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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

Extended Abstract<br />

Background:<br />

Today many students have dual roles <strong>of</strong> learner and worker, this<br />

phenomenon has increased due to changes in government funding<br />

and changes in socio-demographic background <strong>of</strong> students resulting<br />

in an increase in the proportion <strong>of</strong> mature aged students.<br />

Consequently in the United Kingdom, it is estimated that over 1<br />

million students are working on a part-time basis during term in the<br />

UK (Labour Force Survey 2000). Within nursing, it is estimated that<br />

73% <strong>of</strong> student nurses in Scotland work part time to supplement<br />

their income (RCN 2003). Part-time work for a student can lead to<br />

both negative and positive outcomes. For example, failures in<br />

academic achievement, reduced well-being and stress, financial<br />

incentives, work experience as well as improving future<br />

employability have all been cited (Ferguson & Cerinus 1996; Lee et<br />

al 1999; Curtis & Shani 2002; Neil et al 2004). Evidence suggests<br />

that many nursing students are employed as health care assistants<br />

(HCA) while in nurse training (Seccombe et al 1995; English<br />

National Board 1996; Ferguson & Cerinus 1996; Garrity 1997; Lee<br />

et al 1999). However, operating dual roles <strong>of</strong> student and HCA<br />

raises a number <strong>of</strong> pr<strong>of</strong>essional issues, particularly with respect the<br />

influence this has on their learning and pr<strong>of</strong>essional development.<br />

A review <strong>of</strong> the literature revealed limited research in the nursing<br />

literature in this area.<br />

Aim <strong>of</strong> the study:<br />

This paper describes part <strong>of</strong> a large study funded by the Burdett<br />

Trust investigating the influence <strong>of</strong> the healthcare assistant role on<br />

students' clinical learning. The paper outlines how part-time<br />

working as a HCA affects the pr<strong>of</strong>essional development <strong>of</strong> student<br />

nurses.<br />

Methodology including research design and sampling:<br />

For the purpose <strong>of</strong> this study a mixed method multi-strand<br />

sequential transformative research design was adopted (Tashakkori<br />

& Teddlie 2003). In total 45 pre-registration nursing students, from<br />

first, second and third year, participated in four focus groups<br />

(n=32) and individual interviews (n=13). With permission, all<br />

qualitative data were recorded and transcribed. The transcripts<br />

were subject to content analysis, employing Miles & Humberman<br />

(1994) guidelines.<br />

Quantitative data were collected by means <strong>of</strong> a class-room based<br />

questionnaire. Pre-registration nursing students numbered 722<br />

when the study was being undertaken. A pilot study was<br />

undertaken with 10% <strong>of</strong> this sample (n=72) and the questionnaire<br />

revised accordingly. In total 650 pre-registration students were sent<br />

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