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Nursing students' initial clinical experience: a phenomenological study

C T Beck1

  • 1College of Nursing, University of Rhode Island, Kingston 02881-0814.

International Journal of Nursing Studies
|December 1, 1993
PubMed
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The first clinical experience causes significant anxiety for nursing students, who often feel abandoned and question their competence. Understanding these challenges is crucial for nurse educators to provide better support.

Area of Science:

  • Nursing Education
  • Qualitative Research
  • Student Psychology

Background:

  • The initial clinical experience is a primary source of anxiety for nursing students.
  • Faculty require a deeper understanding of students' lived experiences to provide effective support.

Purpose of the Study:

  • To explore the lived experience of nursing students during their first clinical encounter.
  • To identify the key themes and challenges faced by students in their initial clinical placements.

Main Methods:

  • A phenomenological study was employed.
  • Eighteen undergraduate nursing students provided written accounts of their first clinical day.
  • Colaizzi's phenomenological method was used for data analysis.

Main Results:

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  • Six major theme clusters emerged: pervading anxiety, feeling abandoned, reality shock, self-perceived incompetence, choice doubt, and positive outcomes.
  • Students experienced significant emotional distress and self-doubt.
  • Despite challenges, some uplifting consequences were also reported.

Conclusions:

  • The first clinical experience presents multifaceted challenges for nursing students, including anxiety and feelings of inadequacy.
  • Nurse educators must address these issues to improve student support and integration into clinical practice.
  • Further research can inform pedagogical strategies to mitigate negative experiences and enhance learning.