NIHR ARC Wessex, Wessex, UK.
School of Health Sciences, University Of Southampton, Southampton, UK.
Nurs Open. 2022 May;9(3):1785-1793. doi: 10.1002/nop2.1208. Epub 2022 Mar 21.
AIM: The main aim of the study was to understand student nurses' views around shift patterns. DESIGN: Qualitative study. METHOD: We held a Tweetchat in May 2019, where we asked questions around the frequency of 12-hr shifts working on placement; schedule flexibility while on placement; which shift patterns they preferred and why. Data from the Tweetchat were analysed using reflexive thematic analysis to generate themes from initial codes. RESULTS: Seventy-three nursing students participated in the Tweetchat. The majority reported that they work 12-hr shifts on placements, particularly when based in a hospital. We identified three themes: 'Achieving a personal equilibrium'; 'Meeting the needs of the care environment'; 'Factors affecting negotiation capacity'. Data highlighted a conflict for most students, where they preferred 12-hr shifts because of more time off for study, paid work and leisure, while acknowledging 12-hr shifts negatively affected their fatigue, exhaustion and led them to follow a poor diet and neglect exercise and sleep.
目的:本研究的主要目的是了解护生对轮班模式的看法。 设计:定性研究。 方法:我们于 2019 年 5 月举办了一次 TweetChat,其中我们询问了有关在实习期间 12 小时轮班工作的频率、在实习期间的排班灵活性、他们更喜欢哪种轮班模式以及原因等问题。从最初的代码中生成主题,对 TweetChat 的数据进行了反思性主题分析。 结果:73 名护理专业学生参与了 TweetChat。大多数人报告说他们在实习期间上 12 小时轮班,特别是在医院实习时。我们确定了三个主题:“实现个人平衡”、“满足护理环境的需求”、“影响谈判能力的因素”。数据显示,大多数学生存在冲突,他们喜欢 12 小时轮班,因为这可以有更多的时间用于学习、有薪工作和休闲,但同时也承认 12 小时轮班会导致他们感到疲劳、疲惫,导致他们饮食不良、忽视锻炼和睡眠。
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