A longitudinal study of stress and psychological distress in nurses and nursing students
Aim. The aim of this study was to investigate how differences in life events and stress contribute to psychological distress in nurses and nursing students. Background. Stress is an issue for nursing students and qualified nurses leading to psychological distress and attrition. Design. A longitud...
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Veröffentlicht in: | Journal of clinical nursing 2009-01, Vol.18 (2), p.270-278 |
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creator | Watson, Roger Gardiner, Eric Hogston, Richard Gibson, Helen Stimpson, Anne Wrate, Robert Deary, Ian |
description | Aim. The aim of this study was to investigate how differences in life events and stress contribute to psychological distress in nurses and nursing students.
Background. Stress is an issue for nursing students and qualified nurses leading to psychological distress and attrition.
Design. A longitudinal study using four time waves was conducted between 1994–1997.
Methods. Measures were taken of stress, life events and psychological distress in addition to a range of demographic data. Data were analysed using descriptive statistics, linear modelling and mixed‐effects modelling. The study was set in Scotland, UK and used newly qualified nurses and nursing students from four university departments of nursing over four years. The study was initiated with 359 participants (147 nurses and 212 nursing students) and complete data were obtained for 192 participants.
Results. Stress levels, psychological distress and life events are all associated within time and across time. At baseline, life events and stress contributed significantly to psychological distress. The pattern of psychological distress differed between the nursing students and the newly qualified nurses with a high level in the nurses after qualifying and starting their career.
Conclusion. Stress, individual traits, adverse life events and psychological distress are all interrelated. Future lines of enquiry should focus on the transition between being a nursing student and becoming a nurse.
Relevance to clinical practice. Stress and psychological distress may have negative outcomes for the retention of nursing students in programmes of study and newly qualified nurses in the nursing workforce. |
doi_str_mv | 10.1111/j.1365-2702.2008.02555.x |
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Background. Stress is an issue for nursing students and qualified nurses leading to psychological distress and attrition.
Design. A longitudinal study using four time waves was conducted between 1994–1997.
Methods. Measures were taken of stress, life events and psychological distress in addition to a range of demographic data. Data were analysed using descriptive statistics, linear modelling and mixed‐effects modelling. The study was set in Scotland, UK and used newly qualified nurses and nursing students from four university departments of nursing over four years. The study was initiated with 359 participants (147 nurses and 212 nursing students) and complete data were obtained for 192 participants.
Results. Stress levels, psychological distress and life events are all associated within time and across time. At baseline, life events and stress contributed significantly to psychological distress. The pattern of psychological distress differed between the nursing students and the newly qualified nurses with a high level in the nurses after qualifying and starting their career.
Conclusion. Stress, individual traits, adverse life events and psychological distress are all interrelated. Future lines of enquiry should focus on the transition between being a nursing student and becoming a nurse.
Relevance to clinical practice. Stress and psychological distress may have negative outcomes for the retention of nursing students in programmes of study and newly qualified nurses in the nursing workforce.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/j.1365-2702.2008.02555.x</identifier><identifier>PMID: 19120753</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Cohort Studies ; Emotional disorders ; Humans ; Life Change Events ; Longitudinal Studies ; Medical sciences ; Middle Aged ; Miscellaneous ; Nurses ; Nurses - psychology ; Nursing ; nursing students ; Psychological aspects ; psychological upset ; psychology ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; quantitative approaches ; Scotland ; Stress ; Stress, Psychological ; Students, Nursing - psychology ; Surveys and Questionnaires ; United Kingdom</subject><ispartof>Journal of clinical nursing, 2009-01, Vol.18 (2), p.270-278</ispartof><rights>2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd</rights><rights>Copyright Blackwell Publishing Ltd. Jan 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6115-147be409025b5d3dc0a3c16b3e14b2dda845175855ff12738506817a2249d2fe3</citedby><cites>FETCH-LOGICAL-c6115-147be409025b5d3dc0a3c16b3e14b2dda845175855ff12738506817a2249d2fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2702.2008.02555.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2702.2008.02555.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21704338$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19120753$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Watson, Roger</creatorcontrib><creatorcontrib>Gardiner, Eric</creatorcontrib><creatorcontrib>Hogston, Richard</creatorcontrib><creatorcontrib>Gibson, Helen</creatorcontrib><creatorcontrib>Stimpson, Anne</creatorcontrib><creatorcontrib>Wrate, Robert</creatorcontrib><creatorcontrib>Deary, Ian</creatorcontrib><title>A longitudinal study of stress and psychological distress in nurses and nursing students</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aim. The aim of this study was to investigate how differences in life events and stress contribute to psychological distress in nurses and nursing students.
Background. Stress is an issue for nursing students and qualified nurses leading to psychological distress and attrition.
Design. A longitudinal study using four time waves was conducted between 1994–1997.
Methods. Measures were taken of stress, life events and psychological distress in addition to a range of demographic data. Data were analysed using descriptive statistics, linear modelling and mixed‐effects modelling. The study was set in Scotland, UK and used newly qualified nurses and nursing students from four university departments of nursing over four years. The study was initiated with 359 participants (147 nurses and 212 nursing students) and complete data were obtained for 192 participants.
Results. Stress levels, psychological distress and life events are all associated within time and across time. At baseline, life events and stress contributed significantly to psychological distress. The pattern of psychological distress differed between the nursing students and the newly qualified nurses with a high level in the nurses after qualifying and starting their career.
Conclusion. Stress, individual traits, adverse life events and psychological distress are all interrelated. Future lines of enquiry should focus on the transition between being a nursing student and becoming a nurse.
Relevance to clinical practice. Stress and psychological distress may have negative outcomes for the retention of nursing students in programmes of study and newly qualified nurses in the nursing workforce.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Emotional disorders</subject><subject>Humans</subject><subject>Life Change Events</subject><subject>Longitudinal Studies</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Nurses</subject><subject>Nurses - psychology</subject><subject>Nursing</subject><subject>nursing students</subject><subject>Psychological aspects</subject><subject>psychological upset</subject><subject>psychology</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>quantitative approaches</subject><subject>Scotland</subject><subject>Stress</subject><subject>Stress, Psychological</subject><subject>Students, Nursing - psychology</subject><subject>Surveys and Questionnaires</subject><subject>United Kingdom</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkV1v0zAUhi3ExMrgL6AICbhKdo4d28kN0lTBYCsbSHxM3FhO4hR3aVLsRrT_HqeJisQFwjc-0nnOK_s8hEQICYZzvkqQCR5TCTShAFkClHOe7B6Q2bHxkMwgFzRGEPKUPPZ-BYCMUvaInGKOFCRnM3J3ETVdu7TbvrKtbiIfin3U1aFwxvtIt1W08fvyR9d0S1sGorJTy7ZR2ztvRmgobbs8BJh265-Qk1o33jyd7jPy5e2bz_N38eL28v38YhGXApHHmMrCpJCHDxS8YlUJmpUoCmYwLWhV6SzlKHnGeV0jlSzjIDKUmtI0r2ht2Bl5NeZuXPezN36r1taXpml0a7reKylSJlkOPJAv_0kKITOODAL4_C9w1fUubMcryjggsAOUjVDpOu-dqdXG2bV2e4WgBklqpQYXanChBknqIEntwuizKb8v1qb6MzhZCcCLCdA-rLx2ui2tP3IUJaSMZYF7PXK_bGP2__0AdXU7vxnKEBCPAcGp2R0DtLtXQjLJ1bebS_Xp-4frj18XqbpjvwG2Krth</recordid><startdate>200901</startdate><enddate>200901</enddate><creator>Watson, Roger</creator><creator>Gardiner, Eric</creator><creator>Hogston, Richard</creator><creator>Gibson, Helen</creator><creator>Stimpson, Anne</creator><creator>Wrate, Robert</creator><creator>Deary, Ian</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200901</creationdate><title>A longitudinal study of stress and psychological distress in nurses and nursing students</title><author>Watson, Roger ; Gardiner, Eric ; Hogston, Richard ; Gibson, Helen ; Stimpson, Anne ; Wrate, Robert ; Deary, Ian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6115-147be409025b5d3dc0a3c16b3e14b2dda845175855ff12738506817a2249d2fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Emotional disorders</topic><topic>Humans</topic><topic>Life Change Events</topic><topic>Longitudinal Studies</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Nurses</topic><topic>Nurses - psychology</topic><topic>Nursing</topic><topic>nursing students</topic><topic>Psychological aspects</topic><topic>psychological upset</topic><topic>psychology</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>quantitative approaches</topic><topic>Scotland</topic><topic>Stress</topic><topic>Stress, Psychological</topic><topic>Students, Nursing - psychology</topic><topic>Surveys and Questionnaires</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Watson, Roger</creatorcontrib><creatorcontrib>Gardiner, Eric</creatorcontrib><creatorcontrib>Hogston, Richard</creatorcontrib><creatorcontrib>Gibson, Helen</creatorcontrib><creatorcontrib>Stimpson, Anne</creatorcontrib><creatorcontrib>Wrate, Robert</creatorcontrib><creatorcontrib>Deary, Ian</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Watson, Roger</au><au>Gardiner, Eric</au><au>Hogston, Richard</au><au>Gibson, Helen</au><au>Stimpson, Anne</au><au>Wrate, Robert</au><au>Deary, Ian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A longitudinal study of stress and psychological distress in nurses and nursing students</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2009-01</date><risdate>2009</risdate><volume>18</volume><issue>2</issue><spage>270</spage><epage>278</epage><pages>270-278</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aim. The aim of this study was to investigate how differences in life events and stress contribute to psychological distress in nurses and nursing students.
Background. Stress is an issue for nursing students and qualified nurses leading to psychological distress and attrition.
Design. A longitudinal study using four time waves was conducted between 1994–1997.
Methods. Measures were taken of stress, life events and psychological distress in addition to a range of demographic data. Data were analysed using descriptive statistics, linear modelling and mixed‐effects modelling. The study was set in Scotland, UK and used newly qualified nurses and nursing students from four university departments of nursing over four years. The study was initiated with 359 participants (147 nurses and 212 nursing students) and complete data were obtained for 192 participants.
Results. Stress levels, psychological distress and life events are all associated within time and across time. At baseline, life events and stress contributed significantly to psychological distress. The pattern of psychological distress differed between the nursing students and the newly qualified nurses with a high level in the nurses after qualifying and starting their career.
Conclusion. Stress, individual traits, adverse life events and psychological distress are all interrelated. Future lines of enquiry should focus on the transition between being a nursing student and becoming a nurse.
Relevance to clinical practice. Stress and psychological distress may have negative outcomes for the retention of nursing students in programmes of study and newly qualified nurses in the nursing workforce.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19120753</pmid><doi>10.1111/j.1365-2702.2008.02555.x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Biological and medical sciences Cohort Studies Emotional disorders Humans Life Change Events Longitudinal Studies Medical sciences Middle Aged Miscellaneous Nurses Nurses - psychology Nursing nursing students Psychological aspects psychological upset psychology Public health. Hygiene Public health. Hygiene-occupational medicine quantitative approaches Scotland Stress Stress, Psychological Students, Nursing - psychology Surveys and Questionnaires United Kingdom |
title | A longitudinal study of stress and psychological distress in nurses and nursing students |
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