Stress and anxiety among nursing students: A review of intervention strategies in literature between 2009 and 2015

Turner, Katrina; McCarthy, Valerie Lander

doi:10.1016/j.nepr.2016.11.002

Cited by 228 publications

(169 citation statements)

References 36 publications

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“…The detrimental effect of stress on psychological well-being and cognitive functioning, emphasizing the relationship between stress and memory, is widely accepted. It is noteworthy that during stressful conditions underlie some of the characteristics described in cognitive decline, either in aging or in neurodegenerative diseases, such as AD [19,45]. It has been stated that epigenetic machinery is essential for cognitive function [2,26,46].…”

Section: Discussionmentioning

confidence: 99%

Chronic Mild Stress Modified Epigenetic Mechanisms Leading to Accelerated Senescence and Impaired Cognitive Performance in Mice

Puigoriol-Illamola

Martínez-Damas

Pallàs

2020

IJMS

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Cognitive and behavioural disturbances are a growing public healthcare issue for the modern society, as stressful lifestyle is becoming more and more common. Besides, several pieces of evidence state that environment is crucial in the development of several diseases as well as compromising healthy aging. Therefore, it is important to study the effects of stress on cognition and its relationship with aging. To address these queries, Chronic Mild Stress (CMS) paradigm was used in the senescence-accelerated mouse prone 8 (SAMP8) and resistant 1 (SAMR1). On one hand, we determined the changes produced in the three main epigenetic marks after 4 weeks of CMS treatment, such as a reduction in histone posttranslational modifications and DNA methylation, and up-regulation or down-regulation of several miRNA involved in different cellular processes in mice. In addition, CMS treatment induced reactive oxygen species (ROS) damage accumulation and loss of antioxidant defence mechanisms, as well as inflammatory signalling activation through NF-κB pathway and astrogliosis markers, like Gfap. Remarkably, CMS altered mTORC1 signalling in both strains, decreasing autophagy only in SAMR1 mice. We found a decrease in glycogen synthase kinase 3 β (GSK-3β) inactivation, hyperphosphorylation of Tau and an increase in sAPPβ protein levels in mice under CMS. Moreover, reduction in the non-amyloidogenic secretase ADAM10 protein levels was found in SAMR1 CMS group. Consequently, detrimental effects on behaviour and cognitive performance were detected in CMS treated mice, affecting mainly SAMR1 mice, promoting a turning to SAMP8 phenotype. In conclusion, CMS is a feasible intervention to understand the influence of stress on epigenetic mechanisms underlying cognition and accelerating senescence.responses to different stimulus [1]. Indeed, normal aging differs from pathological aging and this might be explained by the lifestyle. Environmental factors drive epigenetic modifications, resulting in phenotypic differences, which alter almost all tissues and organs. Although the brain is one of the most affected structures, such modifications lead to a progressive decline in the cognitive function and create a favourable context for the development of neurodegenerative diseases [2]. Aging is the most significant risk factor for most chronic diseases, such as age-related cognitive decline and Alzheimer's disease (AD) [3]. In fact, AD is the most prevalent dementia and its progression is influenced by both genetic and environmental factors [4].Several studies define that a good environment is essential to enhance learning and cognitive abilities, besides the continued presence of stressors being associated with the opposite effects. Epigenetics refers to potentially heritable and environmentally modifiable changes in gene expression mediated via non-DNA encoded mechanisms [5]. Recent evidence has demonstrated significant associations between epigenetic alterations and stress [2,6]. Potential threats cause a course of action releasing numerous transm...

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Section: Discussionmentioning

confidence: 99%

Chronic Mild Stress Modified Epigenetic Mechanisms Leading to Accelerated Senescence and Impaired Cognitive Performance in Mice

Puigoriol-Illamola

Martínez-Damas

Pallàs

2020

IJMS

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“…Tillich contested that courage is related to anxiety; more specifically, anxiety is a threat and courage is what is used to resist the threat . Given Tillich's notion and the established fact that nursing students experience significant amounts of anxiety, it is reasonable to conclude that student nurses must use courage to resist and overcome the threat of anxiety, hence the concept of student courage . Therefore, student courage is an intentional behavior in order to overcome anxiety.…”

Section: Concept Definition: Student Couragementioning

confidence: 99%

“…28 Given Tillich's notion and the established fact that nursing students experience significant amounts of anxiety, it is reasonable to conclude that student nurses must use courage to resist and overcome the threat of anxiety, hence the concept of student courage. 29 Therefore, student courage is an intentional behavior in order to overcome anxiety. Courage has many inferences in the literature and has been interpreted in many different ways.…”

Section: Couragementioning

confidence: 99%

Student courage: An essential for today's health education

Gibson

2018

Nurs Forum

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“…Stress negatively influences students, thus affecting their academic performance and course completion rates. [15] Literature on stress that affects nursing students in small tertiary colleges in the early years of academic study is lacking. The objective of this study was to determine the stressors experienced by first-year nursing students who attended a college of nursing in SA.…”

mentioning

confidence: 99%

Factors causing stress among first-year students attending a nursing college in KwaZulu-Natal, South Africa

Langtree

Razak

Haffejee

2018

AJHPE

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ResearchIn South Africa (SA), higher education students exhibit progressively poor success rates.[1] The Council on Higher Education (CHE) observed that only 35% of all first-year entrants graduate within 5 years.[1] In KwaZulu-Natal (KZN) Province, SA, the majority of nurses are trained at a college of nursing, which has satellite campuses throughout the province. [2] There is, however, a high failure rate among these students, mostly in the first year of study. Because of academic failure, 22% of students leave the training programme after the first year [3] -a precarious situation, considering the shortage of professional nurses faced by the country. [4,5] In an attempt to address this high attrition rate, the admission criteria for entry into the programme were increased, but this did not have a noticeable influence on the pass rate.Students entering SA higher education institutions usually come from a wide range of cultural and social backgrounds, with resultant varying life experiences and educational opportunities, including different expectations, needs and academic potential.[6] Academic success does not entirely consist of one's application of intellectual capacity. There are many other factors that directly or indirectly affect academic success. These include the transition from secondary school to university, student motivation, study methods, teaching strategies, interaction between students, academic and social systems of the university, cultural expectations, psychosocial factors and lack of finances. [7][8][9][10] One or more of these factors could lead to stress, which could hinder academic potential by distracting students' focus from their studies. [11] Research has shown that self-concept positively affects the success of nursing students' ability to manage anxiety and stress related to studying.Specifically, if a student is confident in his/her ability and remains motivated, he/she is more likely to succeed academically, resulting in lower dropout rates. Whereas the overwhelming stress associated with test anxiety has a negative relationship with academic achievements, this could lead to a decrease in the academic success of students. [12] The nursing programme also contains both intensive coursework and practical components at hospitals, which may become overwhelming and stressful with regard to a student's ability to cope with examinations. [12] Attrition rates among nursing students remain high, irrespective of attempts by institutions to provide strategies such as selection in line with quality of students, and implementing student mentoring and tutoring.It is unknown whether the stress factors that affect students attending a large university with many different faculties are different from those of students who attend smaller tertiary institutions that train them in one particular course only. In nursing, stress factors related to the clinical learning environment are well documented. [10,13,14] The increased stress of nursing students is due to the simultaneous learning in both academ...

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Stress and anxiety among nursing students: A review of intervention strategies in literature between 2009 and 2015

Cited by 228 publications

References 36 publications

Chronic Mild Stress Modified Epigenetic Mechanisms Leading to Accelerated Senescence and Impaired Cognitive Performance in Mice

Chronic Mild Stress Modified Epigenetic Mechanisms Leading to Accelerated Senescence and Impaired Cognitive Performance in Mice

Student courage: An essential for today's health education

Factors causing stress among first-year students attending a nursing college in KwaZulu-Natal, South Africa

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