Background <p>At the end of internships, students do not feel fully qualified to work as nurses due to a lack of confidence. However, during the COVID-19 pandemic, students worked as healthcare aide providing basic health assistance under the supervision of a nurse. This study aimed to explore the learning experiences of fourth-year nursing students who worked under healthcare aide contracts during the COVID-19 pandemic, and how these experiences enabled an effective transition to professional nursing roles.</p> Method <p>An exploratory qualitative study using a qualitative content analysis of reflective texts was undertaken. Seventeen fourth-year nursing students (2020-21), who had completed just over 50% of their on-site practicum and had worked as healthcare aides since the second wave of the pandemic, participated. Reflective texts written by students about their experience were collected via email. A qualitative content analysis was used with multiple rounds of coding to ensure consistency and reliability. The COREQ reporting guidelines were used.</p> Findings <p>Two main themes appeared: (1) meaningful learning: learning more, deeper, and faster than in internships, and (2) being “almost nurses”. Students reported instances where they felt a significant increase in their clinical decision-making skills due to real-time feedback from mentors.</p> Conclusions <p>These findings suggest that integrating more responsibility and team-based learning experiences into nursing practicums could accelerate competency development.</p>

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Lessons learned from adapting the nursing practicum during the Covid-19 pandemic: a qualitative study

  • Maria Feijoo-Cid,
  • María Isabel Fernández-Cano,
  • Rosa María García-Sierra,
  • Antonia Arreciado Marañón

摘要

Background

At the end of internships, students do not feel fully qualified to work as nurses due to a lack of confidence. However, during the COVID-19 pandemic, students worked as healthcare aide providing basic health assistance under the supervision of a nurse. This study aimed to explore the learning experiences of fourth-year nursing students who worked under healthcare aide contracts during the COVID-19 pandemic, and how these experiences enabled an effective transition to professional nursing roles.

Method

An exploratory qualitative study using a qualitative content analysis of reflective texts was undertaken. Seventeen fourth-year nursing students (2020-21), who had completed just over 50% of their on-site practicum and had worked as healthcare aides since the second wave of the pandemic, participated. Reflective texts written by students about their experience were collected via email. A qualitative content analysis was used with multiple rounds of coding to ensure consistency and reliability. The COREQ reporting guidelines were used.

Findings

Two main themes appeared: (1) meaningful learning: learning more, deeper, and faster than in internships, and (2) being “almost nurses”. Students reported instances where they felt a significant increase in their clinical decision-making skills due to real-time feedback from mentors.

Conclusions

These findings suggest that integrating more responsibility and team-based learning experiences into nursing practicums could accelerate competency development.