Nurses sitting on a bench

Nursing Student’s Guide to Mental Health and Wellness

Abby McCoy, RN, BSN

Updated

Reviewed by NursingEducation Staff

Nursing school offers incredible value. During this time, whether one year or four, nursing students learn pretty much every detail about the human body. You learn how it functions, what every tiny piece is called, and how we can treat maladies through care, procedures, and medication. While this information is essential, it’s also a lot.

In this guide, we’ll discuss some of the more common challenges that nursing students face and why it can be difficult to address them, followed by some self-care strategies and helpful outside resources to guide you through the process.

Understanding Mental Health and Wellness

Mental health and wellness (emotional, psychological, and social well-being) is crucial for nursing students confronting challenges in academic and clinical settings. Mental health impacts thoughts, feelings, and behavior, which makes it an important part of a nursing student’s well-being.

Nursing students may face various mental health challenges, including stress, anxiety, depression, burnout, and substance use disorders. These difficulties may harm their academic performance, relationships, self-esteem, and physical health. As a result, nursing students must learn how to manage their mental health and wellness and seek help when needed.

The Importance of Mental Health and Wellness in Nursing

The importance of recognizing and treating mental health disorders in others is part of the training for current and future healthcare professionals. Nurses learn the critical connection between their patients’ mental health and overall well-being.

While mental health is essential, mental illnesses are common and treatable. In addition to our training to recognize and treat these conditions in patients, it is critical to recognize and identify mental health issues in ourselves, our colleagues, and our students.

Additionally, nurses face various challenges and stressors at work, including heavy workloads, long shifts, health and safety risks, patient mortality, and workplace bullying. Such activities can negatively impact their mental health, resulting in burnout, anxiety, depression, and other psychological issues.

The COVID-19 pandemic exacerbated nurses’ mental health issues as they dealt with increased workload, a lack of resources, infection exposure, and witnessing the suffering and death of many patients.

According to a Mental Health America survey with over 1,119 healthcare professionals as respondents, 86% reported feelings of anxiety, and 76% reported being exhausted and burned out.

Nursing professionals can adopt several strategies to manage their mental challenges, including peer support groups, which we’ll cover later in this article.

Mental Health Statistics in Nursing Students

The following are critical metrics on the impact of mental disorders in nursing students.

The statistics are endless, but the above are some you should consider to better understand why nursing students need to improve their mental health and survive the hardships of their academic and professional years.

The Impact of Mental Health on Academic Performance

Nursing school is highly competitive, and the classes are full of new and more complicated information to learn. Similarly, students must maintain prestigious grades to continue the program. While some students can keep up with such fast-paced and competitive learning, others might not, contributing to poor mental health.

Mental health issues affect the ability of nursing students to fully concentrate in class, especially if they experience burnout or exhaustion. When a nursing student experiences burnout, such as a nurse trainee struggling with self-esteem, anxiety, and depression, it is likely to affect the academic performance of the student.

The impact of mental health issues on academic performance is overwhelming. They can lead to poor grades, reduced self-esteem, and, ultimately, withdrawal from the program. It’s critical to implement the use of self-care strategies, such as time management, support networks, and maintaining a healthy lifestyle, to manage stress and maintain well-being.

Common Mental Health Challenges for Nursing Students

Academically and socially, nursing school may be thrilling. Aspiring nurses can get the requisite experience to save lives by learning patient care protocols and methods. However, it is stressful and can stimulate mental health challenges in a nursing trainee.

Rigorous Academic Studies and Challenges

School can be challenging, especially for nursing students who need to pay more attention than usual to lessons on medication, patient conditions, and patient care. The role they are training for is highly demanding and requires attention to detail, with no exceptions.

Also, the coursework for nursing students includes classes in disciplines such as anatomy, organic chemistry, and physiology, which require longer study hours, in-depth memorization, and extensive lab hours. Such academic stressors affect the productivity of aspiring nursing professionals and create imbalances in their mental health.

Balancing Personal Life and Nursing School

Finding the right balance between your personal life and the demands of nursing school can be quite a feat. Nursing students have a lot on their plates, with classes, assignments, and clinical rotations, leaving limited time for family and relationships.

The financial strain and the never-ending coursework can sometimes push students to extremes – sacrificing sleep, taking on extra work to make ends meet, and living with their noses buried in textbooks. This hectic schedule can lead to increased anxiety and stress, taking a toll on the mental well-being of nursing students.

First Exposure to Patient Care

Providing patient care can be emotionally challenging for nursing students. The first time a student attempts to draw blood or perform any clinical procedure can be a daunting experience. Simply walking into a hospital room full of strangers can ratchet up a nursing student’s anxiety.

Clinical rotations during nursing school expose students to a wide range of patient conditions, including those who are seriously ill or nearing the end of their lives. Interacting with patients in these states for the first time can be challenging. These experiences can weigh heavily on healthcare professionals throughout their careers, making it important to find healthy ways to deal with that stress early on.

The emotional toll of caring for the sick and injured can even contribute to the development of depression among nursing students. Furthermore, in some cases, hospitals may be understaffed, resulting in nursing students handling heavier workloads during their clinicals. This added pressure can impact the quality of their training.

How Stress and Mental Health Issues Can Manifest in Nursing School

Nursing school is a demanding academic program that requires students to cope with significant levels of stress and pressure. Stress and mental health issues can be reflected in diverse ways in nursing students, affecting their physical, emotional, and academic well-being.

Physical Symptoms of Stress and Anxiety

Stress and anxiety can cause a range of physical symptoms in nursing students:

Emotional Symptoms

Stress and mental health issues can also affect the emotional state of nursing students.

Impact on Studying and Academic Performance

Stress and mental health concerns can impair a student’s ability to study and perform academically.

The Stigmatization of Mental Health Issues in Nursing Education

According to a study in the National Library of Medicine, stigma is one of the most common barriers preventing recovery from mental illnesses.

People attach stigma to something when they assign negative characteristics, such as a lack of responsibility and credibility, to a person or group. Due to the stigma associated with mental illness in nursing, many nursing students do not seek help for their mental health concerns, fearing they’ll be seen as weak, incompetent, or unfit for the profession.

The Impact of Stigma on the Mental Wellness of Nursing Students

The stigma surrounding mental health issues can lead to diminished self-confidence, causing feelings of shame, guilt, and hopelessness. Nursing students may question their competence when facing challenges in clinical practice.

The consequences of mental health stigma are far-reaching, impacting professional development and the therapeutic relationship between nursing students and their patients. These students may miss classes or avoid seeking help, which can hinder their progress in the nursing profession. It is essential to combat this stigma and provide support to nursing students to ensure not only their own mental well-being but also the quality of care they provide to individuals with mental health concerns.

Barriers to Seeking Help

Nursing students face various barriers that prevent them from seeking help for their mental health concerns. Some of these barriers are related to fear of being judged, discriminated against, or labeled by peers, faculty, or future employers. For example, nursing students may worry that disclosing their mental health problems will affect their academic evaluation, career opportunities, or professional reputation.

Some may not acknowledge or admit that they have mental health issues, or they may try to cope independently without seeking professional help. They may lack the information or resources to access appropriate mental health services. Additionally, some barriers are related to the structural and organizational factors that limit the availability and accessibility of mental health services, such as cost, time, location, or confidentiality.

Self-Care Strategies for Nursing Students

Nursing school can be challenging and stressful, but it’s also an opportunity to learn and grow personally and professionally. One important lesson: self-care is vital. Here are some strategies to help nursing students manage their mental health and well-being.

Remember, self-care is not selfish – it’s necessary for your well-being and success as a nursing student.

Mental Health Support and Resources for Nursing Students

Mental health challenges are unique, and despite efforts to increase support and awareness, it can still be difficult for students to know where to find help. The following resources provide awareness and assistance with mental health challenges.

Wellness Programs in Nursing Schools

Many nursing schools offer wellness programs designed to support the mental health of their students. These programs may include stress management workshops, mindfulness training, and wellness coaching. They aim to equip students with the tools to manage stress and maintain their mental and emotional well-being.

Seeking Professional Help

Professional help can be invaluable for nursing students struggling with their mental health. This could involve seeing a psychologist, psychiatrist, or school counselor. Many schools offer counseling services on campus, and some provide referrals to off-campus providers. It’s essential to seek help when you’re feeling overwhelmed, experiencing symptoms of a mental health condition, or just need someone to talk to.

Peer Support and Mentoring

Peer support and mentoring programs can provide valuable emotional and academic support. These programs pair students with peers who can offer guidance, share experiences, and provide a listening ear. They can also help reduce feelings of isolation and stress.

Online Community Resources for Mental Health Support

There are numerous online resources available for mental health support. These include online counseling services, mental health apps, and online forums where you can connect with others experiencing similar challenges. Community resources such as local mental health clinics or support groups can also be beneficial.

Developing Resilience in Nursing Students

Resilience is the ability to bounce back from adversity and maintain mental health despite challenges. For nursing students, developing resilience can be crucial in managing the stresses of their studies and future careers. Here are some strategies to help nursing students build resilience.

Building Mental Toughness

Mental toughness involves the ability to withstand and overcome challenges. It’s about developing a positive mindset and maintaining focus and confidence in challenging situations. Building mental toughness includes setting realistic goals, practicing positive self-talk, and learning to manage emotions effectively.

Stress Management Techniques for Nursing Students

Building effective stress management is crucial for nursing students. Some stress management techniques include regular exercise, deep breathing, progressive muscle relaxation, or mindfulness meditation. Maintaining a balanced diet and getting sufficient sleep are also important.

Developing Emotional Intelligence

Emotional intelligence describes the ability to understand and manage your own emotions, as well as empathize with the feelings of others. It’s imperative in nursing, where empathy and emotional understanding can significantly enhance patient care. Strategies for developing emotional intelligence include practicing self-awareness, developing empathy through active listening and observation, and learning to manage emotions effectively.

Remember, resilience is not about avoiding stress or hardship but rather about learning to cope effectively when these challenges arise. By developing mental toughness and managing stress effectively, nursing students can build the resilience they need to succeed.

The Role of Faculty and the Nursing Program

The faculty and the nursing program play a central role in supporting the mental health of nursing students. They can create an environment that promotes mental well-being and provides resources for struggling students.

Mental Health Screening for Nursing Students

Regular mental health screenings can help identify students struggling with mental health issues and provide them with the support they need. These screenings should be conducted with confidentiality and respect.

How Teachers and Administrators Can Support Student Wellness

Teachers and administrators can support student wellness in several ways. They can create a supportive and inclusive learning environment, provide resources for mental health support, and encourage self-care.

Teachers should receive training that helps them recognize mental health issues and refer students to appropriate resources.

Creating a Healthy Learning Environment

A healthy learning environment promotes mental well-being. A healthy environment fosters community, encourages open communication, and provides relaxation and stress relief opportunities in classes. It’s essential to create an environment where students feel comfortable seeking help when they need it.

Remember, the mental health of nursing students is just as important as their academic success. Faculty and the nursing program can help students maintain their mental health throughout their studies by providing support and resources.

More Resources

In addition to the resources mentioned above, many other organizations are available to support nursing students and their mental health. are available for nursing students.