Stress, mental health, and protective factors in nursing students: an observational study

Background: Nursing students suffer high levels of stress, especially in the first year. Objectives: to compare academic stress at the beginning and end of nursing studies; to analyse the relationships between academic stress, mental health, and protective factors; and to examine whether resilience...

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Detalles Bibliográficos
Autores: Visier-Alfonso, M. Eugenia, Sarabia Cobo, Carmen María|||0000-0002-7929-4042, Cobo-Cuenca, Ana Isabel, Nieto-López, Marta, López-Honrubia, Rigoberto, Bartolomé-Gutiérrez, Raquel, Alconero Camarero, Ana Rosa, González-López, José Rafael
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/34356
Acceso en línea:https://hdl.handle.net/10902/34356
Access Level:acceso abierto
Palabra clave:Nursing students
Stress
Mental health
Psychological well-being
Resilience
Descripción
Sumario:Background: Nursing students suffer high levels of stress, especially in the first year. Objectives: to compare academic stress at the beginning and end of nursing studies; to analyse the relationships between academic stress, mental health, and protective factors; and to examine whether resilience mitigates the effect of academic stress on psychological well-being. Design: A cross-sectional study. Setting and participants: Sample was 370 first- and fourth-year nursing students from Spain (University of Castilla-La Mancha, University of Cantabria, and University of Sevilla). Variables and data collection: We assessed academic and clinical stress, coping skills, anxiety, depression, psychological well-being, and resilience were measured. Data analysis: We performed a descriptive analysis of the study sample, as well as correlation and hierarchical regression models. Additionally, mediation models were estimated. Results: First-year students presented higher academic stress than fourth-year students. Clinical stress, anxiety, depression, and emotional coping predicted academic stress, while academic stress, depression, and coping skills predicted psychological well-being. Mediation models showed a significant path between academic stress, resilience, depression, and psychological well-being. Conclusion: Academic stress has a detrimental effect on the mental health. Coping strategies and resilience may be protective factors that should be encouraged in interventions designed to improve psychological well-being. Keywords: Mental health; Nursing students; Psychological well-being; Resilience; Stress.