Evaluation of a digital programme for final year nursing students during COVID-19

Int J Afr Nurs Sci. 2022:17:100455. doi: 10.1016/j.ijans.2022.100455. Epub 2022 Jul 12.

Abstract

Aim: The aim of this study was to evaluate a digital programme aimed to address COVID-19 related anxiety of final year undergraduate nursing students on returning to the clinical practice during the pandemic in South Africa.

Background: In South Africa, concern about the physical and psychological safety of nursing students resulted in the planning of a psychological first aid program to facilitate nursing students return to clinical practice.

Design: A survey was conducted in September 2020 following the August 2020 return of final year nursing students to clinical facilities.

Methods: All final year nursing students were invited to participate in the study (N = 196). An online survey was circulated via WhatsApp asking respondents to rate their anxiety and fear of COVID-19 before and after return to practice following an intervention (eCOVID). Related pair analysis was done on the main outcome measures of anxiety, COVID-19 fears and concerns using Related Samples Wilcoxon Signed Rank tests.

Results: After the programme, the respondents reported a significant reduction in anxiety (W = 2.92, p =.004) and COVID fear (W=0.3.1, p =.001), specifically related to infecting family, being exposed to COVID-19 at work, propagating infection at work and lacking access to COVID-19 information and communication.

Conclusion: The implementation of a dedicated digital programme, underpinned by a sound theory base of psychological first aid, may have decreased anxiety and fear in nursing students during clinical practice in the pandemic.Contribution: The study contributes to evidence on psychological first aid support of nursing students during the COVID-19 pandemic.

Keywords: Anxiety*; COVID-19*; Clinical practice; Fear*; Psychological First Aid*; Students, Nursing*.