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The effect of night shift clinical postings on nursing students' mental health in University of Abuja Teaching Hospital

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Background of the Study

Night shift clinical postings are a critical component of nursing education, as they provide students with firsthand experience of the realities of healthcare environments outside of regular working hours. However, these shifts can also have negative consequences on students' mental health, including stress, anxiety, fatigue, and burnout (Boudreaux et al., 2023). In nursing education, particularly at the University of Abuja Teaching Hospital (UATH), students are often required to rotate through night shifts to develop their clinical skills, including managing critical care situations and supporting patients during off-hours.

Research indicates that night shift work can disrupt circadian rhythms, leading to sleep disturbances, increased stress levels, and a higher risk of mental health issues (Johnson et al., 2024). Nursing students, who are already under pressure to master both theoretical and practical aspects of their training, may be especially vulnerable to the psychological effects of night shift work. The consequences of night shift work on mental health can impact students' academic performance, clinical decision-making abilities, and overall well-being (O'Neill et al., 2023). Understanding the effects of night shift postings on nursing students' mental health is crucial for ensuring that clinical training programs at UATH support the mental and emotional needs of students while still providing them with valuable clinical exposure. This study aims to investigate the impact of night shift clinical postings on nursing students' mental health at UATH.

Statement of the Problem

Despite the importance of night shift work in clinical training, little is known about the impact of such shifts on the mental health of nursing students at the University of Abuja Teaching Hospital. This study seeks to explore the psychological effects of night shift clinical postings on nursing students, including the prevalence of stress, anxiety, fatigue, and other mental health challenges, and to identify ways to mitigate these effects in order to promote student well-being.

Objectives of the Study

1. To assess the impact of night shift clinical postings on the mental health of nursing students at University of Abuja Teaching Hospital.

2. To evaluate the prevalence of stress, anxiety, and burnout among nursing students following night shift rotations.

3. To explore strategies to mitigate the negative effects of night shift work on nursing students' mental health.

Research Questions

1. How do night shift clinical postings impact the mental health of nursing students at University of Abuja Teaching Hospital?

2. What is the prevalence of stress, anxiety, and burnout among nursing students after completing night shift rotations?

3. What strategies can be implemented to mitigate the negative mental health effects of night shift work on nursing students?

Research Hypotheses

1. Nursing students who undergo night shift clinical postings experience higher levels of stress and anxiety compared to those who do not.

2. There is a significant relationship between night shift clinical postings and the prevalence of burnout among nursing students.

3. Implementing stress management strategies can reduce the negative mental health effects of night shift postings on nursing students.

Scope and Limitations of the Study

This study will focus on nursing students at the University of Abuja Teaching Hospital who participate in night shift clinical postings as part of their clinical training. The study will assess the impact of these shifts on their mental health, including stress, anxiety, and burnout. Limitations include the potential for self-reported data to be biased or influenced by students' subjective experiences of night shifts.

Definitions of Terms

1. Night Shift Clinical Postings: Clinical training sessions that occur during the night shift (usually from evening to early morning), where nursing students are expected to provide care in hospital settings during off-peak hours.

2. Mental Health: The emotional, psychological, and social well-being of an individual, including the absence of stress, anxiety, depression, and burnout.

3. Burnout: A state of emotional, physical, and mental exhaustion caused by prolonged stress or overwork, often affecting healthcare workers and students in high-pressure environments.





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