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@article{1662590,
author = {Dobrowolska, Beata and Zec, Aleksandra and Tosoratti, Jessica and Machul, Michal and Pokorná, Andrea and Nascimento, Carla and Ferrao, Sonia and Ziakova, Katarina and Solgajova, Andrea and Rybarova, Lubica and Achil, Illarj and Palese, Alvisa},
article_location = {Edinburgh},
article_number = {July 2020},
doi = {http://dx.doi.org/10.1016/j.nedt.2020.104441},
keywords = {Clinical education; Cross-sectional; Europe; Experience; Night shifts; Undergraduate nursing education},
language = {eng},
issn = {0260-6917},
journal = {Nurse Education Today},
title = {Night shifts as a learning experience among nursing students across Europe: Findings from a cross-sectional survey},
url = {https://www.sciencedirect.com/science/article/pii/S0260691719315631},
volume = {90},
year = {2020}
}
TY - JOUR
ID - 1662590
AU - Dobrowolska, Beata - Zec, Aleksandra - Tosoratti, Jessica - Machul, Michal - Pokorná, Andrea - Nascimento, Carla - Ferrao, Sonia - Ziakova, Katarina - Solgajova, Andrea - Rybarova, Lubica - Achil, Illarj - Palese, Alvisa
PY - 2020
TI - Night shifts as a learning experience among nursing students across Europe: Findings from a cross-sectional survey
JF - Nurse Education Today
VL - 90
IS - July 2020
SP - 1-9
EP - 1-9
PB - Churchill Livingstone
SN - 02606917
KW - Clinical education
KW - Cross-sectional
KW - Europe
KW - Experience
KW - Night shifts
KW - Undergraduate nursing education
UR - https://www.sciencedirect.com/science/article/pii/S0260691719315631
L2 - https://www.sciencedirect.com/science/article/pii/S0260691719315631
N2 - Background: Organising clinical placements during nights has been reported as an additional opportunity to introduce students to the whole picture of their future responsibilities. However, studies in this field are still lacking. Objectives: To describe and compare (a) the night shift experience of nursing students across Europe, (b) the patient-related problems that they face during night shifts, (c) the night care activities nursing students are called to perform, and (d) the perceived effects of night shift work on learning outcomes. Design: A cross-sectional study, 2016. Settings: Five European countries: Czech Republic, Italy, Poland, Portugal, and Slovakia. Participants: Nursing students from nine Bachelor of Nursing Science degree programmes attending night shifts during their study period and who were willing to participate were included. A total of 907 out of 1347 (67.3%) eligible students participated. Methods: Questionnaire based on the available literature, translated into five languages. Results: The duration of the night shift was from an average of 9.8 (CI 95% 9.6-10.0) in Italy to 11.9 (CI 95% 11.7-12.0) in the Czech Republic. Students faced mainly patients' pain without statistical differences across countries (at the overall level, 717 out of 907; 79%; p=.318). However, significant differences in the tasks performed during nights emerged: Polish students reported being more involved in performing basic nursing care (72; 93.5%) as compared to other countries (e.g., Portuguese students 337; 84.9%), (p=.02). Overall, an average of 28.9% of the night shift time was reported to be free of commitments, with higher values among Polish (38%, CI 95% 33.6-42.3) and Slovakian students (33.4%, CI 95% 30.6-36.3) and lower values among Czech Republic students (20.4%, CI 95% 17.6-23.2) (p.001). Boredom and satisfaction were reported as the main feelings during night shifts, with significant differences (p.001) across countries. Students reported significant different effects (p.001) of night shifts on their understanding of a nurse's role (from 5.2 out of 10 in Poland to 6.5 in the Czech Republic), on the understanding of the continuity of nursing care (from 5.2 in Poland to 6.7 in Italy), and on having a relationship with the clinical mentors (from 2.7 and 4.2 in Poland and the Czech Republic, respectively, to 6.9 in Italy). Conclusions: Night shifts can be both a valuable and a non-valuable learning experience, suggesting the need to carefully plan and assess their effectiveness at the unit level.
ER -
DOBROWOLSKA, Beata, Aleksandra ZEC, Jessica TOSORATTI, Michal MACHUL, Andrea POKORNÁ, Carla NASCIMENTO, Sonia FERRAO, Katarina ZIAKOVA, Andrea SOLGAJOVA, Lubica RYBAROVA, Illarj ACHIL and Alvisa PALESE. Night shifts as a learning experience among nursing students across Europe: Findings from a cross-sectional survey. \textit{Nurse Education Today}. Edinburgh: Churchill Livingstone, vol.~90, July 2020, p.~1-9. ISSN~0260-6917. doi:10.1016/j.nedt.2020.104441. 2020.
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