Stress levels of nursing students: A systematic review and meta-analysis
Open accessAbstract
Context: Nursing students experience psychosocial stress in their workplace. Available statistics are at variance, and hence, the need to know the overall prevalence of psychosocial stress among nursing students. Aims: This study aimed to determine the prevalence of psychosocial stress among nursing students through meta-analysis. Materials and methods: PubMed, Cochrane, Web of Science, CNKI, and China Biomedical Literature Service System were searched for articles. Search terms include “psychosocial stress,” “nursing students.” Articles were included if they used validated psychosocial stress assessment instruments. Of the 15 articles with data on stress prevalence, 8 met all inclusion criteria. Each article was independently reviewed by the authors and relevant data were abstracted. Statistical analysis was done using Revman 4.1. Results: Overall, the average score for stress among nursing students was 3.70 (95% confidence interval [CI]: [3.33, 4.06]) based on the analyzed 15 articles with a sample size of 9202. Conclusion: This study showed that the stress level of intern nursing students was mainly moderate.
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Psychological distress negatively affects academic performance, clinical competence, patient safety, and quality of care.
“Psychological distress not only undermines mental and physical health but also negatively affects academic performance, clinical competence, patient safety, and the quality of care provided [3, 5–7].”
From Associations of psychological flexibility, mindfulness, and valued living with psychological distress among nursing students (2025) · cites this paper as [3]
The Discussion states that prolonged or poorly managed stress can affect nursing students’ clinical competence and the quality of care. It does not establish the claimed effects on academic performance or patient safety, and its discussion concerns stress in nursing students rather than psychological distress generally. (LLM, conf=0.88)
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References 22 · Cited by 92
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- Authors
- Zheng, Y.-X., Jiao, J.-R., & Hao, W.-N.
- Affiliations
- Inner Mongolia Medical University (CN)
- Corresponding author
- Hao, Wen-Nv
- Venue
- Medicine
- Published
- 2022-09-09
- Volume
- 101
- Issue
- 36
- Pages
- e30547
- ISSN
- 0025-7974 (ISSN-L)
- 1536-5964
- PMC
- PMC10980379
- OpenAlex
- W4295029211
- Cited by
- 92
- References
- 22
- Citations by year
- 2026: 36 · 2025: 32 · 2024: 15 · 2023: 9
- FWCI
- 2.86
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Medicine (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- psychosocial stress, nursing students, stress prevalence, nursing education, occupational stress
- MeSH terms
- China, Humans, Students, Nursing, Prevalence
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