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Stress, anxiety, and cortisol levels in nursing students during clinical practice : a scoping review

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorAntunes, Vanessa
dc.contributor.authorCastro, Cidália
dc.contributor.authorBaúto, Ricardo
dc.contributor.authorLoureiro, Fernanda Manuela
dc.date.accessioned2026-05-26T13:27:58Z
dc.date.available2026-05-26T13:27:58Z
dc.date.issued2025
dc.description.abstractIntroduction: Nursing students are confronted with clinical demands in clinical practice. Literature points that when compared to other higher education students the stress levels experienced are superior in nursing education. Objective: To map the evidence available on stress and cortisol levels in nursing students during clinical practice. Materials and Methods: A scoping review was performed and quantitative, qualitative, and mixed methods studies in full text, in English, Spanish or Portuguese, published between January 1, 2001 and October 31, 2022 were included. Search was carried out in EBSCOHost, PubMed, SciELO, Mednar, Web of Science, ScienceDirect and Scopus. Results: Sixty-three studies were identified (54 quantitative and 9 qualitative). Studies spanned all academic years, but there is no consensus between stress and the academic year. The main causes of stress were: stress from teachers and nursing staff, students’ assignments, workload, and stress related to patient care. There is a lack of studies on the relationship between stress and the cortisol levels. Conclusions: Stress management programs should be implemented during the nursing degree to prepare students for clinical practice. Monitoring of the relationship between biochemical and psychological elements may be useful to evaluate the program’s effectiveness.eng
dc.identifier.citationAntunes, V., Castro, C., Baúto, R., & Loureiro, F. M. (2025). Stress, anxiety, and cortisol levels in nursing students during clinical practice: a scoping review. Cadernos De Saúde, 17(1), 18–31. https://doi.org/10.34632/cadernosdesaude.2025.17516
dc.identifier.doi10.34632/cadernosdesaude.2025.17516
dc.identifier.issn2795-4358
dc.identifier.urihttp://hdl.handle.net/10400.26/63319
dc.language.isoeng
dc.peerreviewedyes
dc.publisherUniversidade Católica Editora
dc.relation.hasversionhttps://doi.org/10.34632/cadernosdesaude.2025.17516
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectstress
dc.subjectphysiological
dc.subjectnursing students
dc.subjectreview
dc.subjectanxiety
dc.subjectcortisol levels
dc.titleStress, anxiety, and cortisol levels in nursing students during clinical practice : a scoping revieweng
dc.title.alternativeStress, ansiedade e níveis de cortisol em estudantes de enfermagem durante a prática clínica : uma scoping reviewpor
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.endPage31
oaire.citation.issue1
oaire.citation.startPage18
oaire.citation.titleCadernos de Saúde
oaire.citation.volume17
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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