High role overload among nursing students is associated with frequent night shifts, irregular sleep, and lack of physical exercise.
A cross-sectional study of 512 nursing students identified three latent profiles of role overload (low, moderate, high). Students in the high overload group reported significantly more frequent night shifts, irregular sleep, and less physical exercise compared to other groups (all p < 0.05).
Evidence Score
Study Evidence
Study 1. Latent profiles of role overload and associated factors among nursing students: A cross-sectional study.
observationalZhang H, Meng Y, Xia Z · Nurse education today (2026)
Result:
Mechanism Graph
Limitations
- ⚠Cross-sectional design prevents causal inference
- ⚠Self-reported measures may introduce bias
- ⚠Sample limited to one institution or region, limiting generalizability
Frequently Asked Questions
What is role overload in nursing students?▼
Role overload refers to the stress from balancing academic coursework and clinical internships, leading to excessive demands on time and energy.
How many categories of role overload were found?▼
Three categories: low, moderate, and high role overload.
What factors predict high role overload?▼
Significant predictors include frequent night shifts, irregular sleep, lack of physical exercise, and higher number of patients cared for.
Can lifestyle changes reduce role overload?▼
The study suggests that improving sleep quality, reducing night shifts, and encouraging physical exercise may help alleviate role overload.
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References
- 1.Zhang H, Meng Y, Xia Z. "Latent profiles of role overload and associated factors among nursing students: A cross-sectional study.." Nurse education today, 2026. PMID: 42475915 DOI: 10.1016/j.nedt.2026.107294