Résumés
Abstract
Nursing programs are highly competitive and stressful environments; nursing educators are looking for ways to mitigate the negative consequences of demanding training programs. This article explores and compares the mental health status and sociodemographic and personal characteristics that influence the psychological distress of nursing and non-nursing students learning in either official language of Canada. An online and paper survey was administered during class time to 990 students, 186 of whom were in an undergraduate nursing program in one of two postsecondary institutions in Manitoba, Canada. Findings demonstrate that students in nursing programs are more likely to report poor mental health than students in other undergraduate programs and that nursing students in the French-language institution report poorer mental health outcomes as compared to nursing students in the English-language institution. Life satisfaction and high self-esteem are positively associated with well-being, whereas age, gender, and learning in a second language are risk factors contributing to anxiety.
Keywords:
- mental health,
- risk behaviour,
- nursing students,
- linguistic minority,
- risk factors
Résumé
Les programmes de formation en sciences infirmières sont particulièrement compétitifs ; les éducateurs cherchent à atténuer les effets négatifs de ses programmes exigeants sur les apprenants. Cet article décrit et compare l’état de santé mentale, ainsi que les caractéristiques sociodémographiques et personnelles qui l’influencent, des étudiants en sciences infirmières et leurs paires, apprenants dans l’une des deux langues officielles du Canada. Un sondage en ligne et sur papier a été complété par 990 étudiants, dont 186 en sciences infirmières, dans un programme de premier cycle dans deux universités du Manitoba, Canada. Les données révèlent que les étudiants en sciences infirmières rapportent plus souvent souffrir d’une santé mentale languissante que leurs paires, et ce davantage pour ceux inscrits au programme en français. La satisfaction de vie et l’estime de soi sont associées positivement au bien-être, tandis que l’âge, le genre et l’apprentissage dans une deuxième langue contribuent à l’anxiété.
Mots-clés :
- santé mentale,
- comportements à risque,
- étudiants en sciences infirmières,
- minorités linguistiques,
- facteurs de risque
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Bibliography
- Acharya, L., Jin, L., & Collins, W. (2018). College life is stressful today – emerging stressors and depressive symptoms in college students. Journal of American College Health, 66(7), 655-664. https://doi.org/10.1080/07448481.2018.1451869
- Acun-Kapikiran, N., Körükcü, Ö., & Kapikiran, Ş. (2014). The relation of parental attitudes to life satisfaction and depression in early adolescents: The mediating role of self-esteem. Educational Sciences: Theory & Practice, 14(4), 1246-1253.
- Ahadzadeh, A. S., Rafik-Galea, S., Alavi, M., & Amini, M. (2018). Relationship between body mass index, body image, and fear of negative evaluation: Moderating role of self-esteem. Health Psychology Open, 5(1), 1-8. https://doi.org/10.1177/2055102918774251
- Alzayyat, A., & Al-Gamal, E. (2014). A review of the literature regarding stress among nursing students during their clinical education. International Nursing Review, 61(3), 406-415. https://doi.org/10.1111/inr.12114
- American College Health Association (ACHA). (2019). National college health assessment undergraduate student reference group: Executive summary. Retrived 2 October, 2020, from https://www.acha.org/documents/ncha/NCHA-II_SPRING_2019_UNDERGRADUATE_REFERENCE%20_GROUP_EXECUTIVE_SUMMARY.pdf
- Aradilla-Herrero, A., Tomas-Sabado, J., & Gomez-Benito, J. (2014). Associations between emotional intelligence, depression and suicide risk in nursing students. Nurse Education Today, 34(4), 520-525. https://doi.org/10.3389/fpsyg.2018.02380
- Barnhardt, W. (2017). From stress to success: How stress coping strategies and emotional intelligence affect student success in healthcare programs [Doctoral thesis, Wingate University].
- Bartlett, M. L., Taylor, H., & Nelson, J. D. (2016). Comparison of mental health characteristics and stress between baccalaureate nursing students and non-nursing students. Journal of Nursing Education, 55(2), 87-90. https://doi.org/10.3928/01484834-20160114-05
- Beanlands, H., McCay, E., Fredericks, S., Newman, K., Rose, D., Santa Mina, E., Schindel Martin, L., Schwind, J., Sidani, S., Aiello, A. & Wang, A. (2019). Decreasing stress and supporting emotional well-being among senior nursing students: A pilot test of an evidence-based intervention. Nurse Education Today, 76, 222-227. https://doi.org/10.1016/j.nedt.2019.02.009
- Bennadi, D. (2014). Self-medication: A current challenge. Journal of Basic and Clinical Pharmacy, 5(1), 19-23. https://doi.org/10.4103/0976-0105.128253
- Brailovskaia, J., & Margraf, J. (2018). How to measure self-esteem with one item? Validation of the german single-item self-esteem scale (g-sise). Current Psychology, 39(4), 2192-2202. https://doi.org/10.1007/s12144-018-9911-x
- Bunjo, Z., Bunjo, L. J., Bacchi, S., Donnelly, F., Hudson, J. N., & Symonds, I. (2019). Sleep patterns and risky driving behaviors in clinical medical and nursing students. Academic Psychiatry, 43(4), 555-556. https://doi.org/10.1007/s40596-019-01100-3
- Calder, M. J., Richter, M. S., Mao, Y., Kovacs Burns, K., Mogale, R. S., & Danko, M. (2016). International students attending Canadian universities: Their experiences with housing, finances, and other issues. Canadian Journal of Higher Education, 46(2), 92-110. https://doi.org/10.47678/cjhe.v46i2.184585
- Cammarata, L. (2016). Foreign language education and the development of inquiry-driven language programs: Key challenges and curricular planning strategies. In L. Cammarata (Ed.), Content-based foreign language teaching: Curriculum and pedagogy for developing advanced thinking and literacy skills (pp. 123-143). Routledge/Taylor Francis.
- Cao, D., Weiwei, P., & Feng, G. (2016). Correlation between self-esteem, stress and professional identity of male nursing students in the school. Chinese Nursing Research, 30(2A), 430-433.
- Cash, T. F., & Pruzinsky, T. (2004). Body image: A handbook of theory, research, and clinical practice. Guilford Press.
- Cast, A D., & Burke, P. J. (2002). A theory of self-esteem. Social Forces, 80(3), 1041-1068. https://doi.org/10.1353/sof.2002.0003
- Chernomas, W. M., & Shapiro, C. (2013). Stress, depression, and anxiety among undergraduate nursing students. International Journal of Nursing Education Scholarship, 10(1), 255-266. https://doi.org/10.1515/ijnes-2012-0032
- Choi, Y.-J. (2016). Evaluation of a program on self‐esteem and ego‐identity for Korean nursing students. Nursing and Health Sciences, 18(3), 387-392. https://doi.org/10.1111/nhs.12281
- Cleary, M., Horsfall, J., Baines, J., & Happell, B. (2012). Mental health behaviours among undergraduate nursing students: Issues for consideration. Nurse Education Today, 32(8), 951-955. https://doi.org/10.1016/j.nedt.2011.11.016
- de Moissac, D., & Bowen, S. (2017). Impact of language barriers on access to healthcare for official language minority Francophones in Canada. Healthcare Management Forum, vol. 30(4), 207-212. https://doi.org/10.1177/0840470417706378
- De Somma, E., Jaworska, N., Heck, E., & MacQueen, G. M. (2017). Campus mental health policies across Canadian regions: Need for a national comprehensive strategy. Canadian Psychology, 58, 2, 161-167. https://doi.org/10.1037/cap0000089
- Deasy, C., Coughlan, B., Pironom, J., Jourdan, D., & Mannix-McNamara, P. (2016). Psychological distress and help seeking amongst higher education students: Findings from a mixed method study of undergraduate Nursing/Midwifery and teacher education students in Ireland. Irish Educational Studies, 35(2), 175-194. https://doi.org/10.1080/03323315.2016.1146157
- Diener, E., Oishi, S., & Lucas, R. (2003). Personality, culture, and subjective well-being: Emotional and cognitive evaluations of life. Annual Review of Psychology, 54(1), 403-425. https://doi.org/10.1146/annurev.psych.54.101601.145056
- Dimitriadou-Panteka, A., Koukourikos, K., & Pizirtzidou, E. (2014). The concept of self-esteem in nursing education and its impact on professional behaviour. International Journal of Caring Sciences, 7(1), 6-11.
- Dominguez, C. (2017). Language proficiency and academic success of bilingual hispanic nursing students [Doctoral thesis, University of Texas].
- Edwards, D., Burnard, P., Bennett, K., & Hebden, U. (2010). A longitudinal study of stress and self-esteem in student nurses. Nurse Education Today, 30(1), 78-84. https://doi.org/10.1016/j.nedt.2009.06.008
- Elsherif, Z. A., & Abdelraof, A. S. E. (2018). The relation between body image satisfaction, self-esteem and the academic behabior among the first and fourth year students in the Faculty of Nursing Tanta University. Clinical Nursing Studies, 6(3), 28-38. https://doi.org/10.5430/cns.v6n3p28
- Feng, D., Kong, W., Zhao, W., Li, Z., & Wang, L. (2019). The mediating role of perceived prejudice in the relationship between self-esteem and psychological distress among Chinese male nursing students. Journal of Professional Nursing, 35(6), 505-511. https://doi.org/10.1016/j.profnurs.2019.05.003
- Gama, A. S.M., & Secoli, S. R. (2017). Self-medication among nursing students in the state of the Amazonas – Brazil. Revista Gaucha Enfermagem, 38(1), 1-7. https://doi.org/10.1590/1983-1447.2017.01.65111
- Garone, A., & Van de Craen, P. (2017). The role of language skills and internationalization in nursing degree programmes: A literature review. Nurse Education Today, 49, 140-144. https://doi.org/10.1016/j.nedt.2016.11.012
- Genesee, F., & Van Gruderbeeck, N. (1988). L’immersion française : une histoire à succès. Québec français, (70), 28-30. https://id.erudit.org/iderudit/45211ac
- Glew, P. J., Ramjan, L. M., Salas, M., Raper, K., Creed, H., & Salamonson, Y. (2019). Relationships between academic literacy support, student retention and academic performance. Nurse Education in Practice, 39, 61-66. https://doi.org/10.1016/j.nepr.2019.07.011
- Gloria, C., & Steinhardt, M. (2016). Relationships among positive emotions, coping, resilience and mental health. Stress and Health, 32(2), 145-156. https://doi.org/10.1002/smi.2589
- Goldman-Mellor, S., Allen, K., & Kaplan, M. S. (2018). Rural/urban disparities in adolescent nonfatal suicidal ideation and suicide attempt: A population-based study. Suicide and Life-Threatening Behavior, 48(6), 709-719. https://doi.org/10.1111/sltb.12390
- Gurdogan, E. P., Uslusoy, E. Ç., Kurt, S., & Yasak, K. (2016). Comparison of the self esteem and communication skills at the 1st and senior year nursing students. International Journal of Caring Sciences, 9(2), 496-502.
- Henderson, S., Barker, M., & Mak, A. (2016). Strategies used by nurses, academics and students to overcome intercultural communication challenges. Nurse Education in Practice, 16(1), 71-78. https://doi.org/10.1016/j.nepr.2015.08.010
- Hides, L., Quinn, C., Stoyanov, S., Cockshaw, W., Kavanagh, D. J., Shochet, I., Deane, F., Kelly, P., & Keyes, C. (2020). Testing the interrelationship between mental well-being and mental distress in young people. The Journal of Positive Psychology, 15(3), 314-324. https://doi.org/10.1080/17439760.2019.1610478
- Hillis, E. R. (2017). Exploring linguistic barriers to help-seeking behaviors: The lived experiences of Chinese undergraduate students. [Doctoral thesis, University of Memphis].
- Hull, M. (2016). Medical language proficiency: A discussion of interprofessional language competencies and potential for patient risk. International Journal of Nursing Studies, 54, 158-172. https://doi.org/10.1016/j.ijnurstu.2015.02.015
- İlhan, N., Sukut, Ö., Akhan, L. U., & Batmaz, M. (2016). The effect of nurse education on the self-esteem and assertiveness of nursing students: A four-year longitudinal study. Nurse Education Today, 39, 72-78. https://doi.org/10.1016/j.nedt.2015.12.026
- Jacobs, St. (2016). A scoping review examining nursing student peer mentorship. Journal of Professional Nursing, 33(3), 212-223. https://doi.org/10.1016/j.profnurs.2016.09.004
- James, N. (2018). Using narrative inquiry to explore the experience of one ethnically diverse ESL nursing student. Teaching and Learning in Nursing, 13(1), 35-40. https://doi.org/10.1016/j.teln.2017.08.002
- Jenkins, E. K., Slemon, A., O’Flynn-Magee, K., & Mahy, J. (2019). Exploring the implications of a self-care assignment to foster undergraduate nursing student mental health: Findings from a survey research study. Nurse Education Today, 81, 13-18. https://doi.org/10.1016/j.nedt.2019.06.009
- Karaca, A., Yildirim, N., Cangur, S., Acikgoz, F., & Akkus, D. (2019). Relationship between mental health of nursing students and coping, self-esteem and social support. Nurse Education Today, 76, 44-50. https://doi.org/10.1016/j.nedt.2019.01.029
- Keyes, C. L. M. (1998). Social well-being. Social Psychology Quarterly, 61(2), 121-140. https://doi.org/10.2307/2787065
- Keyes, C. L. M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43(2), 207-222. https://doi.org/10.2307/3090197
- Keyes, C. L. M. (2009). Brief description of the mental health continuum short form (MHC-SF).
- Keyes, C. L. M., Eisenberg, D., Perry, G. S., Dube, S. R., Kroenke, K., & Dhingra, S. S. (2012). The relationship of level of positive mental health with current mental disorders in predicting suicidal behavior and academic impairment in college students. Journal of American College Health, 60(2), 126-133. https://doi.org/10.1080/07448481.2011.608393
- Kim, S., & Lee, S. (2015). The influence of job-seeking stress, career decision-making self-efficacy, self-esteem and academic achievement on nursing students’ happiness. Korean Journal of Adult Nursing, 27(1), 63-72. https://doi.org/10.7475/kjan.2015.27.1.63
- Labrague, L. J., McEnroe-Petitte, D. M., Papathanasiou, I. V., Edet, O. B., Tsaras, K., Leocadio, M. C., Colet, P., Kleisiaris, C. F., Fradelos, E. C., Rosales, R. A., Vera Santos-Lucas, K., & Velacaria, P. I. (2018). “Stress and coping strategies among nursing students: an international study”. Journal of Mental Health, 27(5), 402-408. https://doi.org/10.1080/09638237.2017.1417552
- Lacroix, E., Atkinson, M. J., Garbett, K. M., & Diedrichs, P. C. (2020). One size does not fit all: Trajectories of body image development and their predictors in early adolescence. Development and Psychopathology, 1-10. https://doi.org/10.1017/S0954579420000917
- Lightbown, P. (2014). Focus on content-based language teaching. Oxford University Press.
- Lima, B. V., Trajano, F. P., Neto, G. C., Alves, R. S., Farias, J. A., & Fernandes Braga, J. E. (2017). Evaluation of anxiety and self-esteem in students concluding the nursing graduation course. Journal of Nursing UFPE = Revista de Enfermagem UFPE, 11(11), 4326-4333. https://doi.org/10.5205/reuol.23542-49901-1-ED.1111201708
- Linnenbrink, E., & Pintrich, P. (2003). The role of self-efficacy beliefs in student engagement and learning in the classroom. Reading and Writing Quarterly, 19(2), 119-137. https://doi.org/10.1080/10573560308223
- Mazzaia, M. C., & Cruz Santos, R. M. (2018). Risk factors for eating disorders among undergraduate nursing students. Acta Paulista de Enfermagem,31(5), 456-62. https://doi.org/10.1590/1982-0194201800065
- Mental Health Commission of Canada. (2016). The mental health strategy for Canada: A youth perspective. Retrieved 6 October, 2020, from https://www.mentalhealthcommission.ca/sites/default/files/2016-07/Youth_Strategy_Eng_2016.pdf
- Mougeon, F., & Rehner, K. (2015). Engagement portraits and (socio)linguistic performance: A transversal and longitudinal study of advanced L2 learners. Studies in Second Language Acquisition, 37(3), 425-456. https://doi.org/10.1017/S0272263114000369
- Navarro R. L., Ojeda, L., Schwartz, S. J., Piña-Watson, B., & Luna, L. L. (2014). Cultural self, personal self: Links with life satisfaction among Mexican American college students. Journal of Latina/o Psychology, 2(1), 1-20. https://doi.org/10.1037/lat0000011
- Ngwakongnwi, E., Hemmelgarn, B. R., Musto, R., King-Shier, K. M., & Quan, H. (2012). Language barriers: Use of regular medical doctors by Canada’s official language minorities. Canadian Family Physician, 58(12), e709-e716.
- Ni, C., Liu, X., Hua, Q., Lv, A., Wang, B., & Yan, Y. (2010). Relationship between coping, self-esteem, individual factors and mental health among Chinese nursing students: A matched case-control study. Nurse Education Today, 30(4), 338-43. https://doi.org/10.1016/j.nedt.2009.09.003
- Olsen, M. (2012). English-as-a-second language (ESL) nursing student success: a critical review of the literature. Journal of Cultural Diversity, 19(1), 26-32.
- Olvera Alvarez, H. A., Provencio-Vasquez, E., Slavich, G. M., Cedeño Laurent, J. G., Browning, M., McKee-Lopez, G., Robbins, L., & Spengler, J. D. (2019). Stress and health in nursing students: The nurse engagement and wellness study. Nursing Research, 68(6), 453-463. https://doi.org/10.1097/NNR.0000000000000383
- Onan, N., Karaca, S., & Unsal Barlas, G. (2019). Evaluation of a stress coping course for psychological resilience among a group of university nursing students. Perspectives in Psychiatric Care, 55(2), 233-238. https://doi.org/10.1111/ppc.12340
- Onovo, G. (2019). Fundamentals of nursing practice and the culturally diverse ESL nursing students: The students’ perspectives for teaching and learning in nursing. Teaching and Learning in Nursing, 14(4), 238-245. https://doi.org/10.1016/j.teln.2019.03.003
- Owens, M., Stevenson, J., Hadwin, J. A., & Norgate, R. (2012). Anxiety and depression in academic performance: An exploration of the mediating factors of worry and working memory. School Psychology International, 33(4), 433-449. https://doi.org/10.1177/0143034311427433
- Peguret, M. (2014). Le sentiment d’autoefficacité et les stratégies d’apprentissage chez les étudiants de français langue seconde venant d’immersion. Revue des sciences de l’éducation, 40(3), 579-599. https://doi.org/10.7202/1029075ar
- Pitkäjärvi, M.-A. (2012). English-language-taught degree programmes in faculties of healthcare in Finnish universities of applied sciences: Students’ and teachers’ conceptions of the implementation. [Doctoral thesis, University of Helsinki].
- Prieto-Welch, S. (2016). International student mental health. New Directions for Student Services, 2016(156), 53-63. https://doi.org/10.1002/ss.20191
- Raoofi, S., Tan, B. H., & Chan, S. H. (2012). Self-efficacy in second/foreign language learning contexts. English Language Teaching, 5(11), 60-73. https://doi.org/10.5539/elt.v5n11p60
- Rickes, P. (2009). Make way for millennials! How today’s students are shaping higher education spaces. The Journal of the Society for College and University Planning, 37(2), 7-17.
- Rosenberg, M., Schooler, C., Schoenbach, C., & Rosenberg, F. (1995). Global self-esteem and specific self-esteem: Different concepts different outcomes. American Sociological Review, 60(1), 141-56. https://doi.org/10.2307/2096350
- Ryff, C. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069-1081. https://doi.org/10.1037/0022-3514.57.6.1069
- Savard, J., Benoît, J., Dubouloz, C.-J., & Breau-Godwin, S. (2018). Clinical placements to facilitate working within Francophone minority communities = Des stages en français pour se préparer à travailler auprès des communautés francophones en situation minoritaire. Reflets, 24(2), 154-181. https://doi.org/10.7202/1053867ar
- Shadowen, N. L., Williamson, A. A., Guerra, N. G., Ammigan, R., & Drexler, M. L. (2019). Prevalence and correlates of depressive symptoms among international students: Implications for university support offices. Journal of International Students, 9(1), 129-149. https://doi.org/10.32674/jis.v9i1.277
- Sivertsen, B., Hysing, M., Knapstad, M., Harvey, A. G., Reneflot, A., Lønning, K.-J., & O’Connor, R. C. (2019). Suicide attempts and non-suicidal self-harm among university students: Prevalence study. British Journal of Psychiatry Open, 5(2), e26. https://doi.org/10.1192/bjo.2019.4
- Sokolowich, J. (2020). A programmatic approach to supporting multilingual students. Nurse Educator, 45(5), 236-238. https://doi.org/10.1097/NNE.0000000000000760
- Statistics Canada. (2017). Enrolments of French immersion programs, public elementary and secondary schools, Canada. Retrieved 2 October, 2020, from https://www150.statcan.gc.ca/n1/daily-quotidien/171103/cg-c001-eng.htm
- Stecker, T. (2004). Well-being in an academic environment. Medical Education, 38(5), 465-478. https://doi.org/10.1046/j.1365-2929.2004.01812.x
- Terp, U., Hjarthag, F., & Bisholt, B. (2019). Effects of a cognitive behavioral-based stress management program on stress management competency, self-efficacy and self-esteem experienced by nursing students. Nurse Educator, 44(1), E1-E5. https://doi.org/10.1097/NNE.0000000000000492
- Thomas, C. M., McIntosh, C. E., Lamar, R. A., & Allen, R. L. (2017). Sleep deprivation in nursing students: The negative impact for quality and safety. Journal of Nursing Education and Practice, 7(5), 87-93. https://doi.org/10.5430/jnep.v7n5p87
- Tung, Y.-J., Lo, K. K. H., Ho, R. C. M., & Tam, W. W. S. (2018). Prevalence of depression among nursing students: A systematic review and meta-analysis. Nurse Education Today, 63, 119-129. https://doi.org/10.1016/j.nedt.2018.01.009
- Valizadeh, L., Zamanzadeh, V., Badri Gargari, R., Ghahramanian, A., Jabbarzadeh Tabrizi, F., & Keogh, B. (2016). Pressure and protective factors influencing nursing students’ self-esteem: A content analysis study. Nurse Education Today, 36, 468-472. https://doi.org/10.1016/j.nedt.2015.10.019
- Vijayalakshmi, P., Thimmaiah, R., Gandhi, S., & Math, S. B. (2018). Eating attitudes, weight control behaviors, body image satisfaction and depression level among Indian medical and nursing undergraduate students. Community Mental Health Journal, 54(8), 1266-1273. https://doi.org/10.1007/s10597-018-0333-x
- Williams, A., & Crawford, K. (2016). Self medication practices among undergraduate nursing and midwifery students in Australia: A cross sectional study. Contemporary Nurse, 2(4), 410-420. https://doi.org/10.1080/10376178.2016.1197782
- World Health Organization. (2000). Guidelines for the regulatory assessment of medicinal products for use in self-medication. Retrieved 6 October, 2020, from https://apps.who.int/iris/bitstream/handle/10665/66154/WHO_EDM_QSM_00.1_eng.pdf
- World Health Organization. (2020). Mental health: Strengthening our response. Retrieved 2 October, 2020, from https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response
- Yang, J., & Rehner, K. (2015). Learner beliefs about sociolinguistic competence: A qualitative case study of four university second language learners. Language Learning in Higher Education, 5(1), 157-180. https://doi.org/10.1515/cercles-2015-0008
- Yıldırım, N., Karaca, A., Cangür, S., Acıkgoz, F., & Akkus, D. (2017). The relationship between educational stress, stress coping, self-esteem, social support, and health status among nursing students in Turkey: A structural equation modeling approach. Nurse Education Today, 48, 33-39. https://doi.org/10.1016/j.nedt.2016.09.014
- Yüksel, A., & Bahadır-Yılmaz, E. (2019). The effect of mentoring program on adjustment to university and ways of coping with stress in nursing students: A quasi-experimental study. Nurse Education Today, 80, 52-58. https://doi.org/10.1016/j.nedt.2019.06.006
- Zambas, S., Dutch, S., & Gerrard, D. (2020). Factors influencing Māori student nurse retention and success: An integrative literature review. Nurse Education Today, 91, 104477. https://doi.org/10.1016/j.nedt.2020.104477
10.7202/1029075ar