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    This document summarizes a systematic review and meta-analysis examining the prevalence of mental health problems and sleep disturbances among nursing students during the COVID-19 pandemic. The review identified 17 studies representing over 13,000 nursing students. It found the highest prevalence was depression, affecting 52% of nursing students. Other issues included fear (41%), anxiety (32%), stress (30%) and sleep disturbances (27%). The results suggest nursing education policies and support services need to address students' mental health needs during the pandemic to help them succeed in their future careers.

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    This document summarizes a systematic review and meta-analysis examining the prevalence of mental health problems and sleep disturbances among nursing students during the COVID-19 pandemic. The review identified 17 studies representing over 13,000 nursing students. It found the highest prevalence was depression, affecting 52% of nursing students. Other issues included fear (41%), anxiety (32%), stress (30%) and sleep disturbances (27%). The results suggest nursing education policies and support services need to address students' mental health needs during the pandemic to help them succeed in their future careers.

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    Prevalence of Mental Health Problems and Sleep Di

    Uploaded by

    qinadeanaz
    This document summarizes a systematic review and meta-analysis examining the prevalence of mental health problems and sleep disturbances among nursing students during the COVID-19 pandemic. The review identified 17 studies representing over 13,000 nursing students. It found the highest prevalence was depression, affecting 52% of nursing students. Other issues included fear (41%), anxiety (32%), stress (30%) and sleep disturbances (27%). The results suggest nursing education policies and support services need to address students' mental health needs during the pandemic to help them succeed in their future careers.

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    Nurse Education in Practice 57 (2021) 103228

    Contents lists available at ScienceDirect

    Nurse Education in Practice

    journal homepage: www.elsevier.com/locate/issn/14715953

    Review

    Prevalence of mental health problems and sleep disturbances in nursing


    students during the COVID-19 pandemic: A systematic review and
    meta-analysis
    Mulyadi Mulyadi a, b, 1 , Santo Imanuel Tonapa a, b, 2 , Suwandi Luneto c, d , Wei-Ting Lin a,
    Bih-O Lee a, * , 3
    a
    College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
    b
    School of Nursing, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia
    c
    RSUP Prof. Dr. R.D. Kandou, Manado, Indonesia
    d
    Muhammadiyah School of Health Science, Manado, Indonesia

    ARTICLE INFO ABSTRACT

    Keywords: Aim: To identify the prevalence of mental health problems and sleep disturbances among nursing students during
    Mental health problems the COVID-19 pandemic.
    Sleep disturbances Background: As a future professional workforce, nursing students are expected to play a role in controlling the
    Nursing students COVID-19 pandemic; however, physical and mental health problems may hinder their willingness to stay in the
    Prevalence
    nursing profession. Evidence of the prevalence of the health problems among nursing students related to COVID-
    Meta-analysis
    19 may allow educators to manage their students’ health problems and make them feel more positive about their
    future careers.
    Design: Systematic review and meta-analysis. This study was prospectively registered with PROSPERO.
    Data sources: Databases, including CINAHL, Embase, PubMed and Web of Science, were searched for all related
    journal articles, from database inception to June 29, 2021, published between 2020 and 2021.
    Methods: This review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-
    Analyses (PRISMA) guidelines using a PICOS search strategy. A DerSimonian–Laird random-effects model was
    used to estimate the prevalence and potential heterogeneity among the selected studies using the Cochran Q
    statistic and I-square test. Publication bias was assessed using the Egger intercept test.
    Results: Seventeen studies were included in the meta-analysis, representing 13,247 nursing students. During the
    COVID-19 pandemic, the prevalence of four health problems and sleep disturbances were identified. The health
    problem with the highest prevalence in nursing students was depression (52%). Other COVID-19-related health
    problems were fear (41%), anxiety (32%) and stress (30%) and sleep disturbances (27%).
    Conclusions: The findings from this study showed that strategies are necessary to manage nursing students’
    teaching and learning during the COVID-19 pandemic or similar future situations. Our results suggest that
    preparing modified distance learning might reduce the prevalence of health problems related to the educational
    process. In addition, providing regular mental health assessments or online mental health services to students
    may improve their mental health and increase their well-being. Nursing education policies regarding clinical
    practice remain to be formulated to ensure the achievement of competencies to support future careers while
    considering the mental readiness and safety of students.

    * Correspondence to: College of Nursing, Kaohsiung Medical University. 100, Shih-Chuan 1st Road, Kaohsiung, 80708, Taiwan.
    E-mail addresses: [email protected] (M. Mulyadi), [email protected] (S.I. Tonapa), [email protected] (S. Luneto), [email protected]
    (W.-T. Lin), [email protected] (B.-O. Lee).
    1
    ORCID iD: 0000– 0003-0632–3452.
    2
    ORCID iD: 0000– 0002-9730–1939.
    3
    ORCID iD: 0000– 0003-1903–8378.

    https://doi.org/10.1016/j.nepr.2021.103228
    Received 11 August 2021; Received in revised form 4 October 2021; Accepted 5 October 2021
    Available online 7 October 2021
    1471-5953/© 2021 Elsevier Ltd. All rights reserved.

    M. Mulyadi et al. Nurse Education in Practice 57 (2021) 103228

    1. Introduction burdened them and prevented them from guiding students properly

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