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Effects of peer-mentoring on stress and anxiety levels of undergraduate nursing students: An integrative review
Abstract
Background Nursing students, whether undergraduate or graduate, are at a higher risk for stress and anxiety due to competitiveness and complexities of nursing school. There is evidence in the literature on the effects of peer mentoring among nursing students. Peer mentoring has been associated with increased retention, student engagement, and skills competence among nursing students. There is, however, paucity in the literature about peer mentoring's effect on stress and anxiety levels of undergraduate nursing students.Purpose To examine the literature on the effect of peer mentoring on stress and anxiety levels among undergraduate nursing students.Theoretical framework Bandura's Self-Efficacy Theory was used to guide this review.Method An integrative review of the literature was conducted. Electronic databases searched included PubMed, CINAHL, PsychINFO, and ERIC using keywords: nurse*, student*, undergrad*, stress and nursing students, anxiety and nursing students, and mentor*. Review was limited to peer reviewed articles published in the English language from January 2000 to August 2018. Articles were independently reviewed by three authors, and the quality of data was evaluated using established criteria.Results Eight articles were included in the review. Review suggested that peer mentoring decreases stress, and situation or short-term anxiety levels of undergraduate nursing students. However, results should be interpreted with caution based on limited studies identified.
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“Extensive research indicated that SI exerted a significant positive effect on PEOU because endorsement from peers and mentors reduces the cognitive burden and anxiety associated with adopting new technology [68,69].”
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“For the most part, mentorship programs were established to enhance overall student success (Johnson et al., 2020) and decrease the stress and anxiety experienced by students (Kachaturoff et al., 2020).”
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“Secondly, the development of mentoring and peer learning programs has been shown to effectively strengthen social learning and emotional support among elementary school teacher education students (Haas et al., 2024; Kachaturoff et al., 2020; Toreid et al., 2025).”
Hemşirelik Öğrencilerinde Akran Yönderliği: Beş Yıllık Retrospektif İnceleme
Mermer, G., Yücel, Ş. Ç., Yıldırım, S., Kankaya, H., Turgut, E. Ö., Sevgili, S. A., Engin, M. D., Kazankaya, F., & Ateş, E. (2025) · Ege Üniversitesi Hemşirelik Fakültesi Dergisi · doi:10.53490/egehemsire.1477978 · Cited by 1
Hansen, S., Hessevaagbakke, E., Lindeflaten, K., Solberg, S. R., Bachke, A. N. F., & Lillekroken, D. (2026) · BMC Medical Education · doi:10.1186/s12909-026-08588-y · Cited by 1
“The social connection and belonging that peer student mentorship creates are effective means of reducing attrition caused by stress and anxiety in nursing students [13].”
Nascimento, C., Sousa, E., Martins, H., Santos, E., & Ramos, A. (2026) · Psychiatry International · doi:10.3390/psychiatryint7010039 · Cited by 1
“Our findings highlight that institutional support must go beyond technical training to foster an environment where emotional transparency is seen as professional competency rather than a weakness [22,41].”
Structured Peer Mentorship Enhances Self-efficacy in Nurse Practitioner Students
Moughrabi, S. M., Goldman, L., & Shearer, C. F. (2026) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2025.105672 · Cited by 1
Borromeo, A. S., Mendoza, J. P. E., Cruz, F. V. D., Soyosa, M. D., & Wider, W. (2026) · Safety and Health at Work · doi:10.1016/j.shaw.2026.03.005 · Cited by 1
“Peer mentoring and structured supports similarly reduce distress and strengthen belonging [68,69].”
InfluentialLiao, Y., Wang, J., Yang, S., Chen, R., Peng, X., Guan, C., Xie, R., Wang, R., Wang, S., Chen, Q., et al. (2026) · BMC Nursing · doi:10.1186/s12912-026-05102-z · Cited by 1
Effective teaching: The 20-20-10-10 model
Holt, T. D. (2022) · Teaching and learning in nursing · doi:10.1016/j.teln.2022.08.005 · Cited by 1
Strengthening teaching capacities for nurse lecturers: An initial report
Hoang, V. L., Tran, T. D., Phan, H. A., Nguyen, T. H. H., Bui, T. H., Hoang, T. H., & Le, T. T. (2023) · Tạp chí Khoa học Điều dưỡng · doi:10.54436/jns.2023.01.520 · Cited by 1
Lee, C., Wang, A. H., Pina, V., Zhuang, J., Robbio, R. M., & Sun, W. (2023) · The Canadian Journal for the Scholarship of Teaching and Learning · doi:10.5206/cjsotlrcacea.2023.2.14586 · Cited by 1
Integration of Mindfulness Educational Innovation in Nursing Programs
Barnes, A., & Ko, A. (2024) · Journal of Holistic Nursing · doi:10.1177/08980101241291616 · Cited by 1
“Kachaturoff et al. (2020) conducted an integrative review ( n = 8) looking at the effects of peer support on anxiety and stress in nursing students.”
Lessons learned from a formalized peer mentoring program in a baccalaureate nursing curriculum
Prothero, M. M., Thomas, D., Valentine, J. L., & Merrill, K. C. (2025) · Journal of Professional Nursing · doi:10.1016/j.profnurs.2025.06.003 · Cited by 1
Ungrading in the Ethical Turn as an Assessment Killjoy
Nastal, J. (2024) · Teaching English in the Two-Year College · doi:10.58680/tetyc2024522169 · Cited by 1
Zhou, Z., Zhou, Y., Ouyang, B., Man, S. S., & Chan, A. H. S. (2026) · Healthcare · doi:10.3390/healthcare14131978
“Extensive research indicated that SI exerted a significant positive effect on PEOU because endorsement from peers and mentors reduces the cognitive burden and anxiety associated with adopting new technology [68,69].”
Riyanto, S., Andayani, A., Rohmadi, M., & Sumarlam, S. (2022) · doi:10.4108/eai.8-12-2021.2322648
“Regarding to the importance of assistance done by school, Kachaturoff et all research on Effects of peer-mentoring on stress and anxiety levels of undergraduate nursing students: An integrative review, as result there were eight articles were included in the review [14].”
BackgroundGambaran Persepsi dan Pengalaman Mahasiswa Baru Keperawatan pada Fase Awal Perkuliahan
Febriyanti, P. S., Sulistiowati, N. M. D., & Swedarma, K. E. (2023) · Jurnal Formil (Forum Ilmiah) Kesmas Respati · doi:10.35842/formil.v8i2.488
“Mahasiswa juga cenderung berisiko stress dan ansietas akibat dari jiwa kompeititif dan kesulitan studi (19).”
Farajkhoda, T., Moshirenia, F., sheikhalishahi, A., Keshmiri, F., & Sareban, M. T. (2023) · Research Square · doi:10.21203/rs.3.rs-3391291/v1
Munif, B., Dwidiyanti, M., Sholihin, Pamungkas, A. Y. F., Rudiyanto, R., & Prasetyawan, R. D. (2024) · The Malaysian Journal of Nursing · doi:10.31674/mjn.2024.v15i03.015
Developing a Pilot Curriculum to Enhance Undergraduate Student Well-Being
Owen, M. I., Pfeiffer, K. M., Jordan, D., & Dittmann, A. (2024) · Journal of Nursing Education · doi:10.3928/01484834-20240723-02
Competency Development for E-Mentors of Undergraduate Nursing Students Using E-Delphi Method
Villarante, D. M., Schuler, E., Rincon, T., & O’Donoghue, S. C. (2025) · Dimensions of Critical Care Nursing · doi:10.1097/dcc.0000000000000687
Metadata
- Authors
- Kachaturoff, M., Caboral-Stevens, M., Gee, M., & Lan, V. M.
- Affiliations
- Eastern Michigan University (US)
- Corresponding author
- Caboral-Stevens, Meriam
- Venue
- Journal of Professional Nursing
- Publisher
- Elsevier BV
- Published
- 2020-07
- Volume
- 36
- Issue
- 4
- Pages
- 223-228
- ISSN
- 1532-8481 (ISSN-L)
- 8755-7223
- OpenAlex
- W2994815493
- Cited by
- 117
- References
- 26
- Citations by year
- 2026: 20 · 2025: 27 · 2024: 27 · 2023: 14 · 2022: 18 · 2021: 8 · 2020: 2
- FWCI
- 8.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Professional Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Education › Mentoring and Academic Development
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Keywords
- peer mentoring, nursing students, undergraduate nursing education, stress, anxiety, self-efficacy, student retention, student engagement
- MeSH terms
- Mentoring, Anxiety, Education, Nursing, Baccalaureate, Humans, Mentors, Students, Nursing
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