Mental Health Experiences Among Undergraduate Nursing Students in a New Zealand Tertiary Institution: A Time for Change.

Bernadette Solomon, Maia Topp, David J A Solomon, David Solomon
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Abstract

Nursing students in undergraduate programmes exhibit comparable, sometimes higher, levels of poor mental health and substance use compared to the general population; however, this area remains under-researched in New Zealand. The study involved 172 nursing students enrolled in the Bachelor of Nursing programme at one tertiary institution in Auckland, New Zealand. Employing a mixed-methodology approach, a 29-question survey comprising both open and closed questions was administered to explore the students' experiences with mental health and substance use, as well as their access to support services. Quantitative data were analysed using SPSS version 29 descriptive statistics, while a general inductive approach guided the qualitative analysis. A significant proportion of participants (75%) reported experiencing emotional distress during their studies, with anxiety being the most prevalent (78.5%). A smaller percentage disclosed substance use (8.1%) including excessive alcohol use, cannabis use, nicotine use, vaping cannabis and some refusal to reveal substance use. Surprisingly, less than 1% (n = 0.6) utilised institutional support services. Three qualitative themes were identified including emotional distress and associated effects, emotional and psychological impacts on nursing students' academic journey and tertiary support systems. The findings highlight the urgent need to address the mental health and addiction challenges experienced by nursing students, given their potential adverse effects on academic success and overall well-being. Urgent action is needed to integrate mental health training into the curriculum and provide faculty support. In this study, the underutilisation and inadequacy of institutional support services signal a need for institutional reforms to provide access and personalised mental health support to nursing students. Providing essential skills and support for student success contributes to the overall well-being of the nursing workforce.

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新西兰高等院校护理专业本科生的心理健康经历:变革时刻。
与普通人群相比,本科护理专业学生的心理健康状况不佳和滥用药物的程度相当,有时甚至更高;然而,新西兰对这一领域的研究仍然不足。这项研究涉及新西兰奥克兰一所高等院校的 172 名护理专业本科生。该研究采用混合方法,对学生进行了 29 个问题的调查,包括开放式问题和封闭式问题,以了解学生在心理健康和药物使用方面的经历,以及他们获得支持服务的情况。定量数据采用 SPSS 29 版描述性统计进行分析,定性分析则采用一般归纳法。很大一部分参与者(75%)表示在学习期间经历过情绪困扰,其中以焦虑最为普遍(78.5%)。较小比例的参与者(8.1%)披露了药物使用情况,包括过度饮酒、使用大麻、使用尼古丁、吸食大麻以及拒绝透露药物使用情况。令人惊讶的是,只有不到 1%(n = 0.6)的人使用了机构支持服务。研究确定了三个定性主题,包括情绪困扰和相关影响、对护理专业学生学业的情绪和心理影响以及高等教育支持系统。研究结果突出表明,鉴于护理专业学生的心理健康和成瘾问题可能会对学业成功和整体健康产生不利影响,因此迫切需要解决这些问题。当务之急是将心理健康培训纳入课程,并为教师提供支持。在这项研究中,机构支持服务的利用率不足和不充分表明,有必要进行机构改革,为护理专业学生提供获得心理健康支持的机会和个性化的心理健康支持。为学生的成功提供必要的技能和支持有助于护理人员的整体福祉。
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