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Nursing Students' Perceptions, Challenges, and Barriers in Applying the Nursing Process During Clinical Training in
Sokha Yem1, Lida Vann1, Leapchakriya Loem1
1Faculty of Nursing, University of Puthisastra, Phnom Penh, Cambodia, puthisastra.edu.kh.
Nursing Research and Practice
|June 8, 2026
Summary
Nursing students in Cambodia view the nursing process positively but face challenges in clinical training, including patient assessment issues and heavy workloads. Addressing these barriers requires improved documentation, mentorship, and collaboration between schools and hospitals.
Area of Science:
- Nursing Education
- Clinical Practice
- Healthcare Systems
Background:
- The nursing process is a core component of nursing education in Cambodia.
- Empirical data on nursing students' clinical application experiences are limited.
Purpose of the Study:
- To investigate nursing students' perceptions of the nursing process.
- To identify practical challenges and organizational barriers during clinical training in Phnom Penh, Cambodia.
Main Methods:
- A cross-sectional online survey was administered to 170 nursing students (ADN and BSN programs).
- A validated questionnaire assessed perceptions, challenges, and barriers related to the nursing process.
- The survey instrument demonstrated strong content validity and acceptable internal consistency.
Main Results:
- Students reported positive perceptions (mean=3.93) of the nursing process, with 81.6% agreeing it aids clinical decisions.
- Key challenges included patient information deficits (56.1%) and documentation variability (50.9%).
- Frequent barriers were heavy workload (30.2%) and insufficient knowledge (28.8%). BSN students had higher perceptions; senior students faced fewer barriers.
Conclusions:
- Nursing students value the nursing process but encounter significant practical and organizational obstacles in clinical settings.
- Addressing these requires standardized documentation, enhanced mentorship, and better academic-clinical partnerships.
- Future curriculum development could incorporate simulation, technology, and family-centered communication training.
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