Healthcare Student Voices on the Compounding Stressors of Unpaid Clinical Placements in New Zealand

Saved in:
Bibliographic Details
Title: Healthcare Student Voices on the Compounding Stressors of Unpaid Clinical Placements in New Zealand
Language: English
Authors: Bex Howells, Kathryn Hay
Source: International Journal of Work-Integrated Learning. 2026 27(1):43-58.
Availability: New Zealand Association for Cooperative Education. University of Waikato, Private Bag 3105, Hamilton 3240, New Zealand. Tel: +64-7-838-4892; e-mail: editor@ijwil.org; Web site: https://www.ijwil.org/
Peer Reviewed: Y
Page Count: 16
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Education Level: Higher Education
Postsecondary Education
Descriptors: Foreign Countries, Clinical Experience, Allied Health Occupations Education, Obstetrics, Nursing Education, Mental Health, Nursing Students, College Students, Compensation (Remuneration), Power Structure, Bullying, Student Attitudes, Stress Variables, Working Hours, Well Being, Dropouts, Labor Force
Geographic Terms: New Zealand
Abstract: The healthcare workforce in New Zealand faces critical shortages, exacerbated by high attrition rates in training programs requiring extensive clinical placements. With a focus on elevating the voice of nursing, midwifery, and mental health students undertaking degree qualifications, this paper explores the compounding stressors of unpaid placements. Findings highlight systemic inequities, including financial hardship, excessive workloads, and challenging power dynamics, which affect student skill development during placements, wellbeing, program completion, and transition to the workforce. The lack of remuneration for healthcare training, despite paid training in several male-dominated professions, reinforces gendered inequities and devalues healthcare professions. Recommendations include the introduction of a universal stipend for students in programs with compulsory placements and improved placement regulations. Addressing the challenges associated with unpaid placements is essential to address current inequities and ensuring sustainable workforce development.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1506579
Database: ERIC
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://eric.ed.gov/contentdelivery/servlet/ERICServlet?accno=EJ1506579
    Name: ERIC Full Text
    Category: fullText
    Text: Full Text from ERIC
Header DbId: eric
DbLabel: ERIC
An: EJ1506579
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Healthcare Student Voices on the Compounding Stressors of Unpaid Clinical Placements in New Zealand
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Bex+Howells%22">Bex Howells</searchLink><br /><searchLink fieldCode="AR" term="%22Kathryn+Hay%22">Kathryn Hay</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="SO" term="%22International+Journal+of+Work-Integrated+Learning%22"><i>International Journal of Work-Integrated Learning</i></searchLink>. 2026 27(1):43-58.
– Name: Avail
  Label: Availability
  Group: Avail
  Data: New Zealand Association for Cooperative Education. University of Waikato, Private Bag 3105, Hamilton 3240, New Zealand. Tel: +64-7-838-4892; e-mail: editor@ijwil.org; Web site: https://www.ijwil.org/
– Name: PeerReviewed
  Label: Peer Reviewed
  Group: SrcInfo
  Data: Y
– Name: Pages
  Label: Page Count
  Group: Src
  Data: 16
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2026
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: Journal Articles<br />Reports - Research
– Name: Audience
  Label: Education Level
  Group: Audnce
  Data: <searchLink fieldCode="EL" term="%22Higher+Education%22">Higher Education</searchLink><br /><searchLink fieldCode="EL" term="%22Postsecondary+Education%22">Postsecondary Education</searchLink>
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+Experience%22">Clinical Experience</searchLink><br /><searchLink fieldCode="DE" term="%22Allied+Health+Occupations+Education%22">Allied Health Occupations Education</searchLink><br /><searchLink fieldCode="DE" term="%22Obstetrics%22">Obstetrics</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+Education%22">Nursing Education</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Health%22">Mental Health</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+Students%22">Nursing Students</searchLink><br /><searchLink fieldCode="DE" term="%22College+Students%22">College Students</searchLink><br /><searchLink fieldCode="DE" term="%22Compensation+%28Remuneration%29%22">Compensation (Remuneration)</searchLink><br /><searchLink fieldCode="DE" term="%22Power+Structure%22">Power Structure</searchLink><br /><searchLink fieldCode="DE" term="%22Bullying%22">Bullying</searchLink><br /><searchLink fieldCode="DE" term="%22Student+Attitudes%22">Student Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Stress+Variables%22">Stress Variables</searchLink><br /><searchLink fieldCode="DE" term="%22Working+Hours%22">Working Hours</searchLink><br /><searchLink fieldCode="DE" term="%22Well+Being%22">Well Being</searchLink><br /><searchLink fieldCode="DE" term="%22Dropouts%22">Dropouts</searchLink><br /><searchLink fieldCode="DE" term="%22Labor+Force%22">Labor Force</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22New+Zealand%22">New Zealand</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The healthcare workforce in New Zealand faces critical shortages, exacerbated by high attrition rates in training programs requiring extensive clinical placements. With a focus on elevating the voice of nursing, midwifery, and mental health students undertaking degree qualifications, this paper explores the compounding stressors of unpaid placements. Findings highlight systemic inequities, including financial hardship, excessive workloads, and challenging power dynamics, which affect student skill development during placements, wellbeing, program completion, and transition to the workforce. The lack of remuneration for healthcare training, despite paid training in several male-dominated professions, reinforces gendered inequities and devalues healthcare professions. Recommendations include the introduction of a universal stipend for students in programs with compulsory placements and improved placement regulations. Addressing the challenges associated with unpaid placements is essential to address current inequities and ensuring sustainable workforce development.
– Name: AbstractInfo
  Label: Abstractor
  Group: Ab
  Data: As Provided
– Name: DateEntry
  Label: Entry Date
  Group: Date
  Data: 2026
– Name: AN
  Label: Accession Number
  Group: ID
  Data: EJ1506579
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1506579
RecordInfo BibRecord:
  BibEntity:
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 16
        StartPage: 43
    Subjects:
      – SubjectFull: Foreign Countries
        Type: general
      – SubjectFull: Clinical Experience
        Type: general
      – SubjectFull: Allied Health Occupations Education
        Type: general
      – SubjectFull: Obstetrics
        Type: general
      – SubjectFull: Nursing Education
        Type: general
      – SubjectFull: Mental Health
        Type: general
      – SubjectFull: Nursing Students
        Type: general
      – SubjectFull: College Students
        Type: general
      – SubjectFull: Compensation (Remuneration)
        Type: general
      – SubjectFull: Power Structure
        Type: general
      – SubjectFull: Bullying
        Type: general
      – SubjectFull: Student Attitudes
        Type: general
      – SubjectFull: Stress Variables
        Type: general
      – SubjectFull: Working Hours
        Type: general
      – SubjectFull: Well Being
        Type: general
      – SubjectFull: Dropouts
        Type: general
      – SubjectFull: Labor Force
        Type: general
      – SubjectFull: New Zealand
        Type: general
    Titles:
      – TitleFull: Healthcare Student Voices on the Compounding Stressors of Unpaid Clinical Placements in New Zealand
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Bex Howells
      – PersonEntity:
          Name:
            NameFull: Kathryn Hay
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Type: published
              Y: 2026
          Numbering:
            – Type: volume
              Value: 27
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: International Journal of Work-Integrated Learning
              Type: main
ResultId 1