Date of Completion

2024

Document Type

Thesis

Degree Name

Bachelor of Science in Nursing

Keywords

Clinical Exposure

Abstract

Purpose Statement The purpose of the study was to explore various experiences of 2nd year nursing students during their first clinical exposure through face-to-face interviews using a grand tour question: “As a 2nd year nursing student, what were your experiences during your first clinical exposure?”

Scope and Limitations The study emphasized on exploring the journey of nursing students during their initial rotation into their clinical practice, specifically the obstetric (OB) ward, pediatric ward, and community health setting. The study utilized convenience sampling in selecting the participants, and the criteria for the said participants were 2nd year nursing students who: (a) are currently enrolled in the institution during the academic year (A.Y.) 2023-2024 and have passed their clinical rotations at the OB Ward, pediatric ward, delivery room and community health setting of different healthcare institutions they are affiliated with in their first semester, A.Y. 2023-2024, (b) are willing to openly discuss and share their experiences related to their first clinical exposure.

Methodology This study used a descriptive qualitative approach to explore the first clinical experiences of 2nd year nursing students. Convenience sampling was used to select participants. A total of 12 participants were acquired after being able to reach data saturation. An audio-recorded individual face-to-face interview was conducted using open-ended questions. Colaizzi’s method was used for data analysis wherein audio-recorded data was transcribed word for word, and extracted significant statements. From there, meanings of each statement were formulated and clustered into categories for the formation of theme clusters. Fundamental structure was identified and four themes have emerged.

Findings Following the analysis of gathered data, the researchers were able to extract 102 significant statements and formulated four (4) major themes. The first theme highlighted the various emotions perceived by the nursing students as they embark on their first clinical exposure. While the second theme determined the foundational experiences of these nursing students as a first-timer in the clinical settings, it encompasses the tasks they were able to experience and the importance of developing relationships with colleagues and clinical instructors. Furthermore, the third theme discussed the various adjustments of nursing students in transitioning from classroom to clinical setting which highlighted their struggles and reflections during their first clinical exposure. And lastly, the final theme explored the development of their confidence and sense of belongingness as well as conquering the negative experiences they had encountered in the early days of their clinical rotation. Overall, the findings of the study indicate that the first clinical exposure of the nursing students provided valuable opportunities to be immersed in the clinical field and their stepping stone in navigating the complex world of nursing profession. It presents that first clinical exposure became the foundation of growth and learning.

Conclusions The data highlights the insights, emotions, and learnings from participants' first clinical exposure, deepening their understanding of roles and responsibilities and laying the groundwork for professional growth. Initial encounters with patients, instructors, and healthcare teams help students develop essential skills and coping strategies. These findings underscore the feelings, expectations, and responsibilities nursing students experience, shaping their development. Continuous guidance and support are crucial for navigating nursing's demands. In conclusion, the first clinical exposure is vital in shaping nursing students' journey toward independent practice, providing a solid foundation and essential skills.

First Advisor

Rodney R. Reyes, RN, MAN

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