Barriers to and facilitators of nursing students' adjustment to internship: A qualitative content analysis.


Journal

Nurse education today
ISSN: 1532-2793
Titre abrégé: Nurse Educ Today
Pays: Scotland
ID NLM: 8511379

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 08 09 2020
revised: 06 01 2021
accepted: 15 02 2021
pubmed: 28 2 2021
medline: 22 6 2021
entrez: 27 2 2021
Statut: ppublish

Résumé

Identifying factors affecting nursing students' adjustment to the internship conditions can enable nursing officials to make important decisions that can help students benefit more from their internship period according to expected goals. The present study was conducted to explain the facilitating and inhibiting factors of nursing students' adjustment to the internship. The qualitative content analysis approach was used. The present study was conducted at a nursing and midwifery school affiliated with a large metropolitan medical university in northern Iran. A total of 17 final-year nursing students who did morning shifts during the week and a day-long (morning and evening) shift per week, were selected through purposive sampling with maximum variation. Data were collected over 17 months through face-to-face semi-structured interviews, then carefully transcribed and analyzed using Graneheim & Lundman qualitative content analysis approach. Support systems, the internship structure and its setting, and personal and professional factors were the three themes identified as facilitators and barriers of adjustment. According to the results, factors affecting students' adjustment to internship manifest their effect over a continuum, in the form of adequate/poor support, high/low self-efficacy, and appropriate/inappropriate internship structure and setting. Moreover, support systems are among the most important factors affecting nursing students' adjustment to the internship. Furthermore, the role of hospital staff in accepting or rejecting the conditions and issues that participants face during their internship is very important.

Sections du résumé

BACKGROUND BACKGROUND
Identifying factors affecting nursing students' adjustment to the internship conditions can enable nursing officials to make important decisions that can help students benefit more from their internship period according to expected goals.
OBJECTIVES OBJECTIVE
The present study was conducted to explain the facilitating and inhibiting factors of nursing students' adjustment to the internship.
DESIGN METHODS
The qualitative content analysis approach was used.
SETTING METHODS
The present study was conducted at a nursing and midwifery school affiliated with a large metropolitan medical university in northern Iran.
PARTICIPANTS METHODS
A total of 17 final-year nursing students who did morning shifts during the week and a day-long (morning and evening) shift per week, were selected through purposive sampling with maximum variation.
METHODS METHODS
Data were collected over 17 months through face-to-face semi-structured interviews, then carefully transcribed and analyzed using Graneheim & Lundman qualitative content analysis approach.
RESULTS RESULTS
Support systems, the internship structure and its setting, and personal and professional factors were the three themes identified as facilitators and barriers of adjustment.
CONCLUSION CONCLUSIONS
According to the results, factors affecting students' adjustment to internship manifest their effect over a continuum, in the form of adequate/poor support, high/low self-efficacy, and appropriate/inappropriate internship structure and setting. Moreover, support systems are among the most important factors affecting nursing students' adjustment to the internship. Furthermore, the role of hospital staff in accepting or rejecting the conditions and issues that participants face during their internship is very important.

Identifiants

pubmed: 33639579
pii: S0260-6917(21)00082-4
doi: 10.1016/j.nedt.2021.104825
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

104825

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Auteurs

Naiereh Aghaei (N)

Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran; Department of Nursing, School of Nursing and Midwifery, Mazandaran University of Medical Science, Sari, Iran.

Hassan Babamohamadi (H)

Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran; Department of Nursing, School of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran. Electronic address: babamohamadi@semums.ac.ir.

Mohammad Reza Asgari (MR)

Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran; Department of Nursing, School of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran.

Nahid Dehghan-Nayeri (N)

School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

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Classifications MeSH