Managing student mental health: The challenges faced by academics on professional healthcare courses
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Aims: To explore how academics on nursing and healthcare programmes are managing their roles and responsibility in relation to student mental health. Background: There is growing concern about the mental health of university students in general and healthcare students in particular. Shifts in Higher Education policy, encouraging a “whole university approach,” may place greater responsibility for student mental health on academics. However, little is known about the challenges that poor student mental health creates for academics on healthcare programmes. Design: A qualitative approach, using semi‐structured interviews and focus groups, provided the opportunity for in‐depth analysis. Methods: Fourteen academics on healthcare programmes, including seven lecturers from nursing programmes, were interviewed between May–June 2017. Constant comparison analysis was followed to support grounded theory. Results: Four key themes emerged. Academics had difficulty identifying and maintaining boundaries due to competing academic and professional identities. Student disclosures are accompanied by challenges arising due to professional responsibilities. Supporting student mental health on placement is difficult. Academics are aware and concerned about the potential negative impact of course content and practice on student mental health. Conclusion: This is the first study to explore in‐depth the challenges faced by academics on healthcare programmes by the rising prevalence of and concern for, student mental health. The findings indicate that leaders of nursing education programmes and their managers, need to be aware that academics face complex challenges in managing and responding student mental health and may struggle to maintain boundaries due, in part, to competing professional identities.
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There is a lack of capacity building of the faculty in responding to student distress.
“and the lack of capacity building of the faculty in responding to student distress (Dittakavi 2022;Gulliver et al. 2018;Hughes and Byrom 2019).”
From How the faculty across higher education institutes are facilitated to develop skills on student mental health and well-being? – A scoping review (2025) · cites this paper as Hughes and Byrom 2019
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Auerbach, R. P., Collaborators, W. W.-I., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Green, J. G., et al. (2018) · Journal of Abnormal Psychology · doi:10.1037/abn0000362 · Cited by 2,522 · see citing works
Mental health problems and help-seeking behavior among college students
Hunt, J., & Eisenberg, D. (2010) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2009.08.008 · Cited by 1,949 · see citing works
Perfectionism is increasing over time: A meta-analysis of birth cohort differences from 1989 to 2016
Curran, T., & Hill, A. P. (2019) · Psychological Bulletin · doi:10.1037/bul0000138 · Cited by 780 · see citing works
Medical Student Mental Health 3.0
Slavin, S. J., Schindler, D. L., & Chibnall, J. T. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000166 · Cited by 490 · see citing works
Verger, P., Guagliardo, V., Gilbert, F., Rouillon, F., & Kovess-Masfety, V. (2010) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-009-0055-z · Cited by 178 · see citing works
Gulliver, A., Farrer, L., Bennett, K., Ali, K., Hellsing, A., Katruss, N., & Griffiths, K. M. (2018) · Journal of Mental Health · doi:10.1080/09638237.2018.1466042 · Cited by 68 · see citing works
Flagged first, then by citations
Research works printed but not linked: 27
- AbuAlRub, R. F. (2004), Job Stress, Job Performance and Social Support Among Hospital Nurses. Journal of Nursing Scholarship, 36: 73-78. doi:10.1111/j.15475069.2004.04016.x · DOI
- Adams, R. (2011). Exploring dual professional identities, the role of the nurse tutor in higher education in the UK: role complexity and tensions. Journal of advanced nursing, 67 (4), 884-892. doi: 10.1111/j.1365-2648.2010.05519.x · DOI
- Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., ... & Nock, M. K. (2016). Mental disorders among college students in the World Health Organization world mental health surveys. Psychological medicine, 46(14), 29552970.
- Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative research in psychology, 3(2), 77-101.
- Bruffaerts, R., Mortier, P., Kiekens, G., Auerbach, R. P., Cuijpers, P., Demyttenaere, K., Green, J. G., Nock, M. K., & Kessler, R. C. (2018). Mental health problems in college freshmen: Prevalence and academic functioning. Journal of affective disorders, 225,
- 97-103.Callender, J., Jenkins, G., Fagin, L., Lester, J., & Smith, E. (2011). Mental Health of Students in Higher Education. In Royal College of Psychaitrists (Ed.), College Report . London: Royal College of Psychaitrists
- Cleary, M., Walter, G., & Jackson, D. (2011). 'Not always smooth sailing': Mental health issues associated with the transition from high school to college. Issues in Mental Health Nursing, 32(4), 250-254.
- Cleary, M., Horsfall, J., Baines, J., & Happell, B. (2012). Mental health behaviours among undergraduate nursing students: Issues for consideration. Nurse Education Today, 32 (8), 951-955.
- Deasy, C., Coughlan, B., Pironom, J., Jourdan, D., & Mannix-McNamara, P. (2016). Psychological distress and help seeking amongst higher education students: findings from a mixed method study of undergraduate nursing/midwifery and teacher education students in Ireland. Irish Educational Studies, 35 (2), 175-194.
- Farrer, L., Gulliver, A., Bennett, K., & Griffiths, K. M. (2015). Exploring the acceptability of online mental health interventions among university teaching staff: Implications for intervention dissemination and uptake. Internet Interventions, 2(3), 359-365.
- Forbes, J. (2018). Thriving, not just surviving: Well -being in emergency medicine. Emergency Medicine Australasia, 30(2), 266-269.
- Glass, N. (2009). An investigation of nurses' and midwives' academic/clinical workplaces: A healing model to improve and sustain hope, optimism and resilience in professional practice. Holistic Nursing Practice, 23 (3), 158-170.
- Grove, J. (2015). Oxford students' demand for counselling shoots up, in Times Higher Education., Times Higher Education .
- Huyton, J. L. (2009). Significant Personal Disclosure: exploring the support and development needs of HE tutors engaged in the emotion work associated with supporting students. Journal of Learning Development in Higher Education, (1).
- Johnston, V., (1997) Why do first year students fail to progress to their second year? An academic staff perspective. Paper presented at the British Educational Research Association Annual Conference, September 11 - 14, 1997. University of York. Viewed 23 November 2018. http://www.leeds.ac.uk/educol/documents/000000453.htm
- Laws, T. A., & Fiedler, B. A. (2012). Universities' expectations of pastoral care: Trends, stressors, resource gaps and support needs for teaching staff. Nurse Education Today, 32(7), 796-802.
- Lindsey, B. J., Fabiano, P., & Stark, C. (2009). The Prevalence and Correlates of Depression among College Students. College Student Journal, 43 (4).
- Macaskill, A. (2013). The mental health of university students in the United Kingdom. British Journal of Guidance & Counselling, 41 (4), 426-441.
- MacLean, L., Booza, J., & Balon, R. (2016). The impact of medical school on student mental health. Academic Psychiatry, 40 (1), 89-91.
- Margrove, K. L., Gustowska, M., & Grove, L. S. (2014). Provision of support for psychological distress by university staff and receptiveness to mental health training. Journal of Further and Higher Education, 38(1), 90-106.
- McAllister, M., Wynaden, D., Happell, B., Flynn, T., Walters, V., Duggan, R., Bryne, L., Heslop, K., & Gaskin, C. (2014). Staff experiences of providing support to students who are managing mental health challenges: A qualitative study from two Australian universities. Advances in mental health, 12(3), 192-201. DOI: 10.1080/18374905.2014.11081897 · DOI
- Mortier, P., Cuijpers, P., Kiekens, G., Auerbach, R., Demyttenaere, K., Green, J., Kessler, R. C., Nock, M. K., & Bruffaerts, R. (2018). The prevalence of suicidal thoughts and behaviours among college students: A meta-analysis. Psychological Medicine, 48(4), 554-565. doi:10.1017/S0033291717002215 · DOI · Paper page
- Neves, J., & Hillman, N. (2017). Student Academic Experience Survey. In HEA-HEPI (Ed.).
- Perry, L., Lamont, S., Brunero, S., Gallagher, R., & Duffield, C. (2015). The mental health of nurses in acute teaching hospital settings: a cross-sectional survey. BMC nursing, 14(1), 15.
- Reavley, N. J., McCann, T. V., & Jorm, A. F. (2012). Actions taken to deal with mental health problems in Australian higher education students. Early Intervention in Psychiatry, 6(2), 159-165.
- Schneider A, Weigl M (2018) Associations between psychosocial work factors and provider mental well-being in emergency departments: A systematic review. PLoS ONE 13(6): e0197375. https://doi.org/10.1371/journal.pone.0197375 · DOI
- Thomas, L. J., & Revell, S. H. (2016). Resilience in nursing students: An integrative review. Nurse Education Today, 36 , 457-462.
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Goel, A., Ali, R., Upsher, R., Padickaparambil, S., Byrom, N., & Ramachandran, S. (2025) · Perspectives: Policy and Practice in Higher Education · doi:10.1080/13603108.2024.2384979 · Cited by 9 · see citing works
Self-citation
- Authors
- Hughes, G. J., & Byrom, N. C.
- Affiliations
- University of Derby (GB)
- King's College London (GB)
- Corresponding author
- Hughes, Gareth J.
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2019-04-10
- Volume
- 75
- Issue
- 7
- Pages
- 1539-1548
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2919534276
- Cited by
- 63
- References
- 6
- Citations by year
- 2026: 10 · 2025: 12 · 2024: 9 · 2023: 8 · 2022: 8 · 2021: 12 · 2020: 4
- FWCI
- 8.18
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- University of Derby Online Research Archive. (University of Derby) (submittedVersion, cc-by-nc-nd)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- student mental health, health professions students, nursing students, university faculty, professional identity, professional boundaries, student disclosure, placement, course content, higher education policy, nursing education
- MeSH terms
- Curriculum, Education, Nursing, Baccalaureate, Female, Humans, Male, Mental Health, Students, Nursing
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