Exploring the Psychological Landscape of Clinical Exposure: A Phenomenological Exploration of Student Nurses’ Challenges and Coping

Authors

  • Crishelle Ann E. Pitogo School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines
  • Ira Mae N. Gabutan School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines
  • Kezziah Dan B. de Paz School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines
  • Princess Valentina Abecia School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines
  • Christine Joy R. Guinitaran School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines
  • Genie Rose L. Sigod School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines
  • Sophia Doryss B. Toledo School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines
  • Rafael M. Duran School of Arts and Sciences, San Isidro College, Malaybalay City, Bukidnon, Philippines
  • Dr. Evan P. Taja-on School of Education, San Isidro College, Malaybalay City, Bukidnon, Philippines

DOI:

https://doi.org/10.54536/ijphn.v2i1.6701

Keywords:

Clinical Exposure, Clinical Practice Experience, Nursing Education, Phenomenological Exploration, Student Nurses

Abstract

Clinical exposure serves as a pivotal stage where nursing students transition from theoretical understanding to real-world practice, shaping their professional growth and identity. However, this experience often brings emotional and psychological challenges that test their resilience and highlight the need for supportive educational environments. The research used a qualitative phenomenological approach to understand the lived experiences of nursing students during clinical exposure, drawing on their personal reflections and narratives to examine how they navigate the challenges of clinical training. The results indicate that nursing students experience significant psychological, physical, and practical challenges during clinical exposure that affect their confidence and emotional stability. Despite these difficulties, students demonstrate adaptive coping strategies that support learning, resilience, and gradual adjustment to clinical demands. The findings highlight that the psychological landscape of clinical exposure is shaped by both persistent stressors and adaptive coping processes, emphasizing the need to view clinical learning as a balanced experience of challenge, support, and personal growth.

Author Biographies

  • Crishelle Ann E. Pitogo, School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines

    School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines, 8700

  • Ira Mae N. Gabutan, School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines

    School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines, 8700

  • Kezziah Dan B. de Paz, School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines

    School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines, 8700

  • Princess Valentina Abecia, School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines

    School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines, 8700

  • Christine Joy R. Guinitaran, School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines

    School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines, 8700

  • Genie Rose L. Sigod, School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines

    School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines, 8700

  • Sophia Doryss B. Toledo, School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines

    School of Nursing, San Isidro College, Malaybalay City, Bukidnon, Philippines, 8700

  • Rafael M. Duran, School of Arts and Sciences, San Isidro College, Malaybalay City, Bukidnon, Philippines

    School of Arts and Sciences, San Isidro College, Malaybalay City, Bukidnon, Philippines, 8700

  • Dr. Evan P. Taja-on, School of Education, San Isidro College, Malaybalay City, Bukidnon, Philippines

    School of Education, San Isidro College, Malaybalay City, Bukidnon, Philippines, 8700

References

Al-Ghareeb, A., McKenna, L., & Cooper, S. (2019). The influence of anxiety on student nurse performance in a simulated clinical setting: A mixed methods design. International Journal of Nursing Studies, 98, 57-66. https://doi.org/10.1016/j.ijnurstu.2019.06.006

Araújo, A. A. C., de Godoy, S., de Oliveira, R. M., Vedana, K. G. G., de Sousa, Á. F. L., Wong, T. K. S., & Mendes, I. A. C. (2023). Positive and negative aspects of psychological stress in clinical education in nursing: a scoping review. Nurse Education Today, 126, 105821. https://doi.org/10.1016/j.nedt.2023.105821

Aryuwat, P., Holmgren, J., Asp, M., Radabutr, M., & Lövenmark, A. (2024). Experiences of nursing students regarding challenges and Support for Resilience during Clinical Education: a qualitative study. Nursing Reports, 14(3), 1604-1620. https://doi.org/10.3390/nursrep14030120

Biggs, A., Brough, P., & Drummond, S. (2017). Lazarus and Folkman’s psychological stress and coping theory. In: C. L. Cooper & J. C. Quick (eds.) The Handbook of Stress and Health: A Guide to Research and Practice, 349-364. https://doi.org/10.1002/9781118993811.ch21

Bhurtun, H. D., Azimirad, M., Saaranen, T., & Turunen, H. (2019). Stress and coping among nursing students during clinical training: An integrative review. Journal of Nursing Education, 58(5), 266-272. https://doi.org/10.3928/01484834-20190422-04

Braun, V., & Clarke, V. (2023). Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing researcher. International Journal of Transgender Health, 24(1), 1-6. https://doi.org/10.1080/26895269.2022.2129597

Campbell, S., Greenwood, M., Prior, S., Shearer, T., Walkem, K., Young, S., ... & Walker, K. (2020). Purposive sampling: complex or simple? Research case examples. Journal of Research in Nursing, 25(8), 652-661. https://doi.org/10.1177/1744987120927206

Dias, J. M., Subu, M. A., Al-Yateem, N., Ahmed, F. R., Rahman, S. A., Abraham, M. S., ... & Javanbakh, F. (2024). Nursing students’ stressors and coping strategies during their first clinical training: a qualitative study in the United Arab Emirates. BMC Nursing, 23(1), 322. https://doi.org/10.1186/s12912-024-01962-5

Harvey, G., Carter‐Snell, C., & Aalen, D. (2022). Clinical related critical incidents in undergraduate nursing students: A scoping review. In: Nursing Forum, 57(3), 461-468). https://doi.org/10.1111/nuf.12695

Hood, T. L., & Copeland, D. (2021). Student nurses’ experiences of critical events in the clinical setting: a grounded theory. Journal of Professional Nursing, 37(5), 885-893. https://doi.org/10.1016/j.profnurs.2021.07.007

Kalyani, M. N., Jamshidi, N., Molazem, Z., Torabizadeh, C., & Sharif, F. (2019). How do nursing students experience the clinical learning environment and respond to their experiences? A qualitative study. BMJ Open, 9(7), e028052. https://doi.org/10.1136/bmjopen-2018-028052

Koukourikos, K., Tsaloglidou, A., Kourkouta, L., Papathanasiou, I. V., Iliadis, C., Fratzana, A., & Panagiotou, A. (2021). Simulation in clinical nursing education. Acta Informatica Medica, 29(1), 15. https://doi.org/10.5455/aim.2021.29.15-20

Li, Z. S., & Hasson, F. (2020). Resilience, stress, and psychological well-being in nursing students: A systematic review. Nurse Education Today, 90, 104440. https://doi.org/10.1016/j.nedt.2020.104440

Loureiro, F., Peças, D., Neves, A. C., & Antunes, A. V. (2024). Coping strategies and social support in nursing students during clinical practice: A scoping review. Nursing Open, 11(2), e2112. https://doi.org/10.1002/nop2.2112

Luo, Z., Wang, Q., Li, J., Chen, H., Li, H., Xue, K., & Tang, J. (2025). Challenges and coping strategies of nursing interns in training for nationwide medical technical skills competition: a qualitative descriptive study. BMC Nursing, 24(1), 730. https://doi.org/10.1186/s12912-025-03387-0

McCarthy, B., Trace, A., O’Donovan, M., Brady-Nevin, C., Murphy, M., O’Shea, M., & O’Regan, P. (2018). Nursing and midwifery students’ stress and coping during their undergraduate education programmes: An integrative review. Nurse Education Today, 61, 197-209. https://doi.org/10.1016/j.nedt.2017.11.029

Nurunnabi, A. S. M., Rahim, R., Alo, D., Mamun, A. A., Kaiser, A. M., Mohammad, T., & Sultana, F. (2022). Experiential learning in clinical education guided by the Kolb’s experiential learning theory. International Journal of Human and Health Sciences, 6(2), 155-160. http://doi.org/10.31344/ijhhs.v6i2.438

Panda, S., Dash, M., John, J., Rath, K., Debata, A., Swain, D., ... & Eustace-Cook, J. (2021). Challenges faced by student nurses and midwives in clinical learning environment–A systematic review and meta-synthesis. Nurse Education Today, 101, 104875. https://doi.org/10.1016/j.nedt.2021.104875

Pilarska, J. (2021). Phenomenological Qualitative Research Design. In: A. Pabel, J. Pryce, & A. Anderson (eds.) Research Paradigm Considerations for Emerging Scholars, 33. https://doi.org/10.21832/PABEL8274

Republic Act 9173, Philippine Nursing Act of 2002. https://lawphil.net/statutes/repacts/ra2002/ra_9173_2002.html

Rogers, B. A., & Franklin, A. E. (2021). Cognitive load experienced by nurses in simulation-based learning experiences: an integrative review. Nurse Education Today, 99, 104815. https://doi.org/10.1016/j.nedt.2021.104815

Schmuke, A. D., Armstrong, K., McGroarty, C., Fuller, K., Rubbelke, C., & Bultas, M. W. (2025). The Effects of Clinical Exposure on Examination Performance of Nursing Students. Journal of Nursing Education, 64(1), 44-47. https://doi.org/10.3928/01484834-20240627-03

Smith, B. W., Maneze, D., Ramjan, L. M., Stephen, C. M., Montayre, J., & Salamonson, Y. (2025). Impacts of Financial Stress on Mental Health and Wellbeing of Nursing Students: A Systematic Integrative Review. Journal of Advanced Nursing. https://doi.org/10.1111/jan.70043

Sonmez, Y., Akdemir, M., Meydanlioglu, A., & Aktekin, M. R. (2023). Psychological distress, depression, and anxiety in nursing students: A longitudinal study. In: Healthcare, 11(5), 636. MDPI. https://doi.org/10.3390/healthcare11050636

Taja-on, E. P., Roble, D. B., & Lomibao, L. S. (2024). Mathema Asclepius: A systematic review of mathematics shaping medical frontiers. Journal of Innovations in Teaching and Learning, 4(1), 37-43. https://doi.org/10.12691/jitl-4-1-6

Taja-on, E. P., & Vergara, F. A. (2025). The advocacy blueprint: A Delphi study on promoting and strengthening mental health programs and services in higher education. Educational Point, 2(1), e112. https://doi.org/10.71176/edup/15991

Thomas, C. M., & Kellgren, M. (2017). Benner’s novice to expert model: An application for simulation facilitators. Nursing Science Quarterly, 30(3), 227-234. https://doi.org/10.1177/0894318417708410

Downloads

Published

2026-05-22

How to Cite

Pitogo, C. A. E. ., Gabutan, I. M. N. ., de Paz, K. D. B. ., Abecia, P. V. ., Guinitaran, C. J. R. ., Sigod, G. R. L. ., Toledo, S. D. B. ., Duran , R. M. ., & Taja-on, E. P. . (2026). Exploring the Psychological Landscape of Clinical Exposure: A Phenomenological Exploration of Student Nurses’ Challenges and Coping. International Journal of Public Health and Nursing, 2(1), 53-64. https://doi.org/10.54536/ijphn.v2i1.6701