The impact of educational concerns and satisfaction on baccalaureate nursing students’ distress and quality of life during the Covid-19 pandemic; a cross-sectional study

Abstract Background High levels of psychological distress and poor overall quality of life (QOL) have been identified among nursing students during the COVID-19 pandemic. The pandemic necessitated improvised reconstructions of educational curriculums and restrictions in clinical placement and traini...

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Main Authors: Tone Nygaard Flølo, Kari Hanne Gjeilo, John Roger Andersen, Kristin Haraldstad, Inger Helene Hardeland Hjelmeland, Marjolein Memelink Iversen, Borghild Løyland, Tone Merete Norekvål, Kirsti Riiser, Gudrun Rohde, Kristin Hjortland Urstad, Inger Utne, Elisabeth Grov Beisland, on behalf of the LIVSFORSK network
Format: Article
Language:English
Published: BMC 2022-07-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-022-00962-7
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author Tone Nygaard Flølo
Kari Hanne Gjeilo
John Roger Andersen
Kristin Haraldstad
Inger Helene Hardeland Hjelmeland
Marjolein Memelink Iversen
Borghild Løyland
Tone Merete Norekvål
Kirsti Riiser
Gudrun Rohde
Kristin Hjortland Urstad
Inger Utne
Elisabeth Grov Beisland
on behalf of the LIVSFORSK network
author_facet Tone Nygaard Flølo
Kari Hanne Gjeilo
John Roger Andersen
Kristin Haraldstad
Inger Helene Hardeland Hjelmeland
Marjolein Memelink Iversen
Borghild Løyland
Tone Merete Norekvål
Kirsti Riiser
Gudrun Rohde
Kristin Hjortland Urstad
Inger Utne
Elisabeth Grov Beisland
on behalf of the LIVSFORSK network
author_sort Tone Nygaard Flølo
collection DOAJ
description Abstract Background High levels of psychological distress and poor overall quality of life (QOL) have been identified among nursing students during the COVID-19 pandemic. The pandemic necessitated improvised reconstructions of educational curriculums and restrictions in clinical placement and training at campuses, possibly reducing educational quality. Objectives We explored whether baccalaureate nursing students’ concerns and satisfaction with the educational curriculum, focusing on the conduct of clinical training, were associated with perceived psychological distress and overall QOL. Methods Baccalaureate nursing students (N=6088) from five Norwegian universities were invited to an internet-based, cross-sectional survey during the second wave of the pandemic. The survey included COVID-19 specific questions on health, education and clinical training, the Fear of COVID-19 scale (FCV-19S), The Hopkins Symptom Checklist (SCL-5) and overall QOL. Data from national surveys on satisfaction with the educational curriculum, before and during the pandemic were used for comparison. Results In total, 2605 (43%) students responded, of whom 1591 (61%) had been engaged in clinical training during the pandemic. Overall, 53% were either satisfied or fully satisfied with their educational curriculum, with the level of satisfaction being significantly lower than pre-pandemic reference values. Also, 79% were concerned or highly concerned about the educational quality. In multiple regression analyses for all students, lower levels of satisfaction and higher levels of quality concerns were associated with worse SCL-5 scores. Furthermore, satisfaction with the educational curriculum was positively associated with overall QOL. For students engaged in clinical training, only concerns about infecting others were additionally associated with psychological distress. None of the items related to clinical training were associated with overall QOL. Conclusion Nursing students’ educational satisfaction and quality concerns may significantly impact perceived psychological distress and overall QOL during a pandemic. However, with necessary adaptations implemented, concerns regarding the conduct of clinical training account for little of these associations.
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spelling doaj.art-ad7a9d91ffc54ba8a350ec05b020f7462022-12-22T00:42:38ZengBMCBMC Nursing1472-69552022-07-0121111310.1186/s12912-022-00962-7The impact of educational concerns and satisfaction on baccalaureate nursing students’ distress and quality of life during the Covid-19 pandemic; a cross-sectional studyTone Nygaard Flølo0Kari Hanne Gjeilo1John Roger Andersen2Kristin Haraldstad3Inger Helene Hardeland Hjelmeland4Marjolein Memelink Iversen5Borghild Løyland6Tone Merete Norekvål7Kirsti Riiser8Gudrun Rohde9Kristin Hjortland Urstad10Inger Utne11Elisabeth Grov Beisland12on behalf of the LIVSFORSK networkDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Public Health and Nursing, NTNU, Norwegian University of Science and TechnologyDepartment of Health and Caring Sciences, Western Norway University of Applied SciencesDepartment of Health and Nursing Sciences, University of AgderDepartment of Health and Caring Sciences, Western Norway University of Applied SciencesDepartment of Health and Caring Sciences, Western Norway University of Applied SciencesDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Health and Caring Sciences, Western Norway University of Applied SciencesDepartment of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Health and Nursing Sciences, University of AgderDepartment of Quality and Health Technology, University of StavangerDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Health and Caring Sciences, Western Norway University of Applied SciencesAbstract Background High levels of psychological distress and poor overall quality of life (QOL) have been identified among nursing students during the COVID-19 pandemic. The pandemic necessitated improvised reconstructions of educational curriculums and restrictions in clinical placement and training at campuses, possibly reducing educational quality. Objectives We explored whether baccalaureate nursing students’ concerns and satisfaction with the educational curriculum, focusing on the conduct of clinical training, were associated with perceived psychological distress and overall QOL. Methods Baccalaureate nursing students (N=6088) from five Norwegian universities were invited to an internet-based, cross-sectional survey during the second wave of the pandemic. The survey included COVID-19 specific questions on health, education and clinical training, the Fear of COVID-19 scale (FCV-19S), The Hopkins Symptom Checklist (SCL-5) and overall QOL. Data from national surveys on satisfaction with the educational curriculum, before and during the pandemic were used for comparison. Results In total, 2605 (43%) students responded, of whom 1591 (61%) had been engaged in clinical training during the pandemic. Overall, 53% were either satisfied or fully satisfied with their educational curriculum, with the level of satisfaction being significantly lower than pre-pandemic reference values. Also, 79% were concerned or highly concerned about the educational quality. In multiple regression analyses for all students, lower levels of satisfaction and higher levels of quality concerns were associated with worse SCL-5 scores. Furthermore, satisfaction with the educational curriculum was positively associated with overall QOL. For students engaged in clinical training, only concerns about infecting others were additionally associated with psychological distress. None of the items related to clinical training were associated with overall QOL. Conclusion Nursing students’ educational satisfaction and quality concerns may significantly impact perceived psychological distress and overall QOL during a pandemic. However, with necessary adaptations implemented, concerns regarding the conduct of clinical training account for little of these associations.https://doi.org/10.1186/s12912-022-00962-7Student satisfactionAcademic quality concernsQuality of lifePsychological distressNursing students
spellingShingle Tone Nygaard Flølo
Kari Hanne Gjeilo
John Roger Andersen
Kristin Haraldstad
Inger Helene Hardeland Hjelmeland
Marjolein Memelink Iversen
Borghild Løyland
Tone Merete Norekvål
Kirsti Riiser
Gudrun Rohde
Kristin Hjortland Urstad
Inger Utne
Elisabeth Grov Beisland
on behalf of the LIVSFORSK network
The impact of educational concerns and satisfaction on baccalaureate nursing students’ distress and quality of life during the Covid-19 pandemic; a cross-sectional study
BMC Nursing
Student satisfaction
Academic quality concerns
Quality of life
Psychological distress
Nursing students
title The impact of educational concerns and satisfaction on baccalaureate nursing students’ distress and quality of life during the Covid-19 pandemic; a cross-sectional study
title_full The impact of educational concerns and satisfaction on baccalaureate nursing students’ distress and quality of life during the Covid-19 pandemic; a cross-sectional study
title_fullStr The impact of educational concerns and satisfaction on baccalaureate nursing students’ distress and quality of life during the Covid-19 pandemic; a cross-sectional study
title_full_unstemmed The impact of educational concerns and satisfaction on baccalaureate nursing students’ distress and quality of life during the Covid-19 pandemic; a cross-sectional study
title_short The impact of educational concerns and satisfaction on baccalaureate nursing students’ distress and quality of life during the Covid-19 pandemic; a cross-sectional study
title_sort impact of educational concerns and satisfaction on baccalaureate nursing students distress and quality of life during the covid 19 pandemic a cross sectional study
topic Student satisfaction
Academic quality concerns
Quality of life
Psychological distress
Nursing students
url https://doi.org/10.1186/s12912-022-00962-7
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