Evidence map›Paper›PMID 41275264›Full record

ArticleBMC nursing2025

A comprehensive exploration of psychosocial allostatic load in nursing practice: a systematic review.

Jean van Huyssteen, Pieter John Boshoff, Tasleem Sayed, Mariette van der Merwe

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Jean van HuyssteenSchool of Psychosocial Health, COMPRES, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa. Jeanvh@mweb.co.za.ORCID http://orcid.org/0000-0002-8325-4705
Pieter John BoshoffSchool of Psychosocial Health, COMPRES, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.ORCID http://orcid.org/0000-0003-4560-4337
Tasleem SayedSchool of Psychosocial Health, COMPRES, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.ORCID http://orcid.org/0000-0002-9375-4148
Mariette van der MerweCentre for Child, Youth and Family Studies, COMPRES, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.ORCID http://orcid.org/0000-0002-2038-3227

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegistered professional nurses frequently encounter a highly demanding and challenging work environment, leading to high psychosocial allostatic load. This poses a risk to the psychosocial and physical well-being of nurses, influences the quality of patient care, and leads to negative consequences for the hospital group. This systematic review aimed to identify and evaluate the most pertinent literature to gain a deeper understanding of the causes, mechanisms and impact of psychosocial allostatic load experienced by nurses in the workplace.

methodsArticles were selected from several databases, including Academic Search Complete, the American Psychological Association’s (APA) PsycArticles, APA PsycINFO, Cumulated Index in Nursing and Allied Health Literature (CINAHL), Health Source Nursing, Medical Literature Analysis and Retrieval System Online (Medline) and SocIndex. In total, 16 articles that met the search criteria were included in the final review.

resultsThe findings indicated the most important causes of allostatic load to be individual existing factors as well as chronic exposure to long-term stressors at work. Mechanisms of allostatic load were defined as the successful adaptation to workplace stressors through allostasis, and if not effectively done, can result in psychosocial allostatic overload.

conclusionProlonged exposure to allostatic load was implicated to ultimately alter the cognitive, behavioural, and affective systems of nurses. The findings were synthesised into a psychosocial allostatic load model to enhance the understanding of psychosocial allostatic load in nursing practice and support social workers in developing a psychosocial intervention programme.

Indexed as

Allostatic loadPsychosocialRegistered professional nurseStressStress continuum

Identifiers

PMID41275264
PMCPMC12676846

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Registered trials

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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.