Evidence map›Paper›PMID 40590434›Full record

SynthesisJournal of advanced nursing2026

Impacts of Financial Stress on Mental Health and Wellbeing of Nursing Students: A Systematic Integrative Review.

Brandon W Smith, Della Maneze, Lucie M Ramjan, Catherine M Stephen, Jed Montayre, Yenna Salamonson

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Brandon W SmithSchool of Nursing, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0001-5441-6173
Della ManezeSchool of Nursing, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0001-6475-8804
Lucie M RamjanSchool of Nursing, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0001-7815-3005
Catherine M StephenSchool of Nursing, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-3864-1300
Jed MontayreSchool of Nursing, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-2435-8061
Yenna SalamonsonSchool of Nursing, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-7429-4086

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo explore the direct relationship between financial stress and mental health and wellbeing of nursing students and characterise the effectiveness of available support mechanisms.

designSystematic integrative review. DATA SOURCES: Academic Search Complete, CINAHL, Education Research Complete, MEDLINE, ProQuest Central, PsycNET, Scopus and Web of Science were searched in January and October 2024.

methodsStudies reporting a direct relationship between financial stress and mental health and wellbeing in nursing students were included. Data related to sources of financial stress, mental health impacts, and support mechanisms were extracted, synthesised narratively, and reported thematically.

resultsFindings from nine studies reveal that financial stress significantly affects nursing students' mental health and wellbeing, contributing to emotional distress and reduced quality of life. Financial stress arises from personal, academic and clinical sources, with the intensity varying based on individual demographic profiles and fluctuating throughout their educational journeys. Marginalised and underserved groups experience greater impacts due to pre-existing disadvantages. Current support mechanisms are largely reactive, providing only short-term relief and failing to address root causes. Additionally, students' efforts to alleviate financial stress in one domain often exacerbated it in another.

conclusionThis review highlights the multifaceted and compounding effects of financial stress on nursing students' mental health and wellbeing. Proactive strategies, including structured employment programs, embedded financial literacy education, and transparent pre-enrolment information offer promising solutions. IMPLICATIONS FOR THE PROFESSION: While financial stress cannot be fully eradicated, targeted support for at-risk students can mitigate its impacts, improving their mental health and educational outcomes. IMPACT: This review addresses the critical issue of financial stress among nursing students, highlighting its disproportionate impact on marginalised and underserved groups. It underscores the need for proactive interventions and systemic reform to improve educational experiences globally. REPORTING

methodPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 Statement. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

trial registrationPROSPERO: CRD42024514262.

Indexed as

Financial StressMental HealthQuality of LifeStress, PsychologicalStudents, NursingAdultFemaleHumansMaleYoung Adultfinancial stressmental healthnursing studentspre‐registrationundergraduatewellbeing

Identifiers

PMID40590434
PMCPMC12994652

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.