Effects of interventions aimed at relieving stress in nursing students: a systematic literature review

Section: Reviews

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Mendes OCAM, Dalri MBRC, Robazzi CMLC. Efeitos de intervenções para reduzir o stress em estudantes de enfermagem: uma revisão sistemática da literatura. Rev. iberoam. educ. investi. Enferm. 2017; 7(1):57-68.


1 Aida María de Oliveira Cruz Mendes, 2 Rita de Cássia de Marchi Barcellos Dalri, 3 María Lúcia do Carmo Cruz Robazzi


1 Enfermeira Especialista em Enfermagem de Saúde Mental e Psiquiatria, Mestre em Saúde Ocupacional, Doutorada em Educação. Professora Coordenadora, Escola Superior de Enfermagem de Coimbra (Portugal).2 Enfermeira, especialista em Saúde do Trabalhador, doutora e pós-doutora em ciências. 3 Mestre e Doutora em Enfermagem, Professora titular Escola de Enfermagem de Ribeirão Preto, Universidade de S. Paulo (Brasil).

Contact email: acmendes@esenfc.pt


Introduction: stress can have a negative impact on nursing students wellbeing, health, and academic performance. Main variables having an influence on this process are well known. However, no systematic empiric evidence exists to guide decision making on inclusion programs for stress reduction in nursing courses.
Purpose: to identify available studies on the effects of interventions aimed at reducing stress in nursing students and to analyze results consistency.
Methods: a systematic literature search was performed in B-on, TRIP, and Cochrane databases using the following keywords in Portuguese, Spanish, and English: nursing students + stress to achieve a diploma; and, procedure or program + Effect or Impact or Effectiveness or influence, in summary.
Results: fourteen papers meeting inclusion criteria were analyzed. Most of them were quasi-experimental studies (11), using a wide variety of intervention programs, and found a statistically significant reduction of anxiety and stress.
Discussion: results regarding depression were not consistent. No studies could be found with a follow-up allowing long-term effects to be understood.
Conclusion: interventions aimed at reducing stress in nursing students seem to be effective in the short term in a variety of programs. Further studies on long-term effects are needed.


stress; nursing students; stress management; systematic literature review

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Efeitos de intervenções para reduzir o stress em estudantes de enfermagem: uma revisão sistemática da literatura

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