The financial impact of mandatory unpaid placements on nursing, midwifery and health-care university students: A scoping review

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Publicado no:Nurse Education in Practice vol. 86 (Jul 2025), p. 104410
Autor principal: Winchester, Tiffany
Outros Autores: de Gracia, Ma Regina, Missen, Karen, Allen, Louise, Muduwa, Miriam, Peel, Rebecca
Publicado em:
Elsevier Limited
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022 |a 1471-5953 
022 |a 1873-5223 
024 7 |a 10.1016/j.nepr.2025.104410  |2 doi 
035 |a 3227289743 
045 2 |b d20250701  |b d20250731 
084 |a 170342  |2 nlm 
100 1 |a Winchester, Tiffany  |u Institute of Health and Wellbeing, Federation University, Mt Helen, Victoria, Australia 
245 1 |a The financial impact of mandatory unpaid placements on nursing, midwifery and health-care university students: A scoping review 
260 |b Elsevier Limited  |c Jul 2025 
513 |a Literature Review Journal Article 
520 3 |a Aim This scoping review examines the challenges that university students face due to mandatory unpaid placements, with a focus on nursing, midwifery and healthcare programs. Background While these placements are essential for professional training and provide valuable real-world experience, they often impose significant financial burdens—particularly for students unable to balance paid work alongside their placement commitments. Design and Methods A scoping review was conducted to synthesise the literature between January 2014 and June 2024. A search was conducted in eight databases (ERIC (EBSCO), Academic Search Complete, Web of Science, MEDLINE, PubMed, Cochrane CINAHL, PsychINFO and Sportdiscus). Reports were screened by three reviewers. Data were then extracted and thematically analysed by two other authors. Results Nine papers met inclusion/exclusion criteria (three qualitative reports, three quantitative reports and three opinion pieces). The findings reveal that mandatory unpaid placements impose a significant financial burden on healthcare students, especially mature-aged Australian students, which can negatively contribute to their mental health and well-being and lead to student attrition. Conclusions Financial hardships due to mandatory unpaid placements cause adverse effects on students’ mental health and well-being, and student retention. The review identifies key research gaps, including research on students in regional universities and the impact of healthcare student retention and the longer-term future of the healthcare workforce. Changes to policy and practice are recommended, including establishing targeted financial assistance programs, implementing flexible academic structures and comprehensive policy reforms to address the financial, emotional and professional challenges students face in mandatory unpaid placements. 
651 4 |a United Kingdom--UK 
651 4 |a Australia 
653 |a Databases 
653 |a Retention 
653 |a Attrition 
653 |a Midwifery 
653 |a Professional development 
653 |a Policy making 
653 |a Physical therapy 
653 |a University students 
653 |a Unpaid 
653 |a Well being 
653 |a College students 
653 |a Student retention 
653 |a Midwives 
653 |a Learning 
653 |a Higher education 
653 |a Nursing education 
653 |a Workforce 
653 |a Side effects 
653 |a Nursing 
653 |a Professions 
653 |a Occupational therapy 
653 |a Health care 
653 |a Professional training 
653 |a Mental health 
653 |a Program implementation 
653 |a Nurses 
653 |a Reforms 
653 |a Health services 
653 |a Reports 
653 |a Colleges & universities 
653 |a Learning Activities 
653 |a Postsecondary Education 
653 |a On the Job Training 
653 |a Experiential Learning 
653 |a Attrition (Research Studies) 
653 |a Academic Achievement 
653 |a Student Attrition 
653 |a Expenditures 
653 |a Language Proficiency 
653 |a Physical Health 
653 |a Obstetrics 
653 |a Database Management Systems 
653 |a School Holding Power 
653 |a Authentic Learning 
653 |a Nursing Students 
653 |a Meta Analysis 
653 |a Family Income 
653 |a Opportunities 
653 |a Integrated Activities 
653 |a Poverty 
700 1 |a de Gracia, Ma Regina  |u Institute of Health and Wellbeing, Federation University, Churchill, Victoria, Australia 
700 1 |a Missen, Karen  |u Institute of Health and Wellbeing, Federation University, Churchill, Victoria, Australia 
700 1 |a Allen, Louise  |u Institute of Health and Wellbeing, Federation University, Churchill, Victoria, Australia 
700 1 |a Muduwa, Miriam  |u Institute of Health and Wellbeing, Federation University, Berwick, Victoria, Australia 
700 1 |a Peel, Rebecca  |u Institute of Health and Wellbeing, Federation University, Berwick, Victoria, Australia; Health and Biomedical Sciences, Royal Melbourne Institute of Technology, Bundoora, Victoria, Australia 
773 0 |t Nurse Education in Practice  |g vol. 86 (Jul 2025), p. 104410 
786 0 |d ProQuest  |t Sociology Database 
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