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
Hauptverfasser: Watson, Roger, Gardiner, Eric, Hogston, Richard, Gibson, Helen, Stimpson, Anne, Wrate, Robert, Deary, Ian
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container_end_page 278
container_issue 2
container_start_page 270
container_title Journal of clinical nursing
container_volume 18
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.
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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. 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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. 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Hygiene</topic><topic>Public health. 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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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