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Interventions to Reduce Perceived Stress Among Graduate Students: A Systematic Review With Implications for Evidence-Based Practice.

Worldviews on evidence-based nursing
December 1, 2017
Susan B Stillwell et al. (3 authors)
Journal ArticleReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to identify evidence-based self-care interventions, including mindfulness, to help graduate nursing students cope with perceived stress.

Results Summary

The study found that mindfulness-based stress reduction (MBSR) techniques, such as yoga, breath work, and meditation, effectively reduced perceived stress in graduate nursing students, as measured by the Perceived Stress Scale. All eight reviewed studies demonstrated a reduction in stress post-intervention.

Population

Graduate nursing students in the United States.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
stress management course
decrease
perceived stress
graduate nursing students
-
demonstrated a reduction
#1
mind-body-stress-reduction (MBSR) techniques
decrease
perceived stress
graduate nursing students
-
demonstrated a reduction
#2
yoga
decrease
perceived stress
graduate nursing students
-
demonstrated a reduction
#3
breath work
decrease
perceived stress
graduate nursing students
-
demonstrated a reduction
#4
meditation
decrease
perceived stress
graduate nursing students
-
demonstrated a reduction
#5
mindfulness
decrease
perceived stress
graduate nursing students
-
demonstrated a reduction
#6
Abstract

BACKGROUND: Stress is a part of daily life for graduate students, including graduate nursing students. Contemporary graduate nursing students are facing unprecedented challenges to meet rigorous academic standards as they prepare for their advanced professional role to meet the demands of the nation's complex and ever-changing healthcare system. Empowering graduate nursing students to ease their perceived stress and minimize undesirable health effects may benefit their capacity to adapt and successfully manage perceived stress in their future healthcare role. AIMS: To conduct a systematic review to evaluate the existing evidence with the aim of identifying evidence-based self-care interventions for coping with perceived stress. METHODS: We conducted a systematic review, searching CINAHL Plus with Full Text, PsycINFO, and MEDLINE. Inclusion criteria included self-care, graduate students, perceived stress as measured by Perceived Stress Scale, quantitative analysis, conducted within the United States, English language, and peer reviewed. Two authors completed an asynchronous review of the articles, and one expert evidence-based practice mentor and one wellness expert conducted rigorous appraisal of the eight identified studies. Evidence was evaluated and synthesized, and recommendations for practice were determined. RESULTS: Eight studies meeting the criteria for this systematic review were critically appraised. The interventions varied from a stress management course to mind-body-stress-reduction (MBSR) techniques, such as yoga, breath work, meditation, and mindfulness. All studies measured the outcome of stress with the Perceived Stress Scale. Each study demonstrated a reduction in perceived stress postintervention. LINKING EVIDENCE TO ACTION: Most effective self-care MBSR interventions include (a) a didactic component, (b) a guided MBSR practice session, and (c) homework. Consideration should be given to a trained or certified MBSR instructor to teach the intervention.

Medical Subject Headings (MeSH)
Education, GraduateHumansPerceptionPsychometricsQualitative ResearchSelf-ManagementStress, PsychologicalStudentsUniversities
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations50
Citations/Year6.3
Relative Citation Ratio3.85
NIH Percentile89.6%
Research Impact Scores
APT Score0.95
Weight Score2.04
Normalized Score0.69
Related Supplements
Interventions to Reduce Perceived Stress Among Graduate Stud... | Panacea Index