Mental Health Experiences Among Undergraduate Nursing Students in a New Zealand Tertiary Institution: A Time for Change.
education
mental health
nurse training
psychosocial interventions
substance use
Journal
International journal of mental health nursing
ISSN: 1447-0349
Titre abrégé: Int J Ment Health Nurs
Pays: Australia
ID NLM: 101140527
Informations de publication
Date de publication:
31 Oct 2024
31 Oct 2024
Historique:
revised:
23
09
2024
received:
12
06
2024
accepted:
04
10
2024
medline:
1
11
2024
pubmed:
1
11
2024
entrez:
1
11
2024
Statut:
aheadofprint
Résumé
Nursing students in undergraduate programmes exhibit comparable, sometimes higher, levels of poor mental health and substance use compared to the general population; however, this area remains under-researched in New Zealand. The study involved 172 nursing students enrolled in the Bachelor of Nursing programme at one tertiary institution in Auckland, New Zealand. Employing a mixed-methodology approach, a 29-question survey comprising both open and closed questions was administered to explore the students' experiences with mental health and substance use, as well as their access to support services. Quantitative data were analysed using SPSS version 29 descriptive statistics, while a general inductive approach guided the qualitative analysis. A significant proportion of participants (75%) reported experiencing emotional distress during their studies, with anxiety being the most prevalent (78.5%). A smaller percentage disclosed substance use (8.1%) including excessive alcohol use, cannabis use, nicotine use, vaping cannabis and some refusal to reveal substance use. Surprisingly, less than 1% (n = 0.6) utilised institutional support services. Three qualitative themes were identified including emotional distress and associated effects, emotional and psychological impacts on nursing students' academic journey and tertiary support systems. The findings highlight the urgent need to address the mental health and addiction challenges experienced by nursing students, given their potential adverse effects on academic success and overall well-being. Urgent action is needed to integrate mental health training into the curriculum and provide faculty support. In this study, the underutilisation and inadequacy of institutional support services signal a need for institutional reforms to provide access and personalised mental health support to nursing students. Providing essential skills and support for student success contributes to the overall well-being of the nursing workforce.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : MIT Strategic Research Fund 2023
Informations de copyright
© 2024 The Author(s). International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.
Références
Al‐Ababneh, M. 2020. “Linking Ontology, Epistemology and Research Methodology.” Science & Philosophy 8: 75–91.
Boulton, M., and K. A. O'Connell. 2017. “Nursing Students' Perceived Faculty Support, Stress, and Substance Misuse.” Journal of Nursing Education 56: 404–411. https://doi.org/10.3928/01484834‐20170619‐04.
Brown, J. S. L. 2018. “Student Mental Health: Some Answers and More Questions.” Journal of Mental Health 27: 193–196. https://doi.org/10.1080/09638237.2018.1470319.
Campbell, F., L. Blank, A. Cantrell, et al. 2022. “Factors That Influence the Mental Health of University and College Students in the UK: A Systematic Review.” BMC Public Health 22: 1778. https://doi.org/10.1186/s12889‐022‐13943‐x.
Choi, H., B. Hwang, S. Kim, H. Ko, S. Kim, and C. Kim. 2016. “Clinical Education in Psychiatric Mental Health Nursing: Overcoming Current Challenges.” Nurse Education Today 39: 109–115. https://doi.org/10.1016/j.nedt.2016.01.021.
Cooper, D. R., and P. S. Schindler. 2014. Business Research Methods. 12th ed. New York: McGraw Hill.
Corrigan, P. W., B. G. Druss, and D. A. Perlick. 2014. “The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care.” Psychological Science in the Public Interest 15: 37–70. https://doi.org/10.1177/1529100614531398.
Corrigan, P. W., and D. Rao. 2012. “On the Self‐Stigma of Mental Illness: Stages, Disclosure, and Strategies for Change.” Canadian Journal of Psychiatry / Revue Canadienne de Psychiatrie 57: 464–469. https://doi.org/10.1177/070674371205700804.
Fitzpatrick, K. M., C. Harris, and G. Drawve. 2020. “How Bad Is It? Suicidality in the Middle of the COVID‐19 Pandemic.” Suicide & Life Threatening Behaviour 50: 1241–1249. https://doi.org/10.1111/sltb.12655.
Foster, K., J.‐A. Giandinoto, T. Furness, A. Blanco, E. Withers, and L. Alexander. 2021. “‘Anyone Can Have a Mental illness’: A Qualitative Inquiry of Pre‐Registration Nursing Students' Experiences of Traditional Mental Health Clinical Placements.” International Journal of Mental Health Nursing 30: 83–92. https://doi.org/10.1111/inm.12808.
Foster, K., E. Withers, T. Blanco, et al. 2019. “Undergraduate Nursing Students' Stigma and Recovery Attitudes During Mental Health Clinical Placement: A Pre/Post‐Test Survey Study.” International Journal of Mental Health Nursing 28: 1068–1080. https://doi.org/10.1111/inm.12634.
Gaber, J. 2010. “Face Validity.” In Encyclopedia of Research Design, 471–474. Thousand Oaks, CA: SAGE Publications. https://doi.org/10.4135/9781412961288.
Happell, B., S. Waks, J. Bocking, et al. 2019. “I Felt Some Prejudice in the Back of My Head: Nursing Students' Perspectives on Learning About Mental Health From Experts by Experience.” Journal of Psychiatric and Mental Health Nursing 26: 233–243. https://doi.org/10.1111/jpm.12540.
Happell, B., T. Warner, S. Waks, et al. 2022. “Something Special, Something Unique: Perspectives of Experts by Experience in Mental Health Nursing Education on Their Contribution.” Journal of Psychiatric and Mental Health Nursing 29: 346–358. https://doi.org/10.1111/jpm.12773.
Hemingway, S., A. Clifton, and K.‐L. Edward. 2016. “The Future of Mental Health Nursing Education in the United Kingdom: Reflections on the Australian and New Zealand Experience.” Journal of Psychiatric and Mental Health Nursing 23: 331–337. https://doi.org/10.1111/jpm.12312.
Hudson, M., M. Milne, P. Reynolds, K. Russell, and B. Smith. 2018. “Te Ara Tika Guidelines for Māori Research Ethics: A Framework for Researchers and Ethics Committee Members.” https://www.hrc.govt.nz/sites/default/files/2019‐06/Resource%20Library%20PDF%20‐%20Te%20Ara%20Tika%20Guidelines%20for%20Maori%20Research%20Ethics_0.pdf.
Kessler, R. C., G. P. Amminger, S. Aguilar‐Gaxiola, J. Alonso, S. Lee, and T. B. Ustün. 2007. “Age of Onset of Mental Disorders: A Review of Recent Literature.” Current Opinion in Psychiatry 20: 359–364. https://doi.org/10.1097/YCO.0b013e32816ebc8c.
Kitzrow, M. A. 2003. “The Mental Health Needs of Today's College Students: Challenges and Recommendations.” Journal of Student Affairs Research and Practice 41: 165–179.
Ladejo, J. 2021. “A Thematic Analysis of the Reported Effect Anxiety Has on University Students.” Education and Urban Society 55: 289–313. https://doi.org/10.1177/00131245211062512.
Limpus, W., and T. Carlyon. 2019. “Considering How Tertiary Education Providers Can Best Support the Mental Health and Wellbeing of Their Students.” JANZSSA: Journal of the Australian and New Zealand Student Services Association 27: 188–200. https://doi.org/10.3316/informit.378964648666713.
Lipson, S. K., and D. Eisenberg. 2017. “Mental Health and Academic Attitudes and Expectations in University Populations: Results From the Healthy Minds Study.” Journal of Mental Health 27: 205–213. https://doi.org/10.1080/09638237.2017.1417567.
Maassen, E. F., B. J. Regeer, E. J. Reeger, J. F. G. Bunders, and R. W. Kupka. 2018. “The Challenges of Living With Bipolar Disorder: A Qualitative Study of the Implications for Health Care and Research.” International Journal of Bipolar Disorder 6: 23. https://doi.org/10.1186/s40345‐018‐0131‐y.
McIntyre, J. C., J. Worsley, R. Corcoran, P. H. Woods, and R. P. Bentall. 2018. “Academic and Non‐academic Predictors of Student Psychological Distress: The Role of Social Identity and Loneliness.” Journal of Mental Health 27: 230–239. https://doi.org/10.1080/09638237.2018.1437608.
Ministry of Health NZ. 2024. “Understanding Suicide Data.” https://www.health.govt.nz/our‐work/mental‐health‐and‐addiction/suicide‐prevention‐new‐zealand/understanding‐suicide‐data.
Monroe, T., and H. Kenaga. 2011. “Don't Ask Don't Tell: Substance Abuse and Addiction Among Nurses.” Journal of Clinical Nursing 20: 504–509. https://doi.org/10.1111/j.1365‐2702.2010.03518.x.
Moraes, S. M. A. B., V. F. B. Barbosa, A. C. S. Alexandre, S. C. D. Santos, F. J. Guimarães, and J. L. A. Veras. 2021. “Risk of Suicide Among Nursing Students.” Revista Brasileira de Enfermagem 74: 6. https://doi.org/10.1590/0034‐7167‐2020‐0867.
Najafi, F., F. K. Saravi, A. Navidian, and S. M. Raeisi. 2018. “The Relationship Between Internet Addiction, Loneliness and Sleep Quality Among Students of Nursing and Midwifery Faculty.” Zahedan Journal Research Medical Science 20: e68394. https://doi.org/10.5812/zjrms.68394.
Nazari, V., and C. van Ommen. 2019. “‘It's an Important Thing and Can Change Someone Without You Realising’: New Zealand Students' Views of University Mental Health Services.” New Zealand Journal of Psychology 48, no. 2: 52–63.
Ryan, R. M., and E. L. Deci. 2000. “Intrinsic and Extrinsic Motivations: Classic Definitions and New Directions.” Contemporary Educational Psychology 25: 54–67. https://doi.org/10.1006/ceps.1999.1020.
Stallman, H. 2010. “Psychological Distress in University Students: A Comparison With General Population Data.” Australian Psychologist 45, no. 4: 249–257.
Teddlie, C., and A. Tashakkori. 2009. Foundations of Mixed Methods Research: Integrating Quantitative and Qualitative Approaches in the Social and Behavioural Sciences. Thousand Oaks, CA: Sage.
Thomas, D. R. 2006. “A General Inductive Approach for Analyzing Qualitative Evaluation Data.” American Journal of Evaluation 27: 237–246. https://doi.org/10.1177/1098214005283748.