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Nursing student volunteers and their level of involvement during the COVID-19 pandemic: a systematic review Cover

Nursing student volunteers and their level of involvement during the COVID-19 pandemic: a systematic review

Open Access
|Mar 2024

Figures & Tables

Figure 1.

PRISMA flow diagram used in selecting studies.
PRISMA flow diagram used in selecting studies.

The quality appraisal for analytical cross-sectional studies_

StudiesQ1Q2Q3Q4Q5Q6Q7Q8ScoreOverall
Alomar et al.29YYYYNNYY6/8+
Chawlowska et al.25YYYUNNYY5/8-
Cheah et al.26YYYYNNYN5/8-
Domaradzki and Walkowiak27YYYUNNYN4/8-
Domaradzki and Walkowiak28YYYUNNYY5/8-
Aziz et al.36YYYYNNYY6/8+

Characteristics of included studies_

Characteristics of studiesNumber of studies%
Publication Year
  2020 18.3
  20211191.7
Country
  Saudi Arabia 18.3
  Spain 541.7
  Poland 325.0
  Malaysia 18.3
  Singapore 18.3
  Brunei Darussalam 18.3
Health care setting
  MOH services 18.3
  Hospital/nursing home/ quarantine facility 325.0
  Hospital and Medicalized hotel 18.3
  Hospital and local call centers 216.7
  Hospital 325.0
  Not mentioned 216.7
Design Study
  Cross-sectional study 325.0
  Qualitative study 650.0
  Survey study 325.0
Participants and field of study
  Health students, including nursing students (n = 6591) 433.3
  Medical students and nursing students (n = 304) 18.3
  Nursing students (n =224) 758.3
Sex
  Female (n = 4355)1261.2
  Male (n = 2764) 38.8
Age (mean)
  18–22 325.0
  23–25 758.3
  N/A 216.7
Marital status
  Single (n = 5739) 325.0
  Married (n = 367)
  N/A 975.0
Previous volunteering experience
  Yes (n = 2566) 975.0
  No (n = 4186)
  N/A 325.0
Volunteers contribution
  Patient care or support 541.7
  Phlebotomists 18.3
  N/A 650.0

The quality appraisal for qualitative studies_

StudiesQ1Q2Q3Q4Q5Q6Q7Q8Q9Q10ScoreOverall
Canet-Vélez et al.30YYYYYYYYYY10/10+
Seah et al.31YYYYYYYYYY10/10+
Martin-Delgado et al.32YYYYYYYYYY10/10+
Gómez-Ibáñez et al.35YYYYYYYYYY10/10+
Roca et al.33YYYYYYYYYY10/10+
Velarde-García34YYYYYYYYYY10/10+

A summary of the characteristics of the studies_

Authors year and countryObjectiveNumber of participantsPrevious volunteering experienceMarital statusAge (mean) and sex (M/F)DesignVolunteer in a health care settingThe contribution of volunteersOutcome (s) and measure (s)Key findings
Alomar et al.29 Saudi ArabiaTo assess motivational, barrier factors, and risk perceptions of volunteering for COVID-19Volunteered (1824): 1628 health student, 196 nursing No volunteered (4192): 3888 health student, 304 nursingOne or more experience in sports, hospitals, schools, religious events, social and othersVolunteers: 1712 single, 100 married, 8 Divorced, 4 Widowed; Non-volunteers: 3978 Single, 204 Married, 10 DivorcedVolunteers: Mean 22.56 M: 936 F: 888 Non-volunteers: Mean 21.87 M:1574 F: 2618Cross-sectional studyMOH servicesN/AQuestionnaire (demographics, volunteering, risk perception).(1) 39.20% were nursing students. Men older (P < 0.0001) and in good health were more likely to volunteer. (2) Motivation: 21.05% patriotism, 20.85%gaining experience, 19.03%helping when able, and 16.19%religious awards. (3) Barriers: Lack of interest, protocol, knowledge, and personal issues: transportation health, especially in women than men (58.13% and 41.87%, respectively). 68.42% of participants were afraid.
Canet-Vélez et al.30 SpainTo explore students’ perception and professional development during the COVID-1922 final-year nursing students8 students in the health fieldN/AMean 23 M: 3 F: 19Qualitative studyHospital (20/91%) and nursing homes (2/9%)N/ASemi-structured interview: (academic preparation, professional development, patient care)Four themes: (a) Professional preparation, (b) Education received: effective learning and training, (c) Nurses in the face of COVID-19, d) Patients treated with COVID-19: emotional control, family isolation, and lack of communication. Final-year students positively assess competency, and professional values are significant for patient care.
Chawłowska et al.25 PolandTo examine students’ perceptions of their participation in a COVID-19 volunteer program.158 health student volunteers: 112 Medicine, 10 Nursing, 10 Medical laboratory, 6 Dentistry, 5 Public health, 4 Midwifery, 11 Other fields117 studentsN/AMean 23.3 M: 43 F: 115SurveyHospital/ nursing home/ quarantine facilityPatient care or support: 51.27%temperature,46.84% medical history, 19.62% 36.07%, transport, 35.44% triage, 27.85%documentation, 16.45%educational, 10.13% Supporting, 8.86% laboratories,1. Questionnaire (demographic, experience, safety, costs, benefits, and incentives). 2. Interviews: benefits, costs, safety and internship, curricular activity.(1) Student perception: conditions and safety: 89.24% personal protective equipment, 88.61% technical support, 79.11% training, 38.61% psychological support, 65.82% received good learning engaging, soft skills development experience (social 86.08%; organization 78.48%, stress management 68.99%), 40.51% development of their medical skills. (2) Interviews: insight into treatment systems, psychological support, met opportunities for mentoring.
Cheah et al.26 MalaysiaTo determine the commitment, willingness, and factors related to students treating COVID-19 patients.304 medical students and nursing studentsN/AN/AMean 21.5 M: 56 F: 248Cross-sectional studyN/APatient care or support: 91.1%a medical history and physical examination 83.6% Throat swabbing, 82.2% Drawing blood, 76.6% IV drip insertion, 46.4% Performing surgeryQuestionnaire (sociodemographic, willingness, and commitment)Nursing students’ overall willingness and commitment to COVID-19 is relatively high. Students’ willingness to perform medical procedures was moderate to high. 92.4% are passionate about fighting COVID-19, 94.4% agree with a monthly salary increase, and 88.2% agree that their families receive compensation. Universities need clinical teaching for future preparation in the pandemic.
Domaradzki and Walkowiak27 PolandTo learn more about health professional student volunteers during the COVID-19417 Students: 256 Medicine, 42 Nursing, 23 Pharmacy, 20 Electroradiology, 19 Medical analytics, 14 Dentistry, 11 Midwifery, 10 Medical, Rescue, 22 Other300 studentsN/AN/A M: 116 F: 301SurveyHospital and local call centersPatient care or support: 39.8%Administrative, 33.3% emergency, 21.3%, patients’ medical history, 18% hospital ward, 7% telephone advice.Questionnaire: student volunteer’s experiences.(1) 59.2% of students consulted parents and 51.3%friends, 3.6% had a little regret as a volunteer, 85% volunteer is not as difficult as expected. (2) Reasons to volunteer: 58.8% help others, 46.5% benefit society, 4.1% professional resumes, 23.5%role of medical personnel, and 12.7% have experience. The primary role is to support the health care system, helping learn practically. Ethical dilemmas reinforce essentials. Student volunteers are integrated into education.
Domaradzki and Walkowiak28 PolandTo determine the relationship between religion and motivation to volunteer for students during the COVID-19417 Students, 256 Medicine, 42 Nursing, 23 Pharmacy, 20 Electroradiology, 19 Medical analytics, 14 Dentistry, 11 Midwifery, 10 Medical rescue, 22 Other300 studentsN/AN/A M: 116 F: 301SurveyHospital and local call centersN/AThe questionnaire: (demographic, reactions, and anxieties related to voluntary service, motivations)(1) Volunteerism is high in second and final-year students (56.1% vs. 43.9%). (2) Religion played an essential role in students from the smallest cities (P = 0.021), while ambivalent/non-religious students lived in large cities (P = 0.03). It did not differ in gender, faculty, and year of study. (3) Non-religious students were more anxious about the possible collapse of health services (P = 0.002) and economic (P = 0.014). Religion is not the primary predictor of student volunteerism but determines motivation.
Seah et al.31 SingaporeThis study explores the factors that influence students’ willingness to volunteer during the COVID-1930 Final-year Nursing Students: Volunteers (15) Non-volunteers (15) Lecturers (3) provided supervision to the student volunteersVolunteers: 14 students Non-Volunteers: 9 studentsN/AVolunteers: Mean 23.5 M: 9, F: 24 Non-Volunteers: Mean 22.6 M: 2, F: 13 Lecturers (n = 3) M: 1 F: 2Qualitative studyHospitalPhlebotomistsInterview: willingness, consideration factors, professional identity, areas of improvement to voluntary participationThree themes: (1) indecisive thoughts about volunteerism, (2) bring up “nurses” in students through volunteerism, and (3) prepare to volunteer. Factors were affecting priority-protecting family safety, health care system, remuneration, professional functioning, and identity. The sense of profession is strengthened by gathering clinical experience. However, some participants expressed fear. Findings need a volunteer management team for preparedness.
Martin-Delgado et al.32 SpainDescribe the direct experience of student volunteers during the first wave of COVID-19.40 final-year nursing students (80%)N/AN/AMean 24.65 M: 5 F: 135Qualitative studyHospital: 25 different health care settingsPatient care or support: Perform patient care under the supervision of a registered nurseReflective journal: student experiences as frontline staff.Four main themes: (a) Willingness to help and moral obligation, regardless of fear and risk of being infected, (b) Security and protection measures, (c) Amazing experience, (d) Learning and growth roles from students to professionals and learning opportunities. Reflective journaling strategies, online mentoring, and professional personal growth can significantly respond to future health crises.
Gómez-Ibáñez et al.35 SpainTo clarify the experience of nursing student volunteers in providing nursing care during the COVID-1920 final-year studentsN/A20 SingleMean 23 M: 3 F: 17Qualitative studyHospital and Medicalized hotel: 20%COVID, 20%Emergency, 5% Intensive Care Unit (ICU), 10%Convalescence, 10% pavilion, 35%MedicalizedN/ASemi-structured online interviews to explore the experiences of volunteers.(1) Feelings of commitment: the individual to society, the profession. The feeling of responsibility is formed from the interaction of2 categories: (a) “facing the unknown” and “being and feeling like a nurse,” and (b) 5 subcategories: emotional situation. (2) Anxiety because of uncertain situations, psychological difficulties but positive emotions. Fear is related to the effects of working during the study period. There needs to be a unique nursing education program for complex situations that includes coping strategies and skills development.
Roca et al.33 SpainTo explore students’ experiences and emotional responses in assistance tasks during the peak of the COVID-1922 final-year students8 StudentsN/AMean 23 M: 3 F: 19Qualitative study91% Hospital and Nursing 9%homesN/ASemi-structured online interview via Skype: experiences, emotional responses, and coping strategies(1) Emotional experience and response: Emotions that arise are related to helplessness, anxiety, uncertainty, distress, feelings of sadness about suffering and death, risk of self-contamination, and disease transmission. It requires an adaptive capacity to face reality. (2) Coping strategies: teamwork, psychological care from health institutions, information on COVID-19 care, family support, and peers, primarily through social networks, recreational activities, independence, humor, and religion.
Velarde-García et al.34 SpainTo explore student experiences, and perspectives as students and novices during the COVID-1918 final-year nursing studentsa mean as nurse assistant of 1.95 years (SD 2.82).N/AMean 23.7 M: 1 F: 17Qualitative studyHospital: 38% Emergency services, 27%ICU, 33%hospitalization: internal medicinePatient careSemi-structured interview: experience, roles, interdisciplinary team, learning process, and combining study with work.Four themes emerged: (a) The role of the student during the aid contract; (b) The learning process during the pandemic; (c) Learning barriers; and (d) Unique learning opportunities. Students do not have assigned roles with little support and supervision and learn quickly under pressure. Important to optimize the curriculum and training needs of students.
Aziz et al.36 Brunei DarussalamTo investigate the willingness of university nursing students to volunteer during the COVID-1972 nursing studentsN/AWillingness to volunteer: 40 Single 6 Married Willingness to volunteer: 23 Single 1 MarriedWillingness to volunteer: M: 7, F: 39 Willingness to volunteer: M: 9, F: 15Cross-sectional studyN/AN/AThe questionnaire measures the willingness to volunteer during disasters or public health emergencies.(1) 85.7% of married and 72.4% of participants in the first year were more willing to volunteer (P < 0.001). There is no difference in age and gender. (2) There is a significant relationship between motivation and willingness to volunteer (P < 0.001). Motivational: 75.0% safety, 74.1%helping others, and 73.% was getting a salary. (3) Inhibiting factors: 53.6% have children, 57.5% are afraid of safety, 60.0% types of disasters, 65.6% lack training, and 67.7% are still students, a significant obstacle to volunteering (P < 0.001). (4) Empowerment Factors: 76.3% have access to child care, 71.7% vaccines, 70.5% salary, 70.5% disaster response, 69.8% family safety, and 47.2% of respondents agree to encourage nursing students to volunteer.
DOI: https://doi.org/10.2478/fon-2024-0003 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 23 - 37
Submitted on: Dec 23, 2022
Accepted on: Jul 28, 2023
Published on: Mar 26, 2024
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Yayu Nidaul Fithriyyah, Syahirul Alim, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.