Original Article

Clinical learning experiences of Iranian student nurses: A qualitative study


Background & Aim: Clinical education is performed within a complex social context in clinical set-tings. Success of the nursing programs depends on appropriate clinical experiences. The aim of this study was to explore clinical learning experiences of Iranian student nurses.
Methods & Materials: Twelve bachelor's degree student nurses were chosen from two large nursing schools in an urban area of Iran. Private face-to-face semi-structured interviews were conducted to collect the data. Data were analyzed using a content analysis approach.
Results: Three main categories emerged during data analysis: "clinical poverty", "clinical distress", and "professional pride". The categories and their subcategories were interrelated and sequential in terms of their occurrence. It was found that students start learning in a non-conducive and non-supportive clinical environment. They experienced different sorts of distress during the clinical placement. However, during the last year of their studies, they gradually reached a sense of control and satisfaction with their learning.
Conclusion: Since a major part of the learning process of students occurs in clinical environments, proper management of clinical education is of high importance. To foster appropriate clinical teaching and learning, cooperation between the clinical settings and nursing schools is needed to provide a welcoming clinical climate, which values and respects student nurses.

Peyrovi H, Yadavar-Nikravesh M, Oskouie SF, Bertero C. Iranian student nurses' experiences of clinical placement. Int Nurs Rev 2005; 52(2):134-41.

Chapman R, Orb A. Coping strategies in clinical practice: the nursing students' lived experience. Contemp Nurse 2001; 11(1): 95-102.

Hartigan-Rogers JA, Cobbett SL, Amirault MA, Muise-Davis ME. Nursing graduates' percep- tions of their undergraduate clinical placement. Int J Nurs Educ Scholarsh 2007; 4: 9.

Papp I, Markkanen M, von Bonsdorff M. Clini- cal environment as a learning environment: stu- dent nurses' perceptions concerning clinical learning experiences. Nurse Educ Today 2003;23(4): 262-8.

Sharif F, Masoumi S. A qualitative study of nursing student experiences of clinical practice. BMC Nurs 2005; 4: 6.

Cheraghi MA, Salasli M, Ahmadi F. Factors influencing the clinical preparation of BS nurs- ing student interns in Iran. Int J Nurs Pract 2008; 14(1): 26-33.

Dinmohammadi M, Peyrovi H, Mehrdad N.Concept analysis of professional socialization in nursing. Nurs Forum 2013; 48(1): 26-34.

Henderson A, Twentyman M, Heel A, Lloyd B.Students' perception of the psycho-social clini- cal learning environment: an evaluation of placement models. Nurse Educ Today 2006;26(7): 564-71.

Pearcey P, Draper P. Exploring clinical nursing experiences: listening to student nurses. Nurse Educ Today 2008; 28(5): 595-601.

Henderson A, Briggs J, Schoonbeek S, Paterson K. A framework to develop a clinical learning culture in health facilities: ideas from the litera- ture. Int Nurs Rev 2011; 58(2): 196-202.

Ebrahimi H, Hassankhani H, Negarandeh R, Jeffrey C, Azizi A. Violence against new grad- uated nurses in clinical settings: A qualitative study. Nurs Ethics 2016.

Lash AA, Kulakac O, Buldukoglu K, Kukulu K.Verbal abuse of nursing and midwifery students in clinical settings in Turkey. J Nurs Educ 2006;45(10): 396-403.

Valizadeh S, Abedi HA, Zamanzadeh V, Fathi- Azar E. Challenges of nursing students during their study: a qualitative study. Res J Biol Sci 2008; 3(1): 94-108.

Ebrahimi H, Hassankhani H, Negarandeh R, Az- izi A, Gillespie M. Barriers to support for new graduated nurses in clinical settings: A qualita- tive study. Nurse Educ Today 2016; 37: 184-8.

Cheraghi MA, Salasli M, Ahmadi F. Iranian nurses' perceptions of theoretical knowledge transfer into clinical practice: a grounded theory approach. Nurs Health Sci 2007; 9(3): 212-20.

Jahanpour F, Sharif F, Salsali M, Kaveh MH, Williams LM. Clinical decision-making in sen- ior nursing students in Iran. Int J Nurs Pract 2010; 16(6): 595-602.

Heshmati-Nabavi F, Vanaki Z. Professional ap- proach: the key feature of effective clinical educa- tor in Iran. Nurse Educ Today 2010; 30(2): 163-8.

Vaismoradi M, Salsali M, Ahmadi F. Perspec- tives of Iranian male nursing students regarding the role of nursing education in developing a professional identity: a content analysis study. Jpn J Nurs Sci 2011; 8(2): 174-83.

Hassani P, Cheraghi F, Yaghmaei F. Self-efficacy and self-regulated learning in clinical performance of nursing students: a qualitative research. Iran J Med Educ 2008; 8(1): 33-42. [In Persian].

Dadgaran I, Parvizy S, Peyrovi H. Nursing stu- dents' views of sociocultural factors in clinical learning: A qualitative content analysis. Japan Journal of Nursing Science 2013; 10(1): 1-9.

Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005; 15(9): 1277-88.

Elo S, Kyngäs H. The qualitative content analy- sis process. Journal of Advanced Nursing 2008;62(1): 107-15.

Graneheim UH, Lundman B. Qualitative con- tent analysis in nursing research: concepts, pro- cedures and measures to achieve trustworthi- ness. Nurse Educ Today 2004; 24(2): 105-12.

Lincoln YS, Guba EG. Naturalistic inquiry.New York, NY: SAGE Publications; 1985.

Elliott M. The clinical environment: a source of stress for undergraduate nurses. Aust J Adv Nurs 2002; 20(1): 34-8.

Lofmark A, Wikblad K. Facilitating and ob- structing factors for development of learning in clinical practice: a student perspective. J Adv Nurs 2001; 34(1): 43-50.

Rahimaghaee F, Dehghan Nayeri N, Adib Hajbaghery M. First exposure to clinical prac- tice: An alive experience of female nursing stu- dents. Feyz 2009; 13(2): 130-9. [In Persian].

Elcigil A, Yildirim SH. Determining problems experienced by student nurses in their work with clinical educators in Turkey. Nurse Educ Today 2007; 27(5): 491-8.

Lambert V, Glacken M. Clinical support roles:a review of the literature. Nurse Educ Pract 2004; 4(3): 177-83.

Leners D, Sitzman K, Hessler KL. Perceptions of nursing student clinical placement experiences. Int J Nurs Educ Scholarsh 2006; 3(1): Article.

Pulido-Martos M, Augusto-Landa JM, Lopez- Zafra E. Sources of stress in nursing students: a systematic review of quantitative studies. Inter-national Nursing Review, 2012; 59(1): 15-25.

Celik SS, Bayraktar N. A study of nursing stu- dent abuse in Turkey. J Nurs Educ 2004; 43(7):330-6.

Dunn SV, Ehrich L, Mylonas A, Hansford BC.Students' perceptions of field experience in pro- fessional development: a comparative study. J Nurs Educ 2000; 39(9): 393-400.

Hoel H, Giga SI, Davidson MJ. Expectations and realities of student nurses' experiences of nega- tive behaviour and bullying in clinical placement and the influences of socialization processes.Health Serv Manage Res 2007; 20(4): 270-8.

Randle J. Bullying in the nursing profession. J Adv Nurs 2003; 43(4): 395-401.

Shin KR. The meaning of the clinical learning experience of Korean nursing students. Journal of Nursing Education 2000; 39(6): 259-65.

Stevens S. Nursing workforce retention: chal- lenging a bullying culture. Health Aff (Mill- wood) 2002; 21(5): 189-93.

Thomas SP, Burk R. Junior nursing students' experiences of vertical violence during clinical rotations. Nurs Outlook 2009; 57(4): 226-31.

Webster S, Lopez V, Allnut J, Clague L, Jones D, Bennett P. Undergraduate nursing students' experiences in a rural clinical placement. Aust J Rural Health 2010; 18(5): 194-8.

Foster B, Mackie B, Barnett N. Bullying in the health sector: a study of bullying of nursing stu- dents. New Zealand Journal of Employment Re- lations 2004; 29(2): 67-83.

Calpin-Davies PJ. Management and leadership: a dual role in nursing education. Nurse Educ Today 2003; 23(1): 3-10.

Edwards H, Smith S, Courtney M, Finlayson K, Chapman H. The impact of clinical placement location on nursing students' competence and preparedness for practice. Nurse Educ Today 2004; 24(4): 248-55.

IssueVol 3 No 1 (2016): Winter QRcode
SectionOriginal Article(s)
student nurse learning experience clinical placement qualitative research Iran

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How to Cite
Dinmohammadi M, Jalali A, Peyrovi H. Clinical learning experiences of Iranian student nurses: A qualitative study. NPT. 2016;3(1):31-39.