Clinical Learning Challenges and Coping Mechanisms of Student Nurses

The hidden emotional and psychological burdens student nurses face during clinical training are significant and often overlooked, demanding critical attention and innovative support strategies. This qualitative descriptive study investigated the clinical experiences of Bachelor of Science in Nursing (BSN) students in a public university in Northern Luzon, Philippines. Eleven Level III and IV students, along with six clinical instructors, participated in semi-structured interviews. Data analysis revealed two major themes: challenges and coping strategies. Inner struggles included significant emotional and psychological strain, which included stress, anxiety, fear, and lack of confidence; and knowledge and skill deficiencies. Challenges from the wider world stemmed from unsupportive attitudes and negative interactions with patients, staff nurses, Clinical Instructors (CIs), and groupmates; inadequate supervision; and conflicting hospital policies. Despite these challenges, participants employed internal and external coping strategies, including personal resilience, proactive learning such as self-directed learning and seeking assistance, and supportive peer relationships. The study highlighted the crucial role of clinical instructors and nurses in providing external support and fostering a supportive learning environment. Recommendations included curriculum enhancements focusing on communication skills, coping mechanisms, and simulation-based learning; improved clinical instructor training in mentorship and fostering supportive learning environments; strengthening group dynamics; promoting self-directed learning; and creating a more collaborative clinical setting. Further research, using either quantitative or qualitative methods, is needed to understand the viewpoints of staff nurses and patients and validate these experiences.