J 2020

Night shifts as a learning experience among nursing students across Europe: Findings from a cross-sectional survey

DOBROWOLSKA, Beata, Aleksandra ZEC, Jessica TOSORATTI, Michal MACHUL, Andrea POKORNÁ et. al.

Basic information

Original name

Night shifts as a learning experience among nursing students across Europe: Findings from a cross-sectional survey

Authors

DOBROWOLSKA, Beata (616 Poland), Aleksandra ZEC (380 Italy), Jessica TOSORATTI (380 Italy), Michal MACHUL (616 Poland), Andrea POKORNÁ (203 Czech Republic, belonging to the institution), Carla NASCIMENTO (620 Portugal), Sonia FERRAO (620 Portugal), Katarina ZIAKOVA (703 Slovakia), Andrea SOLGAJOVA (703 Slovakia), Lubica RYBAROVA (703 Slovakia), Illarj ACHIL (380 Italy) and Alvisa PALESE (380 Italy, guarantor)

Edition

Nurse Education Today, Edinburgh, Churchill Livingstone, 2020, 0260-6917

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30307 Nursing

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 3.442

RIV identification code

RIV/00216224:14110/20:00115799

Organization unit

Faculty of Medicine

UT WoS

000536134400015

Keywords in English

Clinical education; Cross-sectional; Europe; Experience; Night shifts; Undergraduate nursing education

Tags

Tags

International impact, Reviewed
Změněno: 16/6/2020 09:19, Mgr. Tereza Miškechová

Abstract

V originále

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.