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The financial challenges for Australian nursing students attending placement-based work-integrated learning.
Institution:1. School of Health, University of New England Armidale, New South Wales, Australia;2. School of Nursing, Midwifery & Paramedicine, Curtin University, Perth, Australia;3. School of Nursing, University of Tasmania, Launceston, Tasmania, Australia;4. College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia;5. Susan Wakil School of Nursing and Midwifery, University of Sydney, Camperdown, New South Wales, Australia;6. School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia;7. College of Healthcare Sciences, James Cook University, Cairns, Queensland, Australia;8. School of Health and Human Science Southern Cross Unversity, Coffs harbour, New South Wales, Australia;9. School of Health & Biomedical Sciences, RMIT University, Bundoora, Victoria, Australia;10. School of Nursing & Midwifery, University of Southern Queensland, Toowoomba, Queensland 4350, Australia;11. Judith Lumley Centre, La Trobe University, Bundoora, Victoria, Australia;1. University of Technology Sydney, School of Nursing & Midwifery, 235 Jones St, Ultimo, NSW 2007, Australia;2. Curtin University, School of Nursing, Midwifery and Paramedicine, Kent St, Bentley, WA 6102, Australia;1. Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia;2. Department of Emergency Medicine, Gold Coast Health, Southport, Queensland, Australia;3. Torrens Resilience Institute, Flinders University, South Australia, Australia;4. Adelaide Nursing School, The University of Adelaide, South Australia, Australia;5. Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia;6. New South Wales Biocontainment Centre and Department of Infectious Diseases, Westmead Hospital and Western Sydney Local Health District, Sydney, New South Wales, Australia;7. Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Sydney, New South Wales, Australia;1. School of Health, University of New England, Armidale, New South Wales 2351, Australia;2. School of Health, University of New England, Armidale, New South Wales 2351, Australia. Joint position with Hunter New England Health, NSW, Australia;3. School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, Queensland 4350, Australia;1. CQuniversity, 554-700 Yaamba Road, Norman Gardens 4701, Queensland, Australia;2. USQ, Ipswich Campus, 11 Salisbury Rd, Ipswich QLD 4305, Queensland, Australia;1. Monash University, Department of Psychiatry, Monash Medical Centre, Victoria, Australia.;2. Monash University, School of Nursing and Midwifery, Peninsula Campus, Victoria, Australia
Abstract:BackgroundMandatory placement-based work-integrated learning (WIL) poses challenges for nursing students who work whilst studying. The financial burden of WIL links to other known direct and indirect challenges, yet no Australian study has quantified the financial challenges resulting from attending mandatory WIL placements. Placement-based WIL costs may preclude some students from completing WIL, which may impact student attrition and the future health workforce.AimTo investigate Australian nursing students’ financial challenges related to mandatory WIL.MethodsAn online cross-sectional survey conducted with nursing students from nine Australian universities across five Australian states. The 28-question survey investigated the location of, and travels to, the most recent WIL placement; and students’ employment, accommodation, financial support, expenses and debts, and financial strain pertaining to WIL placements.ResultsOverall, 2,359 students participated. The majority were employed (84%); 65% of these reported that they were unable to work during WIL, affecting their employment. One-third incurred a financial liability from their placement, 79% reported financial hardship, and 73% found their placement stressful due to financial strain. Financial issues affected 62% of students’ health and wellbeing.DiscussionFinancial pressures related to WIL impact nursing students. While students have strategies to reduce these pressures, universities can also better manage their placement preferencing and support of students to reduce financial impacts of placement-based WIL on students.ConclusionsNursing students face substantial financial challenges related to placement-based WIL. Scholarship programs and other forms of support are required to assist nursing students to undertake WIL.
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