Resilience, Psychological Well-Being, and Academic Success in Blended Learning: A Cross-Sectional Study among Healthcare Students

Authors

  • Nuraeni Effendy Faculty of Health Sciences, Universitas Brawijaya, Malang, East Java, Indonesia
  • Rustiana Tasya Ariningpraja Department of Nursing, Faculty of Health Sciences, Universitas Indonesia, Malang, East Java, Indonesia
  • Retno Lestari Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, East Java, Indonesia

DOI:

https://doi.org/10.55018/janh.v7i3.275

Keywords:

Psychological Well-Being, Resilience, Healthcare Student, Protective Factor

Abstract

Background: Students in healthcare are expected to face high clinical and academic stressors that may influence their psychological well-being and academic achievement. Resilience plays a significant role in helping students navigate these challenges while maintaining their well-being. The research examines the relationship between psychological well-being, resilience, and academic achievement among Universitas Brawijaya healthcare students in a blended learning environment.

Methods: A cross-sectional research design was employed, and 302 students participated through purposive sampling. Data were collected through the Academic Resilience Scale (ARS-30) and Ryff's Psychological Well-Being Scale, with GPA as an indicator of academic performance. This study was reported in accordance with the STROBE guidelines.

Results: A strong positive relationship between resilience and psychological well-being (r = 0.615, p < 0.01), highlighting the focus on resilience as an effective protective factor. There was, nonetheless, no significant correlation between resilience and GPA (r = -0.006, p = 0.913)..

Conclusion: Among the psychological well-being factors, environmental mastery, autonomy, and purpose in life contributed significantly to academic resilience. These findings suggest that cultivating psychological well-being, particularly ecological mastery and self-acceptance, can enable resilience in online learning environments.

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References

Ali, M., Disman, Permanasari, A., Hadiapurwa, A., Risdiyanto, & Lestari, H. (2022). Blended Learning in the Implementation of Environment Dimension of ESD Infused into Junior High School Science. Journal of Hunan University Natural Sciences, 49(2), 139–149. https://doi.org/10.55463/issn.1674-2974.49.2.14

Anazifa, R. D., Paidi, P., Tias Pratama, A., & Kurniawati, A. (2024). Development of argument-driven inquiry model with blended learning approach in environmental science course. https://doi.org/10.22219/raden.v4i2.3

Andargeery, S. Y., Taani, M. H., Alhalwani, R. A., & El-Gazar, H. E. (2024). Psychological Distress, Academic Stress, and Burnout among Saudi Undergraduate Nursing Students. Journal of Clinical Medicine, 13(12), 3357. https://doi.org/10.3390/jcm13123357

Anthony Angwaomaodoko, E. (2024). A Review of Blended Learning after the COVID-19 Pandemic. International Research in Education, 12(1), 86. https://doi.org/10.5296/ire.v12i1.21849

Ashraf, M. A., Yang, M., Zhang, Y., Denden, M., Tlili, A., Liu, J., Huang, R., & Burgos, D. (2021). A Systematic Review of Systematic Reviews on Blended Learning: Trends, Gaps and Future Directions. Psychology Research and Behavior Management, Volume 14, 1525–1541. https://doi.org/10.2147/PRBM.S331741

Avila-Carrasco, L., Díaz-Avila, D. L., Reyes-López, A., Monarrez-Espino, J., Garza-Veloz, I., Velasco-Elizondo, P., Vázquez-Reyes, S., Mauricio-González, A., Solís-Galván, J. A., & Martinez-Fierro, M. L. (2023). Anxiety, depression, and academic stress among medical students during the COVID-19 pandemic. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.1066673

Babi, R., Babi, M., Rastovi, P., Urlin, M., Šimi, J., Mandi, K., & Pavlovi, K. (2020). RESILIENCE IN HEALTH AND ILLNESS. In Review © Medicinska naklada (Vol. 32).

Bai, X., Wang, X., Wang, J., Tian, J., & Ding, Q. (2020). College Students’ Autonomous Learning Behavior in Blended Learning: Learning Motivation, Self-Efficacy, and Learning Anxiety. Proceedings - 2020 International Symposium on Educational Technology, ISET 2020, 155–158. https://doi.org/10.1109/ISET49818.2020.00042

Bolatov, A. K., Gabbasova, A. M., Baikanova, R. K., Igenbayeva, B. B., & Pavalkis, D. (2022). Online or Blended Learning: the COVID-19 Pandemic and First-Year Medical Students’ Academic Motivation. Medical Science Educator, 32(1), 221–228. https://doi.org/10.1007/s40670-021-01464-y

Campbell, S., Greenwood, M., Prior, S., Shearer, T., Walkem, K., Young, S., Bywaters, D., & Walker, K. (2020). Purposive sampling: complex or simple? Research case examples. Journal of Research in Nursing, 25(8), 652–661. https://doi.org/10.1177/1744987120927206

Capili, B. (2021). Cross-Sectional Studies. AJN, American Journal of Nursing, 121(10), 59–62. https://doi.org/10.1097/01.NAJ.0000794280.73744.fe

Cassidy, S. (2016). The Academic Resilience Scale (ARS-30): A New Multidimensional Construct Measure. Frontiers in Psychology, 7. https://doi.org/10.3389/fpsyg.2016.01787

Cuartero, N., & Tur, A. M. (2021). Emotional intelligence, resilience and personality traits neuroticism and extraversion: predictive capacity in perceived academic efficacy. Nurse Education Today, 102. https://doi.org/10.1016/j.nedt.2021.104933

Donnellan, C., Chakkittakandy, D., & Lydon, C. (2024). Conceptual Considerations for Understanding Resilience in Healthcare Students. In Nursing open (Vol. 11, Issue 10, p. e70061). https://doi.org/10.1002/nop2.70061

Garcia, D., Kazemitabar, M., & Asgarabad, M. H. (2023). The 18-item Swedish version of Ryff’s psychological wellbeing scale: psychometric properties based on classical test theory and item response theory. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1208300

García-Martínez, I., Augusto-Landa, J. M., Quijano-López, R., & León, S. P. (2022). Self-Concept as a Mediator of the Relation Between University Students’ Resilience and Academic Achievement. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.747168

Green, Z. A. (2024). Strengths intervention imparted through a blended learning approach to advance personal growth initiative among Pakistan’s university students during COVID-19. Studies in Educational Evaluation, 81. https://doi.org/10.1016/j.stueduc.2024.101343

Hansen, B., & Lang, M. (2011). Back to school blues: Seasonality of youth suicide and the academic calendar. Economics of Education Review, 30(5), 850–861. https://doi.org/10.1016/j.econedurev.2011.04.012

Ko, Y. C., Lin, H. Y., Chiang, W. C., Yang, C. W., Hsieh, M. J., & Ma, M. H. M. (2024). Comparing the effects of blended learning and traditional instruction on basic life support for laypersons: A randomized controlled trial. Journal of the Formosan Medical Association, 123(6), 687–692. https://doi.org/10.1016/j.jfma.2023.10.017

Labrague, L. J. (2024). Umbrella Review: Stress Levels, Sources of Stress, and Coping Mechanisms among Student Nurses. Nursing Reports, 14(1), 362–375. https://doi.org/10.3390/nursrep14010028

Lestari, R. P., & Widyastuti, W. (2023). Psychological Well-Being of Students from Intact Families. Psikologia : Jurnal Psikologi, 9. https://doi.org/10.21070/psikologia.v9i0.1701

Li, R. H., Peng, H. L., Yeh, M. H., & Lou, J. (2022). Psychological Well-Being Increment as Post-Traumatic Growth in Women with Breast Cancer: A Controlled Comparison Design Using Propensity Score Matching. Healthcare (Switzerland), 10(8). https://doi.org/10.3390/healthcare10081388

Liepinaitienė, A., Jotautis, V., Jankauskaite, S., Navickiene, L., Bartusiene, D., Lamsodiene, E., Gaiziunaite, R., Valalyte, V., Vaitkiene, R., Korżyńska-Piętas, M., Gudre, L., & Piscalkiene, V. (2024). Prevalence and associations of neurodevelopmental and mental health disorders with academic and well-being challenges among nursing and midwifery students: A cross-sectional study. European Journal of Midwifery, 8(December), 1–7. https://doi.org/10.18332/ejm/195808

Lv, N., & Li, Z. (2024). The Effects of Blended Learning Environment on College Students’ Learning Effectiveness: Exploring the Role of Behavioral Intentions and Self-Efficacy Through the UTAUT2 Model. SAGE Open, 14(2). https://doi.org/10.1177/21582440241251604

March-Amengual, J.-M., Cambra Badii, I., Casas-Baroy, J.-C., Altarriba, C., Comella Company, A., Pujol-Farriols, R., Baños, J.-E., Galbany-Estragués, P., & Comella Cayuela, A. (2022). Psychological Distress, Burnout, and Academic Performance in First Year College Students. International Journal of Environmental Research and Public Health, 19(6), 3356. https://doi.org/10.3390/ijerph19063356

Michel, N., Guillaume, M., Lawrence, P., & Peter, S. (2022). Head Title: STRESS, RECOVERY AND ENVIRONMENTAL MASTERY IN EXTREME ENVIRONMENTS Dynamics of stress and recovery and relationships with perceived environmental mastery in extreme environments.

Mohamed, N. A., Ali, S. O., Ehrahim, E. E. E., Ahmed, A. L., & Wahba, A. M. (2024). Predictors of Academic and Clinical Stress Among Nursing Students. SAGE Open Nursing, 10. https://doi.org/10.1177/23779608241290392

Musa, M., Majin, R., Mamat, R., & Noh, M. M. (2023). THE QUALITY OF LIFE AMONG NURSING STUDENTS RELATED TO STRESS AND ACADEMIC PRESSURE IN NORTH BORNEO LOCAL UNIVERSITY How to cite (in APA style. Indonesian Journal of Global Health Research, 5(4), 879. https://doi.org/10.37287/ijghr.v5i4.2516

Mustafa, M. B., Rani, N. H. M., Bistaman, M. N., Salim, S. S. S., Ahmad, A., Zakaria, N. H., & Safian, N. A. A. (2020). The Relationship between Psychological Well-Being and University Students Academic Achievement. International Journal of Academic Research in Business and Social Sciences, 10(7). https://doi.org/10.6007/ijarbss/v10-i7/7454

Park, S., & Choi, M.-Y. (2025). Resilience of nursing students: A concept analysis study. Nurse Education Today, 144, 106463. https://doi.org/10.1016/j.nedt.2024.106463

Sasaki, N., Watanabe, K., Imamura, K., Nishi, D., Karasawa, M., Kan, C., Ryff, C. D., & Kawakami, N. (2020). Japanese version of the 42-item psychological well-being scale (PWBS-42): A validation study. BMC Psychology, 8(1). https://doi.org/10.1186/s40359-020-00441-1

Sayed, T., Malan, H., & Fourie, E. (2024). Exploring the associations between resilience and psychological well-being among South Africans during COVID-19. Frontiers in Psychology, 15. https://doi.org/10.3389/fpsyg.2024.1323466

Schäfer, S. K., Fritz, J., Sopp, M. R., Kunzler, A. M., von Boros, L., Tüscher, O., Göritz, A. S., Lieb, K., & Michael, T. (2023a). Interrelations of resilience factors and their incremental impact for mental health: insights from network modeling using a prospective study across seven timepoints. Translational Psychiatry, 13(1), 328. https://doi.org/10.1038/s41398-023-02603-2

Schäfer, S. K., Fritz, J., Sopp, M. R., Kunzler, A. M., von Boros, L., Tüscher, O., Göritz, A. S., Lieb, K., & Michael, T. (2023b). Interrelations of resilience factors and their incremental impact for mental health: insights from network modeling using a prospective study across seven timepoints. Translational Psychiatry, 13(1). https://doi.org/10.1038/s41398-023-02603-2

Shorbagi, A. I. (2024). Promoting resilience among medical students using the Wadi framework: a clinical teacher’s perspective. Frontiers in Medicine, 11. https://doi.org/10.3389/fmed.2024.1488635

Shrivastava, A., & Desousa, A. (2016a). Resilience: A psychobiological construct for psychiatric disorders. Indian Journal of Psychiatry, 58(1), 38. https://doi.org/10.4103/0019-5545.174365

Shrivastava, A., & Desousa, A. (2016b). Resilience: A psychobiological construct for psychiatric disorders. In Indian Journal of Psychiatry (Vol. 58, Issue 1, pp. 38–43). Medknow Publications. https://doi.org/10.4103/0019-5545.174365

Siddiqui, S., Soomro, N. N., & Thomas, M. (2020). Blended learning source of satisfaction of psychological needs: An empirical study conducted on O-levels chemistry students in metropolis city of Pakistan. Asian Association of Open Universities Journal, 15(1), 49–67. https://doi.org/10.1108/AAOUJ-11-2019-0054

Steare, T., Gutiérrez Muñoz, C., Sullivan, A., & Lewis, G. (2023). The association between academic pressure and adolescent mental health problems: A systematic review. In Journal of Affective Disorders (Vol. 339, pp. 302–317). Elsevier B.V. https://doi.org/10.1016/j.jad.2023.07.028

Tong, D. H., Uyen, B. P., & Ngan, L. K. (2022). The effectiveness of blended learning on students’ academic achievement, self-study skills and learning attitudes: A quasi-experiment study in teaching the conventions for coordinates in the plane. Heliyon, 8(12), e12657. https://doi.org/10.1016/j.heliyon.2022.e12657

Wang, X., Liu, J., Jia, S., Hou, C., Jiao, R., Yan, Y., Ma, T., Zhang, Y., Liu, Y., Wen, H., Wang, Y.-F., Zhu, H., & Liu, X.-Y. (2024). Hybrid teaching after COVID-19: advantages, challenges and optimization strategies. BMC Medical Education, 24(1), 753. https://doi.org/10.1186/s12909-024-05745-z

Waugh, C. E., & Sali, A. W. (2023a). Resilience as the Ability to Maintain Well-Being: An Allostatic Active Inference Model. Journal of Intelligence, 11(8), 158. https://doi.org/10.3390/jintelligence11080158

Waugh, C. E., & Sali, A. W. (2023b). Resilience as the Ability to Maintain Well-Being: An Allostatic Active Inference Model. In Journal of Intelligence (Vol. 11, Issue 8). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/jintelligence11080158

Published

2025-11-07

How to Cite

Effendy, N. ., Ariningpraja, R. T., & Lestari, R. (2025). Resilience, Psychological Well-Being, and Academic Success in Blended Learning: A Cross-Sectional Study among Healthcare Students. Journal of Applied Nursing and Health, 7(3), 460–473. https://doi.org/10.55018/janh.v7i3.275

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