Background Nursing students frequently experience significant mental health challenges, including high levels of stress, depression, anxiety, burnout and distress. A large mixed-methods study was undertaken at one university in England to investigate the factors that contribute to the mental health and well-being of students enrolled in nursing and non-nursing programmes. This article describes one specific aspect of the study.

Aim To explore the mental health challenges and support needs of nursing students.

Method Nursing students were asked to complete a mental health and well-being questionnaire that included structured items and space for free-text comments. Twenty-nine students undertaking a nursing degree or nursing apprenticeship programme completed the questionnaire and provided free-text comments. The free-text comments underwent thematic analysis and this article reports the qualitative findings that emerged from the analysis.

Findings The analysis of respondents’ free-text comments revealed five themes: help with academic issues; experiences during clinical placement; personal issues related to family and finances; access to support services; and coping strategies. Respondents expressed a need for clearer communication from lecturers regarding academic expectations, better support during clinical placements and better financial support. Respondents used various coping strategies, including talking to family and friends, faith and physical exercise to manage mental health challenges.

Conclusion Addressing the gaps in university support services and enhancing clinical and academic staff’s understanding of the mental health needs of nursing students are crucial steps towards improving students’ mental health, retention and academic performance.