Russell Nancy G, Rodney Tamar, Peterson Jennifer K, Baker Andreea, Francis Lucine
Johns Hopkins University Student Health & Well-Being, Baltimore, Maryland.
Johns Hopkins University School of Nursing, Baltimore, Maryland.
Prev Chronic Dis. 2025 May 1;22:E17. doi: 10.5888/pcd22.240200.
Mental health conditions such as anxiety, depression, and suicidal ideation or suicide are prevalent among college students and are a growing public health concern. The COVID-19 pandemic exacerbated this crisis. Nurses are a vital component of college health services and may be the first or only health care provider to evaluate college students experiencing a mental health condition. However, the literature has limited evidence on the nurse's role and its impact on college mental health. Our systematic review examines nurse-led mental health interventions for college students.
We conducted a comprehensive search for nurse-led interventions in college mental health by using PubMed, Embase, CINAHL, PsycInfo, and ERIC databases. A total of 2,814 articles were identified, and 2,290 were screened after removal of 524 duplicates. Thirty-five studies were reviewed for eligibility, and 16 were included in this review. The Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Hierarchy of Evidence Guide and Appraisal Tools were used to rate the strength and quality of the evidence, and the selected articles were generally of good quality.
The 16 articles came from institutions in North America (n = 5), southeastern Europe (n = 3), and Asia (n = 8). The studies focused on samples with a pre-existing mental health diagnosis or on mental health symptoms and interventions aimed at addressing mental health concerns. The interventions were facilitated by nurses and included various approaches, including experimental, quality improvement, and educational strategies.
This review underscores the crucial role of nurses in addressing mental health issues among college students. Despite variability in approaches, nurse-led interventions offer promise in enhancing student well-being. Further studies are essential to gauge effectiveness and shape policies for supporting the nurse's unique role in higher education. Integrating these findings into practice and policy will equip college health services to meet students' evolving needs. Leveraging the expertise of nurses can enhance student mental well-being, leading to improved academic outcomes and overall quality of life.
焦虑、抑郁、自杀意念或自杀等心理健康问题在大学生中普遍存在，且日益引起公共卫生领域的关注。新冠疫情加剧了这一危机。护士是大学健康服务的重要组成部分，可能是评估出现心理健康问题的大学生的首位或唯一医疗服务提供者。然而，关于护士的作用及其对大学心理健康的影响，文献中的证据有限。我们的系统综述考察了由护士主导的针对大学生的心理健康干预措施。
我们通过使用PubMed、Embase、CINAHL、PsycInfo和ERIC数据库，全面搜索了由护士主导的大学心理健康干预措施。共识别出2814篇文章，去除524篇重复文章后，筛选出2290篇。对35项研究进行了资格审查，本综述纳入了其中16项。使用约翰·霍普金斯基于护理证据的实践（JHNEBP）证据等级指南和评估工具对证据的强度和质量进行评级，所选文章质量普遍良好。
这16篇文章来自北美（n = 5）、东南欧（n = 3）和亚洲（n = 8）的机构。这些研究聚焦于已有心理健康诊断的样本，或心理健康症状以及旨在解决心理健康问题的干预措施。这些干预措施由护士推动，包括多种方法，如实验性、质量改进和教育策略。
本综述强调了护士在解决大学生心理健康问题方面的关键作用。尽管方法存在差异，但由护士主导的干预措施有望提升学生的幸福感。进一步的研究对于评估有效性以及制定支持护士在高等教育中独特作用的政策至关重要。将这些研究结果整合到实践和政策中，将使大学健康服务能够满足学生不断变化的需求。利用护士的专业知识可以提升学生的心理健康，从而改善学业成绩和整体生活质量。
