Perceptions and Challenges Encountered by Nursing Undergraduates During Clinical Training: A Study in a Selected University in Sri Lanka

Abstract

Background: Clinical experience is vital in nursing education for enhancing the clinical competence of undergraduate students. However, there is a lack of research evidence on how nursing undergraduates perceive their clinical experiences. Objectives: To identify perception and challenges encountered by nursing undergraduates of the University of Sri Jayewardenepura, Sri Lanka during their clinical training Methods: A descriptive quantitative design was employed, involving purposively selected nursing undergraduates (n=77) from the University of Sri Jayewardenepura. The sample included students in the 2nd, 3rd, and 4th years. Data were collected using a researcher-developed, pre-tested, self administered questionnaire with open-ended questions. Descriptive and inductive analysis were used to analyse the data. Results: The majority of participants were females (79.5%), with 4th year students comprising 46.2% of the sample. Most participants (72%) agreed that their clinical appointments were sufficient for enhancing their knowledge and skills. However, they expressed dissatisfaction with various aspects, including the availability of equipment (48%), facilities in hospitals (44%) and universities (50%) for clinical practice, and guidance from hospital nursing staff (60%). On the other hand, most participants (53%) agreed that the clinical supervision guidance provided by the university academic staff is adequate. Open-ended data revealed that most participants reported positive experiences in clinical training at specific hospitals, particularly Apeksha Hospital, where the nursing staff were noted to be supportive and encouraging. Identified challenges included transportation problems, inadequate rooms and meal facilities, and the need for procedure books. Open-ended data showed improving changing room facilities, assigning a graduate nurse or clinical instructor for support, and tailoring assessments to each clinical placement as suggestions. Conclusions: The findings highlight the need to develop strategies to address resource inadequacies, foster positive attitudes, improve support and supervision to enhance nursing undergraduates' clinical training in Sri Lanka.