Abstract The researchstudied the differently severities of depression and it’s contributing factorsamong Bachelor of Science nursing students at an Indian Government College.
Thestudy was described as an institutional based, observational, analytical, epidemiologicalstudy performed using a cross-sectional design which recruited 200 studentsthroughout all 4 years of the nursing program. The study was conducted usingBack Depression Inventory (BDI), which is a 21-item questionnaire with eachitem having 3 choices ranging from 0-3. The scores of the questionnaire rangebetween 0-63 with no depression ranging between 0-9, mild depression rangingfrom 10-19, moderate depression ranging from 20-29, severe depression rangingfrom 30-39 and very severe depression ranging from 40-63. Of the 200 recruited nursing students, 12 took part in a pilotstudy to pre-test the questionnaire and of the remaining 188 students, only 180were available to take part in the full 21-item questionnaire. Per the BDIscores, 63.9% of students had some form of depression; 42.2% had milddepression, 20.6% scored as moderate depression and 36.
1% were not sufferingfrom any form of depression. The depression rates were found to be higher amongfreshman students and seemed to decrease among senior students. Familialdisharmony, poor interest in the course, and insecurity for future placementwere show to significantly increase the risk of depression. Differences inpersonal habits, financial constraints, detachment from family members, perceivedhealth issues, dissatisfaction with working conditions and living facilitieswere not found to increase the risk of depression.
Through these findings, theauthor has concluded that depression is a serious issue for nursing studentsand that causative factors seem to be mostly psychosocial. The author theorizesthat proper pre-admission counseling, promoting awareness of mental health infaculty, and creating a system that places nursing students in jobs will helpcombat the high depression rates.Evaluation of the ResearchI found the title “Depression among nursing students in an Indian governmentcollege” to be extremely relevant to the research that was performed. Eventhough this study focused specifically on depression rates of nursing studentsin an Indian government college, it still does pertain to nursing. Our practiceas nurses is not only to do all we can to heal the sick but to help form thenext generation of nurses to succeed and surpass us.
These students are putthrough 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 problemsummary. The author clearly explains what depression is and how it effectscollege students. Through that explanation, the author then leads intodiscussing why it is highly important to study the rates of depression withinnursing students.
The author links this study with other studies such as ones doneby the US Department of Health and Human Services (2000), American Associationof 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 fromreputable sources. Though some are considerably outdated, there are referenceswithin an acceptable timeframe. The quantative study’s general research design was appropriate foraddressing the depression rates. The study used the Beck Depression Inventory(BDI), which is a 21-item questionnaire with answers ranging from 0-3 withresulting scores ranging from 0-63. Each score correlates to a severity ofdepression or no depression at all. BDI is used throughout the world and isconsidered one of the oldest and most used instruments in the assessment ofdepression due to its simplicity of use and self-administering nature. Thesampling was of Bachelor of Science Nursing students varying throughout the 4years of the program.
The subjects were recruited by contacting their nursinginstructor and obtaining consent from the Ethics Review Board of the GovernmentCollege of Nursing. The sampling size was sufficient for thestudy. It involved 200 original students, 12 of which participated in thepre-testing of the questionnaire. Of the 188 left, only 180 participated in the21-item questionnaire. Though the study consisted of nearly all the nursingstudents at the Indian Government College, a study needs to be done of morenursing students throughout different geographical locations to obtain a fullunderstanding of how depression rates stand within nursing schools. I am highlyconfident that the study was carried out effectively. The analysis of the results of the study are easy to read andunderstand.
There are tables and graphs to review all results obtained. The analysisis directly related to the research questions and the statistical approach isaccurate and valid. The authors conclusions are highly appropriate. The authors haveaddressed the limitations of the study, as BDI may not be sensitive toworkplace issues. The authors make comparisons to other studies such as, Rafatiand 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 resultsof the study. This paper is clearly written and logically ordered, making it aneasy read. The grammar and composition of this study is strong. This articlecontributes to the nursing profession as it discussed depression in nursingstudents that effects the foundation of the next generation nurses being shapedtoday. The study’s results support my own nursing experience as a student whocontinues to struggle with mental health in general. I have many of the factorsdiscussed that increase the chances of experiencing depression.
I, at onepoint, had little to no support system as well as instructors I felt I couldnot lean on. By transferring campuses, I gained peers who are essential infeeling understood in the struggles of nursing and instructors who instill adesire to learn and pride in myself rather than a fear of being incorrect and ashame for not understanding as easy as some students may. Nursing students dosuffer from higher rates of depression, as nursing school is a rigorous,complex program, meant to break each student down and build them back up tothink and act as a nurse. Many psychosocial factors do increase the risk ofdeveloping depression and most rely on a support system to keep their health duringthe training and transformation they are going through. I thought this articlewas very well written and the study was thorough.
I enjoyed the read andlearned more that gave actual data that supports my own experiences.