Coping with the Experience of Bad Sleep and Fatigue Associated with the Nursing Clinical Practicum
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Participants
2.3. Sample
2.4. Instrument
2.4.1. Open-Ended Question Questionnaire
2.4.2. Beck Anxiety Inventory
2.5. Procedure
2.6. Ethical Considerations
2.7. Data Analysis
2.8. Rigor for Qualitative Data
3. Results
- Theme 1: Encountered Anxiety-Inducing Situations in Clinical Settings
- Sub-theme 1: Difficulty Adapting to the Medical Team
- Teaching, communicating, or interacting with patients and families
- 2.
- Communicating with, interacting with, or being taught by medical group members (e.g., doctors, advising nurses, or clinical teachers)
- Sub-theme 2: Difficulty Performing Nursing Processes
- 1.
- Writing case evaluation or case study homework
- 2.
- Facing unfamiliar patients
- Sub-theme 3: Difficulty Performing Nursing Skills
- 1.
- Nursing skills
- 2.
- Dealing with critical or emergency conditions of patients
- Theme 2: Being Nervous and Scared
- Sub-theme 1: Nervous/afraid/worried/anxious/scared
- Sub-theme 2: Not knowing how to care/not showing expression
- Sub-theme 3: Being afraid of/could not finish assignments and workload in clinical practice
- Sub-theme 4: Being afraid of/could not prepare well for patient care in clinical practice
- Theme 3: Coping through Self-Adaption
- Sub-theme 1: Preparing materials
- Sub-theme 2: Becoming familiar with the environment, persons, work, and materials
- Sub-theme 3: Sleeping early
- Sub-theme 4: Deep breathing
- Theme 4: Coping through Teachers’ Help
- Sub-theme 1: Standing by their side when teaching
- Sub-theme 2: Non-stressful mannerisms
- Sub-theme 3: Offering enough time or individual space to think
- Sub-theme 4: Helping with and sharing in students’ workloads
- Theme 5: Have a Bad Sleep in the Night
- Theme 6: Tired and Fatigued all Day
4. Discussion
4.1. Bad Sleep and Fatigue Accompanied Students in the Nursing Clinical Practicum
4.2. Encountering Anxiety-Inducing Situations in Clinical Setting Made Nursing Students Feel Nervous and Scared
4.3. Coping Style of Nursing Students: Self-Adaptation and Teachers’ Help
5. Limitations and Strengths
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variables | n (%) | Pre-Practicum M (S.D.) | Post-Practicum M (S.D.) |
---|---|---|---|
Age | 37 (100) | 10.21 (6.87) | 11.62 (6.13) |
Nursing program | |||
4-year BSN | 8 (21.6) | 13.88 (8.10) | 13.63 (4.50) |
2-year BSN | 13 (35.1) | 10.15 (6.93) | 10.31 (5.60) |
5-year ABSN | 16 (43.2) | 8.69 (5.88) | 11.69 (7.22) |
Practice setting | |||
Med. and sur. | 18 (48) | 8.39 (6.00) | 12.06 (7.27) |
Obs. | 8 (21.6) | 11.38 (7.33) | 11.00 (7.17) |
Ped. | 2 (5.4) | 9.50 (0.71) | 9.50 (2.12) |
Psy. | 4 (10.8) | 15.00 (8.37) | 9.50 (1.29) |
Com. | 5 (13.5) | 12.20 (8.90) | 13.60 (2.88) |
BAI components (pre) | |||
Neurophysiological symptoms | 30 (81.1) | 11.93 (6.54) | 10.33 (4.89) |
Autonomic symptoms | 34 (91.9) | 11.15 (6.54) | 11.71 (6.39) |
Subjective symptoms | 24 (64.9) | 13.50 (6.28) | 10.46 (5.48) |
Panic symptoms | 32 (86.5) | 11.28 (6.75) | 11.69 (6.50) |
BAI components (post) | |||
Neurophysiological symptoms | 34 (91.9) | 9.82 (6.86) | 12.32 (5.69) |
Autonomic symptoms | 35 (94.6) | 10.14 (7.01) | 12.29 (5.61) |
Subjective symptoms | 26 (70.3) | 10.65 (7.53) | 13.35 (6.14) |
Panic symptoms | 34 (91.9) | 9.68 (6.54) | 12.35 (5.68) |
Practicum-related anxiety symptom | 13 (35.1) | 10.62 (7.70) | 11.23 (6.33) |
Fatigue | 3 (8.1) | 7.67 (2.52) | 8.67 (1.15) |
Bad sleep | 2 (5.4) | 2.50 (3.54) | 9.00 (1.41) |
Nervous and scared | 10 (27.0) | 12.30 (7.73) | 11.80 (7.18) |
Coping strategy used | 23 (62.2) | 13.13 (6.98) | 12.13 (6.12) |
Self-adaptation | 3 (8.1) | 6.33 (3.51) | 11.00 (2.65) |
Teachers’ help | 21 (56.8) | 13.95 (6.72) | 12.19 (6.37) |
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Lai, M.-H.; Tzeng, C.-Y.; Chuang, Y.-H.; Chang, P.-C.; Chung, M.-H. Coping with the Experience of Bad Sleep and Fatigue Associated with the Nursing Clinical Practicum. Int. J. Environ. Res. Public Health 2022, 19, 7479. https://doi.org/10.3390/ijerph19127479
Lai M-H, Tzeng C-Y, Chuang Y-H, Chang P-C, Chung M-H. Coping with the Experience of Bad Sleep and Fatigue Associated with the Nursing Clinical Practicum. International Journal of Environmental Research and Public Health. 2022; 19(12):7479. https://doi.org/10.3390/ijerph19127479
Chicago/Turabian StyleLai, Mei-Hsin, Chyn-Yuan Tzeng, Yeu-Hui Chuang, Pi-Chen Chang, and Min-Huey Chung. 2022. "Coping with the Experience of Bad Sleep and Fatigue Associated with the Nursing Clinical Practicum" International Journal of Environmental Research and Public Health 19, no. 12: 7479. https://doi.org/10.3390/ijerph19127479