Barriers to healthcare services access among nursing students
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1
Department of Occupational Medicine, Farhat Hached Academic hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
2
Department of Anesthesia and Intensive Care, Sahloul Academic Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
3
Department of Preventive and Community Medicine, Mahdia Academic Hospital, Faculty of Medicine of Monastir, Tunisia
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A854
ABSTRACT
Background:
Easy and timely access to health care services is essential for nursing students who are particularly vulnerable. National researchs on the difficulties of access to healthcare among students are rare. The aim of this study was to determine the barriers to healthcare services as reported by nursing students in order to propose solutions.
Methods:
This is a cross-sectional study that took place over two month period and included all 2nd and 3rd year students enrolled in the applied license in nursing science at private nursing school during the academic year 2021/2022. The questionnaire enquired about barriers to using physical and mental healthcare services separately.
Results:
A total of 150 students participated in the study, representing a participation rate of 47.3%. The health state was considered poor in 14% of cases. Psycho-affective and somatic complaints were frequently reported in 12.7% of cases for each. The social security scheme paid for in 36% of cases. The main obstacles to accessing care reported, in terms of mental health, were non-respect of confidentiality (84%), financial difficulties (82.7%), lack of time (74.7%) and fear of adverse effects (70%). Regarding physical health, they included difficulties in accessing university doctors (88%), risks related to covid-19 (79.3%) and financial difficulties (78%).
Conclusion:
The difficulties of access to healthcare among students are various, requiring targeted preventive measures. Institutional programmes should use this information for improving the usage, satisfaction and effectiveness of healthcare delivery systems for nursing students.