Anxiety in Nursing Students during the COVID-19 Pandemic: Systematic Review and Meta-Analysis.

Aroa García-Rivas, María Begoña Martos-Cabrera, María José Membrive Jiménez, Raimundo Aguayo-Estremera, Nora Suleiman Martos, Luis Albendín-García, José L Gómez-Urquiza
Author Information
  1. Aroa García-Rivas: Hospital Quirón Salud Sagrado Corazón, C. Rafael Salgado, 3, 41013 Sevilla, Spain.
  2. María Begoña Martos-Cabrera: San Cecilio Clinical University Hospital, Av. Del Conocimiento s/n, Andalusian Health Service, 18071 Granada, Spain.
  3. María José Membrive Jiménez: Faculty of Health Sciences, University of Granada, 18017 Granada, Spain. ORCID
  4. Raimundo Aguayo-Estremera: Department of Psychobiology and Methodology in Behavioral Sciences, Complutense University of Madrid, Campus de Somosaguas, 28223 Pozuelo de Alarcón, Spain. ORCID
  5. Nora Suleiman Martos: Faculty of Health Sciences, University of Granada, 18017 Granada, Spain. ORCID
  6. Luis Albendín-García: Casería de Montijo Health Center, Granada Metropolitan District, Andalusian Health Service, Calle Joaquina Eguaras nº 2, Edificio 2 1ª Planta, 18013 Granada, Spain. ORCID
  7. José L Gómez-Urquiza: Faculty of Health Sciences, University of Granada, 18017 Granada, Spain.

Abstract

OBJECTIVES: To analyse the influence of the COVID-19 pandemic on the development of anxiety in nursing students and the factors involved.
DESIGN: A systematic review and meta-analysis.
DATA SOURCE: PubMed, CINAHL, Scopus and Web of Science.
BACKGROUND: Nursing students are at an increased risk of developing mental overload, due to the presence of many sources of stress during their academic training. Therefore, the COVID-19 pandemic has had an impact on the mental health of the general population, especially on healthcare workers and consequently on students undertaking placements in healthcare settings.
METHODS: A systematic review was conducted using PubMed, CINAHL, Scopus and Web of Science databases. A total of 24 articles were included in the review, and 20 articles were selected for the meta-analysis.
RESULTS: We found that the anxiety scores of nursing students during the COVID-19 pandemic were slightly higher (50%) than before the pandemic. The most influential risk factors for developing anxiety were academics, age, gender, having children, living in urban areas or with family, having an addiction to social networks, and having a fear of becoming infected with COVID-19. Resilience, spiritual support and feelings of happiness protected students against the risk of developing high levels of anxiety.
CONCLUSIONS: The COVID-19 pandemic has led to increased levels of anxiety in nursing students. Thirty-five percent of the meta-analytically analysed sample had elevated levels of anxiety.

Keywords

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Grants

  1. Project P20-00627/FEDER/Consejería de Universidad, Investigación e Innovación de la Junta de Andalucía,
  2. PI23/01440/the Instituto de Salud Carlos III and the European Union.

Word Cloud

Created with Highcharts 10.0.0COVID-19anxietystudentspandemicnursingriskreviewdevelopinglevelsfactorssystematicmeta-analysisPubMedCINAHLScopusWebScienceNursingincreasedmentalhealthcarearticlesOBJECTIVES:analyseinfluencedevelopmentinvolvedDESIGN:DATASOURCE:BACKGROUND:overloadduepresencemanysourcesstressacademictrainingThereforeimpacthealthgeneralpopulationespeciallyworkersconsequentlyundertakingplacementssettingsMETHODS:conductedusingdatabasestotal24included20selectedRESULTS:foundscoresslightlyhigher50%influentialacademicsagegenderchildrenlivingurbanareasfamilyaddictionsocialnetworksfearbecominginfectedResiliencespiritualsupportfeelingshappinessprotectedhighCONCLUSIONS:ledThirty-fivepercentmeta-analyticallyanalysedsampleelevatedAnxietyStudentsPandemic:SystematicReviewMeta-Analysisfactorprevalence

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