Phenomenological Exploration of Mental Health Experiences of Nursing Students in Undergoing Clinical Education

https://doi.org/10.56303/jhnresearch.v4i3.513

Authors

  • Finni Fitria Tumiwa Health Administration Study Program, Sekolah Tinggi Ilmu Kesehatan Bethesda, Indonesia
  • Cicilia Karlina Lariwu Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Bethesda, Indonesia
  • Angelia Pondaa Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Bethesda, Indonesia
  • Christiane Prisilia Sarayar Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Bethesda, Indonesia
  • Linnie Pondaag Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Bethesda, Indonesia
  • Pingkan Christy Timbuleng Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Bethesda, Indonesia
  • Maria Jeinny Regar Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Bethesda, Indonesia

Keywords:

Education, Mental Health Experience, Nursing Student, Psychological Stress

Abstract

Mental health is a critical component of overall well-being, especially for nursing students who encounter distinct academic and clinical stressors throughout their education. This study seeks to gain an in-depth understanding of nursing students' experiences during clinical practice, with a particular focus on their mental health. This study used a qualitative phenomenological approach to explore in-depth the mental health experiences of nursing students during clinical education. The study involved 15 final year nursing students who met the inclusion criteria such as being or having undergone clinical practice and being able to articulate their experiences. Data were collected through in-depth semi-structured interviews using open-ended questions and supported by observations of non-verbal responses. Data were analyzed using identification of meaningful statements, thematic grouping, and descriptive construction, while applying bracketing to minimize researcher bias. The findings identified five key themes affecting nursing students’ psychological well-being during clinical practice: psychological stress, lack of confidence and fear of mistakes, social support, coping strategies, and personal meaning of the experience. Despite facing various pressures, students were able to build mental resilience through social support and coping strategies and found positive meaning from the practice experience. Nursing educational institutions are advised to provide psychological support and stress management training to help students cope with stress during clinical practice.

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References

Bondarchuk O, Balakhtar V, Pinchuk N, Pustovalov I, Pavlenok K. Coping with stressfull situations using coping strategies and their impact on mental health. Multidisciplinary Reviews. 2024 Jun 10;7:2024spe034.

Saxena S, Rathore B. Adversity Quotient as Determining Factor of Mental Health and Professional Quality of Life Among Healthcare Professionals: A Systematic Review. Ann Neurosci. 2025 Jan 11;32(1):58–65.

Sulistiowati NMD, Keliat BA, Wardani IY, Aldam SFS, Triana R, Florensa MVA. Comprehending Mental Health in Indonesian’s Adolescents through Mental, Emotional, and Social Well-Being. Compr Child Adolesc Nurs. 2019 Mar 29;42(sup1):277–83.

Kałwak W, Weziak-Bialowolska D, Wendołowska A, Bonarska K, Sitnik-Warchulska K, Bańbura A, et al. Young adults from disadvantaged groups experience more stress and deterioration in mental health associated with polycrisis. Sci Rep. 2024 Apr 16;14(1):8757.

Shahraki-Sanavi F, Ansari-Moghaddam A, Mohammadi M, Bakhshani NM, Salehiniya H. Effectiveness of school-based mental health programs on mental health among adolescents. J Educ Health Promot. 2020;9(1):142.

Sulthonah N, Marsyidah S, Kurnia R, Putri W, A’yun Q, Angelina NR, et al. Obesity, Dietary Habits, and Body Image Perception in College Students at Sultan Ageng Tirtayasa University. Journal of Health and Nutrition Research. 2023 Nov 30;2(3):158–63.

Bai Y, Burns R, Ma C, Curl A, Hudziak J, Copeland WE. Tracking Well‐Being: A Comprehensive Analysis of Physical Activity and Mental Health in College Students Across COVID ‐19 Phases Using Ecological Momentary Assessment. Scand J Med Sci Sports. 2024 Oct 16;34(10).

Beroíza-Valenzuela F. The challenges of mental health in Chilean university students. Front Public Health. 2024 Mar 12;12.

Zhang J, Peng C, Chen C. Mental health and academic performance of college students: Knowledge in the field of mental health, self-control, and learning in college. Acta Psychol (Amst). 2024 Aug;248:104351.

Pescosolido B. Is Mental Health Literacy the Optimal Lever of Stigma Change? Examining the Link in 17 Countries. Med Res Arch. 2024;12(7).

Konlan KD, Damiran D, Lee TW. Clinical Readiness for Practice of Nursing Students: A Concept Analysis. Int J Environ Res Public Health. 2024 Nov 30;21(12):1610.

Lindström C, Lindberg E, Karlsson J, Sandvik AH. Caring in uncertain territory: Nursing students’ encounters with patients’ existential concerns during clinical placements. Nurse Educ Pract. 2025 Jul;86:104412.

Dias JM, Subu MA, Al-Yateem N, Ahmed FR, Rahman SA, Abraham MS, et al. Nursing students’ stressors and coping strategies during their first clinical training: a qualitative study in the United Arab Emirates. BMC Nurs. 2024 May 11;23(1):322.

Arwan A, Bayan AA, Syam S, Herawanto H, Firmansyah F. Adolescent Mental Health During Stay at Home of The Covid-19 Pandemic. Journal of Health and Nutrition Research. 2022 Aug 30;1(2):82–7.

Niu Y, Yang Y, Li C, Zhao R, Hou X. Latent profile analysis of death education needs and its relationship with hospice attitude among intern nursing students. Nurse Educ Today. 2025 Oct;153:106788.

Neubauer BE, Witkop CT, Varpio L. How phenomenology can help us learn from the experiences of others. Perspect Med Educ. 2019 Apr 5;8(2):90–7.

Zhang J, Ye J, Zhang R, Liu J, Yanhua N, Wang J. High stress during clinical practicum placement is associated with bullying among nursing students: A mixed-method study. Nurse Educ Today. 2024 Nov;142:106327.

Andargeery SY, Taani MH, Alhalwani RA, El-Gazar HE. Psychological Distress, Academic Stress, and Burnout among Saudi Undergraduate Nursing Students. J Clin Med. 2024 Jun 7;13(12):3357.

Shin S, Hwang E. The Effects of Clinical Practice Stress and Resilience on Nursing Students’ Academic Burnout. Korean Medical Education Review. 2020 Jun 30;22(2):115–21.

Hwang E, Kim J. Factors affecting academic burnout of nursing students according to clinical practice experience. BMC Med Educ. 2022 Dec 6;22(1):346.

Yesilot SB, Yesil Demirci P, Eskimez Z. The role of intolerance of uncertainty and anxiety sensitivity on nursing students’ depression, anxiety, and stress levels. Nurse Educ Pract. 2022 Nov;65:103487.

Swift L, Henderson A, Wu CJ (Jo). Self-confidence in clinical skill: A descriptive study of the perspective of first-year nursing students. Nurse Educ Pract. 2022 Jan;58:103270.

Almeida LY de, Carrer MO, Souza J de, Pillon SC. Avaliação do apoio social e estresse em estudantes de enfermagem. Revista da Escola de Enfermagem da USP. 2018 Nov 29;52(0).

Turner HA, Shattuck A, Finkelhor D, Hamby S. Effects of Poly-Victimization on Adolescent Social Support, Self-Concept, and Psychological Distress. J Interpers Violence. 2017 Mar 11;32(5):755–80.

Shnaider N, Warshawski S. The role of perceived stress and social support in nursing students’ satisfaction with their initial clinical placement: A cross-sectional study. Nurse Educ Pract. 2024 Jul;78:104005.

Choi MY, Park S, Noh GO. Social support for nursing students: A concept analysis study. Nurse Educ Today. 2024 Jan;132:106038.

Ji X, Guo X, Soh KL, Japar S, He L. Effectiveness of stress management interventions for nursing students: A systematic review and meta‐analysis. Nurs Health Sci. 2024 Jun 2;26(2).

Hasnidar, Sukrang, Fauzan, Putri IR. Stress Levels in the Elderly in Facing Covid-19 at the Kawatuna Health Center. Journal of Health and Nutrition Research. 2023 Apr 16;2(1):1–4.

Prescott S, Watson A, Young CD, Peterson C, Thomas D, Anderson M, et al. A descriptive study on holistic nursing education: Student perspectives on integrating mindfulness, spirituality, and professionalism. Nurse Educ Today. 2024 Dec;143:106379.

Aryuwat P, Holmgren J, Asp M, Radabutr M, Lövenmark A. Experiences of Nursing Students Regarding Challenges and Support for Resilience during Clinical Education: A Qualitative Study. Nurs Rep. 2024 Jun 28;14(3):1604–20.

Matshaka L, Downing C, Ntshingila N. Facilitating Holistic Nursing Through the Development of Mindfulness: A Model for Student Nurses. Journal of Holistic Nursing. 2024 Dec 18;42(4):409–19.

jhnr

Published

01-12-2025

How to Cite

1.
Tumiwa FF, Lariwu CK, Pondaa A, Sarayar CP, Pondaag L, Timbuleng PC, Regar MJ. Phenomenological Exploration of Mental Health Experiences of Nursing Students in Undergoing Clinical Education. J. Health Nutr. Res [Internet]. 2025 Dec. 1 [cited 2025 Dec. 3];4(3):1015-22. Available from: https://journalmpci.com/index.php/jhnr/article/view/513

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Articles