA) of 0.100.

Ethical considerations

The Alexandria University College of Nursing’s Research Ethics Committee provided ethical permission before the study’s implementation. Furthermore, pertinent authorities acquired ethical approval at participating nursing institutions. The vice deans of the participating institutions provided written informed consent attesting to institutional support and authority. By giving written informed consent, participants confirmed they were taking part voluntarily. Strict protocols were followed to protect participants’ privacy during the whole investigation. The obtained personal data was kept private and available only to the study team. Ensuring participants’ privacy and anonymity was of utmost importance.

Tools validity

The researchers created tool one after reviewing pertinent literature. Two bilingual translators independently translated the English version into Arabic to evaluate the applicability of the academic stress and learning approach tools for Arabic-speaking populations. To assure accuracy, two additional impartial translators back-translated the translation into English. They were also assessed by a five-person jury of professionals from the education and psychiatric nursing departments. The scales were found to have sufficiently evaluated the intended structures by the jury.

Pilot study

A preliminary investigation involved 100 nursing student applicants, distinct from the final sample, to gauge the efficacy, clarity, and potential obstacles in utilizing the research instruments. The pilot findings indicated that the instruments were accurate, comprehensible, and suitable for the target demographic. Additionally, Cronbach’s Alpha was utilized to further assess the instruments’ reliability, demonstrating internal solid consistency for both the learning approaches and academic stress tools, with values of 0.91 and 0.85, respectively.

Data collection

The researchers convened with each qualified student in a relaxed, unoccupied classroom in their respective college settings. Following a briefing on the study’s objectives, the students filled out the datasheet. The interviews typically lasted 15 to 20 min.

Data analysis

The data collected were analyzed using IBM SPSS software version 26.0. Following data entry, a thorough examination and verification were undertaken to ensure accuracy. The normality of quantitative data distributions was assessed using Kolmogorov-Smirnov tests. Cronbach’s Alpha was employed to evaluate the reliability and internal consistency of the study instruments. Descriptive statistics, including means (M), standard deviations (SD), and frequencies/percentages, were computed to summarize academic stress and learning approaches for categorical data. Student’s t-tests compared scores between two groups for normally distributed variables, while One-way ANOVA compared scores across more than two categories of a categorical variable. Pearson’s correlation coefficient determined the strength and direction of associations between customarily distributed quantitative variables. Hierarchical regression analysis identified the primary independent factors influencing learning approaches. Statistical significance was determined at the 5% (p < 0.05).

Table  1 presents socio-demographic data for a group of 1010 nursing students. The age distribution shows that 38.8% of the students were between 18 and 21 years old, 32.9% were between 21 and 24 years old, and 28.3% were between 24 and 28 years old, with an average age of approximately 22.79. Regarding gender, most of the students were female (77%), while 23% were male. The students were distributed across different educational years, a majority of 34.4% in the second year, followed by 29.4% in the fourth year. The students’ hours spent studying were found to be approximately two-thirds (67%) of the students who studied between 3 and 6 h. Similarly, sleep patterns differ among the students; more than three-quarters (77.3%) of students sleep between 5- to more than 7 h, and only 2.4% sleep less than 2 h per night. Finally, the student’s Grade Point Average (GPA) from the previous semester was also provided. 21% of the students had a GPA between 2 and 2.5, 40.9% had a GPA between 2.5 and 3, and 38.1% had a GPA between 3 and 3.5.

Figure  1 provides the learning approach level among nursing students. In terms of learning approach, most students (55.0%) exhibited a moderate level of deep learning approach, followed by 25.9% with a high level and 19.1% with a low level. The surface learning approach was more prevalent, with 47.8% of students showing a moderate level, 41.7% showing a low level, and only 10.5% exhibiting a high level.

Nursing students? levels of learning approach (N=1010)

Figure  2 provides the types of academic stress levels among nursing students. Among nursing students, various stressors significantly impact their academic experiences. Foremost among these stressors are the pressure and demands associated with academic assignments and workload, with 30.8% of students attributing their high stress levels to these factors. Challenges within the clinical environment are closely behind, contributing significantly to high stress levels among 25.7% of nursing students. Interactions with peers and daily life stressors also weigh heavily on students, ranking third among sources of high stress, with 21.5% of students citing this as a significant factor. Similarly, interaction with teachers and nursing staff closely follow, contributing to high-stress levels for 20.3% of nursing students. While still significant, stress from taking care of patients ranks slightly lower, with 16.7% of students reporting it as a significant factor contributing to their academic stress. At the lowest end of the ranking, but still notable, is stress from a perceived lack of professional knowledge and skills, with 15.9% of students experiencing high stress in this area.

Nursing students? levels of academic stress subtypes (N=1010)

Figure  3 provides the total levels of academic stress among nursing students. The majority of students experienced moderate academic stress (56.3%), followed by those experiencing low academic stress (29.9%), and a minority experienced high academic stress (13.8%).

Nursing students? levels of total academic stress (N=1010)

Table  2 displays the correlation between academic stress subscales and deep and surface learning approaches among 1010 nursing students. All stress subscales exhibited a negative correlation regarding the deep learning approach, indicating that the inclination toward deep learning decreases with increasing stress levels. The most significant negative correlation was observed with stress stemming from the lack of professional knowledge and skills (r=-0.392, p < 0.001), followed by stress from the clinical environment (r=-0.109, p = 0.001), stress from assignments and workload (r=-0.103, p = 0.001), stress from peers and daily life (r=-0.095, p = 0.002), and stress from patient care responsibilities (r=-0.093, p = 0.003). The weakest negative correlation was found with stress from interactions with teachers and nursing staff (r=-0.083, p = 0.009). Conversely, concerning the surface learning approach, all stress subscales displayed a positive correlation, indicating that heightened stress levels corresponded with an increased tendency toward superficial learning. The most substantial positive correlation was observed with stress related to the lack of professional knowledge and skills (r = 0.365, p < 0.001), followed by stress from patient care responsibilities (r = 0.334, p < 0.001), overall stress (r = 0.355, p < 0.001), stress from interactions with teachers and nursing staff (r = 0.262, p < 0.001), stress from assignments and workload (r = 0.262, p < 0.001), and stress from the clinical environment (r = 0.254, p < 0.001). The weakest positive correlation was noted with stress stemming from peers and daily life (r = 0.186, p < 0.001).

Table  3 outlines the association between the socio-demographic characteristics of nursing students and their deep and surface learning approaches. Concerning age, statistically significant differences were observed in deep and surface learning approaches (F = 3.661, p = 0.003 and F = 7.983, p < 0.001, respectively). Gender also demonstrated significant differences in deep and surface learning approaches (t = 3.290, p = 0.001 and t = 8.638, p < 0.001, respectively). Female students exhibited higher scores in the deep learning approach (31.59 ± 8.28) compared to male students (29.59 ± 7.73), while male students had higher scores in the surface learning approach (29.97 ± 7.36) compared to female students (24.90 ± 7.97). Educational level exhibited statistically significant differences in deep and surface learning approaches (F = 5.599, p = 0.001 and F = 17.284, p < 0.001, respectively). Both deep and surface learning approach scores increased with higher educational levels. The duration of study hours demonstrated significant differences only in the surface learning approach (F = 3.550, p = 0.014), with scores increasing as study hours increased. However, no significant difference was observed in the deep learning approach (F = 0.861, p = 0.461). Hours of sleep per night and GPA from the previous semester did not exhibit statistically significant differences in deep or surface learning approaches.

Table  4 presents a multivariate linear regression analysis examining the factors influencing the learning approach among 1110 nursing students. The deep learning approach was positively influenced by age, gender (being female), educational year level, and stress from teachers and nursing staff, as indicated by their positive coefficients and significant p-values (p < 0.05). However, it was negatively influenced by stress from a lack of professional knowledge and skills. The other factors do not significantly influence the deep learning approach. On the other hand, the surface learning approach was positively influenced by gender (being female), educational year level, stress from lack of professional knowledge and skills, stress from assignments and workload, and stress from taking care of patients, as indicated by their positive coefficients and significant p-values (p < 0.05). However, it was negatively influenced by gender (being male). The other factors do not significantly influence the surface learning approach. The adjusted R-squared values indicated that the variables in the model explain 17.8% of the variance in the deep learning approach and 25.5% in the surface learning approach. Both models were statistically significant (p < 0.001).

Nursing students’ academic stress and learning approaches are essential to planning for effective and efficient learning. Nursing education also aims to develop knowledgeable and competent students with problem-solving and critical-thinking skills.

The study’s findings highlight the significant presence of stress among nursing students, with a majority experiencing moderate to severe levels of academic stress. This aligns with previous research indicating that academic stress is prevalent among nursing students. For instance, Zheng et al. (2022) observed moderated stress levels in nursing students during clinical placements [ 23 ], while El-Ashry et al. (2022) found that nearly all first-year nursing students in Egypt experienced severe academic stress [ 21 ]. Conversely, Ali and El-Sherbini (2018) reported that over three-quarters of nursing students faced high academic stress. The complexity of the nursing program likely contributes to these stress levels [ 24 ].

The current study revealed that nursing students identified the highest sources of academic stress as workload from assignments and the stress of caring for patients. This aligns with Banu et al.‘s (2015) findings, where academic demands, assignments, examinations, high workload, and combining clinical work with patient interaction were cited as everyday stressors [ 25 ]. Additionally, Anaman-Torgbor et al. (2021) identified lectures, assignments, and examinations as predictors of academic stress through logistic regression analysis. These stressors may stem from nursing programs emphasizing the development of highly qualified graduates who acquire knowledge, values, and skills through classroom and clinical experiences [ 26 ].

The results regarding learning approaches indicate that most nursing students predominantly employed the deep learning approach. Despite acknowledging a surface learning approach among the participants in the present study, the prevalence of deep learning was higher. This inclination toward the deep learning approach is anticipated in nursing students due to their engagement with advanced courses, requiring retention, integration, and transfer of information at elevated levels. The deep learning approach correlates with a gratifying learning experience and contributes to higher academic achievements [ 3 ]. Moreover, the nursing program’s emphasis on active learning strategies fosters critical thinking, problem-solving, and decision-making skills. These findings align with Mahmoud et al.‘s (2019) study, reporting a significant presence (83.31%) of the deep learning approach among undergraduate nursing students at King Khalid University’s Faculty of Nursing [ 27 ]. Additionally, Mohamed &Morsi (2019) found that most nursing students at Benha University’s Faculty of Nursing embraced the deep learning approach (65.4%) compared to the surface learning approach [ 28 ].

The study observed a negative correlation between the deep learning approach and the overall mean stress score, contrasting with a positive correlation between surface learning approaches and overall stress levels. Elevated academic stress levels may diminish motivation and engagement in the learning process, potentially leading students to feel overwhelmed, disinterested, or burned out, prompting a shift toward a surface learning approach. This finding resonates with previous research indicating that nursing students who actively seek positive academic support strategies during academic stress have better prospects for success than those who do not [ 29 ]. Nebhinani et al. (2020) identified interface concerns and academic workload as significant stress-related factors. Notably, only an interest in nursing demonstrated a significant association with stress levels, with participants interested in nursing primarily employing adaptive coping strategies compared to non-interested students.

The current research reveals a statistically significant inverse relationship between different dimensions of academic stress and adopting the deep learning approach. The most substantial negative correlation was observed with stress arising from a lack of professional knowledge and skills, succeeded by stress associated with the clinical environment, assignments, and workload. Nursing students encounter diverse stressors, including delivering patient care, handling assignments and workloads, navigating challenging interactions with staff and faculty, perceived inadequacies in clinical proficiency, and facing examinations [ 30 ].

In the current study, the multivariate linear regression analysis reveals that various factors positively influence the deep learning approach, including age, female gender, educational year level, and stress from teachers and nursing staff. In contrast, stress from a lack of professional knowledge and skills exert a negative influence. Conversely, the surface learning approach is positively influenced by female gender, educational year level, stress from lack of professional knowledge and skills, stress from assignments and workload, and stress from taking care of patients, but negatively affected by male gender. The models explain 17.8% and 25.5% of the variance in the deep and surface learning approaches, respectively, and both are statistically significant. These findings underscore the intricate interplay of demographic and stress-related factors in shaping nursing students’ learning approaches. High workloads and patient care responsibilities may compel students to prioritize completing tasks over deep comprehension. This pressure could lead to a surface learning approach as students focus on meeting immediate demands rather than engaging deeply with course material. This observation aligns with the findings of Alsayed et al. (2021), who identified age, gender, and study year as significant factors influencing students’ learning approaches.

Deep learners often demonstrate better self-regulation skills, such as effective time management, goal setting, and seeking support when needed. These skills can help manage academic stress and maintain a balanced learning approach. These are supported by studies that studied the effect of coping strategies on stress levels [ 6 , 31 , 32 ]. On the contrary, Pacheco-Castillo et al. study (2021) found a strong significant relationship between academic stressors and students’ level of performance. That study also proved that the more academic stress a student faces, the lower their academic achievement.

Strengths and limitations of the study

This study has lots of advantages. It provides insightful information about the educational experiences of Egyptian nursing students, a demographic that has yet to receive much research. The study’s limited generalizability to other people or nations stems from its concentration on this particular group. This might be addressed in future studies by using a more varied sample. Another drawback is the dependence on self-reported metrics, which may contain biases and mistakes. Although the cross-sectional design offers a moment-in-time view of the problem, it cannot determine causation or evaluate changes over time. To address this, longitudinal research may be carried out.

Notwithstanding these drawbacks, the study substantially contributes to the expanding knowledge of academic stress and nursing students’ learning styles. Additional research is needed to determine teaching strategies that improve deep-learning approaches among nursing students. A qualitative study is required to analyze learning approaches and factors that may influence nursing students’ selection of learning approaches.

According to the present study’s findings, nursing students encounter considerable academic stress, primarily stemming from heavy assignments and workload, as well as interactions with teachers and nursing staff. Additionally, it was observed that students who experience lower levels of academic stress typically adopt a deep learning approach, whereas those facing higher stress levels tend to resort to a surface learning approach. Demographic factors such as age, gender, and educational level influence nursing students’ choice of learning approach. Specifically, female students are more inclined towards deep learning, whereas male students prefer surface learning. Moreover, deep and surface learning approach scores show an upward trend with increasing educational levels and study hours. Academic stress emerges as a significant determinant shaping the adoption of learning approaches among nursing students.

Implications in nursing practice

Nursing programs should consider integrating stress management techniques into their curriculum. Providing students with resources and skills to cope with academic stress can improve their well-being and academic performance. Educators can incorporate teaching strategies that promote deep learning approaches, such as problem-based learning, critical thinking exercises, and active learning methods. These approaches help students engage more deeply with course material and reduce reliance on surface learning techniques. Recognizing the gender differences in learning approaches, nursing programs can offer gender-specific support services and resources. For example, providing targeted workshops or counseling services that address male and female nursing students’ unique stressors and learning needs. Implementing mentorship programs and peer support groups can create a supportive environment where students can share experiences, seek advice, and receive encouragement from their peers and faculty members. Encouraging students to reflect on their learning processes and identify effective study strategies can help them develop metacognitive skills and become more self-directed learners. Faculty members can facilitate this process by incorporating reflective exercises into the curriculum. Nursing faculty and staff should receive training on recognizing signs of academic stress among students and providing appropriate support and resources. Additionally, professional development opportunities can help educators stay updated on evidence-based teaching strategies and practical interventions for addressing student stress.

Data availability

The datasets generated and/or analysed during the current study are not publicly available due to restrictions imposed by the institutional review board to protect participant confidentiality, but are available from the corresponding author on reasonable request.

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Acknowledgements

Our sincere thanks go to all the nursing students in the study. We also want to thank Dr/ Rasha Badry for their statistical analysis help and contribution to this study.

The research was not funded by public, commercial, or non-profit organizations.

Open access funding provided by The Science, Technology & Innovation Funding Authority (STDF) in cooperation with The Egyptian Knowledge Bank (EKB).

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Nursing Education, Faculty of Nursing, Alexandria University, Alexandria, Egypt

Rawhia Salah Dogham & Heba Fakieh Mansy Ali

Critical Care & Emergency Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt

Nermine M. Elcokany

Obstetrics and Gynecology Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt

Asmaa Saber Ghaly

Faculty of Nursing, Beni-Suef University, Beni-Suef, Egypt

Mohamed Mahmoud Seweid

Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt

Ayman Mohamed El-Ashry

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Ayman M. El-Ashry & Rawhia S. Dogham: conceptualization, preparation, and data collection; methodology; investigation; formal analysis; data analysis; writing-original draft; writing-manuscript; and editing. Heba F. Mansy Ali & Asmaa S. Ghaly: conceptualization, preparation, methodology, investigation, writing-original draft, writing-review, and editing. Nermine M. Elcokany & Mohamed M. Seweid: Methodology, investigation, formal analysis, data collection, writing-manuscript & editing. All authors reviewed the manuscript and accept for publication.

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Correspondence to Ayman Mohamed El-Ashry .

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The research adhered to the guidelines and regulations outlined in the Declaration of Helsinki (DoH-Oct2008). The Faculty of Nursing’s Research Ethical Committee (REC) at Alexandria University approved data collection in this study (IRB00013620/95/9/2022). Participants were required to sign an informed written consent form, which included an explanation of the research and an assessment of their understanding.

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Dogham, R.S., Ali, H.F.M., Ghaly, A.S. et al. Deciphering the influence: academic stress and its role in shaping learning approaches among nursing students: a cross-sectional study. BMC Nurs 23 , 249 (2024). https://doi.org/10.1186/s12912-024-01885-1

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Received : 31 January 2024

Accepted : 21 March 2024

Published : 17 April 2024

DOI : https://doi.org/10.1186/s12912-024-01885-1

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