Jürgensen Ivonne-Nadine, Nock Annike Morgane, Koch Peter, Nienhaus Albert, Ewert Corinna-Petersen
Department of Nursing and Management, Faculty of Business and Social Science, University of Applied Sciences Hamburg, 20099, Hamburg, Germany.
Competence Center for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
BMC Nurs. 2025 Aug 11;24(1):1054. doi: 10.1186/s12912-025-03692-8.
Health-related studies are associated with numerous academic and clinical demands that can lead to stress and mental strain. Therefore, university interventions to promote health and well-being are important. However, the academic sources of stress and resources for the group of nursing and healthcare students have not yet been explored in Germany. The aim of this study is therefore to investigate these factors from the students' perspective.
A descriptive qualitative study was conducted. Findings are based on interviews with students from the Department of Nursing and Management in Germany, carried out between October 2022 and January 2023. The interviews were audio‑recorded, transcribed, and analyzed using qualitative content analysis. Results are presented in a descriptive summary.
Participants reported performance demands, time pressure, group tasks, peer relationships, as well as organizational factors and ergonomic conditions within learning environments as primary stressors in their studies. Essential resources highlighted by the students included opportunities for personal development, physical activity, peer support, and individual competencies. Health was conceptualized by the interviewees as multidimensional, encompassing mental, physical, and social aspects. Integrate a health module into the curriculum was met with ambivalence among participants; on the one hand, it was perceived as an opportunity to enhance awareness of health and self-care, while on the other hand, there was concern regarding potential overload through mandatory obligations. However, participants agreed that a balanced approach, incorporating structured offerings alongside room for individual autonomy, is essential.
In summary, this study identified study-related stress factors and their impact on mental well-being from the students' perspective. The stressors reported by our students largely correspond to those identified in international studies involving nursing students in other countries. The current study is limited by the small sample. However, the findings highlight the importance to create healthy study conditions. Findings are particularly relevant for universities and educators in Germany, who would like to become more aware of the study-related stressors of nursing and healthcare students and discuss suitable preventive measures. Further quantitative research should examine the academic demands and their impact on students' mental health. A nationwide, representative study would be a valuable next step.
与健康相关的研究伴随着众多学术和临床要求，这些要求可能导致压力和精神紧张。因此，大学为促进健康和幸福而采取的干预措施很重要。然而，德国尚未探究护理和医护专业学生群体的压力学术来源及资源情况。因此，本研究的目的是从学生的角度调查这些因素。
进行了一项描述性定性研究。研究结果基于2022年10月至2023年1月期间对德国护理与管理系学生的访谈。访谈进行了录音、转录，并采用定性内容分析法进行分析。结果以描述性总结的形式呈现。
参与者报告称，学习中的主要压力源包括学业成绩要求、时间压力、小组任务、同伴关系，以及学习环境中的组织因素和人体工程学条件。学生们强调的重要资源包括个人发展机会、体育活动、同伴支持和个人能力。受访者将健康概念化为多维度的，包括心理、身体和社会方面。在课程中纳入健康模块在参与者中引起了矛盾情绪；一方面，它被视为提高健康和自我护理意识的机会，而另一方面，人们担心强制性义务可能会导致负担过重。然而，参与者一致认为，采用一种平衡的方法，将结构化课程与个人自主空间相结合至关重要。
总之，本研究从学生的角度确定了与学习相关的压力因素及其对心理健康的影响。我们的学生报告的压力源在很大程度上与其他国家涉及护理专业学生的国际研究中确定的压力源一致。本研究受样本量小的限制。然而，研究结果凸显了创造健康学习条件的重要性。研究结果对德国的大学和教育工作者尤为重要，他们希望更加了解护理和医护专业学生与学习相关的压力源，并讨论合适的预防措施。进一步的定量研究应考察学业要求及其对学生心理健康的影响。下一步开展一项全国性的代表性研究将很有价值。
