References

Aiken LH, Sloane D, Griffiths P Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Qual Saf.. 2017; 26:(7)559-568 https://doi.org/10.1136/bmjqs-2016-005567

Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P. Patient satisfaction with hospital care and nurses in England: an observational study. BMJ Open.. 2018; 8:(1) https://doi.org/10.1136/bmjopen-2017-019189

Five ways to wellbeing: a report presented to the Foresight Project on communicating the evidence base for improving people's well-being. https://tinyurl.com/yxw5renb (accessed 30 July 2020)

Closing the gap. Key areas for action on the health and care workforce. Overview. 2019. https://tinyurl.com/s4jczm7 (accessed 30 July 2020)

Bennion E, Olpin MN, DeBeliso M. A comparison of four stress reduction modalities on measures of stress among university students. Int J Workplace Health Manag.. 2018; 11:(1)45-55 https://doi.org/10.1108/IJWHM-11-2017-0090

Blake H, Harrison C. Health behaviours and attitudes towards being role models. Br J Nurs.. 2013; 22:(2)86-94 https://doi.org/10.12968/bjon.2013.22.2.86

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol.. 2006; 3:(2)77-101 https://doi.org/10.1191/1478088706qp063oa

A critical moment: NHS staffing trends, retention and attrition. 2019. https://tinyurl.com/y2nfmex4 (accessed 30 July 2020)

Clancy J, McVicar A. Chapter 21. Stress, 3rd edn. London: Arnold; 2009

Collard SC, Scammell J, Tee S. Closing the gap on nurse retention: a scoping review of implications for undergraduate education. Nurse Educ Today. 2019; https://doi.org/10.1016/j.nedt.2019.104253

Denovan A, Macaskill A. Stress and subjective well-being among first year UK undergraduate students. Journal of Happiness Studies.. 2016; 18:(2)505-525 https://doi.org/10.1007/s10902-016-9736-y

Edwards D, Burnard P, Bennett K, Hebden U. A longitudinal study of stress and self-esteem in student nurses. Nurse Educ Today.. 2010; 30:(1)78-84 https://doi.org/10.1016/j.nedt.2009.06.008

Evans W, Kelly B. Pre-registration diploma student nurse stress and coping measures. Nurse Educ Today.. 2004; 24:(6)473-482 https://doi.org/10.1016/j.nedt.2004.05.004

Friedlander LJ, Reid GJ, Shupak N, Cribbie R. Social support, self-esteem, and stress as predictors of adjustment to university among first-year undergraduates. J Coll Student Dev.. 2007; 48:(3)259-274 https://doi.org/10.1353/csd.2007.0024

Gurková E, Zeleníková R. Nursing students' perceived stress, coping strategies, health and supervisory approaches in clinical practice: A Slovak and Czech perspective. Nurse Educ Today. 2018; 65:4-10 https://doi.org/10.1016/j.nedt.2018.02.023

Health and Care Professions Council. Standards relevant to education and training. 2017. https://www.hcpc-uk.org/standards/ (accessed 30 July 2020)

Health Education England. NHS staff and learners mental wellbeing commission. 2019. https://tinyurl.com/y4nwxzlv (accessed 30 July 2020)

Health Foundation. One in four student nurses drop out of their degree before graduation. 2018. https://tinyurl.com/y3db5h9m (accessed 30 July 2020)

The university mental health charter. 2019. https://tinyurl.com/y8yb3t3p (accessed 30 July 2020)

Institute for Public Policy Research. Not by degrees: improving student mental health in the UK's universities. https://tinyurl.com/ya8cmo3x (accessed 30 July 2020)

Labrague LJ, McEnroe-Petitte DM, Papathanasiou IV A cross-country comparative study on stress and quality of life in nursing students. Perspect Psychiatr Care.. 2018; 54:(4)469-476 https://doi.org/10.1111/ppc.12248

Lopez V, Yobas P, Chow YL, Shorey S. Does building resilience in undergraduate nursing students happen through clinical placements? A qualitative study. Nurse Educ Today. 2018; 67:1-5 https://doi.org/10.1016/j.nedt.2018.04.020

Macaskill A. The mental health of university students in the United Kingdom. British Journal of Guidance and Counselling.. 2013; 41:(4)426-441 https://doi.org/10.1080/03069885.2012.743110

McDonald M, Brown J, Knihnitski C. Student perception of initial transition into a nursing program: a mixed methods research study. Nurse Educ Today. 2018; 64:85-92 https://doi.org/10.1016/j.nedt.2018.01.028

McVicar A. Workplace stress in nursing: a literature review. J Adv Nurs.. 2003; 44:(6)633-642 https://doi.org/10.1046/j.0309-2402.2003.02853.x

Middleton C. Morale in nursing students: A priority for nurse retention. J Adv Nurs.. 2018; 74:(8) https://doi.org/10.1111/jan.13540

Cut clinical hours to attract students, says leading nurse academic. 2019. https://tinyurl.com/y2mnexor (accessed 30 July 2020)

Moridi G, Khaledi S, Valiee S. Clinical training stress-inducing factors from the students' viewpoint: A questionnaire-based study. Nurse Educ Pract.. 2014; 14:(2)160-163 https://doi.org/10.1016/j.nepr.2013.08.001

Nursing and Midwifery Council. Future nurse: standards of proficiency for registered nurses. 2018. http://tinyurl.com/yddpadva (accessed 30 July 2020)

Oliver D. David Oliver: why shouldn't nurses be graduates?. BMJ. 2017; 356 https://doi.org/10.1136/bmj.j863

Othman N, Ahmad F, Morr CE, Ritvo P. Perceived impact of contextual determinants on depression, anxiety and stress: a survey with university students. Int J Ment Health Syst. 2019; 13 https://doi.org/10.1186/s13033-019-0275-x

Prime Minister's Office. Prime Minister backs NHS staff with £5,000 annual payment for nursing students. 2019. https://tinyurl.com/td4few3 (accessed 30 July 2020)

Pulido-Martos M, Augusto-Landa JM, Lopez-Zafra E. Sources of stress in nursing students: a systematic review of quantitative studies. Int Nurs Rev. 2012; 59:(1)15-25 https://doi.org/10.1111/j.1466-7657.2011.00939.x

Royal College of Nursing. Safe and effective staffing: nursing against the odds. UK policy report. 2017. https://tinyurl.com/yb3xv3t6 (accessed 30 July 2020)

Royal College of Nursing. Removing the student nurse bursary has been a disaster. 2018. https://tinyurl.com/yxr65ueu (accessed 30 July 2020)

Not by degrees: Improving student mental health in the UK's universities. 2017. https://tinyurl.com/ya8cmo3x (accessed 30 July 2020)

Urwin S, Stanley R, Jones M, Gallagher A, Wainwright P, Perkins A. Understanding student nurse attrition: learning from the literature. Nurse Educ Today.. 2010; 30:(2)202-207 https://doi.org/10.1016/j.nedt.2009.07.014

Waddill-Goad S. Nurse burnout: overcoming stress in nursing.Indianapolis (IN): Sigma Theta Tau International; 2016

Wolf L, Stidham AW, Ross R. Predictors of stress and coping strategies of US accelerated vs. generic Baccalaureate Nursing students: an embedded mixed methods study. Nurse Educ Today.. 2015; 35:(1)201-205 https://doi.org/10.1016/j.nedt.2014.07.005

World Health Organization. Global standards for the initial education of professional nurses and midwives. 2009. https://tinyurl.com/y85s8czz (accessed 30 July 2020)

World Health Organization. The Ottawa Charter for Health Promotion. 1986. https://tinyurl.com/seenm7a (accessed 30 July 2020)

Yamaguchi A. Influences of social capital on health and well-being from qualitative approach. Glob J Health Sci.. 2013; 5:(5)153-161 https://doi.org/10.5539/gjhs.v5n5p153

Yıldırım N, Karaca A, Cangur S, Acıkgoz F, Akkus D. The relationship between educational stress, stress coping, self-esteem, social support, and health status among nursing students in Turkey: A structural equation modeling approach. Nurse Educ Today. 2017; 48:33-39 https://doi.org/10.1016/j.nedt.2016.09.014

Juggling to find balance: hearing the voices of undergraduate student nurses

13 August 2020
Volume 29 · Issue 15

Abstract

Background:

Accounts of stress are common among students on nursing programmes. Prolonged high levels of stress can contribute to poor learning, the development of detrimental health behaviours, attrition and burnout.

Aims:

To examine the health and wellbeing implications of undertaking a BSc nursing degree in the UK for first-year students.

Methods:

Qualitative narrative analysis of 100 written student reflections on the influences on their health and wellbeing was undertaken.

Findings:

Nursing students must juggle multiple competing demands on their physical capabilities, personal resources, income and time. Students are constantly seeking to achieve balance and personal equilibrium through the use of a variety of coping strategies.

Conclusion:

This work calls upon the profession, the nursing regulator, nursing programmes within higher education institutions and health Trusts to review the framework and content of undergraduate BSc nurse education. Programme requirements should enhance the health and wellbeing of students while simultaneously delivering education and practice opportunities necessary to meet professional requirements.

A career in nursing offers numerous and diverse opportunities. However, the nursing profession within the UK currently faces many challenges; the most pressing is the recruitment and retention of registered nurses (Beech et al, 2019). Given the existing and predicted shortages of registered nurses (Buchan et al, 2019), it seems constructive to ensure that student nurses are not only appropriately prepared for registration but they are also well supported and nurtured as they develop their nursing knowledge and skills. This study gave voice to the health and wellbeing experiences of 100 first-year student nurses through the use of their written narratives. These narratives captured their health and wellbeing experiences as they navigated through the first year of their undergraduate programme. The study findings identified student responses to programme and personal life stressors, revealing how students juggle the competing demands and attempt to seek equilibrium while managing their lives; all the time endeavouring to find ways of coping, continuing and succeeding on the programme. Finally, this article will discuss the impact of curricula that acknowledge and are guided by the experiences of students, as ways of addressing and ameliorating potential stressors.

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content