Abstract and very severe depression ranging from 40-63. Of


            The research
studied the differently severities of depression and it’s contributing factors
among Bachelor of Science nursing students at an Indian Government College. The
study was described as an institutional based, observational, analytical, epidemiological
study performed using a cross-sectional design which recruited 200 students
throughout all 4 years of the nursing program. The study was conducted using
Back Depression Inventory (BDI), which is a 21-item questionnaire with each
item having 3 choices ranging from 0-3. The scores of the questionnaire range
between 0-63 with no depression ranging between 0-9, mild depression ranging
from 10-19, moderate depression ranging from 20-29, severe depression ranging
from 30-39 and very severe depression ranging from 40-63.

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Of the 200 recruited nursing students, 12 took part in a pilot
study to pre-test the questionnaire and of the remaining 188 students, only 180
were available to take part in the full 21-item questionnaire. Per the BDI
scores, 63.9% of students had some form of depression; 42.2% had mild
depression, 20.6% scored as moderate depression and 36.1% were not suffering
from any form of depression. The depression rates were found to be higher among
freshman students and seemed to decrease among senior students. Familial
disharmony, poor interest in the course, and insecurity for future placement
were show to significantly increase the risk of depression. Differences in
personal habits, financial constraints, detachment from family members, perceived
health issues, dissatisfaction with working conditions and living facilities
were not found to increase the risk of depression. Through these findings, the
author has concluded that depression is a serious issue for nursing students
and that causative factors seem to be mostly psychosocial. The author theorizes
that proper pre-admission counseling, promoting awareness of mental health in
faculty, and creating a system that places nursing students in jobs will help
combat the high depression rates.

Evaluation of the Research

I found the title “Depression among nursing students in an Indian government
college” to be extremely relevant to the research that was performed. Even
though this study focused specifically on depression rates of nursing students
in an Indian government college, it still does pertain to nursing. Our practice
as nurses is not only to do all we can to heal the sick but to help form the
next generation of nurses to succeed and surpass us. These students are put
through rigorous amounts of studying and hands on training in such a short period,
we need to support them not only academically but mentally as well.

There is not much of a problem statement as there is a problem
summary. The author clearly explains what depression is and how it effects
college students. Through that explanation, the author then leads into
discussing why it is highly important to study the rates of depression within
nursing students.

The author links this study with other studies such as ones done
by the US Department of Health and Human Services (2000), American Association
of Suicidology (2008), Webb et al (1996), Arnett (2000), Kisch et al (2005), Mastekaasa
(2006), Dyrbye et al (2006), Bayram and Bilgel (2008), Ahmadi et al (2004),
Ross et al (2005), Kane (2009), Rafati and Ahmadi (2004), Mahmoudi et al (2009),
and Melissa-Hslikiopoulou et al (2011). Each of these references are from
reputable sources. Though some are considerably outdated, there are references
within an acceptable timeframe.

The quantative study’s general research design was appropriate for
addressing the depression rates. The study used the Beck Depression Inventory
(BDI), which is a 21-item questionnaire with answers ranging from 0-3 with
resulting scores ranging from 0-63. Each score correlates to a severity of
depression or no depression at all. BDI is used throughout the world and is
considered one of the oldest and most used instruments in the assessment of
depression due to its simplicity of use and self-administering nature. The
sampling was of Bachelor of Science Nursing students varying throughout the 4
years of the program. The subjects were recruited by contacting their nursing
instructor and obtaining consent from the Ethics Review Board of the Government
College of Nursing.   The sampling size was sufficient for the
study. It involved 200 original students, 12 of which participated in the
pre-testing of the questionnaire. Of the 188 left, only 180 participated in the
21-item questionnaire. Though the study consisted of nearly all the nursing
students at the Indian Government College, a study needs to be done of more
nursing students throughout different geographical locations to obtain a full
understanding of how depression rates stand within nursing schools. I am highly
confident that the study was carried out effectively.

The analysis of the results of the study are easy to read and
understand. There are tables and graphs to review all results obtained. The analysis
is directly related to the research questions and the statistical approach is
accurate and valid.

The authors conclusions are highly appropriate. The authors have
addressed the limitations of the study, as BDI may not be sensitive to
workplace issues. The authors make comparisons to other studies such as, Rafati
and Ahmadi (2004), Melissa-Halikiopoulou et al (2011), Ross et al (2005),  Andrews et al (2006), and Modabber-Nia et al
(2007). All Recommendations the authors make are based directly on the results
of the study.

This paper is clearly written and logically ordered, making it an
easy read. The grammar and composition of this study is strong. This article
contributes to the nursing profession as it discussed depression in nursing
students that effects the foundation of the next generation nurses being shaped
today. The study’s results support my own nursing experience as a student who
continues to struggle with mental health in general. I have many of the factors
discussed that increase the chances of experiencing depression. I, at one
point, had little to no support system as well as instructors I felt I could
not lean on. By transferring campuses, I gained peers who are essential in
feeling understood in the struggles of nursing and instructors who instill a
desire to learn and pride in myself rather than a fear of being incorrect and a
shame for not understanding as easy as some students may. Nursing students do
suffer from higher rates of depression, as nursing school is a rigorous,
complex program, meant to break each student down and build them back up to
think and act as a nurse. Many psychosocial factors do increase the risk of
developing depression and most rely on a support system to keep their health during
the training and transformation they are going through. I thought this article
was very well written and the study was thorough. I enjoyed the read and
learned more that gave actual data that supports my own experiences.