title: Experience of stress in psychiatric nursing students in Ireland.
abstract: OBJECTIVE
  The aim of this study was to explore the experience of stress among psychiatric nursing students undertaking their 'internship' or final year of a four-year degree course.
  
  
  METHODS
  A questionnaire was administered to all 28 students in the intern year in conjunction with the 28-item version of the General Health Questionnaire. Semi-structured interviews were subsequently undertaken with four volunteers from a range of clinical locations.
  
  
  RESULTS
  Approximately 48% of respondents reported levels of stress above the threshold score as described by Goldberg (1978), indicating levels of distress unlikely to remit without intervention. Interview data suggested that the main sources of stress during the intern year were associated with relationships in the clinical environment; clinical workload; matching competence and responsibility; and simultaneous clinical and academic demands.
  
  
  CONCLUSIONS
  The findings should be interpreted with caution and understood within the context of the dynamic nature of nurse education in Ireland. However, the issues raised demand further enquiry to examine the structure of educational programmes, the nature of the work and the organisational culture in which the work is carried out.
authors.affiliation: Nursing Practice Development Unit, Health Service Executive West, Limerick. george.nolan@hse.ie
authors.forename: George
authors.initials: G
authors.lastname: Nolan
authors.forename: Denis
authors.initials: D
authors.lastname: Ryan
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004508:Education, Nursing, Baccalaureate / Q000458:organization & administration*; D005260:Female; D006272:Health Facility Environment; D006301:Health Services Needs and Demand; D006801:Humans; D007397:Internship, Nonmedical / Q000458:organization & administration*; D007494:Ireland / Q000453:epidemiology; D008297:Male; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D015279:Organizational Culture; D011568:Psychiatric Nursing / Q000193:education*; D036301:Qualitative Research; D012307:Risk Factors; D012720:Severity of Illness Index; D012944:Social Support; D013315:Stress, Psychological / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000523:psychology*; D013338:Students, Nursing / Q000523:psychology*; D011795:Surveys and Questionnaires; D016526:Workload / Q000523:psychology