Author(s): Mabel D Rozario, Noopur D Costa, Hasina Akter, Delowara Begum, Most Nasrin


DOI: 10.52711/2349-2996.2023.00037   

Address: Mabel D Rozario*, Noopur D Costa, Hasina Akter, Delowara Begum, Most Nasrin
Department of Graduate Nursing, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
*Corresponding Author

Published In:   Volume - 13,      Issue - 3,     Year - 2023

In order to foster a positive learning environment that promotes learning and resilience building, it is critical to have strong interpersonal interactions in clinical settings. Despite its importance, previous studies have not focused much on this issue. This study aims to assess the level of interaction between nursing students and their teachers during clinical learning and to identify any related challenges. The study utilized a mixed-methods approach, including qualitative, exploratory, and phenomenological research designs. The sample was selected using a non-probability purposive sampling technique. Data collection methods included 14 in-depth interviews, four focus group discussions, and clinical observations with third- and fourth-year bachelor of nursing students. Data were processed using content analysis. To investigate the relationship between teachers and students, we examined factors such as the quality of lecture delivery, teaching during clinical practice, asking questions and taking notes, feedback, and assignments. Our findings indicate that most students were happy to receive introductory information and to learn through asking questions, completing assignments, and receiving feedback. Additionally, students reported learning more in-depth information about clinical practice from physicians during their routine hospital visits. We also assessed the communication and teaching abilities of senior nurses as clinical instructors, finding that they are excellent instructors who provide confidence and relevant information, and facilitate learning in clinical settings. We identified several challenges that respondents face, including communication gaps between doctors, nurses, patients, and students, conflicts between graduate and diploma nursing courses, lack of clinical instruction, noncompliance, misbehavior by doctors and ward boys, poor timing, reluctance to accept services from students, conflicts between theory and practice, and malpractice.

Cite this article:
Mabel D Rozario, Noopur D Costa, Hasina Akter, Delowara Begum, Most Nasrin. Interpersonal Interaction and Hindrances of Nursing students in Clinical Learning. Asian Journal of Nursing Education and Research. 2023; 13(3):171-8. doi: 10.52711/2349-2996.2023.00037

Mabel D Rozario, Noopur D Costa, Hasina Akter, Delowara Begum, Most Nasrin. Interpersonal Interaction and Hindrances of Nursing students in Clinical Learning. Asian Journal of Nursing Education and Research. 2023; 13(3):171-8. doi: 10.52711/2349-2996.2023.00037   Available on:

1.     Brown T, Yu ML, Etherington J. Listening and interpersonal communication skills as predictors of resilience in occupational therapy students: A cross-sectional study. Br J Occup Ther. 2021; 84(1):42-53. doi:10.1177/0308022620908503
2.     Sharma S, Vati J. Perception regarding clinical learning environment among undergraduate nursing students. Int J Nurs Educ Res. 2021; 09(04):451-457. doi:10.52711/2454-2660.2021.00104
3.     Froneman K, Du Plessis E, Koen MP. Effective educator-student relationships in nursing education to strengthen nursing students’ resilience. Curationis. 2016; 39(1):1595. doi:10.4102/curationis.v39i1.1595
4.     Manjula GB. Nursing students’ perception of clinical learning Environment: A Qualitative Study. Int J Nurs Educ Res. 2018; 6(3):250. doi:10.5958/2454-2660.2018.00059.5
5.     Kang K, Lee M, Cho H. Interpersonal skills mediate the relationship between communicative and clinical competencies among nursing students: A descriptive study. Nurse Educ Today. 2021; 99(January). doi:10.1016/j.nedt.2021.104793
6.     Al-Momani SM. Improving Nursing Students Willingness to work with Mentally Disabled Patients Through college – community interaction initiative. Asian J Nurs Educ Res. 2015; 5(1):50. doi:10.5958/2349-2996.2015.00012.9
7.     Damodaran DK, M. K. Clinical Environment: Experiences of Undergraduate Student Nurses. Int J Adv Nurs Manag. 2013; 1(1):25-30. doi:10.2139/ssrn.2629045
8.     Beutel D. Teachers’ understandings of their relationships with students: Pedagogic connectedness. Int J Learn. 2009; 16(3):507-518. doi:10.18848/1447-9494/CGP/v16i03/46156
9.     Barik N, Tanaya K. Effect of Homebased parent child interaction therapy for families having children with disruptive behavior problems at selected community of Khurda, Odisha, India. Asian J Nurs Educ Res. 2021; 11(03):369-374. doi:10.52711/2349-2996.2021.00089
10.     Ingraham KC, Davidson SJ, Yonge O. Student-faculty relationships and its impact on academic outcomes. Nurse Educ Today. 2018; 71(July):17-21. doi:10.1016/j.nedt.2018.08.021
11.     Spandana A, Sri Ranjith A, Vani T, Vinay Kumar T, Yuva Sri Sai A. Assessment and evaluation of drug-drug interactions in an intensive care unit of a tertiary care hospital and clinical pharmacist’s intervention strategies. Res J Pharm Technol. 2019; 12(8):3613-3618. doi:10.5958/0974-360X.2019.00616.4
12.     Pålsson Y, Mårtensson G, Swenne CL, Mogensen E, Engström M. First-year nursing students’ collaboration using peer learning during clinical practice education: An observational study. Nurse Educ Pract. 2021; 50:102946. doi:10.1016/j.nepr.2020.102946
13.     Angelin E, Emily S, Amala R, Grace R. Undergraduate nursing students’ perception on clinical learning environment. Int J Nurs Educ Res. 2018; 6(2):173. doi:10.5958/2454-2660.2018.00041.8
14.     Nabolsi M, Zumot A, Wardam L, Abu-Moghli F. The Experience of Jordanian Nursing Students in their Clinical Practice. Procedia - Soc Behav Sci. 2012; 46(2003):5849-5857. doi:10.1016/j.sbspro.2012.06.527
15.     Achyar N, R, K, Mandasari M. Interpersonal communication patterns of health education lecturers in guiding practical clinical training of nursing students in padang city. Malaysian J Med Res. 2019; 03(01):60-66. doi:10.31674/mjmr.2019.v03i01.009
16.     Santos JLG Dos, Copelli FH da S, Balsanelli AP, et al. Interpersonal communication competence among nursing students. Rev Lat Am Enfermagem. 2019; 27:e3207. doi:10.1590/1518-8345.3226.3207
17.     Dehaghani AR, Akhormeh KA, Mehrabi T. Assessing the effectiveness of interpersonal communication skills training on job satisfaction among nurses in Al-Zahra Hospital of Isfahan, Iran. Iran J Nurs Midwifery Res. 2012; 17(4):290-295.
18.     Gutiérrez-Puertas L, Márquez-Hernández V V., Gutiérrez-Puertas V, Granados-Gámez G, Aguilera-Manrique G. Interpersonal communication, empathy, and stress perceived by nursing students who use social networks. J Adv Nurs. 2020; 76(10):2610-2617. doi:10.1111/jan.14494
19.     Damodaran DK. Parent Child Interaction Therapy (PCIT): Child Well-Being Through an Effective Parenting Intervention. Asian J Nurs Educ Res. 2013; 3(1):18-20.
20.     Tsai TC, Hsu YL, Ma AI, King T, Wu CH. Developing a telepresence robot for interpersonal communication with the elderly in a home environment. Telemed e-Health. 2007; 13(4):407-424. doi:10.1089/tmj.2006.0068
21.     Naidoo V, Sibiya MN. Graduate experiences with transnational nursing education: a qualitative enquiry. Int J Health Care Qual Assur. 2019; 32(3):562-573. doi:10.1108/IJHCQA-06-2018-0155
22.     Elbilgahy AA, Eltaib FA, Lawend JA. Challenges facing clinical nurse educators and nursing students in Egyptian and Saudi clinical learning environment: A comparative study. Int J Africa Nurs Sci. 2020; 13(August):100240. doi:10.1016/j.ijans.2020.100240
23.     Xie J, Ding S, Wang C, Liu A. An evaluation of nursing students’ communication ability during practical clinical training. Nurse Educ Today. 2013; 33(8):823-827. doi:10.1016/j.nedt.2012.02.011
24.     Jamshidi N, Molazem Z, Sharif F, Torabizadeh C, Najafi Kalyani M. The Challenges of Nursing Students in the Clinical Learning Environment: A Qualitative Study. Sci World J. 2016; 2016:1-7. doi:10.1155/2016/1846178
25.     Cromeens MG, Britton LE, Zomorodi M, Bevill B, Jones CB. Experiential clinical learning for newly licensed PhD students: Transforming nursing PhD education through academic-practice partnerships. J Prof Nurs. 2021; 37(1):43-47. doi:10.1016/j.profnurs.2020.11.005
26.     Michel A, Ryan N, Mattheus D, et al. Undergraduate nursing students’ perceptions on nursing education during the 2020 COVID-19 pandemic: A national sample. Nurs Outlook. 2021; 0:1-10. doi:10.1016/j.outlook.2021.05.004
27.     Hussain M, Afzal M, Gilani SA. Nursing Students Challenges at Educational and Clinical Environment. J Heal Med Nurs. 2019; (June). doi:10.7176/jhmn/62-06
28.     Moghaddam HR, Aghamohammadi V, Jafari M, Absalan M, Nasiri K. Challenges faced by nursing students to work with nursing personnel: A qualitative study. Adv Med Educ Pract. 2020; 11:313-319. doi:10.2147/AMEP.S246901
29.     Zamanzadeh V, Ghaffari R, Valizadeh L, Karimi-Moonaghi H, Johnston ANB, Alizadeh S. Challenges of objective structured clinical examination in undergraduate nursing curriculum: Experiences of faculties and students. Nurse Educ Today. 2021; 103(January):104960. doi:10.1016/j.nedt.2021.104960
30.     Bagnasco A, Rossi S, Dasso N, et al. A qualitative descriptive enquiry of nursing students’ perceptions of international clinical placement experiences. Nurse Educ Pract. 2020; 43(October 2018):102705. doi:10.1016/j.nepr.2020.102705
31.     Korhonen H, Tuomikoski A maria, Oikarainen A, et al. Culturally and linguistically diverse healthcare students’ experiences of the clinical learning environment and mentoring: A qualitative study. Nurse Educ Pract. 2019; 41(October 2018):102637. doi:10.1016/j.nepr.2019.102637
32.     Subke J, Downing C, Kearns I. Practices of caring for nursing students: A clinical learning environment. Int J Nurs Sci. 2020; 7(2):214-219. doi:10.1016/j.ijnss.2020.03.005
33.     Walker LE, Cross M, Barnett T. Students’ experiences and perceptions of interprofessional education during rural placement: A mixed methods study. Nurse Educ Today. 2019; 75(December 2018):28-34. doi:10.1016/j.nedt.2018.12.012

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