The impact of the COVID-19 pandemic on nursing students’ navigation of their nursing programmes and experiences of resilience. A qualitative study

IF 3.1 Q1 NURSING
Catherine Henshall , Zoe Davey , Clair Merriman , Laura Strumidlo , Laura Serrant , Jo Brett , Eila Watson , Jane V. Appleton , Mary Malone
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引用次数: 0

Abstract

Introduction

High-quality pre-registration student nurse training and development is integral to developing a sustainable and competent global nursing workforce. Internationally, student nurse recruitment rates have increased since the onset of the COVID-19 pandemic; however, attrition rates for student nurses are high. During the pandemic, many student nurses considered leaving the programme due to academic concerns, feeling overwhelmed, and doubting their clinical skills. Little was known about the extent to which nursing education prior to COVID-19 had prepared students for their role in managing the healthcare crisis or the impact on their resilience. Thus, this study aimed to explore how the COVID-19 pandemic impacted on the resilience levels of student nurses across the United Kingdom.

Methods

Data were collected as part of a multi-site qualitative study named ‘COV-ED Nurse’ and involved pre-placement surveys, placement diaries, and post-placement interviews with nursing students. Student nurse participants were recruited from across the United Kingdom, from all years of study, and from all four nursing branches: children, adult, mental health, and learning disabilities. Participants were asked to complete a pre-placement survey that collected demographic details and information about their placement expectations. They were also asked to record a weekly audio-visual or written diary to describe their placement experiences, and, on completion of their placements, students were interviewed to explore their experiences of this time. Data were thematically analysed using the Framework Approach. Ethical approvals were obtained.

Results

Two hundred and sixteen students took part in the wider study. The current study involved a subset of 59 students’ data. Four main themes were identified: ‘coping with increased levels of acuity’, ‘perceived risks of the pandemic’, ‘resilience when facing uncertainty and isolation’, and ‘the importance of coping mechanisms and support structures.’

Discussion

From this study, we have generated insights that can be applied to nursing research, education, policy, and practice and identified the wide-ranging impact that the COVID-19 pandemic had on student nurses and their abilities to remain resilient in an unstable environment. The value of communication and support networks from a wide range of sources was highlighted as key to navigating many uncertainties. In addition, the extent to which students were able to navigate their personal and professional roles and identities influenced their ability to cope with and continue along their training pathways.

2019冠状病毒病大流行对护生护理课程导航和复原力体验的影响定性研究。
高质量的注册前学生护士培训和发展是发展一支可持续和有能力的全球护理队伍的组成部分。在国际上,自2019冠状病毒病大流行爆发以来,学生护士招聘率有所上升;然而,学生护士的流失率很高。在大流行期间,许多实习护士由于学业问题、感到不堪重负和怀疑自己的临床技能而考虑退出该项目。人们对COVID-19之前的护理教育在多大程度上为学生在管理医疗保健危机中的作用或对其复原力的影响做好了准备知之甚少。因此,本研究旨在探讨COVID-19大流行如何影响英国各地的学生护士的恢复能力水平。方法采用一项名为“COV-ED护士”的多地点定性研究收集数据,包括安置前调查、安置日记和安置后对护理学生的访谈。参与研究的学生护士来自英国各地,来自所有学习年限,来自所有四个护理分支:儿童、成人、心理健康和学习障碍。参与者被要求完成一项安置前调查,该调查收集了有关他们安置期望的人口统计细节和信息。他们还被要求每周记录一份视听或书面日记来描述他们的实习经历,在实习结束后,学生们接受了采访,以探索他们这段时间的经历。使用框架方法对数据进行主题分析。获得了伦理批准。结果216名学生参加了更广泛的研究。目前的研究涉及59名学生的数据子集。确定了四个主题:"应对日益严峻的形势"、"认识到的大流行风险"、"面对不确定性和孤立时的复原力"以及"应对机制和支持结构的重要性"。从这项研究中,我们获得了可应用于护理研究、教育、政策和实践的见解,并确定了COVID-19大流行对学生护士的广泛影响,以及他们在不稳定环境中保持弹性的能力。来自广泛来源的通信和支持网络的价值被强调为应对许多不确定因素的关键。此外,学生能够驾驭自己的个人和职业角色和身份的程度影响了他们应对和继续培训的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.80
自引率
0.00%
发文量
45
审稿时长
81 days
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