Mental Health Experiences Among Undergraduate Nursing Students in a New Zealand Tertiary Institution: A Time for Change

Overview

Journal Int J Ment Health Nurs

Specialties Nursing
Psychiatry
Psychology

Date 2024 Nov 1

PMID 39482877

Authors

Bernadette Solomon

Maia Topp

David J A Solomon

David Solomon

Affiliations

Soon will be listed here.

Abstract

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.

References

Corrigan P, Rao D . On the self-stigma of mental illness: stages, disclosure, and strategies for change. Can J Psychiatry. 2012; 57(8):464-9. PMC: 3610943. DOI: 10.1177/070674371205700804. View

Corrigan P, Druss B, Perlick D . The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care. Psychol Sci Public Interest. 2015; 15(2):37-70. DOI: 10.1177/1529100614531398. View

Choi H, Hwang B, Kim S, Ko H, Kim S, Kim C . Clinical Education In psychiatric mental health nursing: Overcoming current challenges. Nurse Educ Today. 2016; 39:109-15. DOI: 10.1016/j.nedt.2016.01.021. View

Lipson S, Eisenberg D . Mental health and academic attitudes and expectations in university populations: results from the healthy minds study. J Ment Health. 2017; 27(3):205-213. DOI: 10.1080/09638237.2017.1417567. View

Boulton M, OConnell K . Nursing Students' Perceived Faculty Support, Stress, and Substance Misuse. J Nurs Educ. 2017; 56(7):404-411. DOI: 10.3928/01484834-20170619-04. View

Kessler R, Amminger G, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun T . Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. 2007; 20(4):359-64. PMC: 1925038. DOI: 10.1097/YCO.0b013e32816ebc8c. View

Campbell F, Blank L, Cantrell A, Baxter S, Blackmore C, Dixon J . Factors that influence mental health of university and college students in the UK: a systematic review. BMC Public Health. 2022; 22(1):1778. PMC: 9484851. DOI: 10.1186/s12889-022-13943-x. View

Happell B, Waks S, Bocking J, Horgan A, Manning F, Greaney S . "I felt some prejudice in the back of my head": Nursing students' perspectives on learning about mental health from "Experts by Experience". J Psychiatr Ment Health Nurs. 2019; 26(7-8):233-243. DOI: 10.1111/jpm.12540. View

Fitzpatrick K, Harris C, Drawve G . How bad is it? Suicidality in the middle of the COVID-19 pandemic. Suicide Life Threat Behav. 2020; 50(6):1241-1249. PMC: 7361329. DOI: 10.1111/sltb.12655. View

10.

Ryan , Deci . Intrinsic and Extrinsic Motivations: Classic Definitions and New Directions. Contemp Educ Psychol. 2000; 25(1):54-67. DOI: 10.1006/ceps.1999.1020. View

11.

McIntyre J, Worsley J, Corcoran R, Harrison Woods P, Bentall R . Academic and non-academic predictors of student psychological distress: the role of social identity and loneliness. J Ment Health. 2018; 27(3):230-239. DOI: 10.1080/09638237.2018.1437608. View

12.

Happell B, Warner T, Waks S, ODonovan A, Manning F, Doody R . Something special, something unique: Perspectives of experts by experience in mental health nursing education on their contribution. J Psychiatr Ment Health Nurs. 2021; 29(2):346-358. DOI: 10.1111/jpm.12773. View

13.

Foster K, Giandinoto J, Furness T, Blanco A, Withers E, Alexander L . 'Anyone can have a mental illness': A qualitative inquiry of pre-registration nursing students' experiences of traditional mental health clinical placements. Int J Ment Health Nurs. 2020; 30(1):83-92. DOI: 10.1111/inm.12808. View

14.

Foster K, Withers E, Blanco T, Lupson C, Steele M, Giandinoto J . Undergraduate nursing students' stigma and recovery attitudes during mental health clinical placement: A pre/post-test survey study. Int J Ment Health Nurs. 2019; 28(5):1065-1077. DOI: 10.1111/inm.12634. View

15.

Maassen E, Regeer B, Regeer E, Bunders J, Kupka R . The challenges of living with bipolar disorder: a qualitative study of the implications for health care and research. Int J Bipolar Disord. 2018; 6(1):23. PMC: 6218397. DOI: 10.1186/s40345-018-0131-y. View

16.

Hemingway S, Clifton A, Edward K . The future of mental health nursing education in the United Kingdom: reflections on the Australian and New Zealand experience. J Psychiatr Ment Health Nurs. 2016; 23(5):331-7. DOI: 10.1111/jpm.12312. View

17.

Monroe T, Kenaga H . Don't ask don't tell: substance abuse and addiction among nurses. J Clin Nurs. 2010; 20(3-4):504-9. PMC: 6415967. DOI: 10.1111/j.1365-2702.2010.03518.x. View

18.

Brown J . Student mental health: some answers and more questions. J Ment Health. 2018; 27(3):193-196. DOI: 10.1080/09638237.2018.1470319. View

19.

Moraes S, Barbosa V, Alexandre A, Santos S, Guimaraes F, Veras J . Risk of suicide among nursing students. Rev Bras Enferm. 2021; 74(6):e20200867. DOI: 10.1590/0034-7167-2020-0867. View