Exploring the challenges faced by first-year adult nursing students without prior clinical experience

This article explores the perceived challenges experienced by first-year adult nursing students with no prior clinical exposure during their initial placements in UK healthcare settings. Drawing on current literature and educational policy, three core themes are examined: the persistent theory-practice gap, the emotional preparedness and resilience required for effective transition, and the value of peer learning in enhancing support and confidence. Students new to clinical practice frequently report feeling unprepared, anxious, and overwhelmed. Contributing factors include limited supervision, emotionally demanding environments, and a lack of belonging. The findings highlight the importance of emotionally safe placements, effective preceptorship, and structured opportunities for reflection and peer support. Peer learning has emerged as a powerful strategy for enhancing engagement, reducing stress, and fostering a professional identity. These insights are vital for nurse educators and practice partners to improve support mechanisms, reduce attrition, and prepare students for compassionate, competent practice.