Challenges of work during studying from the perspective of nurses: A qualitative study with content analysis approach

authors:

avatar Houman Manouchehri , avatar Elham Imani , * , avatar Foroozan Atashzadeh-Shoorideh , avatar Hamid Alavi Majd

Koomesh: Vol.19, issue 2; 294-308
published online: November 01, 2017
article type: Research Article
received: December 01, 2015
accepted: November 01, 2016

how to cite: Manouchehri H, Imani E, Atashzadeh-Shoorideh F, Alavi Majd H. Challenges of work during studying from the perspective of nurses: A qualitative study with content analysis approach. koomesh. 2017;19(2):e151082. 

Abstract

Introduction: Many nursing students have clinical work while studying full-time. The nurses, who work in clinical wards with these students, encountered some challenges. The purpose of this qualitative study was to explain the nurses;#39 perceptions of work during studying challenges. Materials and Methods: This qualitative study was conducted in four teaching hospitals of Hormozgan University of Medical Sciences. Individualized deep and semi-structured interviews and field notes were used for data collection. The interviews were written verbatim to provide feedback for the next interview and the adequacy of the data. Data were analyzed using qualitative inductive content analysis with phases of open coding, creating categories and abstraction. Results: In this study, 45 graduate nurse and head nurse aged 23 to 40 years were participated. In this way, 695 initial codes were extracted, and finaly, after the reduction, elimination and integration took place at different stages themes of physical and mental health problems, educational problems, professional problems and underdevelopment were extracted. Conclusion: In the perspective of nurses, students work creates some challenges for students who have not peyed attention to these challenges and may interfere with patient care and threaten patient safety and professional values.

References

  • 1.

    Hasson F, McKenna HP, Keeney S. A qualitative study exploring the impact of student nurses working part time as a health care assistant. Nurse Educ Today 2013; 33: 873-879.

  • 2.

    Working their way through college: student employment and its impact on the college experience. ACE Issue Brief. [database on the Internet] 2006 [cited 15 Jan 2014]. Available from: http://www.acenet.edu/news-room/Documents/IssueBrief-2006-Working-their-way-through-College.pdf.

  • 3.

    Salamonson Y, Andrew S. Academic performance in nursing students: influence of part-time employment, age and ethnicity. J Adv Nurs 2006; 55: 342-351.

  • 4.

    Martin E, McCabe S. Part-time work and postgraduate students: Developing the skills for employment? JoHLSTE 2007; 6: 29-40.

  • 5.

    Ghazavi Z, Ghazavi M, Mehrabi T. Effect of work on academic performance of students. Iran J Nurs Midwif Res 2006; 11: 57-64.

  • 6.

    Phillips C, Kenny A, Smith C, Esterman A. Pre-registration paid employment choice: The views of newly qualifi ed nurses. Nurse Educ Today 2012; 32: 10-14.

  • 7.

    Gallagher P. Re-thinking the theorypractice relationship in nursing: an alternative perspective. Contemp Nurse 2003; 14: 205-210.

  • 8.

    Kenny A, Nankervis K, Kidd T, Connell S. Models of nursing student employment: An australian action research study. Nurse Educ Today 2012; 32: 600-605.

  • 9.

    Ebrahimian A, Dehvan F. Evaluation of nurses job expectations in hospitals executing the efficiency improvement law in Semnan. Koomesh 2016; 17: 739-746. (Persian).

  • 10.

    Employed Student Nurses. College of Registered Nurses of British Columbia. [database on the Internet] 2007 [cited 10 Mar 2016]. Available from: https://www.crnbc.ca/WhatNursesDo/TypesOfNurses/Docu ments/Employed_Student_Nurses.pdf.

  • 11.

    Neishabory M, Raeisdana N, Ghorbani R, Sadeghi T. Nurses' and patients' viewpoints regarding quality of nursing care in the teaching hospitals of Semnan University of Medical Sciences, 2009. Koomesh 2011; 12: 134-143. (Persian).

  • 12.

    The regulations governing for use of nursing students in clinical practice [database on the Internet] 2004 [cited 10 Mar 2016]. Available from: URL: http://dn.behdasht.gov.ir/index.aspx.

  • 13.

    Burns N, Grove SK. Understanding nursing research: Building an evidence-based practice. 5th ed. New York: Elsevier Health Sciences; 2010.

  • 14.

    Nobahar M. Factors affecting the safety of hemodialysis' patients in dialysis ward and their strengthening strategies. Koomesh 2016; 17: 547-562. (Persian).

  • 15.

    Graneheim UH, Lundman B. Qualita tive con tent analysi s in nursing research: concepts, procedure s and measures to achieve trustworthiness. Nurse Educ Today 2004; 24: 105-112.

  • 16.

    Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs 2008; 62: 107-115.

  • 17.

    Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005; 15: 1277-1288.

  • 18.

    Zeighami R, Nesami MB, Oskouie SF, Nikravesh MY. Content analysis. Iran J Nurs 2008; 21: 41-52.

  • 19.

    Cho JY, Lee EH. Reducing confusion about grounded theory and qualitative content analysis: Similarities and differences. Qual Rep 2014; 19: 1-20.

  • 20.

    Benner P, Tanner CA, Chesla CA. Experience in nursing practice: caring, clinical judgment, and ethics. edition n, editor. New York: Springier Publishing Company; 2009.

  • 21.

    Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice: Lippincott Williams & Wilkins; 2013.

  • 22.

    Lee T, Mawdsley JM, Rangeley H. Students part-time work: towards an understanding of the implications for nurse education. Nurse Educ Today 1999; 19: 443-451.

  • 23.

    Rochford C, Connolly M, Drennan J. Paid part-time employment and academic performance of undergraduate nursing students. Nurse Educ Today 2009; 29: 601-606.

  • 24.

    Brennan G, McSherry R. Exploring the transition and professional socialisation from health care assistant to student nurse. Nurse Educ Pract 2007; 7: 206-214.

  • 25.

    Carney C, McNeish S, McColl J. The impact of part time employment on students health and academic performance: a Scottish perspective. J Further Higher Educ 2005; 29: 307-319.

  • 26.

    Happell B. Nursing home employment for nursing students: valuable experience or a harsh deterrent? J Adv Nurs 2002; 39: 529-536.

  • 27.

    Last L, Fulbrook P. Why do student nurses leave? Suggestions from a Delphi study. Nurse Educ Today 2003; 23: 449-458.##.