Knowledge, Practices and Anxiety related to Corona Virus Disease-19 (COVID -19) among Nursing Students in Nepal

  • Sandhya Shrestha Manipal College of Medical Sciences, Pokhara, Nepal.
  • Jyoti Badan Tuladhar Kathmandu Medical College Teaching Hospital
  • Namrata Thapa Manipal College of Medical Sciences, Pokhara, Nepal.
Keywords: Anxiety, COVID-19, Knowledge, Nursing students, Practices


 Introduction: COVID-19 is a pandemic that emerged and rapidly spread throughout the world in no time. Nursing students are the foundation of nursing profession and they have enormous role to control the spread of the disease in society. The present study was conducted to assess knowledge, practice and anxiety related to COVID-19 among nursing students of Nepal and to find out the correlation between anxiety and knowledge and practice. Methods: A descriptive cross-sectional survey was conducted among 214 Proficiency Certificate Level and Bachelor of Sciences in Nursing students of Nursing Programme, Manipal College of Medical Sciences. Data were collected from 25th May to 2nd June 2020 through self-developed structured questionnaire to measure knowledge and practice whereas, a validated “Self -rating Anxiety scale (SAS)” was used to measure anxiety level via Google form. Data were analyzed using descriptive and inferential (spearman rho correlation) statistics. Results: Majority (73.80%) were from age group 16-20 years of age with mean age of 19.33±1.96 years. Majorities (83.60%) were Hindus. More than half (57.50%) of the respondents had adequate knowledge regarding corona virus infection, 58.90% had good practice and only 6.10% had mild to moderate anxiety level. There was no significant correlation of anxiety with knowledge (p=0.857) and practice (p=0.375). Conclusion: The study showed that more than half of the nursing students had inadequate knowledge, poor practices regarding corona virus infection and very few had mild to moderate anxiety level. Anxiety was not related to knowledge and practice regarding corona virus infection.


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Author Biographies

Sandhya Shrestha, Manipal College of Medical Sciences, Pokhara, Nepal.

Associate Professor,

College of Nursing.

Jyoti Badan Tuladhar, Kathmandu Medical College Teaching Hospital


College of Nursing. 

Namrata Thapa, Manipal College of Medical Sciences, Pokhara, Nepal.

Assistant Lecturer,

College of Nursing.


Center for Disease Control and Prevention (CDC). COVID-19 [Internet]. US Department of Health and Human Services: USA; 2021. [Cited 15 March 2020]. Available from:

Center for Disease Control and Prevention (CDC). Coronavirus Disease 2019 (COVID-19) Situation Summary [Internet]. [Cited 15 March 2020]. Available from:

Huynh G, Nguyen TNH, Tran VK, Vo KN, Vo VT, Pham LA. Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pacific Journal Tropical Medicine. 2020;13(6):260-65. Available from:

Kaur V, Shokeen J, Kaur J, Kaur P, Kaur S. Knowledge and awareness among nursing students towards Covid-19 pandemic: A web-based survey in northern India. International Journal of Scientific Research. 2020;9(9):1-3. Available from:

Angelo AT, Alemayehu DS, Dacho AM. Knowledge, Attitudes, and Practices Toward Covid-19 and Associated Factors Among University Students in Mizan Tepi University, 2020. Infect Drug Resist. 2021;14(0):349-60. PMID: 33564243 DOI:

Albaqawi HM, Alquwez N, Balay-Odao E, Bajet JB, Alabdulaziz H, Alsolami F, et al. Nursing Students’ Perceptions, Knowledge, and Preventive Behaviors Toward COVID-19: A Multi-University Study. Front Public Health. 2020;8(0):573390. PMID: 33425830 DOI:

Tadesse DB, Gebrewahd GT, Demoz GT. Knowledge, attitude, practice and psychological response toward Covid 19 among nurses during the Covid 19 outbreak in Northern Ethiopia, 2020. New Microbes New Infect. 2020;38(0):100787. PMID: 33072339 DOI:

Zung WW. A rating instrument for anxiety disorders. Psychosomatics. 1971;12(6):371-9. PMID: 5172928 DOI:

Alshdefat A, Natarajan J, Joseph MA, Baker RA, Qutishat MG. Knowledge, Attitude and Practice of Nursing Students towards COVID-19 Pandemic in Oman. International Journal of Nursing Education. 2021;13(1):23-30. DOI:

Sun Y, Wang D, Han Z, Gao J, Zhu S, Zhang H. Disease Prevention Knowledge, Anxiety, and Professional Identity during COVID-19 Pandemic in Nursing Students in Zhengzhou, China. Journal of Korean Academy Nursing. 2020;50(4):533-40. DOI:

Alsahafi AJ, Cheng AC. Knowledge, Attitudes and Behaviours of Healthcare Workers in the Kingdom of Saudi Arabia to MERS Coronavirus and Other Emerging Infectious Diseases. Int J Environ Res Public Health. 2016;13(12):1214. PMID: 27929452 DOI:

Tork HMM, Mersal FA. Middle East Respiratory Syndrome-Corona virus: Knowledge and attitude of Qassim University students, KSA. Global Advanced Research Journal. 2018;7(4):90-7. Available from:

Kim JS, Choi JS. Middle East respiratory syndrome-related knowledge, preventive behaviours and risk perception among nursing students during outbreak. J Clin Nurs. 2016;25(17-18):2542–9. PMID: 27273475 DOI:

Qadah T. Knowledge and attitude among healthcare workers towards COVID-19: a cross sectional study from Jeddah city, Saudi Arabia. J Infect Dev Ctries. 2020;14(10):1090-97. PMID: 33175701 DOI:

Phan LT, Nguyen TV, Luong QC, Nguyen TV, Nguyen HT, Le HQ, et al. Importation and human-to-human transmission of a novel coronavirus in Vietnam. N Engl J Med. 2020; 382(9):872-74. PMID: 31991079 DOI:

Saqlain M, Munir MM, Rehman SU, Gulzar A, Naz S, Ahmed Z, et al. Knowledge, attitude, practice and perceived barriers among healthcare professionals regarding COVID-19: a Cross-sectional survey from Pakistan. 2020;105(3):419-23. PMID: 32437822 DOI:

Nour MO, Babilghith AO, Natto HA, Al- Amin FO, Alawneh SM. Knowledge, attitude and practices of healthcare providers towards MERS-CoV infection at Makkah hospitals, KSA. International Research Journal of Medicine and Medical Sciences. 2015;3(4):103- 12. Available from:

Taghrir MH , Borazjani R, Shiraly R. COVID-19 and Iranian Medical Students; A Survey on Their Related-Knowledge, Preventive Behaviors and Risk Perception. Arch Iran Med. 2020;23(4):249-54. PMID: 32271598 DOI:

Khan MU, Shah S, Ahmad A, Fatokun O. Knowledge and attitude of healthcare workers about middle east respiratory syndrome in multispecialty hospitals of Qassim, Saudi Arabia. BMC Public Health. 2014;14(0):1281. PMID: 25510239 DOI:

Mundakir M, Efendi F, Susanti IA. Study of knowledge, attitude, anxiety, and perception of mental health needs among nursing students in Indonesia during Covid-19 pandemic. Indonesian Nursing Journal of Education and Clinic. 2021;6(1):1-11. Available from:

Joshi KP, Madhura L, Jamadar D. Knowledge and awareness among nursing students regarding the COVID-19: a cross sectional study. International Journal of Community Medicine and Public Health. 2020;7(7):2518-21. DOI:

Park JH, Cheong HK, Son DY, Kim SU, Ha CM. Perceptions and behaviors related to hand hygiene for the prevention of H1N1 influenza transmission among Korean university students during the peak pandemic period. BMC Infect Dis. 2010;10(0):222. PMID: 20663229 DOI:

Lau JTF, Griffiths S, Choi KC, Tsui HY. Widespread public misconception in the early phase of the H1N1 influenza pandemic. J Infect. 2009;59(2):122-7. PMID: 19592114 DOI:

Rubin GJ, Amlot R, Page L, Wessely S. Public perceptions, anxiety, and behavior change in relation to the swine flu outbreak: cross sectional telephone survey. BMJ. 2009;339(0):b2651. DOI:

Baloran ET. Knowledge, attitudes, anxiety, and coping strategies of students during Covid-19 pandemic. Journal of Loss and Trauma 2020;25(8):635-42. DOI: 0/15325024.2020.1769300

Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the Covid-19 pandemic. Nurse Educ Pract. 2020;46(0):102809. PMID: 32679465 DOI:

How to Cite
Shrestha S, Tuladhar J, Thapa N. Knowledge, Practices and Anxiety related to Corona Virus Disease-19 (COVID -19) among Nursing Students in Nepal. J Lumbini Med Coll [Internet]. 13Jul.2021 [cited 28Jul.2021];9(1):7 pages. Available from:
Original Research Article