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Mental Health Stigma Among Nursing Students Remains HighNursing students still hold moderate to high mental health stigma

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Key Takeaway
Multi-component interventions combining education, empathy, and clinical exposure are most effective in reducing mental health stigma among nursing students.

Mental health stigma among nursing students is a persistent and multifaceted issue, according to an integrative review of 25 studies. The review found that prevalence of stigma ranges from moderate to high, which can negatively impact students' willingness to seek help and their future care of patients with mental health disorders.

Interventions to reduce stigma have shown varying degrees of effectiveness. Multi-component approaches that combine education, empathy enhancement, and clinical exposure appear most promising. These programs help challenge stereotypes and foster understanding, but more research is needed to identify optimal strategies.

The review highlights the need for targeted educational reforms and supportive clinical environments. Nursing curricula should integrate mental health training and empathy-building exercises to prepare students for compassionate care.

While the review provides valuable insights, it summarizes existing evidence rather than offering primary trial data. Future studies should focus on long-term outcomes and standardized measurement of stigma to better inform interventions.

How this fits prior evidence

This integrative review extends prior coverage on mental health interventions by focusing specifically on stigma among nursing students. While prior items highlighted green exercise for older adults and arts-inclusive programs for children, this review addresses a different population and outcome. It confirms that stigma is a persistent issue, similar to the high prevalence of child maltreatment in Ethiopia, but does not provide quantitative comparisons. The review's focus on multi-component interventions aligns with the need for targeted strategies noted in prior coverage of patient-oriented research frameworks.

Nurses are on the front lines of mental health care, but what if the people training to become nurses carry hidden biases? A new review of 25 studies reveals that mental health stigma among nursing students is still moderate to high. That means students may hold negative attitudes or beliefs about people with mental health conditions, which can affect the care they provide.

The review looked at different ways to reduce this stigma. Some programs focused on mental health training, others on empathy building, and still others on clinical internships where students work directly with patients. The most effective approach? A combination of these strategies. Multi-component interventions that mix education, empathy exercises, and real-world experience showed the most promise.

But the evidence isn't rock solid. This is a review of existing studies, not a single large trial. The results varied across programs, and the review didn't report specific numbers or effect sizes. So while the findings point in a clear direction, we need more research to know exactly what works best.

For nursing educators and students, the message is hopeful: stigma isn't fixed, but it can be changed with the right mix of training and exposure.

What this means for you:
Multi-component interventions combining education, empathy, and clinical exposure may best reduce stigma.

Common questions

What is mental health stigma among nursing students?

It refers to negative attitudes, beliefs, or stereotypes that nursing students may hold about people with mental health conditions. This can affect how they interact with and care for patients.

How common is stigma among nursing students?

According to a review of 25 studies, the prevalence of mental health stigma among nursing students is moderate to high. This means many students hold some level of bias.

What interventions help reduce stigma?

The review found that multi-component interventions, which combine mental health training, empathy enhancement programs, and clinical internships, showed the most promise. Single approaches were less effective.

Is this review based on strong evidence?

The review summarizes findings from 25 studies, but it does not provide primary trial data. The results varied, and no specific effect sizes were reported, so more research is needed.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedJul 2026
View Original Abstract ↓
ObjectiveAims to synthesize the current evidence on the prevalence of mental health stigma among nursing students and to summarize the interventions that have been developed and evaluated to reduce such stigma.MethodsA comprehensive search was conducted across PubMed, CINAHL, and Web of Science databases for peer-reviewed studies published in English between January 2018 and June 2024.ResultsA total of 25 studies were included. The prevalence of mental health stigma among nursing students was found to be moderate to high. Stigma manifested in various forms, including negative attitudes toward patients, internalized shame, and public stigma directed at nursing students themselves. Interventions such as mental health training, empathy enhancement programs, and clinical internships demonstrated varying degrees of effectiveness in reducing stigma, with multi-component interventions showing the most promise.ConclusionMental health stigma among nursing students is a persistent and multifaceted issue that requires targeted strategies to address. Enhancing mental health education, increasing clinical exposure, and implementing comprehensive intervention programs are essential steps to reduce stigma and support the development of compassionate, skilled nursing professionals.
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