From students to nurses under pressure: Nursing students' entry into employment during the first COVID-19 wave

Aims and objective: To describe the experiences of nursing students and their mental health as they entered employment during the first wave of the COVID-19 pandemic (May–June 2020). Background: As other healthcare professionals, nursing students who worked during the first COVID-19 wave suffered fr...

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Detalles Bibliográficos
Autores: Robledo Martín, Juana, Acea-López, Lorena, Pérez- Urdiales, Iratxe, Alcolea- Cosín, María Teresa, Bellon, Filip, Oter- Quintana, Cristina, Blanco Blanco, Joan, Pastor-Bravo, María del Mar, Rubinat, Esther, Briones Vozmediano, Erica Tula
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2023
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10459.1/464280
Acceso en línea:https://doi.org/10.1111/jocn.16800
https://hdl.handle.net/10459.1/464280
Access Level:acceso abierto
Palabra clave:Anxiety
COVID-19
Mixed methods design
Nursing students
Stress
Descripción
Sumario:Aims and objective: To describe the experiences of nursing students and their mental health as they entered employment during the first wave of the COVID-19 pandemic (May–June 2020). Background: As other healthcare professionals, nursing students who worked during the first COVID-19 wave suffered from dysfunctional mental health symptoms. Design: Sequential, mixed-method, multicentre study. Methods: The study population comprised 92 students in the third and fourth year of the Nursing degree at three Spanish universities, who entered employment during the pandemic. Data were collected between May and June 2020. In the quantitative phase, data were collected using an online questionnaire containing both validated anxiety and stress scales. In the qualitative phase, semi-structured interviews were conducted with 18 participants. A descriptive analysis of the quantitative data and a reflexive thematic analysis of the qualitative data were carried out, and analyses were combined. COREQ checklist was used for reporting. Results: The combined quantitative and qualitative results were organised into five thematic areas: (1) Interruption of clinical placements, (2) Entering employment on a healthcare assistant contract, (3) Preventing contagion, (4) Adapting to the situation and managing emotions, and (5) Lessons learned. Conclusion: The students had a positive overall experience of entering employment, as they were able to develop their nursing skills. However, they had an emotional impact in form of stress caused by excessive responsibility, academic uncertainty, lack of personal protective equipment and training in its use, and the possibility of spreading disease to their family members. Relevance to Clinical Practice: In the current context, changes must be made in study programmes to instruct nursing students to be able to cope with extreme clinical situations, such as pandemics. The programmes should include a more extensive coverage of epidemics and pandemics and management of emotional aspects such as resilience.