Feelings of inferiority among student nurses: causes and impact on leadership development

Background/Aims Feelings of inferiority can impede an individual's ability to lead and manage effectively, and may affect the ability of student nurses to develop leadership skills. This qualitative study aimed to explore feelings of inferiority among student nurses in Brunei, identifying contributing factors during clinical placements. Methods A total of 43 final-year nursing students from one university participated. Data were collected through written essays, with participants answering three free-text questions about their experiences of feeling inferior while on placement as part of their leadership and management module. Data were analysed thematically to identify key themes. Results Of the 43 participants, 39 reported feelings of inferiority during their placement. Three contributing factors were identified from the data: perceived skill and knowledge deficiencies; difficulties adapting to the ward environment; unclear expectations and lack of support from healthcare staff and mentors. Conclusions Student nurses may be particularly prone to feelings of inferiority during their placements, which may prevent them from developing the leadership and management skills needed for their nursing careers. Insufficient time, resources and preparation, as well as miscommunication and unclear expectations, can contribute to these negative experiences during clinical placement. Implications for practice Healthcare organisations and educational institutions must foster supportive environments and provide comprehensive preparation and support to ensure that students can develop their confidence when practicing management and leadership skills while on placement. Further research is needed to better understand and address the underlying factors that may contribute to feelings of inferiority among student nurses.