The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.
Exploring the challenges of clinical education in nursing and strategies to improve it: A qualitative study
Open accessAbstract
BACKGROUND: Clinical education is the heart of professional education in nursing. The perspective of nursing students and clinical nursing educators as the main owners of teaching-learning process are of determinants affecting clinical education process. This study was conducted to explore and to describe the clinical education problems and strategies to improve it from the perspective of nursing students and clinical nursing educators. MATERIALS AND METHODS: The study was conducted using a descriptive qualitative method in 2017. Participants included 35 baccalaureate nursing students and 5 clinical nursing educators from nursing faculty of Isfahan University of Medical Sciences, Isfahan, Iran. Participants were selected using purposeful sampling method. Data were collected through semi-structured individual interviews and used qualitative content analysis for analysis. RESULTS: The 2 main categories, 7 subcategories, and 19 sub-sub categories extracted from interviews. The two categories were "challenges of clinical education in nursing with four subcategories: fear, insufficient readiness of student, incompetency of clinical educators, unpleasant atmosphere of clinical environment," and "strategies for improving clinical education of nursing with three subcategories: the use of nursing education models and methods, improvement of communication between faculty and practice, and holding orientation stage at the beginning of training." CONCLUSIONS: The findings show that clinical strategies, including employing experienced clinical educators, attempting to enhance the learning environment, developing the relationship between faculty and practice, participation of clinical nurses in clinical education, paying attention to entering behavior, and holding orientation stage at the beginning of training, can improve clinical education of nursing.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Previous studies have confirmed that nursing students and novice nurses lack the necessary knowledge and awareness to apply ethical practices in their skills effectively [12–14].”
From Experiences of internship nursing students in confronting ethical issues: a qualitative study (2025) · cites this paper as [13]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Graneheim, U. H., & Lundman, B. (2004) · Nurse Education Today · doi:10.1016/j.nedt.2003.10.001 · Cited by 20,772
Hong Kong Baccalaureate Nursing Students' Stress and Their Coping Strategies in Clinical Practice
Chan, C. K. L., So, W. K. W., & Fong, D. (2009) · Journal of Professional Nursing · doi:10.1016/j.profnurs.2009.01.018 · Cited by 266
Grantcharov, T., & Reznick, R. K. (2008) · BMJ · doi:10.1136/bmj.39517.686956.47 · Cited by 263
Student nurses experience of learning in the clinical environment
Papastavrou, E., Lambrinou, E., Tsangari, H., Saarikoski, M., & Leino‐Kilpi, H. (2009) · Nurse Education in Practice · doi:10.1016/j.nepr.2009.07.003 · Cited by 208
Student’s perceptions of effective clinical teaching revisited
Kelly, C. (2007) · Nurse Education Today · doi:10.1016/j.nedt.2006.12.005 · Cited by 159
Determining problems experienced by student nurses in their work with clinical educators in Turkey
Elçigil, A., & Sarı, H. Y. (2006) · Nurse Education Today · doi:10.1016/j.nedt.2006.08.011 · Cited by 123
Stenberg, M., & Carlson, E. (2015) · BMC Nursing · doi:10.1186/s12912-015-0098-2 · Cited by 118
Antohe, I., Riklikienė, O., Tichelaar, E., & Saarikoski, M. (2015) · Nurse Education in Practice · doi:10.1016/j.nepr.2015.12.005 · Cited by 104
Exploring nursing students′ experience of peer learning in clinical practice
Bahreini, M., Ravanipour, M., & Ravanipour, M. (2015) · Journal of Education and Health Promotion · doi:10.4103/2277-9531.157233 · Cited by 88
A new strategy in nursing education: From hybrid simulation to clinical practice.
Terzioğlu, F., Yücel, Ç., Koç, G., Şimşek, Ş., Yașar, B. N., Sahan, F., Akın, R., Öçal, S. E., Akdağ, C., Elçin, M., et al. (2016) · Nurse Education Today · doi:10.1016/j.nedt.2016.01.009 · Cited by 68
Research works printed but not linked: 2
- [13]Streubert H Carpenter D Qualitative research in nursing Advanced the Humanistic Imperative 2011 5th ed Philadelphia Wolters Kluwer, Lippincott Williams & Wilkins
- [31]Jokar F Haghani F Nursing clinical education, the challenges facing: A review article Iran J Med Educ 2011 10 1153 60
Cited by
Sorted by citations
Items 101–128 of 128
Saied, H., & Murshid, B. Z. (2021) · International Journal of Advance Research in Nursing · doi:10.33545/nursing.2021.v4.i1d.157
Sousa, B. S. D. A., Nunes, B. M. V. T., Porto, F., Nery, I. S., Moura, M. E. B., & de Carvalho, H. E. F. (2022) · Revista da Escola de Enfermagem da USP · doi:10.1590/1980-220x-reeusp-2021-0513pt
Ahmed, W. A. M. (2022) · Egyptian Journal of Health Care · doi:10.21608/ejhc.2022.256110
Joao, I. N., & Kadhila, J. G. (2022) · Research Square · doi:10.21203/rs.3.rs-2277701/v1
Into The Grey: The Lived Experience Of Clinical Instructors Turned Frontliners In The Now Normal
Evangelista, P. A., & Bautista, S. C. (2023) · Technium Social Sciences Journal · doi:10.47577/tssj.v44i1.9001
Ghasemi, H. S. E., Hajibabaee, F., Sobati, A., Zadeh, Z., & Khosravi, H. (2023) · Iran Journal of Nursing · doi:10.32598/ijn.36.141.673.4
Understanding the Influencing Factors and Experiences of Clinical Learning Environment in COVID-19
(2022) · Journal of System and Management Sciences · doi:10.33168/jsms.2022.0218
(2023) · Frontiers research topics · doi:10.3389/978-2-8325-4084-8
Kutlutürkan, S., Öztürk, E. S., & Kırca, K. (2023) · Sağlık akademisyenleri dergisi/Sağlık akademisyenler dergisi · doi:10.52880/sagakaderg.1278731
An Immersive Solution to Enhance Nursing Student Skills of Intradermal Injection on New-born
Iradukunda, L. R., Isafiade, O. E., Petersen, M., Koumou, K. O., & Hoffman, J. (2024) · IST-Africa Conference (IST-Africa) · doi:10.23919/ist-africa63983.2024.10569645
Salem, M. Z., Mohamed, S. M., & Ayoub, A. S. (2024) · Egyptian Nursing Journal · doi:10.4103/enj.enj_5_24
Abdollahi, M., Ayar, A., & Hosseini, S. F. (2023) · Sālnāmah va āmār. · doi:10.61186/jbums.30.2.196
Khowaja-Punjwani, S., Baig, L., & Ali, S. K. (2024) · Kurdish Studies · doi:10.53555/ks.v12i5.3465
Moon, S., Kanoje, S., Gondhale, N., Kale, P., Girepunje, K., Hange, J., Kapse, J., Juare, S., Kotangale, A., Kandalkar, V., et al. (2024) · IP Journal of Paediatrics and Nursing Science · doi:10.18231/j.ijpns.2024.031
Saghir, S., Idrees, S., & Dhamani, K. A. (2025) · Teaching and learning in nursing · doi:10.1016/j.teln.2025.05.020
Toli, H., Hosseini, R., Garkaz, O., Mahmoudi, G., Hosseinzadeh, A., Keyvan, H., Maskani, R., & Navid, S. (2025) · Journal of Archives in Military Medicine · doi:10.5812/jamm-160874
Nasiri, K., Ahmadi, F., Haghdoost, Z., & Tabari-Khomeiran, R. (2025) · Research Square · doi:10.21203/rs.3.rs-6766786/v1
The Impact of Clinical Teaching Behavior on Learning Experience of Nursing Students
Mariano, M. E. M., Al-Jamea, L. H., Al-Ansari, R. Y., Aldossary, N., Alshamrani, A. M., Quiambao, J. V., Balilla, J., & Woodman, A. (2025) · Ibnosina Journal of Medicine and Biomedical Sciences · doi:10.1055/s-0045-1811519
Zaatari, W. E., & Maalouf, I. (2025) · Learning and Teaching in Higher Education Gulf Perspectives · doi:10.1108/lthe-03-2025-0019
Mousazadeh, N., Bagherian, S., Hajihosseini, F., Nazari, R., & Moradi, N. (2025) · Journal of Qualitative Research in Health Sciences · doi:10.34172/jqr.1497
Samari, B., Sadeghian, E., Heydarpoor, S., & Azizi, A. (2026) · Nurse Education Today · doi:10.1016/j.nedt.2026.107038
Wille, K. E., Hjerpaasen, K. J., Opheim, H. M. S., Sezer, K. I. S. A., Hansen, L. I. M., Kambe, M., Knudsen, S. A. S., & Princeton, D. M. (2026) · doi:10.2196/preprints.93433
Kestel, S., & Korkmaz, F. (2026) · Nursing Open · doi:10.1002/nop2.70571
Daniels, F. M., & Sipamla, N. (2026) · Curationis · doi:10.4102/curationis.v49i1.2813
Gholami, A., Saberi, M., Sangani, M. R., Sharifi, N., & Rahmanian, V. (2026) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_2247_24
Standardizing Dental Hygiene Education: Faculty and Student Perceptions on Calibration Techniques
Fehrenbacher, J. E., Hanks, A., & Cook, H. (2026) · Journal of Dental Education · doi:10.1002/jdd.70251
Hassan, R. E., Touzami, S., Aarrad, M., Barkat, A., & Laamırı, F. Z. (2026) · BMC Nursing · doi:10.1186/s12912-026-04759-w
Metadata
- Authors
- Farzi, S., Shahriari, M., & Farzi, S.
- Affiliations
- Isfahan University of Medical Sciences (IR)
- Corresponding author
- Farzi, Saba
- Farzi, Sedigheh
- Venue
- Journal of Education and Health Promotion
- Published
- 2018
- Volume
- 7
- Issue
- 1
- Pages
- 115
- ISSN
- 2277-9531 (ISSN-L)
- PMC
- PMC6149127
- OpenAlex
- W2910761326
- Cited by
- 129
- References
- 14
- Citations by year
- 2026: 7 · 2025: 20 · 2024: 25 · 2023: 25 · 2022: 30 · 2021: 10 · 2020: 8 · 2019: 4
- FWCI
- 10.52
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Journal of Education and Health Promotion (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
- Social Sciences › Education › Innovations in Medical Education
- Keywords
- clinical teaching, nursing education, nursing students, student readiness, clinical learning environment, nursing education models
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review