Henshall Catherine, Davey Zoe, Merriman Clair, Strumidlo Laura, Serrant Laura, Brett Jo, Watson Eila, Appleton Jane V, Malone Mary
Oxford Institute of Applied Health Research, Oxford Brookes University, Oxford, UK.
Research and Development, Oxford Health NHS Foundation Trust, Oxford, UK.
Int J Nurs Stud Adv. 2023 Jul 28;5:100146. doi: 10.1016/j.ijnsa.2023.100146. eCollection 2023 Dec.
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.
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.
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.'
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.
高质量的预注册学生护士培训与发展对于培养一支可持续且胜任的全球护理队伍至关重要。在国际上，自新冠疫情爆发以来，学生护士的招募率有所上升；然而，学生护士的流失率很高。在疫情期间，许多学生护士因学业担忧、感到不堪重负以及对自身临床技能存疑而考虑退出该项目。对于新冠疫情之前的护理教育在何种程度上让学生为应对医疗危机做好准备，或者对他们的适应力有何影响，人们知之甚少。因此，本研究旨在探讨新冠疫情如何影响英国各地学生护士的适应力水平。
数据是作为一项名为“COV-ED Nurse”的多地点定性研究的一部分收集的，包括岗前调查、实习日志以及对护理专业学生的岗后访谈。参与研究的学生护士来自英国各地，涵盖各个学习年份以及儿童、成人、心理健康和学习障碍这四个护理分支。参与者被要求完成一项岗前调查，收集人口统计学细节以及他们对实习的期望信息。他们还被要求每周记录视听或书面日志，描述实习经历，并且在实习结束时，对学生进行访谈以探究他们这段时间的经历。使用框架分析法对数据进行主题分析。已获得伦理批准。
216名学生参与了更广泛的研究。本研究涉及59名学生的数据子集。确定了四个主要主题：“应对更高的急症程度”、“对疫情风险的认知”、“面对不确定性和孤立时的适应力”以及“应对机制和支持结构的重要性”。
通过这项研究，我们获得了可应用于护理研究、教育、政策和实践的见解，并确定了新冠疫情对学生护士及其在不稳定环境中保持适应力的能力产生的广泛影响。来自广泛来源的沟通和支持网络的价值被强调为应对诸多不确定性的关键。此外，学生在个人和职业角色及身份方面的应对能力影响了他们应对并继续其培训路径的能力。
