research topics mental health nursing

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35+ research topics on mental health nursing: fostering wellbeing in psychiatric care, carla johnson.

• August 24, 2023
• Essay Topics and Ideas

Mental health nursing is a critical pillar in nurturing the overall wellness of individuals grappling with psychiatric conditions. Aspiring nursing students, comprehending the nuances of mental health nursing is not only pivotal for your academic voyage but also your future professional practice. In this comprehensive guide, we delve profoundly into mental health nursing. We will explore a range of PICOT questions, propose ideas for evidence-based practice (EBP) projects, furnish you with capstone project ideas, offer a spectrum of research paper topics, present a compilation of research questions, and provide several essay topic concepts. All these facets are intended to equip you holistically for this indispensable domain.

What You'll Learn

Understanding the Essence of Mental Health Nursing

Mental health nursing entails the compassionate care and unwavering support extended to individuals traversing the challenges of mental health issues. The role of a mental health nurse transcends the confines of conventional medical care , encompassing therapeutic communication, emotional bolstering, and fostering an environment conducive to healing. Mental health nurses operate in a myriad of settings including hospitals, community health centers, and outpatient clinics, playing an instrumental role in shaping the lives of their patients.

PICOT Questions on Mental Health Nursing

• Population (P): Adults under psychiatric care ; Intervention (I): Integration of daily RS questionnaire; Comparison (C): Units without daily survey; Outcome (O): Decreased employment of restraint and seclusion; Time (T): 6 months. How does the incorporation of a daily RS (Restraint and Seclusion) questionnaire for adults in psychiatric care, compared to units lacking this daily survey, impact the reduction in the utilization of restraint and seclusion for 6 months?
• P: Adolescents with depressive disorders ; I: Implementation of mindfulness-based intervention; C: Standard therapeutic approach; O: Mitigation of depressive symptoms; T: 8 weeks. Among adolescents diagnosed with depressive disorders, what is the effect of incorporating a mindfulness-based intervention, compared to standard therapy, on alleviating depressive symptoms over an 8-week period?
• P: Elderly residents in long-term care facilities; I: Deployment of pet therapy ; C: Absence of pet therapy; O: Enhancement of mood and social interaction; T: 3 months. In elderly individuals residing within long-term care facilities, does the introduction of pet therapy, as opposed to its absence, result in a noticeable improvement in mood and social interaction over a course of 3 months?
• P: Individuals grappling with schizophrenia ; I: Integration of family psychoeducation; C: Standard care regimen; O: Diminished recurrence rate of episodes; T: 1 year. For individuals diagnosed with schizophrenia, does the inclusion of family psychoeducation within their treatment plan, when compared to standard care, lead to a reduction in the frequency of relapses over a 1-year period?
• P: Veterans afflicted with post-traumatic stress disorder (PTSD); I: Employment of virtual reality exposure therapy; C: Conventional therapeutic methods; O: Reduction in symptoms of PTSD; T: 10 sessions. In veterans struggling with post-traumatic stress disorder (PTSD), does the utilization of virtual reality exposure therapy result in a more pronounced reduction in PTSD symptoms, when contrasted with conventional therapy, across a span of 10 sessions?
• P: Children diagnosed with autism spectrum disorder (ASD); I: Incorporation of equine-assisted therapy; C: Standard interventions; O: Amplification of social skills; T: 12 weeks. Among children with autism spectrum disorder (ASD), does participation in equine-assisted therapy yield an advancement in social skills, in comparison to standard interventions, over a duration of 12 weeks?
• P: Inpatient populace with bipolar disorder ; I: Introduction of a mood tracking application; C: Conventional mood charting techniques; O: Attainment of superior mood stability; T: 6 months. Within inpatients diagnosed with bipolar disorder, does the utilization of a mood tracking application for monitoring moods contribute to enhanced mood stability in comparison to conventional mood charting over a span of 6 months?
• P: Individuals contending with eating disorders; I: Application of cognitive-behavioral therapy (CBT); C: Provision of supportive counseling; O: Reduction in maladaptive eating behaviors; T: 16 sessions. For individuals grappling with eating disorders, does the implementation of cognitive-behavioral therapy (CBT) yield a more substantial reduction in maladaptive eating behaviors, when contrasted with supportive counseling, over 16 sessions?
• P: Patients undergoing substance abuse treatment; I: Integration of music therapy; C: Absence of music therapy; O: Mitigation of anxiety and cravings; T: 8 weeks. Among patients undergoing substance abuse treatment, does engagement in music therapy contribute to a reduction in anxiety and cravings, in comparison to those without exposure to music therapy, over a duration of 8 weeks?
• P: Senior residents of assisted living facilities; I: Implementation of reminiscence therapy; C: Participation in routine activities; O: Elevation in cognitive functioning; T: 3 months.

In senior individuals residing in assisted living facilities, does involvement in reminiscence therapy lead to an improvement in cognitive functioning when juxtaposed with engagement in routine activities across a span of 3 months?

5 EBP Projects on Mental Health Nursing

• Appraising the Efficacy of Art Therapy in Alleviating Anxiety Among Schizophrenia Patients.
• Probing the Influence of Exercise Interventions on Bipolar Disorder Patients’ Depressive Symptoms.
• Unpacking Aromatherapy’s Role in Managing Agitation Among Dementia Patients.
• Evaluating Peer Support Groups’ Contribution to Borderline Personality Disorder Recovery.
• Analyzing Virtual Support Networks’ Role in Mitigating Adolescent Social Anxiety Isolation.

Engaging Capstone Projects on Mental Health Nursing

• Forging a Mental Health Awareness Campaign to Combat Stigma Surrounding Help-Seeking in High Schools.
• Devising an Inclusive Training Module for Nurses Enhancing Communication with Psychosis Patients.
• Crafting a Manual to Empower Families in Supporting Loved Ones with Obsessive-Compulsive Disorder (OCD).
• Establishing a Mindfulness Program for Psychiatric Hospital Personnel to Counter Burnout.
• Designing a Transitional Care Blueprint for Smooth Community Reintegration of Severe Mental Illness Patients Post-Hospitalization.

Research Paper Topics on Mental Health Nursing

• Examining the Role of Trauma-Informed Care in Enhancing Recovery for Domestic Violence Survivors with PTSD.
• Delving into the Nexus Between Childhood Trauma and the Emergence of Dissociative Identity Disorder.
• Surveying the Impact of Sleep Quality on College Students’ Mental Health : A Systematic Review.
• Assessing Telepsychiatry’s Efficacy in Extending Mental Health Services to Rural Regions.
• Navigating Cultural Competency in the Assessment and Treatment of Diverse Depression Patients.

Mental Health Nursing Research Questions

• How Does Early Intervention in Childhood Emotional Dysregulation Shape Mood Disorder Onset in Adulthood?
• What Are the Challenges to Adherence to Medication Among Schizophrenia Patients, and How Can Nursing Strategies Address Them?
• What Is the Impact of Mindfulness-Based Stress Reduction Initiatives on Psychiatric Nurses’ Stress Levels?
• What Factors Contribute to the Overrepresentation of Marginalized Individuals with Coexisting Mental Illness in the Criminal Justice System?
• What Are the Long-Term Effects of Electroconvulsive Therapy (ECT) on Memory and Cognitive Function in Severe Depression Patients?

Essay Topic Ideas & Examples

• Ethical Conundrums in Administering Electroconvulsive Therapy (ECT).
• Exploring the Nexus Between Trauma and Substance Abuse in Individuals with Dual Diagnoses.
• Nurses’ Role in Preventing Suicides: Assessing Risk and Providing Support.
• Cultural Proficiency in Mental Health Nursing: Catering to Multifaceted Patient Requirements.
• COVID-19’s Ripples on Healthcare Providers’ Mental Health: Coping Strategies Amid Challenges.

As you immerse yourself in the tapestry of mental health nursing, myriad opportunities unfold for your contributions to research, evidence-based practices, and compassionate patient care. These PICOT questions, EBP project suggestions, capstone project proposals, research paper topics, research questions, and essay themes constitute the foundation of your journey. Each endeavor you undertake to deepen your comprehension and skills in mental health nursing brings you closer to making a profound difference in the lives entrusted to your care. Should you need additional guidance when crafting essays, research papers, or any scholastic composition related to nursing and mental health, do not hesitate to seek professional aid. Our writing services are tailored to support your academic growth and triumph, ensuring your valuable contributions to mental health nursing are eloquently conveyed and impactful.

• What are the 4 principles of mental health nursing?

The four principles of mental health nursing are: therapeutic relationships, holistic care, patient-centeredness, and evidence-based practice. These principles guide nurses in providing comprehensive and effective care to individuals with mental health conditions.

• What is the role of a nurse in mental health treatment?

Nurses in mental health treatment play a pivotal role in assessing, planning, implementing, and evaluating care for patients with mental health issues. They provide therapeutic support, administer medications, conduct psychoeducation, and collaborate with the multidisciplinary team to promote recovery.

• What are the different types of mental health nurses?

Different types of mental health nurses include psychiatric-mental health nurses, advanced practice psychiatric nurses, child and adolescent mental health nurses, and geriatric mental health nurses. These specialized nurses cater to diverse patient populations and address specific mental health challenges.

• What are the 6 C’s in mental health nursing?

The 6 C’s in mental health nursing stand for Care, Compassion, Competence, Communication, Courage, and Commitment. These core values guide mental health nurses in delivering compassionate and effective care to individuals facing mental health issues.

Mental health nursing stands as a critical pillar in nurturing the overall wellness of individuals grappling with psychiatric conditions. Aspiring nursing students, comprehending the nuances of mental health nursing is not only pivotal for your academic voyage but also for your future professional practice. In this comprehensive guide, we delve profoundly into the realm of mental health nursing. We will explore a range of PICOT questions, propose ideas for evidence-based practice (EBP) projects, furnish you with capstone project ideas, offer a spectrum of research paper topics, present a compilation of research questions, and provide a plethora of essay topic concepts. All these facets are intended to equip you holistically for this indispensable domain.

Mental health nursing entails the compassionate care and unwavering support extended to individuals traversing the challenges of mental health issues. The role of a mental health nurse transcends the confines of conventional medical care, encompassing therapeutic communication, emotional bolstering, and fostering an environment conducive to healing. Mental health nurses operate in a myriad of settings including hospitals, community health centers, and outpatient clinics, playing an instrumental role in shaping the lives of their patients.

• Population (P): Adults under psychiatric care; Intervention (I): Integration of daily RS questionnaire; Comparison (C): Units without daily survey; Outcome (O): Decreased employment of restraint and seclusion; Time (T): 6 months. How does the incorporation of a daily RS (Restraint and Seclusion) questionnaire for adults in psychiatric care, compared to units lacking this daily survey, impact the reduction in the utilization of restraint and seclusion over a span of 6 months?
• P: Adolescents with depressive disorders; I: Implementation of mindfulness-based intervention; C: Standard therapeutic approach; O: Mitigation of depressive symptoms; T: 8 weeks. Among adolescents diagnosed with depressive disorders, what is the effect of incorporating a mindfulness-based intervention, in comparison to standard therapy, on the alleviation of depressive symptoms over an 8-week period?
• P: Elderly residents in long-term care facilities; I: Deployment of pet therapy; C: Absence of pet therapy; O: Enhancement of mood and social interaction; T: 3 months. In elderly individuals residing within long-term care facilities, does the introduction of pet therapy, as opposed to its absence, result in a noticeable improvement in mood and social interaction over a course of 3 months?
• P: Individuals grappling with schizophrenia; I: Integration of family psychoeducation; C: Standard care regimen; O: Diminished recurrence rate of episodes; T: 1 year. For individuals diagnosed with schizophrenia, does the inclusion of family psychoeducation within their treatment plan, when compared to standard care, lead to a reduction in the frequency of relapses over a 1-year period?
• P: Inpatient populace with bipolar disorder; I: Introduction of a mood tracking application; C: Conventional mood charting techniques; O: Attainment of superior mood stability; T: 6 months. Within inpatients diagnosed with bipolar disorder, does the utilization of a mood tracking application for monitoring moods contribute to enhanced mood stability in comparison to conventional mood charting over a span of 6 months?
• Surveying the Impact of Sleep Quality on College Students’ Mental Health: A Systematic Review.

As you immerse yourself in the tapestry of mental health nursing, myriad opportunities unfold for your contributions to research, evidence-based practices, and compassionate patient care. These PICOT questions, EBP project suggestions, capstone project proposals, research paper topics, research questions, and essay themes constitute the foundation of your journey. Each endeavor you undertake to deepen your comprehension and skills in mental health nursing brings you closer to making a profound difference in the lives entrusted to your care. Should you find yourself in need of additional guidance when crafting essays, research papers, or any scholastic composition related to nursing and mental health, do not hesitate to seek professional aid. Our writing services are tailored to support your academic growth and triumph, ensuring your valuable contributions to the realm of mental health nursing are eloquently conveyed and impactful.

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Psychiatric-Mental Health Nursing Research Paper Topics

This page provides a comprehensive list of psychiatric-mental health nursing research paper topics , which serves as a crucial resource for nursing students assigned to write research papers. The field of psychiatric-mental health nursing is vast, encompassing a wide variety of topics related to mental health care. This extensive list has been carefully curated to include a diverse range of topics divided into ten distinct categories, making it easier for students to find a subject of interest and relevance to their studies. In addition to the list of topics, the page also includes a detailed article discussing the significance of psychiatric-mental health nursing and the various aspects it covers. Additionally, the page offers information on iResearchNet’s writing services, providing an opportunity for students to order custom-written research papers if needed. Ultimately, this page serves as a one-stop resource for students, aiding them in selecting a topic, understanding the importance of psychiatric-mental health nursing, and, if necessary, ordering a custom research paper.

100 Psychiatric-Mental Health Nursing Research Paper Topics

The field of psychiatric-mental health nursing is incredibly diverse, providing a wide range of research opportunities. Understanding the various aspects of psychiatric-mental health nursing is crucial for providing comprehensive care to patients with mental health issues. This section provides a comprehensive list of psychiatric-mental health nursing research paper topics, categorized into ten different areas of focus. These topics are carefully selected to cover the most pertinent issues and trends in the field, encouraging students to explore and contribute to the existing body of knowledge.

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Understanding Mental Health Disorders

• The role of genetic factors in the development of schizophrenia.
• The impact of childhood trauma on adult mental health.
• The relationship between anxiety disorders and cardiovascular diseases.
• The link between depression and chronic pain.
• The effect of sleep disorders on mental health.
• The role of nutrition in managing mental health disorders.
• The impact of substance abuse on mental health.
• The relationship between personality disorders and criminal behavior.
• The role of social support in managing bipolar disorder.
• The impact of post-traumatic stress disorder on quality of life.

Psychopharmacology in Mental Health Nursing

• The effectiveness of antidepressants in managing major depressive disorder.
• The side effects of antipsychotic medications.
• The role of mood stabilizers in managing bipolar disorder.
• The impact of benzodiazepines on cognitive function.
• The effectiveness of non-pharmacological interventions in managing anxiety disorders.
• The role of psychostimulants in managing attention deficit hyperactivity disorder (ADHD).
• The impact of medication adherence on treatment outcomes in schizophrenia.
• The role of pharmacogenomics in personalized treatment of mental health disorders.
• The effectiveness of electroconvulsive therapy in treatment-resistant depression.
• The impact of polypharmacy on treatment outcomes in elderly patients with mental health disorders.

Therapeutic Communication in Mental Health Nursing

• The impact of therapeutic communication on patient outcomes in mental health care.
• The role of non-verbal communication in building therapeutic relationships with patients.
• The effectiveness of motivational interviewing in substance abuse treatment.
• The impact of active listening on patient satisfaction and adherence to treatment.
• The role of empathy in mental health nursing.
• The effectiveness of group therapy in managing social anxiety disorder.
• The impact of family therapy on the mental health of adolescents.
• The role of cognitive-behavioral therapy in managing depression.
• The effectiveness of dialectical behavior therapy in managing borderline personality disorder.
• The impact of psychoeducation on the management of schizophrenia.

Mental Health Promotion and Prevention

• The role of school-based mental health programs in preventing adolescent depression.
• The effectiveness of community-based mental health promotion programs.
• The impact of workplace mental health promotion programs on employee well-being.
• The role of physical activity in preventing mental health disorders.
• The effectiveness of mindfulness-based stress reduction in preventing anxiety and depression.
• The impact of social support on the prevention of mental health disorders.
• The role of early intervention programs in preventing the development of psychosis.
• The effectiveness of suicide prevention programs in reducing suicide rates.
• The impact of anti-stigma campaigns on public attitudes towards mental health.
• The role of primary care providers in mental health promotion and prevention.

Legal and Ethical Issues in Mental Health Nursing

• The impact of involuntary hospitalization on the mental health of patients.
• The role of advanced directives in mental health care.
• The effectiveness of mental health courts in reducing recidivism rates.
• The impact of confidentiality breaches on the therapeutic relationship.
• The role of informed consent in mental health care.
• The effectiveness of restraint and seclusion in managing aggressive behavior.
• The impact of medication refusal on treatment outcomes.
• The role of ethics committees in resolving ethical dilemmas in mental health care.
• The effectiveness of de-escalation techniques in managing aggressive behavior.
• The impact of legal and ethical issues on the role of the mental health nurse.

Mental Health Nursing Across the Lifespan

• The impact of developmental stages on the mental health of individuals.
• The role of mental health nursing in the care of children and adolescents.
• The effectiveness of mental health interventions for older adults.
• The impact of life transitions on mental health.
• The role of mental health nursing in the care of pregnant and postpartum women.
• The effectiveness of mental health interventions for individuals with intellectual disabilities.
• The impact of aging on mental health.
• The role of mental health nursing in the care of individuals with dementia.
• The effectiveness of mental health interventions for adolescents with eating disorders.
• The impact of end-of-life care on the mental health of patients and their families.

Cultural Competence in Mental Health Nursing

• The impact of cultural competence on patient satisfaction and outcomes in mental health care.
• The role of cultural competence in building therapeutic relationships with patients from diverse backgrounds.
• The effectiveness of culturally tailored interventions in managing mental health disorders.
• The impact of language barriers on access to mental health care.
• The role of cultural competence in the assessment and diagnosis of mental health disorders.
• The effectiveness of cultural competence training for mental health professionals.
• The impact of cultural beliefs and practices on mental health.
• The role of cultural competence in the prevention of mental health disorders.
• The effectiveness of culturally adapted cognitive-behavioral therapy in managing depression.
• The impact of cultural competence on the delivery of mental health services to immigrant and refugee populations.

Psychiatric-Mental Health Nursing in Various Settings

• The role of mental health nursing in primary care settings.
• The effectiveness of mental health nursing interventions in acute care settings.
• The impact of mental health nursing on patient outcomes in long-term care settings.
• The role of mental health nursing in community mental health services.
• The effectiveness of mental health nursing interventions in correctional facilities.
• The impact of mental health nursing on patient outcomes in home health care.
• The role of mental health nursing in school-based mental health services.
• The effectiveness of mental health nursing interventions in emergency departments.
• The impact of mental health nursing on patient outcomes in psychiatric hospitals.
• The role of mental health nursing in substance abuse treatment centers.

Technological Advances in Mental Health Nursing

• The impact of telepsychiatry on access to mental health care in rural areas.
• The role of electronic health records in improving the quality of mental health care.
• The effectiveness of online support groups in managing mental health disorders.
• The impact of mobile applications on medication adherence in patients with mental health disorders.
• The role of virtual reality in the treatment of phobias.
• The effectiveness of online cognitive-behavioral therapy in managing anxiety disorders.
• The impact of teletherapy on patient satisfaction and outcomes in mental health care.
• The role of technology in enhancing communication between mental health professionals and patients.
• The effectiveness of online psychoeducation in the management of bipolar disorder.
• The impact of technology on the role of the mental health nurse.

Emerging Trends in Psychiatric-Mental Health Nursing

• The impact of the COVID-19 pandemic on the mental health of healthcare workers.
• The role of psychiatric-mental health nurses in addressing the opioid crisis.
• The effectiveness of trauma-informed care in managing post-traumatic stress disorder.
• The impact of the integration of mental health and primary care services on patient outcomes.
• The role of psychiatric-mental health nurses in addressing the mental health needs of LGBTQ+ populations.
• The effectiveness of peer support in the management of mental health disorders.
• The impact of climate change on mental health.
• The role of psychiatric-mental health nurses in addressing the mental health needs of immigrant and refugee populations.
• The effectiveness of mindfulness-based interventions in managing stress and burnout among mental health professionals.
• The impact of social media on mental health.

The psychiatric-mental health nursing field offers a vast array of research opportunities, as evident from the extensive list of topics provided above. These topics encompass various aspects of mental health care, from understanding mental health disorders to exploring the ethical and legal considerations in psychiatric-mental health nursing. It is crucial for students and professionals in the field to engage in research to contribute to the advancement of knowledge and improvement of mental health care. This list of psychiatric-mental health nursing research paper topics serves as a starting point for students to explore and contribute to this vital field of nursing.

The Range of Psychiatric-Mental Health Nursing Research Paper Topics

Psychiatric-mental health nursing is a specialized field of nursing that is dedicated to promoting mental health through the assessment, diagnosis, and treatment of mental health disorders and conditions. This field of nursing is incredibly important, as mental health disorders are prevalent and can have a significant impact on individuals’ overall health and well-being. According to the World Health Organization, approximately one in four people in the world will be affected by mental or neurological disorders at some point in their lives. This staggering statistic underscores the critical need for skilled psychiatric-mental health nurses who can provide comprehensive and compassionate care to individuals with mental health needs.

The significance of psychiatric-mental health nursing is multifaceted. First and foremost, psychiatric-mental health nurses play a crucial role in providing care and support to individuals with mental health disorders. They are often the first point of contact for individuals seeking help for mental health issues and play a key role in the assessment and diagnosis of mental health disorders. Psychiatric-mental health nurses also develop and implement treatment plans, provide psychoeducation to patients and their families, and offer support and counseling. Additionally, they play a vital role in crisis intervention and the management of acute mental health episodes.

Furthermore, psychiatric-mental health nurses also play a critical role in promoting mental health and preventing mental health disorders. They work in a variety of settings, including community mental health centers, schools, and primary care clinics, where they provide mental health education and promote strategies for maintaining good mental health. Additionally, psychiatric-mental health nurses often work in interdisciplinary teams, collaborating with other healthcare professionals, such as psychiatrists, psychologists, and social workers, to provide comprehensive care to individuals with mental health needs.

Various aspects of psychiatric-mental health nursing offer a wide range of psychiatric-mental health nursing research paper topics. One critical area of focus is mental health assessment. This involves the evaluation of an individual’s mental health status through the use of various assessment tools and techniques. Research in this area might explore the validity and reliability of different mental health assessment tools, the impact of cultural differences on mental health assessment, or the development of new assessment tools and techniques.

Another important aspect of psychiatric-mental health nursing is treatment and intervention strategies. This encompasses a wide range of approaches, from psychopharmacology to psychotherapy to lifestyle interventions. Psychiatric-mental health nursing research paper topics in this area might include the effectiveness of different treatment approaches for specific mental health disorders, the impact of treatment adherence on treatment outcomes, or the development of new intervention strategies.

The role of the psychiatric-mental health nurse is another crucial aspect of this field. Psychiatric-mental health nurses have a unique set of skills and competencies that enable them to provide comprehensive care to individuals with mental health needs. Research topics in this area might explore the impact of nurse-patient relationships on treatment outcomes, the role of psychiatric-mental health nurses in interdisciplinary teams, or the development of new competencies and skills for psychiatric-mental health nurses.

In addition to these areas, there are many other aspects of psychiatric-mental health nursing that offer a wealth of research opportunities. For example, legal and ethical issues in psychiatric-mental health nursing, the role of technology in mental health care, and the mental health needs of specific populations, such as the elderly, children, or individuals with co-occurring disorders, are all important areas of focus.

Overall, the field of psychiatric-mental health nursing offers a wide range of research opportunities. From mental health assessment to treatment and intervention strategies to the role of the psychiatric-mental health nurse, there are numerous psychiatric-mental health nursing research paper topics to explore. Engaging in research in this field is crucial for the advancement of knowledge and the improvement of mental health care for individuals around the world.

In conclusion, psychiatric-mental health nursing is a vital field that plays a crucial role in promoting mental health and providing care and support to individuals with mental health needs. The various aspects of psychiatric-mental health nursing offer a wide range of psychiatric-mental health nursing research paper topics, from mental health assessment to treatment and intervention strategies to the role of the psychiatric-mental health nurse. Engaging in research in this field is essential for advancing knowledge and improving mental health care worldwide.

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Submitting a high-quality research paper is crucial for your academic success. It demonstrates your understanding of the subject matter, your ability to conduct thorough research, and your skill in organizing and presenting information in a clear and coherent manner. A well-crafted research paper can significantly impact your final grade and your future career prospects in the field of psychiatric-mental health nursing. Don’t take chances with your academic and professional future. Trust iResearchNet to provide you with the top-quality research paper you need to succeed.

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Best Nursing Research Topics for Students

What is a nursing research paper.

• What They Include
• Choosing a Topic
• Best Nursing Research Topics
• Research Paper Writing Tips

Writing a research paper is a massive task that involves careful organization, critical analysis, and a lot of time. Some nursing students are natural writers, while others struggle to select a nursing research topic, let alone write about it.

If you're a nursing student who dreads writing research papers, this article may help ease your anxiety. We'll cover everything you need to know about writing nursing school research papers and the top topics for nursing research.  

Continue reading to make your paper-writing jitters a thing of the past.

A nursing research paper is a work of academic writing composed by a nurse or nursing student. The paper may present information on a specific topic or answer a question.

During LPN/LVN and RN programs, most papers you write focus on learning to use research databases, evaluate appropriate resources, and format your writing with APA style. You'll then synthesize your research information to answer a question or analyze a topic.

BSN , MSN , Ph.D., and DNP programs also write nursing research papers. Students in these programs may also participate in conducting original research studies.

Writing papers during your academic program improves and develops many skills, including the ability to:

• Select nursing topics for research
• Conduct effective research
• Analyze published academic literature
• Format and cite sources
• Synthesize data
• Organize and articulate findings

About Nursing Research Papers

When do nursing students write research papers.

You may need to write a research paper for any of the nursing courses you take. Research papers help develop critical thinking and communication skills. They allow you to learn how to conduct research and critically review publications.

That said, not every class will require in-depth, 10-20-page papers. The more advanced your degree path, the more you can expect to write and conduct research. If you're in an associate or bachelor's program, you'll probably write a few papers each semester or term.

Do Nursing Students Conduct Original Research?

Most of the time, you won't be designing, conducting, and evaluating new research. Instead, your projects will focus on learning the research process and the scientific method. You'll achieve these objectives by evaluating existing nursing literature and sources and defending a thesis.

However, many nursing faculty members do conduct original research. So, you may get opportunities to participate in, and publish, research articles.

Example Research Project Scenario:

In your maternal child nursing class, the professor assigns the class a research paper regarding developmentally appropriate nursing interventions for the pediatric population. While that may sound specific, you have almost endless opportunities to narrow down the focus of your writing. 

You could choose pain intervention measures in toddlers. Conversely, you can research the effects of prolonged hospitalization on adolescents' social-emotional development.

What Does a Nursing Research Paper Include?

Your professor should provide a thorough guideline of the scope of the paper. In general, an undergraduate nursing research paper will consist of:

Introduction : A brief overview of the research question/thesis statement your paper will discuss. You can include why the topic is relevant.

Body : This section presents your research findings and allows you to synthesize the information and data you collected. You'll have a chance to articulate your evaluation and answer your research question. The length of this section depends on your assignment.

Conclusion : A brief review of the information and analysis you presented throughout the body of the paper. This section is a recap of your paper and another chance to reassert your thesis.

The best advice is to follow your instructor's rubric and guidelines. Remember to ask for help whenever needed, and avoid overcomplicating the assignment!

How to Choose a Nursing Research Topic

The sheer volume of prospective nursing research topics can become overwhelming for students. Additionally, you may get the misconception that all the 'good' research ideas are exhausted. However, a personal approach may help you narrow down a research topic and find a unique angle.

Writing your research paper about a topic you value or connect with makes the task easier. Additionally, you should consider the material's breadth. Topics with plenty of existing literature will make developing a research question and thesis smoother.

Finally, feel free to shift gears if necessary, especially if you're still early in the research process. If you start down one path and have trouble finding published information, ask your professor if you can choose another topic.

The Best Research Topics for Nursing Students

You have endless subject choices for nursing research papers. This non-exhaustive list just scratches the surface of some of the best nursing research topics.

1. Clinical Nursing Research Topics

• Analyze the use of telehealth/virtual nursing to reduce inpatient nurse duties.
• Discuss the impact of evidence-based respiratory interventions on patient outcomes in critical care settings.
• Explore the effectiveness of pain management protocols in pediatric patients.

2. Community Health Nursing Research Topics

• Assess the impact of nurse-led diabetes education in Type II Diabetics.
• Analyze the relationship between socioeconomic status and access to healthcare services.

3. Nurse Education Research Topics

• Review the effectiveness of simulation-based learning to improve nursing students' clinical skills.
• Identify methods that best prepare pre-licensure students for clinical practice.
• Investigate factors that influence nurses to pursue advanced degrees.
• Evaluate education methods that enhance cultural competence among nurses.
• Describe the role of mindfulness interventions in reducing stress and burnout among nurses.

4. Mental Health Nursing Research Topics

• Explore patient outcomes related to nurse staffing levels in acute behavioral health settings.
• Assess the effectiveness of mental health education among emergency room nurses .
• Explore de-escalation techniques that result in improved patient outcomes.
• Review the effectiveness of therapeutic communication in improving patient outcomes.

5. Pediatric Nursing Research Topics

• Assess the impact of parental involvement in pediatric asthma treatment adherence.
• Explore challenges related to chronic illness management in pediatric patients.
• Review the role of play therapy and other therapeutic interventions that alleviate anxiety among hospitalized children.

6. The Nursing Profession Research Topics

• Analyze the effects of short staffing on nurse burnout .
• Evaluate factors that facilitate resiliency among nursing professionals.
• Examine predictors of nurse dissatisfaction and burnout.
• Posit how nursing theories influence modern nursing practice.

Tips for Writing a Nursing Research Paper

The best nursing research advice we can provide is to follow your professor's rubric and instructions. However, here are a few study tips for nursing students to make paper writing less painful:

Avoid procrastination: Everyone says it, but few follow this advice. You can significantly lower your stress levels if you avoid procrastinating and start working on your project immediately.

Plan Ahead: Break down the writing process into smaller sections, especially if it seems overwhelming. Give yourself time for each step in the process.

Research: Use your resources and ask for help from the librarian or instructor. The rest should come together quickly once you find high-quality studies to analyze.

Outline: Create an outline to help you organize your thoughts. Then, you can plug in information throughout the research process. 

Clear Language: Use plain language as much as possible to get your point across. Jargon is inevitable when writing academic nursing papers, but keep it to a minimum.

Cite Properly: Accurately cite all sources using the appropriate citation style. Nursing research papers will almost always implement APA style. Check out the resources below for some excellent reference management options.

Revise and Edit: Once you finish your first draft, put it away for one to two hours or, preferably, a whole day. Once you've placed some space between you and your paper, read through and edit for clarity, coherence, and grammatical errors. Reading your essay out loud is an excellent way to check for the 'flow' of the paper.

Helpful Nursing Research Writing Resources:

Purdue OWL (Online writing lab) has a robust APA guide covering everything you need about APA style and rules.

Grammarly helps you edit grammar, spelling, and punctuation. Upgrading to a paid plan will get you plagiarism detection, formatting, and engagement suggestions. This tool is excellent to help you simplify complicated sentences.

Mendeley is a free reference management software. It stores, organizes, and cites references. It has a Microsoft plug-in that inserts and correctly formats APA citations.

Don't let nursing research papers scare you away from starting nursing school or furthering your education. Their purpose is to develop skills you'll need to be an effective nurse: critical thinking, communication, and the ability to review published information critically.

Choose a great topic and follow your teacher's instructions; you'll finish that paper in no time.

Joleen Sams is a certified Family Nurse Practitioner based in the Kansas City metro area. During her 10-year RN career, Joleen worked in NICU, inpatient pediatrics, and regulatory compliance. Since graduating with her MSN-FNP in 2019, she has worked in urgent care and nursing administration. Connect with Joleen on LinkedIn or see more of her writing on her website.

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Research Topics & Ideas: Nursing

50+ Nursing Research Topic Ideas To Fast-Track Your Project

Finding and choosing a strong research topic is the critical first step when it comes to crafting a high-quality dissertation, thesis or research project. If you’ve landed on this post, chances are you’re looking for a nursing-related research topic , but aren’t sure where to start. Here, we’ll explore a variety of nursing-related research ideas and topic thought-starters, including general nursing, medical-surgical nursing, pediatric nursing, obstetrics and gynaecological nursing, ICU and mental health nursing.

NB – This is just the start…

The topic ideation and evaluation process has multiple steps . In this post, we’ll kickstart the process by sharing some research topic ideas within the nursing domain. This is the starting point, but to develop a well-defined research topic, you’ll need to identify a clear and convincing research gap , along with a well-justified plan of action to fill that gap.

If you’re new to the oftentimes perplexing world of research, or if this is your first time undertaking a formal academic research project, be sure to check out our free dissertation mini-course. In it, we cover the process of writing a dissertation or thesis from start to end. Be sure to also sign up for our free webinar that explores how to find a high-quality research topic. 

Overview: Nursing Research Topics

• General nursing-related topics
• Medical-surgical nursing
• Pediatric nursing
• Obstetrics and gynaecological nursing
• ICU nursing
• Mental health nursing

General Nursing Research Topics & Ideas

• The impact of cultural competence on patient care in the UK
• The importance of evidence-based practice in nursing for patients with HIV/AIDS
• The effects of workplace stress on nurse well-being and performance
• The role of nurse-patient communication for patients transitioning from adolescent to adult care
• The impact of technology on nursing practice and patient outcomes
• The importance of interdisciplinary collaboration in healthcare for the rehabilitation of patients post-surgery
• The effects of fatigue on nurse performance in the emergency room
• The impact of nurse staffing levels on patient outcomes in rural areas
• The effectiveness of nurse-led interventions in managing chronic conditions: a case study of diabetes
• The impact of patient-centred care on health outcomes for the elderly
• The importance of patient safety in nursing: bedside nurse vigilance
• The effects of empathy and compassion in critical care nursing
• The role of nursing in disaster preparedness and response: a case study of the Haiti earthquake of 2021
• The impact of the level of nursing education on patient outcomes
• The importance of ethical considerations in frail care nursing practice

Topics & Ideas: Medical-Surgical Nursing

• The impact of bedside care on patient outcomes in medical-surgical units
• The role of the nurse in managing post-operative patient pain
• The effects of nurse-patient ratios on patient outcomes in medical-surgical units
• A systematic review of different approaches to patient education in medical-surgical units
• The relationship between nurse-patient communication and patient satisfaction in medical-surgical units: perspectives and recommendations to improving patient satisfaction

Topics & Ideas: Pediatrics Nursing

• The impact of family-centered care on pediatric patient outcomes with sickle cell anemia
• The role of nursing interventions in promoting developmental and behavioral health in pediatric patients
• The effects of play therapy on anxiety and pain in pediatric patients during hospitilisation
• A systematic review of different approaches to pain management in pediatric cancer patients
• The relationship between parent involvement and post-operative patient outcomes in pediatric units

Ideas: Obstetrics and Gynecological Nursing

• The impact of nurse-led prenatal care on maternal and fetal outcomes in African American communities
• The role of the nurse in promoting sexual and reproductive health for women in the UK
• The effects of midwifery care on maternal satisfaction of primiparous women and birth outcomes
• A comparative study of different approaches to childbirth education for expectant mothers and partners: perceptions of control
• The relationship between lactation support and breastfeeding success of primiparous women

Topics & Ideas: ICU Nursing

• The impact of nursing interventions on patient outcomes in intensive care units in a developing country
• The role of the nurse in managing palliative and end-of-life care in the ICU
• The effects of family presence on patient outcomes and satisfaction in the ICU: A systematic review of the literature
• A comparative study of different approaches to pain management for trauma patients in the ICU
• The relationship between nurse-patient communication and geriatric patient outcomes in ICU

Topics & Ideas: Mental Health Nursing

• The impact of nurse-led therapy on adolescent patient outcomes in mental health settings
• The role of the nurse in promoting recovery and resiliency in mental health patients through group interventions
• The effects of mindfulness-based interventions on stress and anxiety in mental health patients: A systematic literature review
• A comparative study of the role of nurses in applying different approaches to patient education in mental health settings
• The association between nurse-patient therapeutic alliance and patient outcomes in mental health settings

Nursing Dissertation & Theses

While the ideas we’ve presented above are a decent starting point for finding a nursing-related research topic, they are fairly generic and non-specific. So, it helps to look at actual dissertations and theses to see how this all comes together.

Below, we’ve included a selection of research projects from various nursing-related degree programs to help refine your thinking. These are actual dissertations and theses, written as part of Master’s and PhD-level programs, so they can provide some useful insight as to what a research topic looks like in practice.

• Nursing Workload and Interventions of Licensed Nurses in Nursing Homes: An Observational Time and Motion Study (Kang, 2021)
• Missed Nursing Care: Accounting for Education, Experience, and Job Satisfaction in Registered Nurses (Bechard, 2021)
• Examining Predictors of Attitudes and Knowledge of Registered Nurses and Nursing Students in Tennessee toward Pregnant and Perinatal Women with a Substance Use Disorder (Patrylo, 2021)
• A Program Evaluation of the Organizational Readiness for Pathway to Excellence at Two Community Hospitals  (Behling, 2021)
• The Impact of Covid-19 Pandemic Policy Decisions on the Wellbeing of Nursing Home Residents in Missouri (White, 2022)
• Battling A Parallel Pandemic: An Evaluation of Sustainable System-Level Nursing Support in Response To COVID-19 (Gifford, 2022)
• Holistic Nursing Process Maps: a Tool for Student Nurses to Operationalize the Nursing Process to Increase Clinical Reasoning (Reyes, 2022)
• Satisfaction and Work-Life Balance in Undergraduate Nursing Faculty: A Mixed-Methods Study (Crawford, 2021)
• The Effect of Mindfulness Meditation on the Stress, Anxiety, Mindfulness, and Self-Compassion Levels of Nursing Students (Heinrich, 2022)
• Effectiveness of Simulation-Based Case Studies in Undergraduate Nursing Students (Becnel, 2022)
• A Telehealth Simulation Experiment: Exploring Prebriefing (Owen, 2022)
• Perceptions of Lateral Violence Among Vocational Nursing Students, Associate Degree Nursing Students, and Bachelor’s Degree Nursing Students (Martha, 2022)
• Nurse Educators’ Description of Ethics from a Disciplinary Perspective: A Qualitative Descriptive Research Study (Cuchetti, 2022)
• A Literature Review of the Relationship Between Oral Health and Pneumonia Risk in the Geriatric Nursing Home Population (Swift, 2021)

Looking at these titles, you can probably pick up that the research topics here are quite specific and narrowly-focused , compared to the generic ones presented earlier. This is an important thing to keep in mind as you develop your own research topic. That is to say, to create a top-notch research topic, you must be precise and target a specific context with specific variables of interest . In other words, you need to identify a clear, well-justified research gap.

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Nursing Perspectives in Mental Health and Psychiatric Disorders in All Patients

Loading... Editorial Frontiers in Psychology Nursing Perspectives in Mental Health and Psychiatric Disorders in All Patients Elsa Vitale , Selmin Köse  and  Yun-Chen Chang 829 views 0 citations

Loading... Original Research 24 April 2023 Depression and quality of life among Macau residents in the 2022 COVID-19 pandemic wave from the perspective of network analysis Tong Leong Si ,  13 more  and  Yu-Tao Xiang 2,478 views 3 citations

Loading... Original Research 24 February 2023 Social support mediates the relationship between illness perception and psychosocial adaptation among young and middle-aged kidney transplant recipients in China Na Hu ,  1 more  and  Tiantian Chang 2,040 views 4 citations

Original Research 23 February 2023 Why do pregnant women with fear of birth prefer vaginal birth? A qualitative study in China Tieying Zeng ,  3 more  and  Ke Zhang 2,067 views 0 citations

Loading... Original Research 06 January 2023 The quality of life in patients with multiple sclerosis – Association with depressive symptoms and physical disability: A prospective and observational study Aleksandra Kołtuniuk ,  2 more  and  Justyna Chojdak-Łukasiewicz 3,501 views 4 citations

Loading... Original Research 22 December 2022 The role of parents in the care for adolescents suffering from emotional and behavioral problems Jaroslava Mackova ,  4 more  and  Sijmen A. Reijneveld 4,273 views 2 citations

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Mental Health Nursing Dissertation Topics

Published by Owen Ingram at January 3rd, 2023 , Revised On August 16, 2023

Are you passionate about helping others, especially those facing mental health challenges? If this is the case for you, then mental health nursing is a career choice you may want to pursue.

It can be challenging to work in the field of mental health nursing. The final year of the nursing undergraduate programme can be especially stressful because it involves completing a dissertation paper on a unique and interesting topic . Get a better understanding of mental health nursing, how it works, and how it can improve healthcare!

Similarly, Masters and PhD students of nursing and medicine must complete a research proposal and a thesis paper on a topic that really adds value to the research areas.

What Is Mental Health Nursing?

Nursing in mental health focuses on preventing, treating, and rehabilitating behavioural, emotional, and mental disorders. Nursing professionals work with patients to improve their emotional well-being by overcoming mental stress. Patients with mental illness or disorders are also guided throughout their recovery.

There are many different types of mental health nurses who work in hospitals, clinics, private practices, and residential facilities. As part of their responsibilities, they assess symptoms, administer medications, provide supportive care, collaborate with family members, and educate others about mental illness. Their treatment plans also involve psychologists, psychiatrists, social workers, and other professionals.

Taking care of your patient’s mental health and making a difference in their lives is your responsibility as a mental health nurse.

Related Links

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• Adult Nursing Dissertation Topics
• Critical Care Nursing Dissertation Topics
• Dementia Nursing Dissertation Topics
• Midwifery Dissertation Topics
• Palliative Care Nursing Dissertation Topics
• Nursing Dissertation Topics
• Coronavirus (COVID-19) Nursing Dissertation Topics

Topic-1: Cognitive and emotional well-being

Research Aim: Finding out different ways to improve the cognitive and emotional well-being of people to solve the common mental health problems in the surrounding.

Topic-2: Eliminating mental illnesses

Research Aim: Encouraging better mental health by diagnosing the symptoms of mental health issues in the early stage to prevent severe circumstances later.

Topic-3: Providing specialized treatments

Research Aim: From anxiety, depression, and disorders to other mental health complexities, providing solutions to all types of mental health disorders, including pre-traumatic and post-traumatic issues.

Topic-4: Bipolar disorder

Research Aim: Explaining the symptoms, treatments, and procedures to soothe the common and impulsive mental health issues with solid behavior modification treatments.

Topic-5: Borderline personality disorder

Research Aim: Understanding the common borderline personality disorders and their effects on the mental health condition of different patients. Also, studying the unstable relationships with friends, family, and other associations and ways to improve it.

Topic-6: Dissociative disorders

Research Aim: Reviewing all the common causes of dissociative disorders and the primary care management to assess and intervene in different causes of the problem.

Topic-7: Disruptive and impulse-control disorders

Research Aim: Studying all the disruptive and impulsive-control disorders and their impact on the intermittent explosive condition and anti-social behavior of a person.

Topic-8: Attention deficit hyperactivity disorder

Research Aim: A brief overview of ADHD to control the attention span of a person through different effective techniques and procedures.

Topic-9: Psychosocial mental health nursing

Research Aim: Studying theories to understand human nature better and the process of normal development based on their physical and mental health.

Topic-10: Mental health and psychiatric nursing

Research Aim: Exploring different types of mental illnesses and their treatments used to soothe the hyperactive condition of the patient.

Topic-11: Mental health educating

Research Aim: Educating everyone about the basic mental health problems and preventive measures to administer the condition of patients and to meet their varying mental health needs.

Topic-12: Providing different levels and quality of care to every patient

Research Aim: Studying the needs of every patient and providing care to solve different mental illnesses in a variety of ways helps tackle the problem calmly.

Topic-13: National and local mental health programs

Research Aim: Introducing different national and local mental health programs. Explaining their role in spreading awareness on the importance of mental health for individuals from different backgrounds.

Topic-14: Mental health checkups

Research Aim: Conveying the need for mental health checkups for individuals of all ages suffering from anxiety, stress, frustration, and other mental health issues.

Topic-15: Schizophrenia

Research Aim: Understanding the feelings of a patient suffering from schizophrenia and identifying its symptoms to curate the best and proper treatment for the stress cause.

Topic-16: Suicide prevention

Research Aim: Spreading awareness on suicide prevention, especially for young and adults with the help of telephone and physical counselling. Finding the causes of suicide in professional spaces to get rid of the suicidal thoughts as early as possible.

I/O Example

The number of people encountering poor mental health and related issues in their day-to-day lives is increasing, making mental health nursing a growing field in the healthcare industry. Those who are willing to work hard, be creative, and take risks in handling such patients can find many opportunities in this field.

Nurses in mental health are required to hold a bachelor’s degree, preferably a master’s degree. They also obtain additional training on dealing with people suffering from depression and different anxiety disorders.

According to the Bureau of Labor Statistics, mental health nurses’ demand will grow by 15% between 2014 and 2024. The need for nurses who specialize in this field will increase because of this growth rate.

Like other nursing jobs, mental health nursing pay depends on experience and education. The average salary for this career is $91,298 per year. According to a survey, salaries for mental health nurses can range from $71,485 to $129,837 per year, depending on their experience and education level.

There are still many challenges and rewards associated with a career in mental health nursing. Bringing peace to the lives of diverse people is a major part of the job. A flood of opportunities is always flowing your way as the field is constantly evolving. Take some time to research all of the nursing degree programs available before you make a decision.

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How to find mental health nursing dissertation topics.

For mental health nursing dissertation topics:

• Research recent issues in mental health care.
• Explore treatment approaches or therapies.
• Examine stigma and advocacy.
• Focus on specific populations or disorders.
• Consult professionals for insights.
• Select a topic that resonates with you and contributes to the field.

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Top Nursing Research Topics for Students and Professionals

This article was written in collaboration with Christine T. and ChatGPT, our little helper developed by OpenAI.

Nursing research is an essential component of the nursing profession. Its primary purpose is to enhance patient outcomes, elevate the quality of care, and advance nursing as a whole. For nursing students and practitioners, selecting an appropriate research topic is crucial for academic and professional success. This article highlights some current and interesting topics in nursing research that students and professionals can explore.

Nursing Workforce

One of the major topics in nursing research is the challenges that nurses face in their workplace, and how to address them. This is particularly relevant in light of the current shortage of nurses and the healthcare industry’s growing demands.

List of Nursing Research Topics: Nursing Workforce

• The impact of nurse staffing levels on patient outcomes in acute care settings
• The effectiveness of nurse retention strategies on improving nurse job satisfaction
• The role of nursing leadership in creating a positive work environment
• The relationship between nurse staffing ratios and nurse burnout
• The impact of nurse-to-patient ratios on nursing care quality in long-term care settings
• The effectiveness of nurse residency programs in improving new nurse retention rates
• The impact of nursing unit culture on nurse job satisfaction and retention
• The impact of nurse-patient ratios on patient outcomes
• Strategies for retaining experienced nurses in the workforce
• Analyzing the role of advanced practice nurses in healthcare teams
• The challenges and benefits of international nursing recruitment
• Addressing generational differences in the nursing workforce
• The relationship between nurse work schedules and nurse burnout
• The impact of nurse staffing levels on medication errors in hospital settings
• The role of interprofessional collaboration in reducing nursing workload and improving patient outcomes
• The impact of nursing education level on nursing practice and patient outcomes
• The relationship between nurse staffing levels and patient falls in acute care settings
• The impact of nurse workload on patient satisfaction with nursing care
• The role of nursing leadership in promoting staff well-being and reducing burnout
• The relationship between nurse staffing levels and patient mortality rates in critical care settings
• The effectiveness of nurse-led care models in improving patient outcomes and reducing healthcare costs
• The impact of nurse staffing levels on patient readmission rates in acute care settings
• The role of nursing autonomy in improving nursing practice and patient outcomes
• The relationship between nurse job satisfaction and patient outcomes in long-term care settings
• The impact of nursing staff turnover on patient safety and quality of care
• Healthcare management: career paths and requirements
• The role of technology in improving nursing efficiency and reducing workload
• The relationship between nurse staffing levels and patient satisfaction with nursing care
• The impact of nurse staffing levels on nurse job stress and burnout in pediatric settings
• The effectiveness of nurse-led interventions in improving patient outcomes for chronic conditions
• The role of nursing leadership in promoting a culture of safety and reducing patient harm
• The relationship between nurse staffing levels and patient outcomes in psychiatric settings
• The impact of nurse staffing levels on nurse job satisfaction and burnout in emergency departments
• The effectiveness of nursing education programs in improving nurse practice and patient outcomes
• The role of nurse practitioners in improving access to healthcare in underserved communities
• The relationship between nurse staffing levels and patient outcomes in rehabilitation settings
• The impact of nurse staffing levels on nurse retention rates in rural healthcare facilities
• The effectiveness of nurse-led discharge planning in reducing hospital readmissions
• The role of nursing leadership in promoting interprofessional collaboration and teamwork
• The relationship between nurse staffing levels and patient outcomes in outpatient care settings
• The impact of nursing workloads on patient safety in intensive care units
• The role of nursing research in improving nursing practice and patient outcomes
• The relationship between nurse staffing levels and nurse job satisfaction in surgical settings
• The impact of nurse staffing levels on patient satisfaction with pain management in acute care settings
• The effectiveness of nursing education programs in improving nursing knowledge and skills
• The role of nursing advocacy in promoting patient-centered care and improving healthcare outcomes

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Patient Safety

Another crucial area of nursing research is patient safety. Studying ways to enhance patient safety, reduce adverse events, and improve the quality of care in hospitals and other healthcare settings can help prevent patient harm and improve patient outcomes.

List of Nursing Research Topics: Patient Safety

• Exploring the impact of workplace stress on nurses’ job satisfaction and performance
• Investigating the factors that influence nurse turnover and retention rates
• Assessing the role of nurse staffing levels in patient outcomes and quality of care
• Examining the relationship between nurse burnout and patient safety incidents
• Investigating the effectiveness of nursing leadership in creating a positive work environment
• The influence of nursing handovers on patient safety
• Strategies to reduce medication errors in hospital settings
• The role of electronic health records in enhancing patient safety
• Impact of nurse-to-patient ratios on patient safety outcomes
• Evaluating the effectiveness of patient safety training programs for nurses
• Exploring the experiences of nurses from diverse backgrounds in the workplace
• Assessing the impact of shift work on nurses’ physical and mental health
• Investigating the relationship between nurse-patient ratios and patient outcomes
• Examining the role of interprofessional collaboration in improving the nursing work environment
• Exploring the use of technology to improve nursing workflow and productivity
• Mitigating the economic and social costs of heart diseases among the aging population in the US
• Investigating the effectiveness of nursing mentorship programs in retaining new nurses
• Assessing the role of organizational culture in promoting nurse well-being and job satisfaction
• Examining the impact of nursing education on nursing workforce preparedness
• Exploring the factors that contribute to job satisfaction among nurses
• Combating health care-associated infections: a community-based approach
• Investigating the impact of nurse-led care on patient outcomes and satisfaction
• Assessing the effectiveness of nursing support programs for nurses with mental health issues
• Examining the role of nursing unions in advocating for the nursing workforce
• Exploring the experiences of male nurses in the nursing workforce
• Investigating the effectiveness of nurse-led clinics in reducing emergency department visits
• Assessing the impact of nursing teamwork on patient outcomes and quality of care
• Examining the role of nursing informatics in improving nursing workflow and patient care
• Exploring the impact of nursing shortages on patient outcomes and quality of care
• Investigating the effectiveness of nurse-led interventions for reducing hospital readmissions
• Assessing the impact of nursing certification on nursing workforce competence and confidence
• Examining the role of nursing education in promoting cultural competence in the nursing workforce
• Exploring the experiences of nurses working in rural healthcare settings
• Investigating the effectiveness of nursing delegation in improving patient outcomes and quality of care
• Assessing the impact of nursing shortages on nurse job satisfaction and burnout
• Examining the role of nursing research in informing nursing workforce policies and practices
• Exploring the impact of nurse-led quality improvement initiatives on patient outcomes and satisfaction
• Investigating the role of nursing leaders in promoting nursing workforce diversity and inclusion
• Assessing the impact of nursing autonomy on nurse job satisfaction and performance
• Examining the effectiveness of nursing residency programs in preparing new nurses for the workforce
• Exploring the experiences of nurses working in correctional healthcare settings
• Investigating the impact of nurse staffing levels on patient falls and injuries
• Assessing the role of nursing education in promoting evidence-based practice in the nursing workforce
• Examining the effectiveness of nursing preceptorship programs in improving nurse job satisfaction and retention
• Exploring the role of nursing education in preparing nurses for leadership roles in the nursing workforce
• Investigating the effectiveness of nursing empowerment interventions in improving nursing job satisfaction and performance
• Assessing the impact of nursing shortages on the quality of nursing care provided to older adults in long-term care facilities.

Chronic Illness Management

Managing chronic diseases, such as diabetes, cancer, and heart disease, is a significant challenge for healthcare providers. Exploring different strategies for chronic disease management can help improve patient outcomes and enhance the quality of care.

List of Nursing Research Topics: Chronic Illness Management

• The Role of Nurses in Managing Chronic Heart Disease
• Impact of Nurse-led Interventions in Managing Chronic Obstructive Pulmonary Disease (COPD)
• The Effectiveness of Self-management Education in Patients with Type 2 Diabetes
• Nursing Strategies for Chronic Pain Management
• Chronic Kidney Disease Management: A Nursing Perspective
• Palliative Care in Chronic Illness Management
• Community Nursing and Chronic Illness: A Study on Patient Outcomes
• The Role of Nurses in Managing Chronic Pediatric Asthma
• Telehealth and Chronic Disease Management: The Future of Nursing Practice?
• Evaluating the role of nursing in diabetes self-management
• Strategies for improving patient adherence to chronic illness treatment plans
• The impact of nurse-led interventions on chronic obstructive pulmonary disease (COPD) management
• Exploring the role of telehealth in chronic illness follow-up and monitoring
• The effectiveness of nurse-led educational programs for patients with cardiovascular diseases
• The Importance of Nurse-led Clinics in Chronic Illness Management
• The Role of Nursing in Depression Management among Chronically Ill Patients
• Empowering the vulnerable: enhancing health and social care for individuals with specific needs
• Advanced Practice Nurses and Chronic Illness Management: A Systematic Review
• The Impact of Holistic Nursing Care on Chronic Disease Management
• The Effect of Nurse-led Health Education on Compliance in Chronic Disease Patients
• The Role of Family Nurses in the Management of Chronic Illness in Home Settings
• Nursing and the Management of Chronic Illness in Geriatric Populations
• The Influence of Nursing Interventions on Quality of Life in Patients with Chronic Illness
• Challenges Faced by Nurses in Managing Chronic Illness in Low-resource Settings
• Cancer Pain: Assessment, Management, and Patient Empowerment
• Evaluating the Role of School Nurses in Managing Chronic Illnesses in Children
• Developing a Chronic Disease Management Model: The Crucial Role of Nursing
• Nursing Intervention in Lifestyle Modification for Chronic Illness Patients
• The Impact of Patient-Nurse Communication in Chronic Illness Management
• The Role of Nursing in Medication Management for Chronic Illness Patients
• The Effects of Nursing Care Coordination on Chronic Illness Outcomes
• Mental Health and Chronic Illness: The Importance of Psychiatric Nursing
• The Role of Nursing in the Self-Management of Chronic Illness: A Meta-Analysis
• Nursing Interventions for Chronic Illness Management in Rural Areas
• Nurses’ Role in Reducing Hospital Readmissions for Chronic Illness Patients
• Digital healthcare and organizational learning: enhancing patient care through technology and knowledge management
• The Impact of Nursing on Patient Empowerment in Chronic Illness Management
• Cultural Competence in Nursing and Its Effect on Chronic Disease Management
• The Role of Nursing Informatics in Chronic Illness Management
• Evaluating the Role of Community Health Nurses in Chronic Illness Prevention
• The Impact of Home Nursing on Chronic Illness Management in Aging Populations
• The ongoing risk of HIV/AIDS among men who have sex with men
• The Role of Oncology Nurses in the Management of Chronic Cancer Pain
• The Effects of Nursing-led Cognitive Behavioral Therapy in Chronic Illness Management
• The Impact of Advanced Nursing Practice on Health Outcomes in Chronic Disease Management
• The Use of Digital Health Technologies in Chronic Disease Management: A Nursing Perspective

Mental Health

Promoting mental health and well-being in vulnerable patient populations is another important area of nursing research. Nurses can investigate various interventions and programs that can help prevent mental health problems and improve patients’ overall well-being.

List of Nursing Research Topics: Mental Health

• The impact of COVID-19 on mental health in healthcare workers
• The effectiveness of telehealth for delivering mental health services
• The role of social support in promoting mental health and wellbeing
• Investigating the effectiveness of mindfulness-based interventions for mental health
• Examining the use of virtual reality in treating mental health disorders
• The impact of sleep on mental health outcomes
• The role of exercise in promoting mental health and wellbeing
• The effectiveness of psychotherapy in treating depression
• Exploring the relationship between mental health and chronic pain
• Investigating the impact of workplace stress on mental health in nurses
• The effectiveness of nurse-led interventions for patients with depression
• Exploring the impact of nurse-patient relationships on mental health outcomes
• Strategies for improving mental health literacy among nursing professionals
• Evaluating the role of nurses in suicide prevention and intervention
• The challenges and strategies in nursing care for patients with dual diagnoses (co-existing mental health and substance use disorders)
• Examining the use of music therapy for mental health promotion
• The effectiveness of cognitive-behavioral therapy for anxiety disorders
• The relationship between mental health and nutrition
• The impact of trauma on mental health outcomes
• Investigating the use of art therapy in promoting mental health and wellbeing
• The role of spirituality in mental health and coping
• The effectiveness of group therapy for mental health disorders
• The impact of stigma on mental health outcomes
• Examining the effectiveness of psychopharmacology in treating mental health disorders
• The role of family support in promoting mental health and wellbeing
• Investigating the relationship between mental health and substance abuse
• The effectiveness of animal-assisted therapy in promoting mental health and wellbeing
• The impact of social media on mental health outcomes
• Examining the use of humor in promoting mental health and wellbeing
• The effectiveness of cognitive training for improving mental health outcomes
• Investigating the impact of gender and cultural factors on mental health outcomes
• The role of occupational therapy in promoting mental health and wellbeing
• Examining the effectiveness of acceptance and commitment therapy for mental health disorders
• The relationship between mental health and physical activity
• Investigating the use of peer support for mental health promotion
• The effectiveness of mindfulness-based stress reduction for mental health
• The impact of technology on mental health outcomes
• The role of nutrition in treating mental health disorders
• Examining the use of hypnotherapy in promoting mental health and wellbeing
• The effectiveness of psychotherapy for PTSD
• Investigating the relationship between mental health and social determinants of health
• The impact of social isolation on mental health outcomes
• Examining the use of dance therapy in promoting mental health and wellbeing
• The effectiveness of cognitive processing therapy for mental health disorders
• The role of self-care in promoting mental health and wellbeing in nurses

Health Promotion

Research into health promotion strategies using technology, social media, and other digital tools is a rapidly growing area of nursing research. Such research can help identify innovative and effective ways to promote health and well-being in communities and patient populations.

List of Nursing Research Topics: Health Promotion

• The effectiveness of community-based interventions in promoting physical activity and healthy eating habits
• Investigating the impact of social media on health behavior and lifestyle changes
• The role of nursing in promoting healthy behaviors and preventing chronic diseases
• Identifying effective strategies for improving health literacy among underserved populations
• Exploring the use of wearable technology in promoting physical activity and healthy lifestyles
• Evaluating the effectiveness of nurse-led health promotion campaigns on community health outcomes
• The role of nurses in promoting vaccinations in various populations
• Strategies for nurses to address health literacy and its impact on patient outcomes
• The influence of cultural competence in health promotion and disease prevention
• Assessing the role of nurses in promoting physical activity and healthy lifestyles in at-risk populations
• Investigating the role of family support in promoting healthy behaviors among children and adolescents
• Examining the effectiveness of peer-led interventions in promoting healthy lifestyles
• Investigating the impact of workplace wellness programs on employee health and productivity
• The impact of milk consumption on children’s growth
• The role of nursing in promoting smoking cessation and reducing tobacco use
• Exploring the use of motivational interviewing in promoting behavior change and improving health outcomes
• Investigating the effectiveness of mindfulness-based interventions in promoting mental and physical health
• The role of social support in promoting healthy behaviors and preventing chronic diseases
• Examining the effectiveness of school-based interventions in promoting healthy behaviors among children and adolescents
• Exploring the use of technology in promoting health education and behavior change
• Investigating the role of culture and ethnicity in promoting healthy behaviors and preventing chronic diseases
• Nursing: a beautiful blend of art and science
• Examining the effectiveness of community health worker programs in promoting healthy lifestyles
• The role of nursing in promoting healthy aging and preventing age-related diseases
• Investigating the impact of environmental factors on health behavior and lifestyle changes
• Exploring the use of incentives in promoting behavior change and improving health outcomes
• Investigating the effectiveness of group-based interventions in promoting healthy lifestyles
• Examining the impact of policy interventions on health behavior and lifestyle changes
• The effects of sleep deprivation on students’ cognitive functions and emotional state
• The role of nursing in promoting healthy sleep habits and reducing sleep disorders
• Investigating the effectiveness of mobile health interventions in promoting behavior change and improving health outcomes
• Exploring the use of positive psychology interventions in promoting mental and physical health
• Investigating the role of healthcare providers in promoting healthy behaviors and preventing chronic diseases
• Examining the effectiveness of workplace policies in promoting healthy lifestyles
• The role of nursing in promoting healthy sexual behaviors and preventing sexually transmitted infections
• Investigating the impact of stress on health behavior and lifestyle changes
• Exploring the use of community-based participatory research in promoting healthy behaviors and preventing chronic diseases
• The delicate dance: balancing art and science in the nursing profession
• Investigating the role of nutrition in promoting healthy behaviors and preventing chronic diseases
• Examining the effectiveness of self-management interventions in promoting healthy lifestyles
• The role of nursing in promoting healthy pregnancy and preventing maternal and child health problems
• Investigating the impact of socioeconomic status on health behavior and lifestyle changes
• Exploring the use of health coaching in promoting behavior change and improving health outcomes
• Investigating the role of spirituality in promoting mental and physical health
• Examining the effectiveness of school-based policies in promoting healthy lifestyles
• The role of nursing in promoting healthy relationships and preventing intimate partner violence
• Investigating the impact of social determinants of health on health behavior and lifestyle changes
• Exploring the use of mobile applications in promoting healthy behaviors and preventing chronic diseases
• Investigating the role of health literacy in promoting healthy behaviors and preventing chronic diseases

Palliative Care

Improving the quality of life of seriously ill patients and their families during end-of-life care is another critical area of nursing research. Nurses can explore different interventions and support programs that can enhance the palliative care experience.

List of Nursing Research Topics: Palliative Care

• The effectiveness of palliative care on improving quality of life for cancer patients
• Understanding the needs and experiences of family caregivers in palliative care
• Palliative care and end-of-life decision-making: exploring patient and family preferences
• Optimizing the clarifying diagnosis of stomach cancer
• Improving access to palliative care for patients in rural areas
• The role of spirituality in palliative care for terminally ill patients
• Investigating the impact of music therapy on patients receiving palliative care
• Developing effective communication strategies for discussing end-of-life care with patients and families
• Exploring the experiences and needs of patients with non-cancer diagnoses in palliative care
• The impact of nurse-led interventions in improving the quality of life for patients in palliative care
• Evaluating the training needs of nurses in delivering end-of-life care
• The role of nursing in managing symptoms and side effects in palliative care patients
• Strategies for improving communication between nurses and families during end-of-life care
• Assessing the ethical considerations and challenges faced by nurses in palliative care settings
• Evaluating the effectiveness of home-based palliative care programs
• Palliative care for pediatric patients: understanding unique challenges and opportunities
• The impact of cultural and ethnic differences on palliative care provision
• Investigating the role of social support in palliative care for older adults
• The effectiveness of advance care planning in improving end-of-life care
• Understanding the experiences and needs of patients with neurological diseases in palliative care
• Exploring the impact of palliative care on reducing healthcare costs
• Investigating the role of complementary therapies in palliative care
• Improving symptom management in palliative care through medication optimization
• Palliative care and spiritual care: exploring the intersection of these two domains
• The impact of palliative care on reducing hospital readmissions
• Investigating the role of occupational therapy in palliative care
• Developing effective pain management strategies for patients receiving palliative care
• Understanding the experiences and needs of patients with heart failure in palliative care
• The role of pet therapy in improving quality of life for patients in palliative care
• Investigating the impact of palliative care on reducing caregiver burden
• Understanding the experiences and needs of patients with lung disease in palliative care
• Exploring the impact of palliative care on reducing healthcare utilization
• Investigating the role of nutrition in palliative care for patients with cancer
• Understanding the experiences and needs of patients with kidney disease in palliative care
• Improving palliative care for patients with dementia: exploring unique challenges and opportunities
• The role of art therapy in improving quality of life for patients in palliative care
• Investigating the impact of palliative care on reducing emergency department visits
• Developing effective communication strategies for discussing end-of-life care with patients with cognitive impairment
• Understanding the experiences and needs of patients with liver disease in palliative care
• Palliative care for patients with substance use disorders: unique challenges and opportunities
• Investigating the role of physiotherapy in palliative care
• The effectiveness of psychotherapy in improving mental health outcomes for patients in palliative care
• Understanding the experiences and needs of patients with multiple chronic conditions in palliative care
• Improving symptom management in palliative care through non-pharmacological interventions
• Investigating the impact of palliative care on reducing healthcare disparities
• Palliative care and medical aid in dying: exploring ethical and legal considerations

Healthcare Disparities

Studying the factors that contribute to healthcare disparities between different populations and identifying strategies to address these disparities is an important area of nursing research. Nurses can examine the role of social determinants of health in healthcare disparities and propose solutions to improve access and equity in healthcare.

List of Nursing Research Topics: Healthcare Disparities

• Examining the relationship between socioeconomic status and healthcare disparities
• Investigating the impact of implicit bias on healthcare disparities
• Analyzing the impact of racial and ethnic disparities on health outcomes
• Identifying disparities in access to preventative care among different populations
• Exploring the impact of language barriers on healthcare disparities
• Investigating the impact of discrimination on healthcare outcomes
• Identifying disparities in health insurance coverage and access to healthcare services
• Exploring the importance of national health insurance for socioeconomic growth
• Analyzing the impact of geographic location on healthcare disparities
• Evaluating the role of nursing in addressing healthcare disparities in underserved communities
• The impact of socioeconomic factors on patient outcomes and nursing interventions
• Strategies for nurses to promote health equity in diverse patient populations
• Assessing the influence of cultural competence on reducing healthcare disparities
• The role of nursing advocacy in shaping policies to reduce health inequities
• Examining disparities in mental health care access and utilization
• Investigating disparities in maternal and child health outcomes
• Exploring the relationship between healthcare disparities and chronic disease outcomes
• Identifying disparities in end-of-life care and hospice utilization
• Analyzing the impact of cultural differences on healthcare outcomes
• Investigating disparities in healthcare provider communication and patient engagement
• Examining the impact of healthcare policy on healthcare disparities
• Global health learning in nursing and health care disparities
• Identifying disparities in healthcare access and utilization among the LGBTQ+ community
• Exploring the impact of environmental factors on healthcare disparities
• Analyzing the impact of social determinants of health on healthcare disparities
• Investigating disparities in healthcare access and utilization among rural populations
• Examining disparities in healthcare access and utilization among urban populations
• Identifying disparities in healthcare access and utilization among immigrants and refugees
• Analyzing the impact of education level on healthcare disparities
• Investigating disparities in healthcare access and utilization among older adults
• Examining disparities in dental health access and utilization
• Identifying disparities in mental health treatment and access to services
• Analyzing the impact of stigma on healthcare outcomes for marginalized populations
• Investigating disparities in healthcare access and utilization among incarcerated populations
• Exploring disparities in healthcare access and utilization among individuals with disabilities
• Analyzing the impact of institutional racism on healthcare disparities
• Investigating disparities in healthcare access and utilization among low-income populations
• Examining disparities in cancer screening and early detection
• Identifying disparities in access to clinical trials and experimental treatments
• Analyzing the impact of the digital divide on healthcare disparities
• Investigating disparities in healthcare access and utilization among veterans
• Exploring the impact of healthcare worker bias on healthcare disparities
• Examining the relationship between healthcare disparities and infant mortality rates
• Identifying disparities in healthcare access and utilization among people with limited English proficiency
• Analyzing the impact of gender on healthcare disparities
• Investigating disparities in healthcare access and utilization among individuals experiencing homelessness
• Exploring the impact of COVID-19 on healthcare disparities among different populations

Patient-Centered Care

Enhancing patient-centered care, including patient feedback, patient-centered communication, and patient education, is another vital area of nursing research. Nurses can investigate the impact of patient-centered care on patient outcomes and identify ways to incorporate patient preferences and values in the care process.

List of Nursing Research Topics: Patient-Centered Care

• The importance of patient-centered care in improving health outcomes
• Exploring the effectiveness of patient-centered communication in clinical practice
• Assessing patient satisfaction with patient-centered care
• The impact of nursing staffing on patient-centered care
• The role of family and caregiver involvement in patient-centered care
• The use of technology to enhance patient-centered care
• Patient education and empowerment in promoting patient-centered care
• The role of nurses in facilitating shared decision-making in patient care
• Evaluating the impact of personalized care plans on patient outcomes and satisfaction
• Strategies for nurses to engage patients in their care across diverse cultural backgrounds
• The influence of effective communication strategies on the delivery of patient-centered care
• Assessing the barriers and facilitators to implementing patient-centered care in various healthcare settings
• The impact of culture on patient-centered care
• Measuring the quality of patient-centered care in healthcare settings
• The benefits of interdisciplinary collaboration in patient-centered care
• Understanding home dialysis: benefits, barriers, and impacts on elderly patients and the healthcare system
• Addressing language barriers in patient-centered care
• Exploring the challenges of implementing patient-centered care in healthcare organizations
• The role of patient-centered care in reducing healthcare costs
• The impact of patient-centered care on patient safety
• The importance of patient-centered care for vulnerable populations
• The role of leadership in promoting patient-centered care
• Evaluating the impact of patient-centered care on healthcare outcomes
• Examining the effectiveness of patient-centered care in chronic disease management
• The impact of patient-centered care on patient adherence to treatment
• The importance of patient-centered care in pediatric healthcare settings
• The use of patient feedback to improve patient-centered care
• Pediatric oncology: working towards better treatment through evidence-based research
• The role of patient-centered care in addressing health disparities
• Patient-centered care in end-of-life and palliative care settings
• The role of healthcare professionals in promoting patient-centered care
• The impact of patient-centered care on healthcare provider job satisfaction
• The importance of patient-centered care in emergency and critical care settings
• The use of simulation-based training to enhance patient-centered care
• The impact of patient-centered care on patient experience and engagement
• The role of healthcare policy in promoting patient-centered care
• Addressing the needs of patients with complex medical needs in patient-centered care
• The role of the nursing profession in promoting patient-centered care
• Patient-centered care in mental health and psychiatric settings
• The impact of patient-centered care on healthcare provider burnout
• The role of patient-centered care in promoting shared decision-making
• Examining the effectiveness of patient-centered care in rural healthcare settings
• The impact of patient-centered care on patient quality of life
• The use of patient-centered care in managing acute and chronic pain
• Addressing the needs of elderly patients in patient-centered care
• The impact of patient-centered care on healthcare system performance
• Promoting patient-centered care through the use of standardized patient education materials

Nursing Education

Exploring innovative approaches to nursing education and training, such as simulation-based learning and online learning, is a growing area of nursing research. Such research can help identify effective ways to prepare nursing students for their future roles in the healthcare system.

List of Nursing Research Topics: Nursing Education

• The impact of simulation-based training on nursing education outcomes
• The effectiveness of online learning in nursing education
• Innovative approaches to clinical teaching in nursing education
• The role of technology in nursing education
• Student perceptions of nursing education and their impact on learning outcomes
• The impact of cultural competence training on nursing students’ attitudes and behaviors
• The effectiveness of peer-led teaching in nursing education
• Best practices for incorporating interprofessional education into nursing curricula
• The role of reflective practice in nursing education
• The effectiveness of flipped classroom models in nursing education
• The impact of virtual reality and augmented reality tools in nursing education
• Evaluating the effectiveness of online vs. traditional classroom nursing education
• Strategies for enhancing interprofessional education in nursing curricula
• The role of continuous professional development in enhancing nursing competencies
• Assessing the influence of mentorship programs on nursing student success and retention
• Transforming advanced nursing practice: embracing IOM recommendations and higher education
• The impact of mentorship on nursing students’ learning and professional development
• The use of team-based learning in nursing education
• The effectiveness of hands-on skills training in nursing education
• Student perceptions of clinical experiences in nursing education
• The impact of service learning on nursing students’ attitudes and behaviors
• The role of cultural humility in nursing education
• The effectiveness of blended learning in nursing education
• Best practices for incorporating patient-centered care into nursing curricula
• The impact of standardized patient encounters on nursing education outcomes
• Importance and application of patient education technology in healthcare
• The use of case-based learning in nursing education
• The role of faculty development in improving nursing education outcomes
• The effectiveness of clinical reasoning strategies in nursing education
• The impact of nursing education on patient outcomes
• The role of simulation in teaching critical thinking in nursing education
• Best practices for incorporating evidence-based practice into nursing curricula
• The use of gamification in nursing education
• The effectiveness of problem-based learning in nursing education
• The impact of nursing education on student stress and burnout
• The role of intercultural competence in nursing education
• The effectiveness of collaborative learning in nursing education
• The impact of teaching communication skills in nursing education
• Best practices for incorporating patient safety into nursing curricula
• The role of interprofessional collaboration in nursing education
• The effectiveness of clinical coaching in nursing education
• The impact of teaching teamwork skills in nursing education
• The use of high-fidelity simulation in nursing education
• The role of experiential learning in nursing education
• Best practices for incorporating leadership development into nursing curricula
• The impact of nursing education on student retention and graduation rates
• The effectiveness of self-directed learning in nursing education

Healthcare Policy

Studying the impact of healthcare policy on the nursing profession and patient outcomes, including the role of nursing in healthcare reform efforts, is a crucial area of nursing research. Nurses can examine the policy’s effect on healthcare access, quality, and affordability and propose solutions to address policy gaps and challenges.

List of Nursing Research Topics: Healthcare Policy

• The impact of the affordable care act on the nursing profession
• Exploring healthcare informatics: evolution, challenges, and solutions
• The role of nursing in healthcare reform efforts
• The impact of medicare and Medicaid on nursing practice
• The impact of private insurance on nursing practice
• The impact of healthcare policies on nursing workforce development
• Combating workplace violence in nursing: the impact of policies, legislation, and organizational culture
• The role of nursing in healthcare policy decision-making
• The impact of healthcare policies on patient outcomes
• The role of nurses in implementing healthcare policies
• The implications of universal healthcare policies on nursing roles and responsibilities
• Evaluating the impact of health insurance reforms on nursing care delivery
• Strategies for nurses to influence healthcare policy decisions at the national and state levels
• The role of nursing in shaping policies related to patient rights and autonomy
• Assessing the influence of healthcare policy on nursing education and licensure requirements
• Evaluating the impact of nurse advocacy on shaping health policies at local and national levels
• Strategies for nurses to stay updated on changing healthcare policies and their implications
• The role of nursing in shaping policies related to electronic health records and patient privacy
• Assessing the implications of global health policies on nursing practices and education
• The influence of healthcare policies on the scope of practice for advanced practice nurses
• The impact of healthcare policies on nursing education and training
• The impact of healthcare policies on nurse staffing ratios
• The impact of healthcare policies on patient satisfaction
• Understanding the impact of the American Healthcare System Regulatory Acts
• The impact of healthcare policies on healthcare costs
• The impact of healthcare policies on healthcare disparities
• The role of nursing in advocating for healthcare policy changes
• The impact of healthcare policies on patient safety
• The impact of healthcare policies on nursing job satisfaction
• Understanding the US. Health Care Reform: necessity, challenges, and implementation
• The impact of healthcare policies on nursing burnout
• The impact of healthcare policies on nursing retention rates
• The impact of healthcare policies on nursing leadership
• The role of nursing in shaping healthcare policies
• The impact of healthcare policies on healthcare quality
• Workplace violence in healthcare: causes, regulations, and prevention strategies
• The impact of healthcare policies on nursing productivity
• The impact of healthcare policies on healthcare access
• The impact of healthcare policies on nursing workload
• The impact of healthcare policies on nursing autonomy
• The impact of healthcare policies on nursing scope of practice
• The impact of healthcare policies on nursing professional development
• The impact of healthcare policies on nursing research
• The role of nursing in developing healthcare policies
• Massachusetts Health Reform Act: striving for universal coverage and controlled costs
• The impact of healthcare policies on nursing career advancement
• The impact of healthcare policies on nursing licensure and certification
• The impact of healthcare policies on nursing accreditation
• The impact of healthcare policies on nursing ethics
• The impact of healthcare policies on nursing professionalism
• The role of nursing in healthcare policy implementation and evaluation
• The impact of healthcare policies on nursing informatics
• The impact of healthcare policies on nursing diversity and inclusion
• The impact of healthcare policies on nursing practice in rural areas
• The impact of healthcare policies on nursing practice in underserved communities
• The impact of healthcare policies on international nursing practice

The Importance of Research in Nursing

Research is the bedrock of nursing practice. It provides evidence-based knowledge that informs clinical decision-making, enhances patient outcomes, and advances the nursing profession. For nursing students, engaging in research activities offers several benefits:

• Enhanced Clinical Practice

Evidence-based research provides nurses with the latest knowledge and techniques to deliver optimal patient care. It bridges the gap between theoretical learning and practical application, ensuring that patients receive the most current and effective treatments.

• Professional Development

Engaging in research sharpens critical thinking and analytical skills. It fosters a culture of continuous learning, allowing nurses to stay updated with the ever-evolving medical field.

• Contribution to the Field

By conducting research, nurses contribute to the larger body of knowledge in healthcare. Their findings can lead to improvements in patient care, the development of new interventions, or changes in healthcare policies.

• Enhanced Patient Outcomes

Research equips nurses with the knowledge to educate patients, advocate for their needs, and make informed decisions. This ensures better health outcomes and improved patient satisfaction.

• Career Advancement

For those looking to advance in their careers, research can open doors to academic positions, leadership roles, or specialized fields within nursing.

Tips for Selecting a Suitable Research Topic

• Align with Interests

Choose a topic that genuinely interests you. This will keep you motivated throughout the research process.

• Relevance to Current Trends

Consider current trends and challenges in healthcare. Addressing contemporary issues can make your research more impactful.

• Feasibility

Ensure that you have access to the necessary resources and tools to conduct your research. This includes access to participants, equipment, and relevant literature.

It’s essential to choose a topic that’s neither too broad nor too narrow. A well-defined research question will guide your study and ensure it’s manageable.

• Seek Guidance

Don’t hesitate to seek advice from mentors, professors, or professionals in the field. Their insights can help refine your topic and provide valuable direction.

In conclusion, research is a vital component of the nursing profession, driving innovation and ensuring the best patient outcomes. For nursing students and professionals, engaging in research is not only a pathway to academic and career success but also a means to contribute meaningfully to the betterment of patient care.

📎 Related Articles

1. Key EBP Nursing Topics: Enhancing Patient Results through Evidence-Based Practice 2. Nursing Debate Topics: The Importance of Discussing and Debating Nursing Issues 3. Mental Health Nursing Research Topics: Inspiring Ideas for Students 4. Top Nursing Argumentative Essay Topics: Engage in Thought-Provoking Debates 5. Top Nursing Topics for Discussion: Engaging Conversations for Healthcare Professionals 6. Interesting Nursing Research Topics To Choose 7. Examples of Research Questions 8. Exploring Controversial Issues in Nursing: Key Topics and Examples 9. Pediatric Nursing Research Topics for Students: A Comprehensive Guide

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Evidence-Based Practice in Nursing for Mental Health Nurses

March 8, 2023

View all blog posts under Articles | View all blog posts under Doctor of Nursing Practice | View all blog posts under Master of Science in Nursing

The nursing profession has long taken the lead in practicing evidence-based care. Evidence-based care relies on nurses’ clinical expertise, critical thinking, and research knowledge. Nurses use this skill set to support patient care decisions and as a lens through which to view patient outcomes.

Evidence-based practice in nursing may be even more crucial for mental health nurse practitioners . Mental and behavioral health disorders are complex, as patients may suffer from two or more diagnoses. Additionally, patients may be homeless or incarcerated, making treatment even more difficult.

An advanced degree program that supplies a rigorous background in evidence-based practice is essential for any nurse planning a career in mental and behavioral health.

What Are Evidence-Based Mental Health Services?

Evidence-based mental health services recognize that patients don’t just need therapeutic care; they may also suffer from loss of housing and income, among other basic needs. They may live in high-crime areas and are more likely to be incarcerated. Evidence-based mental health services often combine psychiatric and therapeutic treatment with services that include helping patients find housing, employment, and other support.

The following are some examples of evidence-based practices and treatments supported by SAMHSA. Mental health nurses engaged in evidence-based nursing practice may employ these treatments to support individuals dealing with mental and behavioral health issues.

Assertive Community Treatment (ACT)

Assertive community treatment seeks to provide behavioral health services in the community setting. The framework serves conditions such as schizophrenia, bipolar disorder, and depression. ACT services seek to maintain outpatient treatments and ensure regular, ongoing therapies.

Using the framework, various health care practitioners provide services such as assistance with activities of daily living (ADL), help managing family responsibilities, and support in securing important needs such as food and housing.

Integrated Treatment for Co-Occurring Disorders

Integrated treatment delivers dual treatments for patients diagnosed with behavioral health and substance abuse disorders. By combining the two services, patients usually have a better chance of making a full, long-term recovery.

Practitioners provide patients with services and resources such as case management, outreach, housing, and employment assistance. The framework aids the high-risk dual diagnoses population, who are more likely to relapse and resume substance use, suffer from poor health, or face homelessness.

 Illness Management and Recovery (IMR)

Illness management and recovery is an evidence-based psychiatric treatment framework for patients with a severe mental illness, such as schizophrenia. It’s designed to allow patients to participate actively in their own recoveries. During ongoing weekly sessions, behavioral health practitioners help patients develop treatment plans and identify goals. This may encompass teaching recovery methodologies, behavioral health facts, and stress management techniques.

Practitioners also teach patients how to build and maintain social support networks, reduce the chances of resuming drug use, and use prescribed medications effectively. The teaching techniques of this framework might also include cognitive behavioral therapy and motivational sessions.

Permanent Supportive Housing

Homelessness is a complex challenge in treating people with mental health and substance use disorders. Not only can homelessness worsen a patient’s mental health condition, but it also makes them physically vulnerable to violence, disease, and incarceration. According to SAMHSA, the longer a person experiences homelessness, the harder it is to get them the treatment they need. The agency recommends moving people to permanent housing, with additional support services including therapy, treatment, financial support, and training services, without requiring transitional steps such as getting sober first.

Screening for Postpartum Depression

A study in BMC Psychiatry found nearly 20% of mothers experience postpartum depression, which can impact the health of the mother and the child. Screening and treating pregnant mothers for perinatal depression (depression during pregnancy) can help reduce instances of postpartum depression and in some cases improve the physical and mental health of babies.

Additional Treatments for Mental and Behavioral Health

Many mental health treatment practices are evidence-based and numerous studies have reinforced their effectiveness. Some of the most common evidence-based techniques for treating mental health, behavioral health, and substance use include:

• Cognitive behavioral therapy (CBT) , helps patients change patterns of behavior.
• Dialectical behavior therapy (DBT) , is based on CBT practices, while also focusing on emotion regulation and mindfulness, among other techniques. It is shown to be effective in treating various mental health disorders.
• Motivational interviewing , uses open questions, affirmations, reflection, and summarizing to help people overcome substance use disorders.

Some therapies are not considered evidence-based, even though they may be popular and effective, such as:

• 12-step programs : Alcoholics Anonymous (AA) pioneered the 12-step process. Some aspects of 12-step programs can be very effective in helping individuals deal with substance use.
• Talk therapy : A traditional form of therapy, talk therapy is widely used on its own and in conjunction with other treatments.

The Role of Doctors of Nursing Practice (DNPs) in Evidence-Based Practice

In the United States, more Doctor of Nursing Practice (DNP) programs are emerging to fill the anticipated shortage of health care talent. The nation needs these professionals to fill the service gaps faced by underserved populations in settings such as rural communities, schools, prisons, and urgent care facilities.

DNP-educated nurses are well-positioned to bring the evidence-based nursing practice to the communities they serve. With their background in research and clinical practice, they can lead the establishment of evidence-based plans and criteria at hospitals, clinics, and government agencies.

Become a Leader in Evidence-Based Nursing

Are you eager to become a leader in the field of mental health nursing? The Regis College online MSN to Doctor of Nursing Practice program offers an excellent foundation in evidence-based nursing practice, equipping you with the tools to embrace the exciting challenges of delivering best-in-class mental and behavioral health services. The curriculum includes classes in advanced research, informatics and statistics, cultural perspectives in health care, and more. Explore your options and take your first steps to make a difference in nursing.

Recommended Reading

What Is a Psychiatric Mental Health Nurse Practitioner?

How Nurse Practitioners Can Become Community Advocates

10 Best Practices to Promote Cultural Awareness in the Nursing Profession

Behavioral Health Resources, “PACT: Program for Assertive Community Treatment”

BMC Psychiatry , “Screening Programs for Common Maternal Mental Health Disorders Among Perinatal Women: Report of the Systematic Review of Evidence”

Frontiers in Psychiatry, “Effects of Illness Management and Recovery: A Multicenter Randomized Controlled Trial”

Psychology Today , “From Evidence-Based Practice to Practice-Based Evidence”

THERAPlatform, “ Evidence-Based Practices for Mental Health”

Substance Abuse and Mental Health Services Administration, “ About the Evidence-Based Practices Resource Center”

Substance Abuse and Mental Health Services Administration, “The Case for Screening and Treatment of Co-Occurring Disorders”

Substance Abuse and Mental Health Services Administration. “Homelessness Resources: Housing and Shelter”

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• Barriers to trauma-informed care include unsafe environments and mental health nurses’ lack of emotional intelligence
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• Jessica Maclaren
• Faculty of Health Sciences and Sport , University of Stirling , Stirling , UK
• Correspondence to Dr Jessica Maclaren, Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK; jessica.maclaren{at}stir.ac.uk

https://doi.org/10.1136/ebnurs-2024-103998

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• Mental Health
• Nursing Research

Commentary on: Wilson, A., Hurley, J., Hutchinson, M., & Lakeman, R. (2023). In their own words: Mental health nurses’ experiences of trauma-informed care in acute mental health settings or hospitals. International Journal of Mental Health Nursing. doi.org/10.1111/inm.13280

Implications for practice and research

Trauma-informed care (TIC) in acute mental healthcare settings is inhibited by mental health nurses’ experiences of being unsafe, their lack of emotion management skills and their involvement in coercive practices.

Further research is needed to better understand the relationship between mental health nurses’ emotional intelligence and their ability to implement TIC.

TIC is an approach that has emerged from recognition of the prevalence of psychological trauma. 1 There is also increasing awareness of the avoidable harms that coercive practices such as detention and restraint cause to people using mental health services, particularly people who have experienced trauma. 2 There is widespread consensus on the value of TIC as a model of care that addresses needs around trauma and reduces iatrogenic harm. 3 However, there is a lack of knowledge on how to implement TIC in acute mental health settings. 3 Wilson et al , therefore, explored mental health nurses’ lived experiences of TIC in practice.

The findings were organised into three themes: embodied awareness; navigating safety in lived danger and caring amidst uncertainty. 4 The first theme identified the importance of emotional intelligence in enabling nurses to manage their own emotions and in helping patients to manage emotions. The second theme depicted nurses’ feelings of fear and experiences of being unsafe in the hospital environment. The third theme explored nurses’ relationships with hospital security guards as a source of safety.

In Herman’s 5 seminal work on trauma, she identified safety as the essential starting point for recovery. People who have been through traumatic experiences are likely to be hypervigilant to danger and vulnerable to feeling unsafe. 5 Mental health services should be a place of safety, but the evidence shows that services users do not always feel safe in acute mental health units. 6

In this study, the authors describe a world in which there is little safety: nurses are ‘terrified’, and security guards hold patients down. As the authors observe, working in acute mental healthcare can expose nurses to traumatic experiences, and they report that some of their participants suffered symptoms of post-traumatic stress disorder. Far from being a trauma-informed environment, therefore, the acute mental health units are potentially traumatising.

One of the issues the authors discuss is the use of coercion in mental healthcare, and the hope that TIC might reduce coercive practices. Their study shows why TIC will fail unless systemic issues in mental healthcare are addressed. The authors identify that nurses need emotional intelligence in order to give TIC, and yet this is largely absent from the TIC literature. Without the necessary emotional skills to de-escalate distressed patients, nurses lean on coercive methods. This study demonstrates that if TIC is to succeed we need a deeper understanding of the real-world barriers and facilitators.

• Bargeman M ,
• Abelson J ,
• Mulvale G , et al
• Burback L ,
• Greenshaw AJ , et al
• Hutchinson M , et al
• Van Manen M
• Stenhouse RC

Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

Competing interests None declared.

Provenance and peer review Commissioned; internally peer reviewed.

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• Open access
• Published: 17 April 2024

Deciphering the influence: academic stress and its role in shaping learning approaches among nursing students: a cross-sectional study

• Rawhia Salah Dogham 1 ,
• Heba Fakieh Mansy Ali 1 ,
• Asmaa Saber Ghaly 3 ,
• Nermine M. Elcokany 2 ,
• Mohamed Mahmoud Seweid 4 &
• Ayman Mohamed El-Ashry   ORCID: orcid.org/0000-0001-7718-4942 5  

BMC Nursing volume  23 , Article number:  249 ( 2024 ) Cite this article

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Nursing education presents unique challenges, including high levels of academic stress and varied learning approaches among students. Understanding the relationship between academic stress and learning approaches is crucial for enhancing nursing education effectiveness and student well-being.

This study aimed to investigate the prevalence of academic stress and its correlation with learning approaches among nursing students.

Design and Method

A cross-sectional descriptive correlation research design was employed. A convenient sample of 1010 nursing students participated, completing socio-demographic data, the Perceived Stress Scale (PSS), and the Revised Study Process Questionnaire (R-SPQ-2 F).

Most nursing students experienced moderate academic stress (56.3%) and exhibited moderate levels of deep learning approaches (55.0%). Stress from a lack of professional knowledge and skills negatively correlates with deep learning approaches (r = -0.392) and positively correlates with surface learning approaches (r = 0.365). Female students showed higher deep learning approach scores, while male students exhibited higher surface learning approach scores. Age, gender, educational level, and academic stress significantly influenced learning approaches.

Academic stress significantly impacts learning approaches among nursing students. Strategies addressing stressors and promoting healthy learning approaches are essential for enhancing nursing education and student well-being.

Nursing implication

Understanding academic stress’s impact on nursing students’ learning approaches enables tailored interventions. Recognizing stressors informs strategies for promoting adaptive coping, fostering deep learning, and creating supportive environments. Integrating stress management, mentorship, and counseling enhances student well-being and nursing education quality.

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Introduction

Nursing education is a demanding field that requires students to acquire extensive knowledge and skills to provide competent and compassionate care. Nursing education curriculum involves high-stress environments that can significantly impact students’ learning approaches and academic performance [ 1 , 2 ]. Numerous studies have investigated learning approaches in nursing education, highlighting the importance of identifying individual students’ preferred approaches. The most studied learning approaches include deep, surface, and strategic approaches. Deep learning approaches involve students actively seeking meaning, making connections, and critically analyzing information. Surface learning approaches focus on memorization and reproducing information without a more profound understanding. Strategic learning approaches aim to achieve high grades by adopting specific strategies, such as memorization techniques or time management skills [ 3 , 4 , 5 ].

Nursing education stands out due to its focus on practical training, where the blend of academic and clinical coursework becomes a significant stressor for students, despite academic stress being shared among all university students [ 6 , 7 , 8 ]. Consequently, nursing students are recognized as prone to high-stress levels. Stress is the physiological and psychological response that occurs when a biological control system identifies a deviation between the desired (target) state and the actual state of a fitness-critical variable, whether that discrepancy arises internally or externally to the human [ 9 ]. Stress levels can vary from objective threats to subjective appraisals, making it a highly personalized response to circumstances. Failure to manage these demands leads to stress imbalance [ 10 ].

Nursing students face three primary stressors during their education: academic, clinical, and personal/social stress. Academic stress is caused by the fear of failure in exams, assessments, and training, as well as workload concerns [ 11 ]. Clinical stress, on the other hand, arises from work-related difficulties such as coping with death, fear of failure, and interpersonal dynamics within the organization. Personal and social stressors are caused by an imbalance between home and school, financial hardships, and other factors. Throughout their education, nursing students have to deal with heavy workloads, time constraints, clinical placements, and high academic expectations. Multiple studies have shown that nursing students experience higher stress levels compared to students in other fields [ 12 , 13 , 14 ].

Research has examined the relationship between academic stress and coping strategies among nursing students, but no studies focus specifically on the learning approach and academic stress. However, existing literature suggests that students interested in nursing tend to experience lower levels of academic stress [ 7 ]. Therefore, interest in nursing can lead to deep learning approaches, which promote a comprehensive understanding of the subject matter, allowing students to feel more confident and less overwhelmed by coursework and exams. Conversely, students employing surface learning approaches may experience higher stress levels due to the reliance on memorization [ 3 ].

Understanding the interplay between academic stress and learning approaches among nursing students is essential for designing effective educational interventions. Nursing educators can foster deep learning approaches by incorporating active learning strategies, critical thinking exercises, and reflection activities into the curriculum [ 15 ]. Creating supportive learning environments encouraging collaboration, self-care, and stress management techniques can help alleviate academic stress. Additionally, providing mentorship and counselling services tailored to nursing students’ unique challenges can contribute to their overall well-being and academic success [ 16 , 17 , 18 ].

Despite the scarcity of research focusing on the link between academic stress and learning methods in nursing students, it’s crucial to identify the unique stressors they encounter. The intensity of these stressors can be connected to the learning strategies employed by these students. Academic stress and learning approach are intertwined aspects of the student experience. While academic stress can influence learning approaches, the choice of learning approach can also impact the level of academic stress experienced. By understanding this relationship and implementing strategies to promote healthy learning approaches and manage academic stress, educators and institutions can foster an environment conducive to deep learning and student well-being.

Hence, this study aims to investigate the correlation between academic stress and learning approaches experienced by nursing students.

Study objectives

Assess the levels of academic stress among nursing students.

Assess the learning approaches among nursing students.

Identify the relationship between academic stress and learning approach among nursing students.

Identify the effect of academic stress and related factors on learning approach and among nursing students.

Materials and methods

Research design.

A cross-sectional descriptive correlation research design adhering to the STROBE guidelines was used for this study.

A research project was conducted at Alexandria Nursing College, situated in Egypt. The college adheres to the national standards for nursing education and functions under the jurisdiction of the Egyptian Ministry of Higher Education. Alexandria Nursing College comprises nine specialized nursing departments that offer various nursing specializations. These departments include Nursing Administration, Community Health Nursing, Gerontological Nursing, Medical-Surgical Nursing, Critical Care Nursing, Pediatric Nursing, Obstetric and Gynecological Nursing, Nursing Education, and Psychiatric Nursing and Mental Health. The credit hour system is the fundamental basis of both undergraduate and graduate programs. This framework guarantees a thorough evaluation of academic outcomes by providing an organized structure for tracking academic progress and conducting analyses.

Participants and sample size calculation

The researchers used the Epi Info 7 program to calculate the sample size. The calculations were based on specific parameters such as a population size of 9886 students for the academic year 2022–2023, an expected frequency of 50%, a maximum margin of error of 5%, and a confidence coefficient of 99.9%. Based on these parameters, the program indicated that a minimum sample size of 976 students was required. As a result, the researchers recruited a convenient sample of 1010 nursing students from different academic levels during the 2022–2023 academic year [ 19 ]. This sample size was larger than the minimum required, which could help to increase the accuracy and reliability of the study results. Participation in the study required enrollment in a nursing program and voluntary agreement to take part. The exclusion criteria included individuals with mental illnesses based on their response and those who failed to complete the questionnaires.

socio-demographic data that include students’ age, sex, educational level, hours of sleep at night, hours spent studying, and GPA from the previous semester.

Tool two: the perceived stress scale (PSS)

It was initially created by Sheu et al. (1997) to gauge the level and nature of stress perceived by nursing students attending Taiwanese universities [ 20 ]. It comprises 29 items rated on a 5-point Likert scale, where (0 = never, 1 = rarely, 2 = sometimes, 3 = reasonably often, and 4 = very often), with a total score ranging from 0 to 116. The cut-off points of levels of perceived stress scale according to score percentage were low < 33.33%, moderate 33.33–66.66%, and high more than 66.66%. Higher scores indicate higher stress levels. The items are categorized into six subscales reflecting different sources of stress. The first subscale assesses “stress stemming from lack of professional knowledge and skills” and includes 3 items. The second subscale evaluates “stress from caring for patients” with 8 items. The third subscale measures “stress from assignments and workload” with 5 items. The fourth subscale focuses on “stress from interactions with teachers and nursing staff” with 6 items. The fifth subscale gauges “stress from the clinical environment” with 3 items. The sixth subscale addresses “stress from peers and daily life” with 4 items. El-Ashry et al. (2022) reported an excellent internal consistency reliability of 0.83 [ 21 ]. Two bilingual translators translated the English version of the scale into Arabic and then back-translated it into English by two other independent translators to verify its accuracy. The suitability of the translated version was confirmed through a confirmatory factor analysis (CFA), which yielded goodness-of-fit indices such as a comparative fit index (CFI) of 0.712, a Tucker-Lewis index (TLI) of 0.812, and a root mean square error of approximation (RMSEA) of 0.100.

Tool three: revised study process questionnaire (R-SPQ-2 F)

It was developed by Biggs et al. (2001). It examines deep and surface learning approaches using only 20 questions; each subscale contains 10 questions [ 22 ]. On a 5-point Likert scale ranging from 0 (never or only rarely true of me) to 4 (always or almost always accurate of me). The total score ranged from 0 to 80, with a higher score reflecting more deep or surface learning approaches. The cut-off points of levels of revised study process questionnaire according to score percentage were low < 33%, moderate 33–66%, and high more than 66%. Biggs et al. (2001) found that Cronbach alpha value was 0.73 for deep learning approach and 0.64 for the surface learning approach, which was considered acceptable. Two translators fluent in English and Arabic initially translated a scale from English to Arabic. To ensure the accuracy of the translation, they translated it back into English. The translated version’s appropriateness was evaluated using a confirmatory factor analysis (CFA). The CFA produced several goodness-of-fit indices, including a Comparative Fit Index (CFI) of 0.790, a Tucker-Lewis Index (TLI) of 0.912, and a Root Mean Square Error of Approximation (RMSEA) of 0.100. Comparative Fit Index (CFI) of 0.790, a Tucker-Lewis Index (TLI) of 0.912, and a Root Mean Square Error of Approximation (RMSEA) of 0.100.

Ethical considerations

The Alexandria University College of Nursing’s Research Ethics Committee provided ethical permission before the study’s implementation. Furthermore, pertinent authorities acquired ethical approval at participating nursing institutions. The vice deans of the participating institutions provided written informed consent attesting to institutional support and authority. By giving written informed consent, participants confirmed they were taking part voluntarily. Strict protocols were followed to protect participants’ privacy during the whole investigation. The obtained personal data was kept private and available only to the study team. Ensuring participants’ privacy and anonymity was of utmost importance.

Tools validity

The researchers created tool one after reviewing pertinent literature. Two bilingual translators independently translated the English version into Arabic to evaluate the applicability of the academic stress and learning approach tools for Arabic-speaking populations. To assure accuracy, two additional impartial translators back-translated the translation into English. They were also assessed by a five-person jury of professionals from the education and psychiatric nursing departments. The scales were found to have sufficiently evaluated the intended structures by the jury.

Pilot study

A preliminary investigation involved 100 nursing student applicants, distinct from the final sample, to gauge the efficacy, clarity, and potential obstacles in utilizing the research instruments. The pilot findings indicated that the instruments were accurate, comprehensible, and suitable for the target demographic. Additionally, Cronbach’s Alpha was utilized to further assess the instruments’ reliability, demonstrating internal solid consistency for both the learning approaches and academic stress tools, with values of 0.91 and 0.85, respectively.

Data collection

The researchers convened with each qualified student in a relaxed, unoccupied classroom in their respective college settings. Following a briefing on the study’s objectives, the students filled out the datasheet. The interviews typically lasted 15 to 20 min.

Data analysis

The data collected were analyzed using IBM SPSS software version 26.0. Following data entry, a thorough examination and verification were undertaken to ensure accuracy. The normality of quantitative data distributions was assessed using Kolmogorov-Smirnov tests. Cronbach’s Alpha was employed to evaluate the reliability and internal consistency of the study instruments. Descriptive statistics, including means (M), standard deviations (SD), and frequencies/percentages, were computed to summarize academic stress and learning approaches for categorical data. Student’s t-tests compared scores between two groups for normally distributed variables, while One-way ANOVA compared scores across more than two categories of a categorical variable. Pearson’s correlation coefficient determined the strength and direction of associations between customarily distributed quantitative variables. Hierarchical regression analysis identified the primary independent factors influencing learning approaches. Statistical significance was determined at the 5% (p < 0.05).

Table  1 presents socio-demographic data for a group of 1010 nursing students. The age distribution shows that 38.8% of the students were between 18 and 21 years old, 32.9% were between 21 and 24 years old, and 28.3% were between 24 and 28 years old, with an average age of approximately 22.79. Regarding gender, most of the students were female (77%), while 23% were male. The students were distributed across different educational years, a majority of 34.4% in the second year, followed by 29.4% in the fourth year. The students’ hours spent studying were found to be approximately two-thirds (67%) of the students who studied between 3 and 6 h. Similarly, sleep patterns differ among the students; more than three-quarters (77.3%) of students sleep between 5- to more than 7 h, and only 2.4% sleep less than 2 h per night. Finally, the student’s Grade Point Average (GPA) from the previous semester was also provided. 21% of the students had a GPA between 2 and 2.5, 40.9% had a GPA between 2.5 and 3, and 38.1% had a GPA between 3 and 3.5.

Figure  1 provides the learning approach level among nursing students. In terms of learning approach, most students (55.0%) exhibited a moderate level of deep learning approach, followed by 25.9% with a high level and 19.1% with a low level. The surface learning approach was more prevalent, with 47.8% of students showing a moderate level, 41.7% showing a low level, and only 10.5% exhibiting a high level.

Nursing students? levels of learning approach (N=1010)

Figure  2 provides the types of academic stress levels among nursing students. Among nursing students, various stressors significantly impact their academic experiences. Foremost among these stressors are the pressure and demands associated with academic assignments and workload, with 30.8% of students attributing their high stress levels to these factors. Challenges within the clinical environment are closely behind, contributing significantly to high stress levels among 25.7% of nursing students. Interactions with peers and daily life stressors also weigh heavily on students, ranking third among sources of high stress, with 21.5% of students citing this as a significant factor. Similarly, interaction with teachers and nursing staff closely follow, contributing to high-stress levels for 20.3% of nursing students. While still significant, stress from taking care of patients ranks slightly lower, with 16.7% of students reporting it as a significant factor contributing to their academic stress. At the lowest end of the ranking, but still notable, is stress from a perceived lack of professional knowledge and skills, with 15.9% of students experiencing high stress in this area.

Nursing students? levels of academic stress subtypes (N=1010)

Figure  3 provides the total levels of academic stress among nursing students. The majority of students experienced moderate academic stress (56.3%), followed by those experiencing low academic stress (29.9%), and a minority experienced high academic stress (13.8%).

Nursing students? levels of total academic stress (N=1010)

Table  2 displays the correlation between academic stress subscales and deep and surface learning approaches among 1010 nursing students. All stress subscales exhibited a negative correlation regarding the deep learning approach, indicating that the inclination toward deep learning decreases with increasing stress levels. The most significant negative correlation was observed with stress stemming from the lack of professional knowledge and skills (r=-0.392, p < 0.001), followed by stress from the clinical environment (r=-0.109, p = 0.001), stress from assignments and workload (r=-0.103, p = 0.001), stress from peers and daily life (r=-0.095, p = 0.002), and stress from patient care responsibilities (r=-0.093, p = 0.003). The weakest negative correlation was found with stress from interactions with teachers and nursing staff (r=-0.083, p = 0.009). Conversely, concerning the surface learning approach, all stress subscales displayed a positive correlation, indicating that heightened stress levels corresponded with an increased tendency toward superficial learning. The most substantial positive correlation was observed with stress related to the lack of professional knowledge and skills (r = 0.365, p < 0.001), followed by stress from patient care responsibilities (r = 0.334, p < 0.001), overall stress (r = 0.355, p < 0.001), stress from interactions with teachers and nursing staff (r = 0.262, p < 0.001), stress from assignments and workload (r = 0.262, p < 0.001), and stress from the clinical environment (r = 0.254, p < 0.001). The weakest positive correlation was noted with stress stemming from peers and daily life (r = 0.186, p < 0.001).

Table  3 outlines the association between the socio-demographic characteristics of nursing students and their deep and surface learning approaches. Concerning age, statistically significant differences were observed in deep and surface learning approaches (F = 3.661, p = 0.003 and F = 7.983, p < 0.001, respectively). Gender also demonstrated significant differences in deep and surface learning approaches (t = 3.290, p = 0.001 and t = 8.638, p < 0.001, respectively). Female students exhibited higher scores in the deep learning approach (31.59 ± 8.28) compared to male students (29.59 ± 7.73), while male students had higher scores in the surface learning approach (29.97 ± 7.36) compared to female students (24.90 ± 7.97). Educational level exhibited statistically significant differences in deep and surface learning approaches (F = 5.599, p = 0.001 and F = 17.284, p < 0.001, respectively). Both deep and surface learning approach scores increased with higher educational levels. The duration of study hours demonstrated significant differences only in the surface learning approach (F = 3.550, p = 0.014), with scores increasing as study hours increased. However, no significant difference was observed in the deep learning approach (F = 0.861, p = 0.461). Hours of sleep per night and GPA from the previous semester did not exhibit statistically significant differences in deep or surface learning approaches.

Table  4 presents a multivariate linear regression analysis examining the factors influencing the learning approach among 1110 nursing students. The deep learning approach was positively influenced by age, gender (being female), educational year level, and stress from teachers and nursing staff, as indicated by their positive coefficients and significant p-values (p < 0.05). However, it was negatively influenced by stress from a lack of professional knowledge and skills. The other factors do not significantly influence the deep learning approach. On the other hand, the surface learning approach was positively influenced by gender (being female), educational year level, stress from lack of professional knowledge and skills, stress from assignments and workload, and stress from taking care of patients, as indicated by their positive coefficients and significant p-values (p < 0.05). However, it was negatively influenced by gender (being male). The other factors do not significantly influence the surface learning approach. The adjusted R-squared values indicated that the variables in the model explain 17.8% of the variance in the deep learning approach and 25.5% in the surface learning approach. Both models were statistically significant (p < 0.001).

Nursing students’ academic stress and learning approaches are essential to planning for effective and efficient learning. Nursing education also aims to develop knowledgeable and competent students with problem-solving and critical-thinking skills.

The study’s findings highlight the significant presence of stress among nursing students, with a majority experiencing moderate to severe levels of academic stress. This aligns with previous research indicating that academic stress is prevalent among nursing students. For instance, Zheng et al. (2022) observed moderated stress levels in nursing students during clinical placements [ 23 ], while El-Ashry et al. (2022) found that nearly all first-year nursing students in Egypt experienced severe academic stress [ 21 ]. Conversely, Ali and El-Sherbini (2018) reported that over three-quarters of nursing students faced high academic stress. The complexity of the nursing program likely contributes to these stress levels [ 24 ].

The current study revealed that nursing students identified the highest sources of academic stress as workload from assignments and the stress of caring for patients. This aligns with Banu et al.‘s (2015) findings, where academic demands, assignments, examinations, high workload, and combining clinical work with patient interaction were cited as everyday stressors [ 25 ]. Additionally, Anaman-Torgbor et al. (2021) identified lectures, assignments, and examinations as predictors of academic stress through logistic regression analysis. These stressors may stem from nursing programs emphasizing the development of highly qualified graduates who acquire knowledge, values, and skills through classroom and clinical experiences [ 26 ].

The results regarding learning approaches indicate that most nursing students predominantly employed the deep learning approach. Despite acknowledging a surface learning approach among the participants in the present study, the prevalence of deep learning was higher. This inclination toward the deep learning approach is anticipated in nursing students due to their engagement with advanced courses, requiring retention, integration, and transfer of information at elevated levels. The deep learning approach correlates with a gratifying learning experience and contributes to higher academic achievements [ 3 ]. Moreover, the nursing program’s emphasis on active learning strategies fosters critical thinking, problem-solving, and decision-making skills. These findings align with Mahmoud et al.‘s (2019) study, reporting a significant presence (83.31%) of the deep learning approach among undergraduate nursing students at King Khalid University’s Faculty of Nursing [ 27 ]. Additionally, Mohamed &Morsi (2019) found that most nursing students at Benha University’s Faculty of Nursing embraced the deep learning approach (65.4%) compared to the surface learning approach [ 28 ].

The study observed a negative correlation between the deep learning approach and the overall mean stress score, contrasting with a positive correlation between surface learning approaches and overall stress levels. Elevated academic stress levels may diminish motivation and engagement in the learning process, potentially leading students to feel overwhelmed, disinterested, or burned out, prompting a shift toward a surface learning approach. This finding resonates with previous research indicating that nursing students who actively seek positive academic support strategies during academic stress have better prospects for success than those who do not [ 29 ]. Nebhinani et al. (2020) identified interface concerns and academic workload as significant stress-related factors. Notably, only an interest in nursing demonstrated a significant association with stress levels, with participants interested in nursing primarily employing adaptive coping strategies compared to non-interested students.

The current research reveals a statistically significant inverse relationship between different dimensions of academic stress and adopting the deep learning approach. The most substantial negative correlation was observed with stress arising from a lack of professional knowledge and skills, succeeded by stress associated with the clinical environment, assignments, and workload. Nursing students encounter diverse stressors, including delivering patient care, handling assignments and workloads, navigating challenging interactions with staff and faculty, perceived inadequacies in clinical proficiency, and facing examinations [ 30 ].

In the current study, the multivariate linear regression analysis reveals that various factors positively influence the deep learning approach, including age, female gender, educational year level, and stress from teachers and nursing staff. In contrast, stress from a lack of professional knowledge and skills exert a negative influence. Conversely, the surface learning approach is positively influenced by female gender, educational year level, stress from lack of professional knowledge and skills, stress from assignments and workload, and stress from taking care of patients, but negatively affected by male gender. The models explain 17.8% and 25.5% of the variance in the deep and surface learning approaches, respectively, and both are statistically significant. These findings underscore the intricate interplay of demographic and stress-related factors in shaping nursing students’ learning approaches. High workloads and patient care responsibilities may compel students to prioritize completing tasks over deep comprehension. This pressure could lead to a surface learning approach as students focus on meeting immediate demands rather than engaging deeply with course material. This observation aligns with the findings of Alsayed et al. (2021), who identified age, gender, and study year as significant factors influencing students’ learning approaches.

Deep learners often demonstrate better self-regulation skills, such as effective time management, goal setting, and seeking support when needed. These skills can help manage academic stress and maintain a balanced learning approach. These are supported by studies that studied the effect of coping strategies on stress levels [ 6 , 31 , 32 ]. On the contrary, Pacheco-Castillo et al. study (2021) found a strong significant relationship between academic stressors and students’ level of performance. That study also proved that the more academic stress a student faces, the lower their academic achievement.

Strengths and limitations of the study

This study has lots of advantages. It provides insightful information about the educational experiences of Egyptian nursing students, a demographic that has yet to receive much research. The study’s limited generalizability to other people or nations stems from its concentration on this particular group. This might be addressed in future studies by using a more varied sample. Another drawback is the dependence on self-reported metrics, which may contain biases and mistakes. Although the cross-sectional design offers a moment-in-time view of the problem, it cannot determine causation or evaluate changes over time. To address this, longitudinal research may be carried out.

Notwithstanding these drawbacks, the study substantially contributes to the expanding knowledge of academic stress and nursing students’ learning styles. Additional research is needed to determine teaching strategies that improve deep-learning approaches among nursing students. A qualitative study is required to analyze learning approaches and factors that may influence nursing students’ selection of learning approaches.

According to the present study’s findings, nursing students encounter considerable academic stress, primarily stemming from heavy assignments and workload, as well as interactions with teachers and nursing staff. Additionally, it was observed that students who experience lower levels of academic stress typically adopt a deep learning approach, whereas those facing higher stress levels tend to resort to a surface learning approach. Demographic factors such as age, gender, and educational level influence nursing students’ choice of learning approach. Specifically, female students are more inclined towards deep learning, whereas male students prefer surface learning. Moreover, deep and surface learning approach scores show an upward trend with increasing educational levels and study hours. Academic stress emerges as a significant determinant shaping the adoption of learning approaches among nursing students.

Implications in nursing practice

Nursing programs should consider integrating stress management techniques into their curriculum. Providing students with resources and skills to cope with academic stress can improve their well-being and academic performance. Educators can incorporate teaching strategies that promote deep learning approaches, such as problem-based learning, critical thinking exercises, and active learning methods. These approaches help students engage more deeply with course material and reduce reliance on surface learning techniques. Recognizing the gender differences in learning approaches, nursing programs can offer gender-specific support services and resources. For example, providing targeted workshops or counseling services that address male and female nursing students’ unique stressors and learning needs. Implementing mentorship programs and peer support groups can create a supportive environment where students can share experiences, seek advice, and receive encouragement from their peers and faculty members. Encouraging students to reflect on their learning processes and identify effective study strategies can help them develop metacognitive skills and become more self-directed learners. Faculty members can facilitate this process by incorporating reflective exercises into the curriculum. Nursing faculty and staff should receive training on recognizing signs of academic stress among students and providing appropriate support and resources. Additionally, professional development opportunities can help educators stay updated on evidence-based teaching strategies and practical interventions for addressing student stress.

Data availability

The datasets generated and/or analysed during the current study are not publicly available due to restrictions imposed by the institutional review board to protect participant confidentiality, but are available from the corresponding author on reasonable request.

Liu J, Yang Y, Chen J, Zhang Y, Zeng Y, Li J. Stress and coping styles among nursing students during the initial period of the clinical practicum: A cross-section study. Int J Nurs Sci. 2022a;9(2). https://doi.org/10.1016/j.ijnss.2022.02.004 .

Saifan A, Devadas B, Daradkeh F, Abdel-Fattah H, Aljabery M, Michael LM. Solutions to bridge the theory-practice gap in nursing education in the UAE: a qualitative study. BMC Med Educ. 2021;21(1). https://doi.org/10.1186/s12909-021-02919-x .

Alsayed S, Alshammari F, Pasay-an E, Dator WL. Investigating the learning approaches of students in nursing education. J Taibah Univ Med Sci. 2021;16(1). https://doi.org/10.1016/j.jtumed.2020.10.008 .

Salah Dogham R, Elcokany NM, Saber Ghaly A, Dawood TMA, Aldakheel FM, Llaguno MBB, Mohsen DM. Self-directed learning readiness and online learning self-efficacy among undergraduate nursing students. Int J Afr Nurs Sci. 2022;17. https://doi.org/10.1016/j.ijans.2022.100490 .

Zhao Y, Kuan HK, Chung JOK, Chan CKY, Li WHC. Students’ approaches to learning in a clinical practicum: a psychometric evaluation based on item response theory. Nurse Educ Today. 2018;66. https://doi.org/10.1016/j.nedt.2018.04.015 .

Huang HM, Fang YW. Stress and coping strategies of online nursing practicum courses for Taiwanese nursing students during the COVID-19 pandemic: a qualitative study. Healthcare. 2023;11(14). https://doi.org/10.3390/healthcare11142053 .

Nebhinani M, Kumar A, Parihar A, Rani R. Stress and coping strategies among undergraduate nursing students: a descriptive assessment from Western Rajasthan. Indian J Community Med. 2020;45(2). https://doi.org/10.4103/ijcm.IJCM_231_19 .

Olvera Alvarez HA, Provencio-Vasquez E, Slavich GM, Laurent JGC, Browning M, McKee-Lopez G, Robbins L, Spengler JD. Stress and health in nursing students: the Nurse Engagement and Wellness Study. Nurs Res. 2019;68(6). https://doi.org/10.1097/NNR.0000000000000383 .

Del Giudice M, Buck CL, Chaby LE, Gormally BM, Taff CC, Thawley CJ, Vitousek MN, Wada H. What is stress? A systems perspective. Integr Comp Biol. 2018;58(6):1019–32. https://doi.org/10.1093/icb/icy114 .

Article   PubMed   Google Scholar  

Bhui K, Dinos S, Galant-Miecznikowska M, de Jongh B, Stansfeld S. Perceptions of work stress causes and effective interventions in employees working in public, private and non-governmental organisations: a qualitative study. BJPsych Bull. 2016;40(6). https://doi.org/10.1192/pb.bp.115.050823 .

Lavoie-Tremblay M, Sanzone L, Aubé T, Paquet M. Sources of stress and coping strategies among undergraduate nursing students across all years. Can J Nurs Res. 2021. https://doi.org/10.1177/08445621211028076 .

Article   PubMed   PubMed Central   Google Scholar  

Ahmed WAM, Abdulla YHA, Alkhadher MA, Alshameri FA. Perceived stress and coping strategies among nursing students during the COVID-19 pandemic: a systematic review. Saudi J Health Syst Res. 2022;2(3). https://doi.org/10.1159/000526061 .

Pacheco-Castillo J, Casuso-Holgado MJ, Labajos-Manzanares MT, Moreno-Morales N. Academic stress among nursing students in a Private University at Puerto Rico, and its Association with their academic performance. Open J Nurs. 2021;11(09). https://doi.org/10.4236/ojn.2021.119063 .

Tran TTT, Nguyen NB, Luong MA, Bui THA, Phan TD, Tran VO, Ngo TH, Minas H, Nguyen TQ. Stress, anxiety and depression in clinical nurses in Vietnam: a cross-sectional survey and cluster analysis. Int J Ment Health Syst. 2019;13(1). https://doi.org/10.1186/s13033-018-0257-4 .

Magnavita N, Chiorri C. Academic stress and active learning of nursing students: a cross-sectional study. Nurse Educ Today. 2018;68. https://doi.org/10.1016/j.nedt.2018.06.003 .

Folkvord SE, Risa CF. Factors that enhance midwifery students’ learning and development of self-efficacy in clinical placement: a systematic qualitative review. Nurse Educ Pract. 2023;66. https://doi.org/10.1016/j.nepr.2022.103510 .

Myers SB, Sweeney AC, Popick V, Wesley K, Bordfeld A, Fingerhut R. Self-care practices and perceived stress levels among psychology graduate students. Train Educ Prof Psychol. 2012;6(1). https://doi.org/10.1037/a0026534 .

Zeb H, Arif I, Younas A. Nurse educators’ experiences of fostering undergraduate students’ ability to manage stress and demanding situations: a phenomenological inquiry. Nurse Educ Pract. 2022;65. https://doi.org/10.1016/j.nepr.2022.103501 .

Centers for Disease Control and Prevention. User Guide| Support| Epi Info™ [Internet]. Atlanta: CDC; [cited 2024 Jan 31]. Available from: CDC website.

Sheu S, Lin HS, Hwang SL, Yu PJ, Hu WY, Lou MF. The development and testing of a perceived stress scale for nursing students in clinical practice. J Nurs Res. 1997;5:41–52. Available from: http://ntur.lib.ntu.edu.tw/handle/246246/165917 .

El-Ashry AM, Harby SS, Ali AAG. Clinical stressors as perceived by first-year nursing students of their experience at Alexandria main university hospital during the COVID-19 pandemic. Arch Psychiatr Nurs. 2022;41:214–20. https://doi.org/10.1016/j.apnu.2022.08.007 .

Biggs J, Kember D, Leung DYP. The revised two-factor study process questionnaire: R-SPQ-2F. Br J Educ Psychol. 2001;71(1):133–49. https://doi.org/10.1348/000709901158433 .

Article   CAS   PubMed   Google Scholar  

Zheng YX, Jiao JR, Hao WN. Stress levels of nursing students: a systematic review and meta-analysis. Med (United States). 2022;101(36). https://doi.org/10.1097/MD.0000000000030547 .

Ali AM, El-Sherbini HH. Academic stress and its contributing factors among faculty nursing students in Alexandria. Alexandria Scientific Nursing Journal. 2018; 20(1):163–181. Available from: https://asalexu.journals.ekb.eg/article_207756_b62caf4d7e1e7a3b292bbb3c6632a0ab.pdf .

Banu P, Deb S, Vardhan V, Rao T. Perceived academic stress of university students across gender, academic streams, semesters, and academic performance. Indian J Health Wellbeing. 2015;6(3):231–235. Available from: http://www.iahrw.com/index.php/home/journal_detail/19#list .

Anaman-Torgbor JA, Tarkang E, Adedia D, Attah OM, Evans A, Sabina N. Academic-related stress among Ghanaian nursing students. Florence Nightingale J Nurs. 2021;29(3):263. https://doi.org/10.5152/FNJN.2021.21030 .

Mahmoud HG, Ahmed KE, Ibrahim EA. Learning Styles and Learning Approaches of Bachelor Nursing Students and its Relation to Their Achievement. Int J Nurs Didact. 2019;9(03):11–20. Available from: http://www.nursingdidactics.com/index.php/ijnd/article/view/2465 .

Mohamed NAAA, Morsi MES, Learning Styles L, Approaches. Academic achievement factors, and self efficacy among nursing students. Int J Novel Res Healthc Nurs. 2019;6(1):818–30. Available from: www.noveltyjournals.com.

Google Scholar  

Onieva-Zafra MD, Fernández-Muñoz JJ, Fernández-Martínez E, García-Sánchez FJ, Abreu-Sánchez A, Parra-Fernández ML. Anxiety, perceived stress and coping strategies in nursing students: a cross-sectional, correlational, descriptive study. BMC Med Educ. 2020;20:1–9. https://doi.org/10.1186/s12909-020-02294-z .

Article   Google Scholar  

Aljohani W, Banakhar M, Sharif L, Alsaggaf F, Felemban O, Wright R. Sources of stress among Saudi Arabian nursing students: a cross-sectional study. Int J Environ Res Public Health. 2021;18(22). https://doi.org/10.3390/ijerph182211958 .

Liu Y, Wang L, Shao H, Han P, Jiang J, Duan X. Nursing students’ experience during their practicum in an intensive care unit: a qualitative meta-synthesis. Front Public Health. 2022;10. https://doi.org/10.3389/fpubh.2022.974244 .

Majrashi A, Khalil A, Nagshabandi E, Al MA. Stressors and coping strategies among nursing students during the COVID-19 pandemic: scoping review. Nurs Rep. 2021;11(2):444–59. https://doi.org/10.3390/nursrep11020042 .

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Acknowledgements

Our sincere thanks go to all the nursing students in the study. We also want to thank Dr/ Rasha Badry for their statistical analysis help and contribution to this study.

The research was not funded by public, commercial, or non-profit organizations.

Open access funding provided by The Science, Technology & Innovation Funding Authority (STDF) in cooperation with The Egyptian Knowledge Bank (EKB).

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Rawhia Salah Dogham & Heba Fakieh Mansy Ali

Critical Care & Emergency Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt

Nermine M. Elcokany

Obstetrics and Gynecology Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt

Asmaa Saber Ghaly

Faculty of Nursing, Beni-Suef University, Beni-Suef, Egypt

Mohamed Mahmoud Seweid

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Ayman M. El-Ashry & Rawhia S. Dogham: conceptualization, preparation, and data collection; methodology; investigation; formal analysis; data analysis; writing-original draft; writing-manuscript; and editing. Heba F. Mansy Ali & Asmaa S. Ghaly: conceptualization, preparation, methodology, investigation, writing-original draft, writing-review, and editing. Nermine M. Elcokany & Mohamed M. Seweid: Methodology, investigation, formal analysis, data collection, writing-manuscript & editing. All authors reviewed the manuscript and accept for publication.

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Dogham, R.S., Ali, H.F.M., Ghaly, A.S. et al. Deciphering the influence: academic stress and its role in shaping learning approaches among nursing students: a cross-sectional study. BMC Nurs 23 , 249 (2024). https://doi.org/10.1186/s12912-024-01885-1

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• 10 April 2024

The rise of eco-anxiety: scientists wake up to the mental-health toll of climate change

• Helen Pearson

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The Bahamas is vulnerable to storms and hurricanes. Extreme weather can exacerbate mental-health illnesses. Credit: Zak Bennett/AFP via Getty

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Every year for six years, Laureen Wamaitha hoped that her fields in Kenya would flourish. Every year, she’d see drought wither the crops and then floods wash them away. The cycle of optimism and loss left her constantly anxious, and she blamed climate change. “You get to a situation where you have panic attacks because you’re always worried about something,” she says.

Medical student Vashti-Eve Burrows, meanwhile, saw powerful hurricane Dorian rage through the Bahamas in 2019 and now she is fearful about the future of the country, an island archipelago that is vulnerable to sea-level rise and storms. “Will there even be a Bahamas in maybe 20 to 30 years?” she says.

Wamaitha and Burrows are part of a growing chorus of people speaking up about the impacts of climate change on mental health. Climate change is exacerbating mental disorders, which already affect almost one billion people and are among the world’s biggest causes of ill health. A global survey in 2021 found that more than half of people aged 16–25 felt sad, anxious or powerless, or had other negative emotions about climate change 1 . Altogether, hundreds of millions of people might be experiencing some type of negative psychological response to the climate crisis.

What happens when climate change and the mental-health crisis collide?

Scientists say the topic has been sorely neglected, but is leaping up the research agenda. “I’ve seen an explosion of research in the last five years for sure. That’s been very exciting,” says Alison Hwong, a psychiatrist and mental-health researcher at the University of California, San Francisco. The growing severity of heat, hurricanes and other impacts mean “it’s impossible to ignore”, she says.

Researchers want to unpick the many pathways by which climate change affects mental health, from trauma caused by hurricanes, floods, droughts and fires to ‘eco-anxiety ’— a chronic fear of environmental doom. Studies on methods that can help people prevent or manage these problems are also needed, although some work suggests that climate action and activism might help.

A seam of climate injustice is exposed by the research. Young people are likely to experience the greatest mental burden from climate change that older generations have caused. Groups of people that already experience poverty, illness or inequalities are most at risk of deteriorating mental health. “Climate change exacerbates already existing economic situations, where it’s the poorer people who are feeling even worse,” says Jennifer Uchendu, a researcher, climate activist and founder of SustyVibes, an environmental group based in Lagos, Nigeria.

Mental-health toll

The fact that climate change affects people’s mental health is not surprising: what’s new is the attention the issue is attracting — and the myriad ways that scientists are documenting its varied and sometimes shocking effects.

It is well known that extreme weather events and disasters can have an immediate traumatic impact — as well as “a long tail of mental-health conditions like post-traumatic stress disorder, anxiety, depression, substance abuse,” says Emma Lawrance, who studies mental health at Imperial College London. Also taking a mental-health toll in vulnerable countries are less sudden — but nonetheless devastating — disruptions caused by global warming’s impacts, such as forced migration, loss of livelihoods, food insecurity and community breakdown.

Research on how climate-change impacts, such as drought, affect mental health is growing. Credit: Simone Boccaccio/SOPA Images/LightRocket via Getty

There is evidence that directly experiencing higher temperatures can worsen mental health. A 2018 study of suicide data from the United States and Mexico over two or more decades showed that suicide rates rose by 0.7% in the United States and 2.1% in Mexico, with a 1 °C increase in average monthly temperature 2 . The researchers projected an extra 9,000–40,000 suicides by 2050 in the two countries if no action was taken against climate change. Other work has shown that higher temperatures are linked to poor sleep — which can in turn contribute to mental distress 3 .

Studies also suggest that people with existing mental illness are at greater risk of dying during extreme heat 4 , but “understanding why that is and what we can do to stop it is really unexplored”, Lawrance says. One potential explanation is that some psychiatric drugs can interfere with the body’s response to heat 5 .

Eco-anxiety goes global

Another striking field of research examines how the awareness of climate change and its impacts can lead to concern or distress, a phenomenon sometimes called eco-anxiety, eco-distress, climate grief or solastalgia (distress linked to environmental change). In a 2018 survey, 72% of people aged 18–34 said that negative environmental news stories affected their emotional well-being, such as by causing anxiety, racing thoughts or sleep problems (see go.nature.com/3vbbt7p ). A 2020 survey 6 in the United Kingdom found that young people aged 16–24 reported more distress from climate change than from COVID-19.

A few years ago, such ‘eco-emotions’ were sometimes dismissed as fretting of the ‘worried-well’ in high-income countries, Lawrance says. But research that shows the global reach of these feelings is challenging that view. The 2021 survey 1 was the biggest so far on climate anxiety and included 10,000 children and young people in 10 countries. More than 45% of respondents said that worry about climate change had a negative impact on eating, working, sleeping or other aspects of their daily lives. Reports of climate change affecting people’s ability to function were highest in the Philippines, India and Nigeria and lowest in the United States and United Kingdom — contradicting the idea that eco-anxiety is just a rich-country problem (see ‘Climate anxiety around the world’).

Source: Ref. 1

For some, eco-anxiety might be linked to first-hand experience of climate-related devastation. The fact that young people in the Philippines reported some of the highest levels of worry was no surprise to John Jamir Benzon Aruta, an environmental psychologist at De La Salle University in Manila. In 2013, he saw first-hand the devastation and trauma caused in the Philippines by Typhoon Haiyan — one of the most powerful tropical cyclones ever recorded. “You see houses, communities devastated. You also see corpses all over the place,” he says. “Just witnessing the aftermath made me feel traumatized.”

But the 2021 survey documented widespread distress that went beyond those who were immediately affected by extreme climate events. Around 75% of respondents said that climate change made them think the future is frightening and 56% said that it made them think that humanity is doomed. People who felt their government was failing to act on climate issues were more likely to feel eco-distress.

Are we all doomed? How to cope with the daunting uncertainties of climate change

Climate change isn’t the first existential crisis that humanity has faced. But researchers point out that it is different from some other threats: it is happening now rather than being a future risk, such as a nuclear war ; it’s affecting the entire globe at once; and many people feel angry that they have to bear the brunt of climate change that other people have caused.

Feelings of eco-anxiety are not necessarily a sign of dysfunction. “If you are under immediate threat, it is a realistic, rational, healthy survival instinct to react by being anxious or to experience fear,” says Elizabeth Marks, a clinical psychologist at the University of Bath, UK, and one of the survey’s lead authors. It could even be harmful to think of these feelings as a disorder. “If we think of it as a diagnosable condition, that risks placing the blame on the individual as having an unhealthy response,” she says. That said, some people might become so impaired by their eco-distress that they would benefit from psychological help.

Social media is being used to monitor negative feelings linked to climate change. In 2023, Kelton Minor, a research scientist at Columbia University’s Data Science Institute in New York and Nick Obradovich, a climate mental-health researcher at the Laureate Institute for Brain Research in Tulsa, Oklahoma, reported an analysis of more than eight billion posts on Twitter (now known as X) that appeared between 2015 and 2022 from people who had opted to share their geolocation data. (The analysis was part of a wider report on health and climate change 7 .) The researchers analysed the tweets for positive words (such as good, well, new and love) and negative ones (bad, wrong, hate and hurt), and linked them to climate data from the tweeters’ locations. Perhaps unsurprisingly, the team found that heatwaves and extreme rainfall increased negative feelings and decreased positive ones compared with control days without extreme weather in the same place and time of year. They also found that these negative reactions became worse over the years (see ‘Eco-anxiety on social media’).

Source: Ref. 7

Beyond the Western view

The full effects of climate change on mental health are hard to measure. A combination of factors, including the stigma around mental health and lack of access to health-care services, mean that many people with mental-health concerns go undiagnosed. When Wamaitha talked to her family in Kenya about how worried she was, they’d say: “It’s not a big deal, it’s part of life,” she says. Anxiety and depression are barely recognized as disorders in her region, she says. Mental-health services are scarce and older people just “think that you’re very sensitive” because they survived droughts in the past. In the 2021 survey, nearly 40% of young people worldwide said their concerns about climate change had been ignored or dismissed.

Climate change is also a health crisis — these 3 graphics explain why

Researchers are particularly worried that countries and regions that experience the harshest effects of climate change are where the least climate mental-health research has been done. In her studies, Uchendu found that most research was Western-centric. “Not a lot of people were talking about these issues in Africa,” she says. In 2022, she started the Eco-anxiety in Africa Project, which, in collaboration with the University of Nottingham, UK, has documented the emotional turmoil that heat and erratic weather has created for people living in five African cities.

Another question researchers have is how context and culture affect climate anxiety. Some studies have shown that “connection to country” — through cultural practices such as hunting and gathering food — is important to the mental health and well-being of some Aboriginal Australians and Torres Strait Islander communities 8 , says Michelle Dickson, who studies the mental health of Indigenous Australians at the University of Sydney, Australia. But rising sea levels, drought and bushfires threaten those practices. Tools used in health-care settings “rarely take into account the important cultural values that underpin Indigenous mental health”, says Dickson, who is a Darkinjung/Ngarigo Australian Aboriginal.

Dickson is now co-leading a project to empower communities to design their own climate action plans — allowing researchers to test whether doing this could improve people’s mental health.

Heatwaves — such as one that hit New Delhi in 2022 — can worsen mental disorders and are linked to increased negative feelings. Credit: Kabir Jhangiani/Pacific Press/LightRocket via Getty

Overcoming eco-distress

Addressing climate-fuelled mental-health conditions will be a colossal task when mental-health care globally is already poor: only around 3% of people with depression receive adequate treatment in low- and lower-middle-income countries, and 23% in high-income countries 9 . Lawrance says that many communities are finding their own ways to cope, but that the effectiveness of these efforts is rarely studied and shared. “There’s a massive gap around evaluation,” she says.

Some evidence suggests that taking action to combat climate change can help people to manage eco-anxiety . “There does seem to be an argument for supporting people to take collective action,” says Marks, such as joining campaign groups with like-minded people. It’s also important to “recognize that I feel this way because I care”, she says. “These climate emotions are actually something to be honoured and allowed, not pushed away.” Marks also suggests that some people who are feeling eco-distress limit the amount of time they spend ‘doom-scrolling’ through climate news.

Extreme heat harms health — what is the human body’s limit?

Researchers are starting to take collective action themselves. Last month, the Connecting Climate Minds project, one of the most ambitious research efforts in the field of climate-related mental health 10 , released a series of regional ‘research and action’ priorities, including, for example, to understand how climate change compounds the stress of wars, violence and disease epidemics in sub-Saharan Africa . The project includes researchers, policymakers and people with first-hand experience of climate change. Uchendu says that in one of the meetings, someone joining remotely was standing in flood water in their room. “It was mind-blowing,” she says.

Wamaitha, who along with Burrows is one of many people who shared their experiences with Connecting Climate Minds, has turned some of her concerns into action. Last year, after trying and failing to grow drought-resistant crops, she quit farming and is now working at a non-governmental organization in Bura, Kenya, that is focused on poverty relief. She is earning enough to study for a master’s degree in public health, and she raises awareness of global health on the social-networking site LinkedIn. But she is anxious about the future and worries about whether to have children. “I don’t think I am in a good environment to be able to bring kids into this particular place,” she says. “That is the saddest thing when I think about it.”

Burrows, who is studying medicine at the University of the West Indies in Saint Augustine, Trinidad and Tobago, says she chooses to be positive and does small things to help the environment, such as walking instead of driving. She says that she prays that wealthy countries and companies “will really, truly understand what is happening and not just say smooth words to try to pacify us in the moment”. They should act to “help the smaller countries and the world at large”, she says.

Nature 628 , 256-258 (2024)

doi: https://doi.org/10.1038/d41586-024-00998-6

Hickman, C. et al. Lancet Planet. Health 5 , e863–e873 (2021).

Article   PubMed   Google Scholar  

Burke, M. et al. Nature Clim. Change 8 , 723–729 (2018).

Article   Google Scholar  

Chevance, G. et al. Sleep Med. Rev . https://doi.org/10.1016/j.smrv.2024.101915 (2024).

Bouchama, A. et al. Arch. Intern. Med. 167 , 2170–2176 (2007).

Martin-Latry, K. et al. Eur. Psychiatry 22 , 335–338 (2007).

Lawrance, E. L. et al. Lancet Planet. Health. 6 , e726–e738 (2022).

Romanello, M. et al. Lancet 402 , 2346–2394 (2023).

Butler, T. L. et al. Soc. Sci. Med. 23 , 138–157 (2019).

Moitra, M. et al. PLoS Med. 19 , e1003901 (2022).

Lawrance, E. L. et al. Nature Mental Health 2 , 121–125 (2024).

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• v.8(1); 2020 Jan

Nursing Students’ Perceptions of Effective Factors on Mental Health: A Qualitative Content Analysis

Roghieh sodeify, phd.

1 Department of Medical-Surgical Nursing, School of Nursing, Khoy University of Medical Sciences, Khoy, Iran

Fatemah Moghaddam Tabrizi, PhD

2 Reproductive Health Research Center, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran

Background:

Mental health is a fundamental and widespread concept with individual meanings. The purpose of this study is to perceive and clarify the factors influencing mental health from the perspectives of nursing students

The present qualitative study was conducted in Khoy, Iran from July-December 2018. Twenty nursing students were selected as the research participants through purposeful sampling method and interviewed using semi-structured in-depth interviews. All interviews were recorded, transcribed, and then analyzed with Graneheim and Lundman’s approach of conventional content analysis. The Trail version of the MAXQDA 10 software was applied to conduct the coding process

Data analysis revealed four themes and 12 sub-themes. The themes included feeling of self-worth, religious beliefs, socio-economic factors, and behavioral factors.

Conclusion:

The results showed that mental health in nursing students is a multidimensional phenomenon and is influenced by various factors. The current results could help the nurse educators to intervene and provide suitable, effective, practicable, and culture based mental health services and also help the nursing students achieve mental stability. Therefore, it is suggested that further qualitative and interventional studies should be conducted in this area

I NTRODUCTION

Mental health is one of the most important requirements of man and an important aspect of health. As defined by the World Health Organization (WHO), health means full physical, mental and social well-being, and it doesn’t refer to the lack of illness or infirmity. 1 The central part of health is mental health because all health-related interactions are carried out mentally. 2 Health is a perceptual concept based on learning, values and beliefs of each individual who is influenced by the environment, family, and community. If the concept of health is understood abstractly, its effects in life will not be clear. 3

Several definitions of mental health have been made: lack of mental illness, emotional balance, social harmony, feeling of comfort, integrity of personality, self and environmental awareness, ability to play a social, physical and emotional role, ability to co-ordinate with others, modification and improvement of the individual and social environment, resolution of conflicts and personal preferences logically, fairly and appropriately, the ability to adapt to the normal stresses of life, and finally self management. The concept of mental health, according to the WHO, refers to a status beyond the absence of mental disorders and it includes mental well-being, self-efficacy, autonomy, competence, social relations, social communication, prosperity, and intellectual and emotional potentialities. 4 , 5

Many factors affect mental health. Researchers consider reasons such as personality structures and cognitive and attitudinal components such as hope, optimism, empathy, affiliation, forgiveness, religion and spirituality in the stability of a sense of well-being and health. 6 , 7 Studies have shown that those with a high psychological well-being also have a better physical health. These people are generally happy, optimistic, and positive, and have emotional stability, self-esteem, and high self-efficacy. High mental health is positively associated with the logical perception of others and negatively associated with suicidal ideation, unprofessional behavior and burnout. 8

The results of many studies in and out the country (IRAN) show that nursing students have lower general and mental health than other health related disciplines and non-medical students. 9 , 10 In fact, nursing education does not create a suitable environment for nursing students. According to the nursing education curriculum, nursing students, in addition to learning theoretical courses, are placed in various clinical settings to acquire knowledge, skills and clinical judgment to achieve professional competence. 9 During this period, they experience stressful events that affect their personal and professionals life. 11 Some previous researches in this area also revealed that stressors which affected the students’ mental health were related to academic training. The most common stressors included ‘stress experience in the educational environment’, ‘relationships at work’, ‘issues of death and suffering, ‘inadequate knowledge and training’, ‘insufficient hospital resources’, and ‘communication and procedural aspects of client care’. 12

The consequences of a meta-analysis study in Iran during a 23-year period between 1991 and 2015 showed that the prevalence of mental disorders among students in Iran using random models was 33%. Unfortunately, the prevalence rate showed an increasing rate over time while in other countries this rate was below 20%. 13 Previous studies conducted in United States, Iran, Singapour, India, and Malaysia showed that mental health issues are a growing concern among college student 14 , 15 and depression, alcohol use, stress, low sleep quality, excessive daytime sleepiness, and anxiety are major mental health problems among nursing students. 8 , 16 The results of another study which assessed the general health of nursing and other health related disciplines students indicated that mental disorders were observed 19.5%. 17 Findings of some studies showed that a very small percentage of nursing students had a good status of happiness as an indicator of the mental health. Happiness was claimed to be essential in developing nursing students as future nurses since happy nurses are more energetic, creative, successful, sociable, and more interested in caring. 18 , 19 In general, the results of most empirical research indicate that nursing students are at a relatively poor level of mental health which could have undesirable personal and professional consequences. 4 , 8 , 9 In fact, major changes in the social, family, and personal life of the nursing students and experience of traumatic events in various clinical setting can lead to some psychological problems. Considering the fact that young people and university students include more than one third of the whole population of Iran, it is important to be aware of their perceptions of the factors affecting mental health. Nursing educators are always concerned about the knowledge and skills of nursing students. One of the obstacles in this regard is mental health problems. Therefore, the researchers tried to get deeper understanding about the factors affecting nursing students’ mental health. Regarding the fact that mental health is formed in the socio-cultural context and due to low knowledge about the mental health of nursing students, the researchers decided to use nursing students’ own experiences to discover and deeply understand this phenomenon. Thus, they chose the qualitative content analysis method to perceive and clarify the factors influencing mental health from the perspectives of nursing students.

M ATERIAL AND M ETHODS

The present qualitative study using content analysis approach was conducted in Khoy, Iran during July-December 2018. In accordance with qualitative research, sampling was started with purposeful method and done with theoretical sampling with maximum variation. In the purposeful sampling, the researcher is looking for those who have a rich experience of the phenomena under the study and have the ability and desire to express it. 20

The participants in this study were 20 nursing students who were studying at Khoy Medical Science University, Iran. The inclusion criteria for the study were having at least one semester of university experience and willingness to express their own experiences. Exclusion criteria for the study were having a mental or physical illness during the previous year based on the participants’ own self report.

Data collection was done through in-depth semi-structured interviews. The time and place of the interviews were agreed upon by the parties and they were conducted in a private class at the university by the first author. In the first instance, the researcher initially referred to the participants and presented the purpose of the research and if they were willing to participate in the research, an interview was scheduled. The open questions were designed as an interview guide to provide an open and interpretative response and follow-up questions were asked after the interviewees’ responses. The general question in all interviews was: When do you feel you have mental health and when not? Which factors increase or decrease your mental health? As the interview went on, more detailed questions were asked about the influential factors (inhibitors or facilitators) expressed by the participants. The duration of interviews varied from 30-50 minutes. The guiding principle in the sampling of qualitative research is the saturation of the data to the extent that no new data is obtained. 20 In general, 20 interviews were conducted with 20 students to achieve theoretical saturation. No new data or concept was obtained after analyzing the last (18th) interviews. However, two more interviews were conducted to ensure data saturation. Data analysis process was carried out continuously and concurrently with data collection.

Interviews were analyzed using Graneheim and Lundman’s (2004) conventional content analysis guidelines. 21 (i) The recorded interviews were transcribed (ii) The researchers listened to the recordings and reviewed the transcripts several times to find the meaning units. (iii) The meaning units from the statements of the participants were extracted in the form of initial codes. (iv) Codes were categorized according to the conceptual similarities to be minimized. (v) This trend continued across all the analysis units until themes and subthemes emerged. Each interview was recorded and typed in MAXQDA software, version 10.

Guba and Lincoln’s criteria were used to assure the trustworthiness and rigor of the data. Credibility was achieved by reviewing the transcripts by participants themselves and using their complementary ideas as well as the prolonged engagement of the researchers with the data. For conformability, peer examination was done on the process of the work and research findings. For transferability, an extensive description of details regarding the methodology and context was included and sampling was done purposively. And finally for dependability, all accomplished activities were recorded precisely from the first step of the study. 22

This study was approved by the research ethic committee of Khoy Medical University (IR.KHOY.REC.1398.005). Written informed consent was signed by all participants. They were made aware of ethical, confidentiality (anonymity in publishing) and voluntary participation principles and recording of their interviews.

The participants in the study were in the age range of 20-24 years. They were 12 female and 8 male undergraduate nursing students from different semesters ( Table 1 ). The analysis of the findings from the interview resulted in the extraction of four themes. They were classified as: feeling of self-worth, religious beliefs, socio-economic factors, and behavioral factors. ( Table 2 ).

Demographic characteristics of the participants

Themes and sub-themes extracted from the interviews

Theme 1: Feeling of Self-Worth

Throughout the interviews, nursing students with various statements tried to express this important theme that their mental health is influenced by factors affecting their feeling of self- worth, and as long as students have a positive perception of themselves, their mental well-being will increase. The components of the feeling of self-worth in this study include: ‘confirmation’, ‘success’, ‘autonomy’, ‘self-acceptance’, and ‘hope’ that are discussed in detail below. In fact, students described in a variety of ways how to gain feeling of self-worth for mental health.

1.a. Confirmation

Participants believed that when they received positive feedback from others and were confirmed, they were both satisfied and mentally health.

“People around you have a lot of influence. For example, when your parents accept, care about, and listen to you well, you feel quite well off, but when they say come on, forget it, and she’s really young, you feel worthless and upset” .(p.4)

1.b. Success

Most participants say that they feel relaxed when they feel successful or have a successful experience of overcoming problems.

“I think mental health is a sense of success. When your work is done successfully, it has a good effect on your minds. Imagine you are in charge of a task and you are just cutting the mustard” .(p.18)

“When you fulfill your colleagues’ expectations and reach the required standard, you feel relaxed” .(p.10)

1.c. Autonomy

Participants said that they had psychologically good feelings when parents or relatives did not create a constraint for them, or when they felt independent and were able to manage their own affairs a and make decisions or once others respected their decisions, they were emotionally well-off. But when faced with resistance, they did not experience a good psychological feeling.

“I feel psychologically healthy when I am independent in my own work and decide for myself. We youth need to be free, we need to think independently” .(p.10)

“When my friends and acquaintance give me power and freedom and respect my decision, I feel psychologically healthy” .(p.5)

1.d. Self-acceptance

Participants thought someone as a healthy person if s/he values himself and accepts him/herself with all the weaknesses and abilities.

“To have mental health, first of all, one needs to accept herself/himself, I value my own self. I accept myself as I am” . (p.15)

Participants believed that having hope for the future was also the key to health. They expressed hope as a driving force behind the development of mental health.

“When you have the hope of life, you are healthy; that is, there is something that pushes you forward” .(p.8)

Theme 2: Religious Beliefs

Another extracted theme of the study was religious beliefs. This theme consisted of ‘participating in religious ceremonies’ and ‘reciting the holy Quran and other religious books’.

2. A. Participating in religious ceremonies

Students asserted that participating in religious ceremonies, praying and asking God to provide help to meet their needs, help them overcome the problems and make them feel calm and relaxed.

“When I attend religious ceremonies, I feel well at the time” . (p. 3)

2.b. Reciting the holy Quran and other religious books

Students stated that they were turning to religious books when they felt lonely, depressed and troubled, and thus became mentally relaxed.

“Whenever I feel depressed or bored, either physically or mentally, I prefer to recite the holy Quran or pray. It helps me feel calm” .(p.5)

“I don’t feel lonely by reciting the holy Quran and thinking about God” .(p.7)

Theme 3: Socio-Economic Factors

Socio-economic factors were one of the most important and influential experiences in the mental health. This theme consisted of ‘social support’ and ‘economical support’.

3. a. Social Support

Students expressed that when they had a sense of family support and had suitable social relationships, such as the ability to communicate with parents, family, friends or university teachers, they felt mentally relaxed, and vice versa. This information empowered them.

“When your family understands you, you feel happy, but sometimes they cause you feel disappointed and depressed. Sometimes, they don’t live up to your expectations” .(p.6)

“My parents always remind me to inform them if any problem occurs, and I always do it. When I keep them posted on how my works go on, I feel mentally relaxed” .(p.17)

“When I’m getting along with my friends well, I feel mentally relaxed but when it is hard to get along with them or dispute a problem with them, I feel bored and tired” .(p.5)

“When I don’t behave like my friends, they often reject me or taunt me. They are the reasons to drive me up the wall” .(p.15)

“When you are in an environment where you feel you have a supporter, for example, a professor who can help you solve your problems, you can tolerate everything and you feel mentally sound” .(p.10)

3. b. Economical support

Students expressed that having at least the financial resources and having fun with their friends made them feel happy and ultimately mentally healthy. But they did not feel happy when they themselves had to work to meet their own education costs and when there was no possibility of having fun because of financial problems.

“Nowadays, being well off can calm you down mentally. When you have some money to have fun with, then you’re happy” .(p.13)

“It makes you upset when the prospects for the job are unclear or when you’re not sure what the future holds” .(p.18)

“When you have to work hard to help fund your studies, when you cannot go out and have fun with your friends, when you cannot dip into your own pocket, it is then that you feel small and humiliated” .(p.20)

Theme 4: Behavioral Factors

This theme includes the following sub-themes of disengagement, exercise, and balanced use of social networks. During the interviews, students often pointed to the role of these factors in mental health. According to the expressed experiences, nursing students described some behavioral factors in maintaining mental health and reducing their stress. They struggled to gain psychological stability by refraining from encounter with problems, physical and sports activities, which were often irregular, and also having self-control over the use of cyberspace.

4.a. Disengagement

Most participants stated that they were not involved in problems to maintain mental peace. They used ineffective mechanisms to solve problems such as avoidance and escape from problems.

“There are so many problems to which I do not want to think about. I try to avoid problems myself” .(p.15)

4.b. Physical exercise

Participants expressed that by exercising; they reduced their mental conflicts and experienced a sense of mental relaxation.

“The days I exercise myself or go to the gym, I feel happier. It makes me get rid of some intrusive thoughts. It helps you forget your daily problems for a few hours” .(p.13)

4. c. Balanced use of social networks

Another factor that participants felt to be effective in the sense of mental health was the balanced use of social networks and believed that excessive use of it caused anger and nervousness.

“I have a roommate who is always head over heels for social media. When you talk to her, she starts shouting and fighting. It has made her very nervous” .(p.7)

D ISCUSSION

The results of this study showed that there are many factors influencing the students’ perceptions of mental health. Data analysis revealed four themes and twelve sub-themes. The four themes were classified as: Feeling of self-worth, religious beliefs, socio-economic factors, and behavioral factors.

The feeling of self-worth theme included the five sub-themes of ‘confirmation’, ‘success’, ‘autonomy’, ‘self-acceptance’, and ‘hope’. Participants believed that when they received positive feedback from others and were confirmed, or when they were trying to succeed, or when they felt more autonomous, highly self-confident, ‘self-acceptance’, and hopeful, they found a positive perception of themselves, and this contributed to their mental well-being. Findings of some studies showed that there was a significant reverse correlation between self-reported stress and self-acceptance. This finding emphasized the importance of creating a sense of positive self-perception and self-confidence among nursing students to improve their mental health. Indeed, self-confidence in nursing students was considered as a buffer and protective shield in the face of stress and prevented mental disorder. Thus, the nursing students who have a sense of self-esteem have a high ability to communicate and can play an effective role in the development of the profession, handle fatigue and pressure, and positively impact the interpersonal relationships, quality of care, and job satisfaction. 23 , 24

The participants in the present study considered autonomy as an effective factor in creating positive sense of self-worth and in achieving mental well-being. The findings of this study are in line with those of a research done in Iranian context in which the researchers studied the concept of health in adolescents’ point of views. They expressed that autonomy and sense of independence is another key factor affecting health. They also continued that preventing adolescents and young people’s access to independence and posing unfair and undeserved restrictions for them can lead to some unsatisfactory consequences such as depression, hiding, urging, recklessness and immorality (night party, runaway, cigarette smoking, and addiction) and double dealing. 25

Another key sub-theme of the study was ‘hope’. The findings of the present study showed that those nursing students who had hope for the future had a better psychological feeling. Findings of a study conducted in Turkey reveled that university students have some negative mental states such as hopelessness and suicidal behavior. Their findings suggest that there are significant correlations among life satisfaction, hope, and mental health. 26 In fact, having self acceptance and positive self-image can act as a social protection factor against stress and anxiety. Those who feel good about themselves and are more confident also have a good sense of life and can successfully face problems and are able to handle them easily. Hope also makes life meaningful. It prevents us from mental breakdown and protects us from harmful situations. 6 In sum, it is argued that self-acceptance has been inversely associated with depressive symptoms, anxious symptomatology, and disruptive behaviors.

Another important theme of the research was religious beliefs. Participants stated that they felt mentally healthy when they participated in religious ceremonies. We know different religions have different beliefs. Several studies have shown a reciprocal relationship between different religious beliefs and mental health. The findings of research in Hindu system of beliefs showed that there was a significant negative correlation between the components of religious commitment, beliefs, and emotions, and components of general health (physical complaints, anxiety, depression and social dysfunction). They also proved that religion had a protective and supportive role for teenagers. 27 Another study conducted in Iranian context revealed that religiosity attitude was considered as a main factor affecting self-esteem and psychological hardiness and could promote psychological well-being. 28 Hence, institutionalizing of this religious teaching, trust in God, by health service developers and planners seems to be necessary in confronting the disruptive factors in mental health.

Another theme was socio-economic factors Participants in the present study described their mental health with various statements. Receiving emotional and spiritual support from family, friends, and university professors and their proper relationships, their empathy and verbal attention helped the students’ mental health. Indeed social support gives students a perception of being loved, cared, respected, and belonging to communication network. The results of the present study are in line with those reported in other studies. 29 , 30 In the present study, poor economic conditions had negative effects on the students’ perception of mental health. Economic deprivation, lack of a bright futures, and unemployment were regarded as mental and annoying concern which was affecting the mental health of the majority of participants. Generally, poor mental health is related to poor economic conditions. WHO states that mental health is determined by socio-economic and environmental factors, and economic crisis is likely to negatively affect the mental health. 31 Another study also mentioned that economic crisis can be associated with a higher use of prescription medications and an increase in hospitalization for mental disorders. 32

The last theme extracted from the study was behavioral factors. Participants stated that they do some behaviors such as disengagement, physical exercise, and use of social networks to relive stress.

Disengagement from problems is an avoiding and ineffective strategy to deal with stress. Therefore, it is necessary to provide students with the necessary training on effective coping strategies. Some studies have reported adverse coping strategies such as drinking alcohol, smoking, and waterpipe. 33 , 34 Participants in this study did not state the use of these materials perhaps because of the embarrassment and unfavorable views toward those who consume these materials in Iranian Islamic culture. In a qualitative study conducted in Malaysia, students showed that they used effective adaptive strategies and did not use undesirable behaviors. 35

In this study, nursing students expressed exercise and physical activities as another type of solution or strategy to achieve mental health. Although these activities were carried out irregularly and restrictively, they were described as useful in reducing daily stress. The results of a study in this area showed that increased physical activity which has been associated with life satisfaction, happiness, and positive attitude toward life can lead to the promotion of physical and mental health. 36

The balanced use of social networks was another subtheme of the study. Students argued that the high use of cyberspace or social networks has harmful effects on the nerves .Internet addiction and its association with mental distress can impact their academic achievement and long term career goals among medical students. Internet addiction would also indirectly impact the community of health care professionals and the society. There was a significant relationship between the student internet addiction and anxiety symptoms. 37 The results of another study showed that severe prevalence of internet addiction among nursing students was associated with poor mental health and depression without any impact on academic performance. 38

The strength of this study is that it increases our knowledge of the factors affecting the mental health of nursing students as a qualitative study conducted for the first time in Iran. However, as it is common for all qualitative studies, the results of the study cannot be generalized to other contexts and disciplines. Future qualitative and interventional studies are also suggested to be carried out in other contexts and on the students of other disciplines.

C ONCLUSION

The results showed that mental health in nursing students is a multidimensional phenomenon and is influenced by various factors. The current results could help the nurse educators to intervene and provide suitable, effective, practical, and culture based mental health services and help the nursing students achieve mental stability. Promoting physical activities among nursing students, training problem-solving skills and activating the student counseling centers at universities are suggested. Nurse educators and clinical psychologist can provide opportunities for nursing students to express their own concerns and learn the strategies to cope with crises. Finally, deep religious and moral beliefs can be effective in providing mental health to students.

A CKNOWLEDGEMENT

First, the researchers express thanks to the University of Medical Sciences, Khoy, Iran, for its support in carrying out this study. (Grant no. 1018). Our special thanks go to the nursing students who were voluntarily interviewed. Without them, this study would not have been possible. Their honesty and commitment were essential in carrying out this study.

Conflict of Interest: None declared.

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Two key brain systems are central to psychosis, Stanford Medicine-led study finds

When the brain has trouble filtering incoming information and predicting what’s likely to happen, psychosis can result, Stanford Medicine-led research shows.

April 11, 2024 - By Erin Digitale

People with psychosis have trouble filtering relevant information (mesh funnel) and predicting rewarding events (broken crystal ball), creating a complex inner world. Emily Moskal

Inside the brains of people with psychosis, two key systems are malfunctioning: a “filter” that directs attention toward important external events and internal thoughts, and a “predictor” composed of pathways that anticipate rewards.

Dysfunction of these systems makes it difficult to know what’s real, manifesting as hallucinations and delusions. 

The findings come from a Stanford Medicine-led study , published April 11 in  Molecular Psychiatry , that used brain scan data from children, teens and young adults with psychosis. The results confirm an existing theory of how breaks with reality occur.

“This work provides a good model for understanding the development and progression of schizophrenia, which is a challenging problem,” said lead author  Kaustubh Supekar , PhD, clinical associate professor of psychiatry and behavioral sciences.

The findings, observed in individuals with a rare genetic disease called 22q11.2 deletion syndrome who experience psychosis as well as in those with psychosis of unknown origin, advance scientists’ understanding of the underlying brain mechanisms and theoretical frameworks related to psychosis.

During psychosis, patients experience hallucinations, such as hearing voices, and hold delusional beliefs, such as thinking that people who are not real exist. Psychosis can occur on its own and isa hallmark of certain serious mental illnesses, including bipolar disorder and schizophrenia. Schizophrenia is also characterized by social withdrawal, disorganized thinking and speech, and a reduction in energy and motivation.

It is challenging to study how schizophrenia begins in the brain. The condition usually emerges in teens or young adults, most of whom soon begin taking antipsychotic medications to ease their symptoms. When researchers analyze brain scans from people with established schizophrenia, they cannot distinguish the effects of the disease from the effects of the medications. They also do not know how schizophrenia changes the brain as the disease progresses. 

To get an early view of the disease process, the Stanford Medicine team studied young people aged 6 to 39 with 22q11.2 deletion syndrome, a genetic condition with a 30% risk for psychosis, schizophrenia or both. 

Kaustubh Supekar

Brain function in 22q11.2 patients who have psychosis is similar to that in people with psychosis of unknown origin, they found. And these brain patterns matched what the researchers had previously theorized was generating psychosis symptoms.

“The brain patterns we identified support our theoretical models of how cognitive control systems malfunction in psychosis,” said senior study author  Vinod Menon , PhD, the Rachael L. and Walter F. Nichols, MD, Professor; a professor of psychiatry and behavioral sciences; and director of the  Stanford Cognitive and Systems Neuroscience Laboratory .

Thoughts that are not linked to reality can capture the brain’s cognitive control networks, he said. “This process derails the normal functioning of cognitive control, allowing intrusive thoughts to dominate, culminating in symptoms we recognize as psychosis.”

Cerebral sorting  

Normally, the brain’s cognitive filtering system — aka the salience network — works behind the scenes to selectively direct our attention to important internal thoughts and external events. With its help, we can dismiss irrational thoughts and unimportant events and focus on what’s real and meaningful to us, such as paying attention to traffic so we avoid a collision.

The ventral striatum, a small brain region, and associated brain pathways driven by dopamine, play an important role in predicting what will be rewarding or important. 

For the study, the researchers assembled as much functional MRI brain-scan data as possible from young people with 22q11.2 deletion syndrome, totaling 101 individuals scanned at three different universities. (The study also included brain scans from several comparison groups without 22q11.2 deletion syndrome: 120 people with early idiopathic psychosis, 101 people with autism, 123 with attention deficit/hyperactivity disorder and 411 healthy controls.) 

The genetic condition, characterized by deletion of part of the 22nd chromosome, affects 1 in every 2,000 to 4,000 people. In addition to the 30% risk of schizophrenia or psychosis, people with the syndrome can also have autism or attention deficit hyperactivity disorder, which is why these conditions were included in the comparison groups.

The researchers used a type of machine learning algorithm called a spatiotemporal deep neural network to characterize patterns of brain function in all patients with 22q11.2 deletion syndrome compared with healthy subjects. With a cohort of patients whose brains were scanned at the University of California, Los Angeles, they developed an algorithmic model that distinguished brain scans from people with 22q11.2 deletion syndrome versus those without it. The model predicted the syndrome with greater than 94% accuracy. They validated the model in additional groups of people with or without the genetic syndrome who had received brain scans at UC Davis and Pontificia Universidad Católica de Chile, showing that in these independent groups, the model sorted brain scans with 84% to 90% accuracy.

The researchers then used the model to investigate which brain features play the biggest role in psychosis. Prior studies of psychosis had not given consistent results, likely because their sample sizes were too small. 

Vinod Menon

Comparing brain scans from 22q11.2 deletion syndrome patients who had and did not have psychosis, the researchers showed that the brain areas contributing most to psychosis are the anterior insula (a key part of the salience network or “filter”) and the ventral striatum (the “reward predictor”); this was true for different cohorts of patients.

In comparing the brain features of people with 22q11.2 deletion syndrome and psychosis against people with psychosis of unknown origin, the model found significant overlap, indicating that these brain features are characteristic of psychosis in general.

A second mathematical model, trained to distinguish all subjects with 22q11.2 deletion syndrome and psychosis from those who have the genetic syndrome but without psychosis, selected brain scans from people with idiopathic psychosis with 77.5% accuracy, again supporting the idea that the brain’s filtering and predicting centers are key to psychosis.

Furthermore, this model was specific to psychosis: It could not classify people with idiopathic autism or ADHD.

“It was quite exciting to trace our steps back to our initial question — ‘What are the dysfunctional brain systems in schizophrenia?’ — and to discover similar patterns in this context,” Menon said. “At the neural level, the characteristics differentiating individuals with psychosis in 22q11.2 deletion syndrome are mirroring the pathways we’ve pinpointed in schizophrenia. This parallel reinforces our understanding of psychosis as a condition with identifiable and consistent brain signatures.” However, these brain signatures were not seen in people with the genetic syndrome but no psychosis, holding clues to future directions for research, he added.

Applications for treatment or prevention

In addition to supporting the scientists’ theory about how psychosis occurs, the findings have implications for understanding the condition — and possibly preventing it.

“One of my goals is to prevent or delay development of schizophrenia,” Supekar said. The fact that the new findings are consistent with the team’s prior research on which brain centers contribute most to schizophrenia in adults suggests there may be a way to prevent it, he said. “In schizophrenia, by the time of diagnosis, a lot of damage has already occurred in the brain, and it can be very difficult to change the course of the disease.”

“What we saw is that, early on, functional interactions among brain regions within the same brain systems are abnormal,” he added. “The abnormalities do not start when you are in your 20s; they are evident even when you are 7 or 8.”

Our discoveries underscore the importance of approaching people with psychosis with compassion.

The researchers plan to use existing treatments, such as transcranial magnetic stimulation or focused ultrasound, targeted at these brain centers in young people at risk of psychosis, such as those with 22q11.2 deletion syndrome or with two parents who have schizophrenia, to see if they prevent or delay the onset of the condition or lessen symptoms once they appear. 

The results also suggest that using functional MRI to monitor brain activity at the key centers could help scientists investigate how existing antipsychotic medications are working. 

Although it’s still puzzling why someone becomes untethered from reality — given how risky it seems for one’s well-being — the “how” is now understandable, Supekar said. “From a mechanistic point of view, it makes sense,” he said.

“Our discoveries underscore the importance of approaching people with psychosis with compassion,” Menon said, adding that his team hopes their work not only advances scientific understanding but also inspires a cultural shift toward empathy and support for those experiencing psychosis. 

“I recently had the privilege of engaging with individuals from our department’s early psychosis treatment group,” he said. “Their message was a clear and powerful: ‘We share more similarities than differences. Like anyone, we experience our own highs and lows.’ Their words were a heartfelt appeal for greater empathy and understanding toward those living with this condition. It was a call to view psychosis through a lens of empathy and solidarity.”

Researchers contributed to the study from UCLA, Clinica Alemana Universidad del Desarrollo, Pontificia Universidad Católica de Chile, the University of Oxford and UC Davis.

The study was funded by the Stanford Maternal and Child Health Research Institute’s Uytengsu-Hamilton 22q11 Neuropsychiatry Research Program, FONDEYCT (the National Fund for Scientific and Technological Development of the government of Chile), ANID-Chile (the Chilean National Agency for Research and Development) and the U.S. National Institutes of Health (grants AG072114, MH121069, MH085953 and MH101779).

About Stanford Medicine

Stanford Medicine is an integrated academic health system comprising the Stanford School of Medicine and adult and pediatric health care delivery systems. Together, they harness the full potential of biomedicine through collaborative research, education and clinical care for patients. For more information, please visit med.stanford.edu .

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