ArticlesPrevalence of Stress and Anxiety Among Nursing Students A Systematic Review and Meta-analysisVo, Thi Nhi MSc, RN; Chiu, Hsiao-Yean PhD, RN; Chuang, Yeu-Hui PhD, RN; Huang, Hui-Chuan PhD, RN Author Information Master's Student (Ms Vo), Associate Professor (Drs Chiu and Huang), and Professor (Dr Chuang), School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan, ROC; and Lecturer (Ms Vo), Faculty of Nursing, University of Medicine and Pharmacy, Hue University, Hue, Vietnam. Correspondence: Dr Huang, School of Nursing, College of Nursing, Taipei Medical University, No. 250 Wu-Hsing St, Taipei 11031, Taiwan, ROC ([email protected]). The authors declare no conflicts of interest. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's website (www.nurseeducatoronline.com). Accepted for publication: November 20, 2022 Early Access: December 13, 2022 Cite this article as: Vo TN, Chiu H-Y, Chuang Y-H, Huang H-C. Prevalence of stress and anxiety among nursing students: a systematic review and meta-analysis. Nurse Educ. 2022. doi:10.1097/NNE.0000000000001343 Nurse Educator ():10.1097/NNE.0000000000001343, December 13, 2022. | DOI: 10.1097/NNE.0000000000001343 Buy SDC PAP Metrics Abstract Background: There is variability in the reported prevalence of stress and anxiety among nursing students across studies, and few studies have investigated the pooled prevalence of stress and anxiety of these students. Purpose: To investigate the prevalence and associated factors related to stress and anxiety among nursing students. Methods: Various electronic databases were searched up to October 26, 2022. A random-effects model and a moderator analysis were used to examine the overall prevalence and related factors. Begg's test was adopted to examine publication bias. Results: In total, 121 studies were included in the meta-analysis. Most nursing students experienced moderate stress (42.1%) and mild to moderate anxiety (19.4%-25.1%). Third- and fourth-year nursing students had severe stress levels compared with those in the first and second years (29.0% vs 15.1%). Conclusions: Nurse educators should design appropriate curricula to strengthen student knowledge and provide regular assessments and supportive interventions to reduce stress and anxiety. © 2022 Wolters Kluwer Health, Inc. All rights reserved.