“…Despite the lack of accurate estimates about the global prevalence of BS in nursing students, proportions ranging from 10.5% to 100% have been reported in the subjects studied (Quina Galdino et al, 2020;Reyes & Blanco, 2016;Rudman & Gustavsson, 2012;Silva, Chiquito, Andrade, Brito, & Camelo, 2011;Vasconcelos, Trindade, Barbosa, & Martino, 2020); nonetheless, these proportions depend on the characteristics of each country, as well as the measuring tools and cut-off point used for its definition. The high levels of BS reported may be because nursing students are exposed to a highly stressful environment characterized by full-time courses, with an excessive workload, lack of sleep, pressure from the demands of professors, competitiveness, anxiety to perform satisfactorily in each class, as well as other institutional, personal, and affective factors (Njim et al, 2018;Pereira, Miranda, & Passos, 2010;Pérez Contreras et al, 2021;Quina Galdino et al, 2020). BS in nursing students has been associated with depression, substance abuse, sleep deprivation, thoughts of dropping out of school, and poor school performance (Hernández-Martínez, Marques Rodrigues, Jiménez-Díaz, & Rodríguez-de-Vera, 2016;Hwang & Kim, 2022;Wei et al, 2021).…”