Difficulties Encounter by Undergraduate Nursing Students in Clinical Settings: Difficulties of Undergraduate Nursing Students in Clinical Settings

Ali Nawaz; Syed Muhammad Hasan; Altaf Hussain; . Shahbaz

doi:10.54393/nrs.v5i1.133

Authors

Ali Nawaz Memon College of Nursing, Memon Medical Institute Hospital, Karachi, Pakistan
Syed Muhammad Hasan Memon College of Nursing, Memon Medical Institute Hospital, Karachi, Pakistan
Altaf Hussain Memon College of Nursing, Memon Medical Institute Hospital, Karachi, Pakistan
. Shahbaz Memon College of Nursing, Memon Medical Institute Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.54393/nrs.v5i1.133

Keywords:

Clinical Practice, Learning Environment, Nursing Challenges, Nursing Care

Abstract

Nursing students can utilize their theoretical knowledge to build a range of psychomotor and practical skills that are necessary for delivering high-quality care in the clinical context, as well as obtain practical experience via research projects. Nursing undergraduates have the chance to improve their psychological, psychosomatic, and psychomotor skills, all of which are essential for patient care in the clinical teaching and learning setting, despite its complexity and diversity. The focus and aim of nursing education is to develop insight and development of professional skills in individuals to work independently in clinical settings. One of the most crucial aspects influencing the learning process in clinical settings is the student’s lack of or limited exposure to the clinical learning environment. By finding the difficulties nursing students face in the clinical setting, the focus on clinical training and skill development should be emphasized more, along with the sound integration of theoretical knowledge into clinical practice.

References

Elazeem YF and Shehata YM. Challenges Facing Medical Surgical Nursing Students in the Clinical Learning Environment. International Journal of Novel Research in Healthcare and Nursing. 2019; 6: 3.

Berhe S and Gebretensaye T. Nursing Students Challenges Towards Clinical Learning Environment at The School of Nursing and Midwifery in Addis Ababa University. A qualitative study. International Journal of Africa Nursing Sciences. 2021 Jan; 15: 100378. doi: 10.1016/j.ijans.2021.100378. DOI: https://doi.org/10.1016/j.ijans.2021.100378

Younas A, Zeb H, Aziz SB, Sana S, Albert JS, Khan IU et al. Perceived challenges of nurse educators while teaching undergraduate nursing students in Pakistan: An Exploratory Mixed-Methods Study. Nurse Education Today. 2019 Oct; 81: 39-48. doi: 10.1016/j.nedt.2019.07.002. DOI: https://doi.org/10.1016/j.nedt.2019.07.002

Ve Önerileri YG. The Challenges Experienced by Nursing Students in Clinical Learning Environment and Their Suggestions. Nursing Management. 2022; 9(3): 463-74. doi: 10.54304/SHYD.2022.58561. DOI: https://doi.org/10.54304/SHYD.2022.58561

Mhango L, Baluwa M, Chirwa E. The Challenges of Precepting Undergraduate Nursing Students in Malawi. Advances in Medical Education and Practice. 2021 May: 557-63. doi: 10.2147/AMEP.S306661. DOI: https://doi.org/10.2147/AMEP.S306661

Addisie A, Cherie A, Gela D, Ataro BA. Challenges Faced During Clinical Placement among Nursing Students. A Mixed Study Conducted at Highest Institutions in Addis Ababa City, Ethiopia. 2020.

Attia YK and Ibrahim RH. Difficulties Experienced in Clinical Learning Settings for Nurses in Iraq: Perspectives of Nursing Administrators and Nursing Instructors. Informatics in Medicine Unlocked. 2023 Jan; 38: 101229. doi: 10.1016/j.imu.2023.101229. DOI: https://doi.org/10.1016/j.imu.2023.101229

Sidani Y and Editor. Routledge Handbook on Business and Management in the Middle East. Routledge. 2024 Jul. doi: 10.4324/9781003044604. DOI: https://doi.org/10.4324/9781003044604

Kol E and İnce S. Determining the Opinions of the First-Year Nursing Students about Clinical Practice and Clinical Educators. Nurse Education in Practice. 2018 Jul; 31: 35-40. doi: 10.1016/j.nepr.2018.04.009. DOI: https://doi.org/10.1016/j.nepr.2018.04.009

Rashawn Mohamed Abd-Elhady T, Hamdy Nasr Abdelhalim E, Mosaad Mohamed Elghabbour G. Nursing Students’ Experience and Satisfaction with the Clinical Learning Environment. International Egyptian Journal of Nursing Sciences and Research. 2022 Jul; 3(1): 437-54. doi: 10.21608/ejnsr.2022.247221. DOI: https://doi.org/10.21608/ejnsr.2022.247221

Rezakhani Moghaddam H, Aghamohammadi V, Jafari M, Absalan M, Nasiri K. Challenges Faced by Nursing Students to Work with Nursing Personnel: A Qualitative Study. Advances in Medical Education and Practice. 2020 Apr: 313-9. doi: 10.2147/AMEP.S246901. DOI: https://doi.org/10.2147/AMEP.S246901

Panda S, Dash M, John J, Rath K, Debata A, Swain D, Mohanty K et al. Challenges Faced by Student Nurses and Midwives in Clinical Learning Environment–A Systematic Review and Meta-Synthesis. Nurse Education Today. 2021 Jun; 101: 104875. doi: 10.1016/j.nedt.2021.104875. DOI: https://doi.org/10.1016/j.nedt.2021.104875

Teuwen C, van der Burgt S, Kusurkar R, Schreurs H, Daelmans H, Peerdeman S. How Does Inter-Professional Education Influence Students’ Perceptions of Collaboration in the Clinical Setting? A Qualitative Study. Brihanmumbai Municipal Corporation (BMC) Medical Education. 2022 Apr; 22(1): 325. doi: 10.1186/s12909-022-03372-0. DOI: https://doi.org/10.1186/s12909-022-03372-0

Bux P, Fatima M, Panhwar G. Obstacles Faced by Nursing Students while Their Clinical. Academia Letters. 2021; 2. doi: 10.20935/AL2912. DOI: https://doi.org/10.20935/AL2912

Varghese SM, Joseph VM, Binoy S, Pillai R. Perception of Nursing Students on Clinical Learning Environment. Journal of Pharmacy Negat Results. 2022: 2892-7.

Dağ GS, Kılıç HF, Görgülü RS. Difficulties in Clinical Nursing Education: Views of Nurse Instructors’. International Archives of Nursing and Health Care. 2019 Jan; 5(1): 114. doi: 10.23937/2469-5823/1510114. DOI: https://doi.org/10.23937/2469-5823/1510114

Kalyani MN, Jamshidi N, Molazem Z, Torabizadeh C, Sharif F. How Do Nursing Students Experience the Clinical Learning Environment and Respond to Their Experiences? A Qualitative Study. British Medical Journal Open. 2019 Jul; 9(7): e028052. doi: 10.1136/bmjopen-2018-028052. DOI: https://doi.org/10.1136/bmjopen-2018-028052

Aksoy B, Gurdogan EP, Kinici E. The Effect of Clinical Learning Environment on Occupational Risk Perception of Nursing Students: A Cross-Sectional Study. International Journal of Caring Sciences. 2022 Jan; 15: 530.

Adnan N, Azhar F, Azim SR. Perceptions of Pre-Clerkship Students about Workplace Learning in The Clinical Learning Environment at Gulf Medical University, United Arab Emirates: An Exploratory Study. 2023 Jan. DOI: https://doi.org/10.21203/rs.3.rs-2377262/v1

Al-Dweik G, Khalil H, Atout M, Al Zaghmouri A, AbuRuz ME. Undergraduate Nursing Student Perspectives About Challenges in Clinical Education in Jordan: A Cross-Sectional Descriptive Study. The Open Nursing Journal. 2021 Dec; 15(1). doi: 10.2174/18744346-v15-e210805-2020-130. DOI: https://doi.org/10.2174/18744346-v15-e210805-2020-130

Tolyat M, Vagharseyyedin SA, Nakhaei M. Education of Nursing Profession Amid COVID-19 Pandemic: A Qualitative Study. Journal of Advances in Medical Education & Professionalism. 2022 Jan; 10(1): 39.

Ramsbotham J, Dinh HA, Truong H, Huong N, Dang T, Nguyen C et al. Evaluating the Learning Environment of Nursing Students: A Multisite Cross-Sectional Study. Nurse Education Today. 2019 Aug; 79: 80-5. doi: 10.1016/j.nedt.2019.05.016. DOI: https://doi.org/10.1016/j.nedt.2019.05.016

Atakro CA, Armah E, Menlah A, Garti I, Addo SB, Adatara P et al. Clinical Placement Experiences by Undergraduate Nursing Students in Selected Teaching Hospitals in Ghana. Brihanmumbai Municipal Corporation Nursing. 2019 Dec; 18: 1-0. doi: 10.1186/s12912-018-0325-8. DOI: https://doi.org/10.1186/s12912-018-0325-8

Wang AH, Lee CT, Espin S. Undergraduate Nursing Students' Experiences of Anxiety-Producing Situations in Clinical Practicums: A Descriptive Survey Study. Nurse Education Today. 2019 May; 76: 103-8. doi: 10.1016/j.nedt.2019.01.016. DOI: https://doi.org/10.1016/j.nedt.2019.01.016

Ahmed WA and Mohammed BM. Nursing Students' Stress and Coping Strategies during Clinical Training in Kingdom of Saudi Arabia. Journal of Taibah University Medical Sciences. 2019 Apr; 14(2): 116-22. doi: 10.1016/j.jtumed.2019.02.002. DOI: https://doi.org/10.1016/j.jtumed.2019.02.002

Mthimunye KD and Daniels FM. Exploring The Challenges and Efforts Implemented to Improve the Academic Performance and Success of Nursing Students at A University in The Western Cape. International Journal of Africa Nursing Sciences. 2020 Jan; 12: 100196. doi: 10.1016/j.ijans.2020.100196. DOI: https://doi.org/10.1016/j.ijans.2020.100196

Rozario MD, Begum D, Costa ND, Nasrin M, Akter H. Perception and Experiences of Undergraduate Nursing Students on Clinical Learning Environment in A Public University. Dubai Medical Journal. 2022 Nov; 5(4): 244-51. doi: 10.1159/000526819. DOI: https://doi.org/10.1159/000526819

Kerthu HS and Nuuyoma V. Theory-Practice Gap: Challenges Experienced by Nursing Students at the Satellite Campus of a Higher Education Institution in Namibia. International Journal of Higher Education. 2019; 8(5): 21-8. doi: 10.5430/ijhe.v8n5p21. DOI: https://doi.org/10.5430/ijhe.v8n5p21

Khan A and Begum H. Issues in Clinical Learning Environment among Undergraduate Nursing Students in Khyber Pakhtunkhwa, Pakistan. Journal of Islamabad Medical and Dental College. 2020 Sep; 9(3): 182-9. doi: 10.35787/jimdc.v9i3.467. DOI: https://doi.org/10.35787/jimdc.v9i3.467

Fadana FP and Vember HF. Experiences of Undergraduate Nursing Students During Clinical Practice at Health Facilities in Western Cape, South Africa. Curationis. 2021; 44(1): 1-0. doi: 10.4102/curationis.v44i1.2127. DOI: https://doi.org/10.4102/curationis.v44i1.2127

Gripshi S, Rustami E, Pula A. Challenges of Nursing Students in Relation to Academic Performance at the Faculty of Technical Medical Sciences. European Journal of Medicine and Natural Sciences. 2022 May; 5(1): 71-81. doi: 10.26417/296lhu14. DOI: https://doi.org/10.26417/296lhu14

Mehdipour Rabori R, Dehghan M, Nematollahi M. Nursing Students’ Ethical Challenges in the Clinical Settings: A Mixed-Methods Study. Nursing Ethics. 2019 Nov; 26(7-8): 1983-91. doi: 10.1177/0969733018810766. DOI: https://doi.org/10.1177/0969733018810766

Saifan A, Devadas B, Daradkeh F, Abdel-Fattah H, Aljabery M, Michael LM. Solutions to Bridge the Theory-Practice Gap in Nursing Education in The Kingdom of Saudi Arabia: A Qualitative Study. Brihanmumbai Municipal Corporation Medical Education. 2021 Dec; 21: 1-1. doi: 10.1186/s12909-021-02919-x. DOI: https://doi.org/10.1186/s12909-021-02919-x

Wong SH and Kowitlawakul Y. Exploring Perceptions and Barriers in Developing Critical Thinking and Clinical Reasoning of Nursing Students: A Qualitative Study. Nurse Education Today. 2020 Dec; 95: 104600. doi: 10.1016/j.nedt.2020.104600. DOI: https://doi.org/10.1016/j.nedt.2020.104600

Hakim A. Investigating the Challenges of Clinical Education from the Viewpoint of Nursing Educators and Students: A Cross-Sectional Study. Serial Analysis of Gene Expression Open Medicine. 2023 Feb; 11: 20503121221143578. doi: 10.1177/20503121221143578. DOI: https://doi.org/10.1177/20503121221143578