Document Type : Original Article
Authors
1 Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Clinical Research Development Unit of Loghman Hakim Hospital, Department of Medical Surgical Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Department of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
Abstract
Background: Nursing internship is a vital period for the formation of professional identity and development of clinical competency of nursing students, which has undergone extensive changes during the COVID-19 pandemic. The present study aimed to explain the experiences of nursing internship students during the COVID-19 pandemic in Iran.
Methods: This qualitative-descriptive study was conducted using the conventional content analysis method. Data were collected
through semi-structured interviews. Participants included 15 nursing internship students of Shahid Beheshti University of Medical Sciences in Iran, who were selected using purposive sampling. The interviews continued until data saturation. The trustworthiness of the data was ensured using Lincoln and Guba’s criteria. Data were analyzed via MAXQDA (version 10).
Results: Data analysis led to the identification of two themes: (1) Paradoxes in clinical education path (with two categories including impaired learning and effective clinical education) and (2) Psychological pressure in patient care (with two categories including student protection and safety concerns and disruption of professional interaction).
Conclusion: The present study showed that the COVID-19 pandemic has created many challenges for clinical nursing education that will affect professional competency in the future. Therefore, educational administrators must take into account the experiences of students as the main stakeholders in clinical education planning.
Highlights
Nasrin Dadashi (Google Scholar) (PubMed)
Marzieh Pazokian (Google Scholar) (PubMed)
Mahmood Motamedzadeh (Google Scholar) (PubMed)
Keywords
References
- Heidari-Jamebozorgi M, Jafari H, Sadeghi R, Sheikhbardsiri H, Kargar M, Amiri Gharaghani M. The prevalence of depression, anxiety, and stress among nurses during the coronavirus disease 2019: a comparison between nurses in the frontline and the second line of care delivery. Nurs Midwifery Stud. 2021;10(3):188-93. doi: 4103/nms.nms_103_20.
- Seah B, Ang ENK, Liaw SY, Lau ST, Wang W. Curriculum changes for pre-registration nursing education in times of COVID-19: for the better or worse? Nurse Educ Today. 2021;98:104743. doi: 1016/j.nedt.2020.104743.
- Iran Coronavirus Update with Statistics and Graphs: Total and New Cases, Deaths Worldmeter. Available from: https://www.worldometers.info/coronavirus/.
- Hazbavi Z, Mostfazadeh R, Alaei N, Azizi E. Spatial and temporal analysis of the COVID-19 incidence pattern in Iran. Environ Sci Pollut Res Int. 2021;28(11):13605-15. doi: 1007/s11356-020-11499-0.
- Nazari R. Voluntary attendance of nursing students in COVID-19 pandemi: nursing student or premature nurse? Iran J Med Educ. 2020;20(18):147-8. [Persian].
- Dewart G, Corcoran L, Thirsk L, Petrovic K. Nursing education in a pandemic: academic challenges in response to COVID-19. Nurse Educ Today. 2020;92:104471. doi: 1016/j.nedt.2020.104471.
- Rahimi A, Hasanpour-Dehkordi A, Motaarefi H. Nursing students’ viewpoints on teacher evaluation in Urmia University of Medical Sciences, Iran: content analysis. J Qual Res Health Sci. 2020;5(3):296-304. [Persian].
- Hajihosseini F. Adaptation need of undergraduate nursing curriculum with the educational changes caused by the COVID-19 pandemic. Quarterly Journal of Nursing Management. 2020;9(2):66-7. [Persian].
- Agu CF, Stewart J, McFarlane-Stewart N, Rae T. COVID-19 pandemic effects on nursing education: looking through the lens of a developing country. Int Nurs Rev. 2021;68(2):153-8. doi: 1111/inr.12663.
- Morin KH. Nursing education after COVID-19: same or different? J Clin Nurs. 2020;29(17-18):3117-9. doi: 1111/jocn.15322.
- Ramos-Morcillo AJ, Leal-Costa C, Moral-García JE, Ruzafa-Martínez M. Experiences of nursing students during the abrupt change from face-to-face to e-learning education during the first month of confinement due to COVID-19 in Spain. Int J Environ Res Public Health. 2020;17(15):5519. doi: 3390/ijerph17155519.
- De Ponti R, Marazzato J, Maresca AM, Rovera F, Carcano G, Ferrario MM. Pre-graduation medical training including virtual reality during COVID-19 pandemic: a report on students’ perception. BMC Med Educ. 2020;20(1):332. doi: 1186/s12909-020-02245-8.
- Kochuvilayil T, Fernandez RS, Moxham LJ, Lord H, Alomari A, Hunt L, et al. COVID-19: knowledge, anxiety, academic concerns and preventative behaviours among Australian and Indian undergraduate nursing students: a cross-sectional study. J Clin Nurs. 2021;30(5-6):882-91. doi: 1111/jocn.15634.
- Bahari G, Alharbi F, Alharbi O. Facilitators of and barriers to success in nursing internship programs: a qualitative study of interns’ and faculty members’ perspectives. Nurse Educ Today. 2022;109:105257. doi: 1016/j.nedt.2021.105257.
- Abazie OH, Okwuikpo MI, Adetunji AJ, Nweke CI. Coronavirus: nursing students’ knowledge and risk perception of clinical practice during the pandemic. Nurs Midwifery Stud. 2021;10(2):107-13. doi: 4103/nms.nms_76_20.
- Asadizaker M, Abed Saeedi Z, Abedi H. Development of clinical teaching process of the fundamentals of nursing with participatory approach: an action research. J Qual Res Health Sci. 2020;3(2):175-89. [Persian].
- Wallace J. Nursing student work-study internship program: an academic partnership. J Nurs Educ. 2016;55(6):357-9. doi: 3928/01484834-20160516-11.
- Rahiminia E, Ahmady S, Rahiminia H. Exploring undergraduate public health students’ experiences of internship courses: a qualitative study. J Qual Res Health Sci. 2021;10(1):37-42. doi: 22062/jqr.2021.91601.
- Eweida RS, Rashwan ZI, Desoky GM, Khonji LM. Mental strain and changes in psychological health hub among intern-nursing students at pediatric and medical-surgical units amid ambience of COVID-19 pandemic: a comprehensive survey. Nurse Educ Pract. 2020;49:102915. doi: 1016/j.nepr.2020.102915.
- Casafont C, Fabrellas N, Rivera P, Olivé-Ferrer MC, Querol E, Venturas M, et al. Experiences of nursing students as healthcare aid during the COVID-19 pandemic in Spain: a phemonenological research study. Nurse Educ Today. 2021;97:104711. doi: 1016/j.nedt.2020.104711.
- Ulenaers D, Grosemans J, Schrooten W, Bergs J. Clinical placement experience of nursing students during the COVID-19 pandemic: a cross-sectional study. Nurse Educ Today. 2021;99:104746. doi: 1016/j.nedt.2021.104746.
- Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12. doi: 1016/j.nedt.2003.10.001.
- Denzin NK, Lincoln YS. Introduction: the discipline and practice of qualitative research. In: The Sage Handbook of Qualitative Research. Thousand Oaks: SAGE Publications; 2005.
- D’Costa MP, Swarnadas GS. Students’ perceptions of effective clinical teaching skills and teacher behaviours on learning. Manipal J Nurs Health Sci. 2016;2(2):1-8.
- Manoochehri H, Imani E, Atashzadeh-Shoorideh F, Alavi-Majd A. Competence of novice nurses: role of clinical work during studying. J Med Life. 2015;8(Spec Iss 4):32-8.
- Mokhtari R, Safdari A, Hekmatpou D, Sahebi A, Moayedi S, Torres M, et al. Investigating the effective factors of using personal protective equipment from the perspective of nurses caring for COVID-19 patients: a cross-sectional study. Int J Environ Res Public Health. 2021;18(15). doi: 3390/ijerph18157882.
- Kalateh Sadati A, Zarei L, Shahabi S, Heydari ST, Taheri V, Jiriaei R, et al. Nursing experiences of COVID-19 outbreak in Iran: a qualitative study. Nurs Open. 2021;8(1):72-9. doi: 1002/nop2.604.
- Sperling D. Nurses’ challenges, concerns and unfair requirements during the COVID-19 outbreak. Nurs Ethics. 2021;28(7-8):1096-110. doi: 1177/09697330211005175.
- Alshutwi SS. ‘Senior nursing students and interns’ concerns and willingness to treat patients with COVID-19: a strategy to expand national nursing workforce during the COVID-19 pandemic. Risk Manag Healthc Policy. 2021;14:39-48. doi: 2147/rmhp.s279569.
- Hernández-Martínez A, Rodríguez-Almagro J, Martínez-Arce A, Romero-Blanco C, García-Iglesias JJ, Gómez-Salgado J. Nursing students’ experience and training in healthcare aid during the COVID-19 pandemic in Spain. J Clin Nurs. 2021. doi: 1111/jocn.15706.
- Afeng-Nkansah D, Asumanu E, Nyinaku P, Acheampong F, Lamptey R. Response of healthcare workers to COVID-19 protocols after the index case at 37 Military Hospital, Ghana. Biomed Res Int. 2021;2021:2873859. doi: 1155/2021/2873859.
- Fernandes JD, Silva RM, Cordeiro AL, da Silva Teixeira GA. Nursing internship programs in the pandemic COVID-19 times. Esc Anna Nery. 2021;25:e20210061. doi: 1590/2177-9465-ean-2021-0061.
- Chen SC, Lai YH, Tsay SL. Nursing perspectives on the impacts of COVID-19. J Nurs Res. 2020;28(3):e85. doi: 1097/nrj.0000000000000389.
- Kim J, Kim S. Nurses’ adaptations in caring for COVID-19 patients: a grounded theory study. Int J Environ Res Public Health. 2021;18(19):10141. doi: 3390/ijerph181910141.
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