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Experiences of Intern Nurses Returning From Distance Education to Clinical Practice During the COVID-19 Pandemic: A Qualitative Study.

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  • Additional Information
    • Source:
      Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 9609066 Publication Model: Print Cited Medium: Internet ISSN: 1365-2753 (Electronic) Linking ISSN: 13561294 NLM ISO Abbreviation: J Eval Clin Pract Subsets: MEDLINE
    • Publication Information:
      Original Publication: Oxford, England : Wiley-Blackwell, c1995-
    • Subject Terms:
    • Abstract:
      Rationale: The present study aimed to understand the experiences of intern nurses returning to clinical practice after a year-long distance education during the pandemic.
      Methods: The study was conducted using the qualitative content analysis method. The participants were 32 intern nurses. The data included specific narratives on the experience of intern nurses returning from distance education to clinical practice during the pandemic. Data were collected through a total of four focus group interviews. Data analysis was conducted using an inductive qualitative analysis approach.
      Results: The content analysis identified three main categories. The category 'Feelings during Clinical Practice' included the subcategories 'fear', 'uncertainty' and 'intolerance'. The category 'Challenges during Clinical Practice' included the subcategories 'sleep problems', 'alienation from clinical placement', 'lack of knowledge and experience', 'hospital staff', 'difficulty reaching nurse educator' and 'lack of protective equipment'. The category 'Suggestions for Clinical Practice' included the subcategories 'psychological support', 'case discussion and academic counselling' and 'protective equipment support'.
      Conclusions: The study revealed that intern nurses faced various challenges in clinical settings following their year-long distance education. The results may help nurse educators understand the experiences of intern nurses returning to clinical practice after a year-long distance education and determine the teaching strategies to be followed in specific situations like pandemics in the future.
      (© 2025 John Wiley & Sons Ltd.)
    • References:
      World Health Organization. “Director‐General's Opening Remarks at the Media Briefing on COVID‐19,” World Health Organization, accessed August 28, 2020, https://www.who.int/director.
      N. Ard, S. F. Beasley, K. Nunn‐Ellison, and S. Farmer, “Responding to the Pandemic: Nursing Education and the ACEN,” Teaching and Learning in Nursing 16, no. 4 (2021): 292–295, https://doi.org/10.1016/j.teln.2021.06.009.
      P. Bester, K. Smit, M. De Beer, and P. H. Myburgh, “When Online Learning Becomes Compulsory: Student Nurses' Adoption of Information Communication Technology in a Private Nursing Education Institution,” Curationis 44, no. 1 (2021): e1–e9, https://doi.org/10.4102/curationis.v44i1.2152.
      N. Salmani, I. Bagheri, and A. Dadgari, “Iranian Nursing Students Experiences Regarding the Status of e‐Learning During COVID‐19 Pandemic,” PLoS One 17, no. 2 (2022): e0263388, https://doi.org/10.1371/journal.pone.0263388.
      M. Metin Karaaslan, İ. Çelik, Ş. Kurt, A. Yılmaz Yavuz, and M. Bektaş, “Undergraduate Nursing Students' Experiences of Distance Education During the COVID‐19 Pandemic,” Journal of Professional Nursing 38 (2022): 74–82, https://doi.org/10.1016/j.profnurs.2021.11.010.
      J. Goodwin, C. Kilty, P. Kelly, A. O'Donovan, S. White, and M. O'Malley, “Undergraduate Student Nurses' Views of Online Learning,” Teaching and Learning in Nursing 17, no. 4 (2022): 398–402, https://doi.org/10.1016/j.teln.2022.02.005.
      E. Kartsoni, N. Bakalis, G. Markakis, M. Zografakis‐Sfakianakis, E. Patelarou, and A. Patelarou, “Distance Learning in Nursing Education During the COVID‐19 Pandemic: Psychosocial Impact for the Greek Nursing Students: A Qualitative Approach,” Healthcare 11, no. 8 (2023): 1178, https://doi.org/10.3390/healthcare11081178.
      A. Karaca, N. Yıldırım, H. Ankaralı, F. Açıkgöz, and D. Akkuş, “Nursing Students' Perceived Levels of Clinical Stress, Stress Responses and Coping Behaviors,” Journal of Psychiatric Nursing 8, no. 1 (2017): 32–39, https://doi.org/10.14744/phd.2017.22590.
      M. C. G. Simpson and J. A. V. Sawatzky, “Clinical Placement Anxiety in Undergraduate Nursing Students: A Concept Analysis,” Nurse Education Today 87 (2020): 104329, https://doi.org/10.1016/j.nedt.2019.104329.
      E. J. Collado‐Boira, E. Ruiz‐Palomino, P. Salas‐Media, A. Folch‐Ayora, M. Muriach, and P. Baliño, “‘The COVID‐19 Outbreak’: An Empirical Phenomenological Study on Perceptions and Psychosocial Considerations Surrounding the Immediate Incorporation of Final‐Year Spanish Nursing and Medical Students Into the Health System,” Nurse Education Today 92 (2020): 104504, https://doi.org/10.1016/j.nedt.2020.104504.
      S. S. Alshutwi, “‘Senior Nursing Students and Interns’ Concerns and Willingness to Treat Patients With COVID‐19: A Strategy to Expand National Nursing Workforce During the COVID‐19 Pandemic,” Risk Management and Healthcare Policy 14 (2021): 39–48, https://doi.org/10.2147/RMHP.S279569.
      C. Casafont, N. Fabrellas, P. Rivera, et al., “Experiences of Nursing Students as Healthcare Aid During the COVID‐19 Pandemic in Spain: A Phenomenological Research Study,” Nurse Education Today 97 (2021): 104711, https://doi.org/10.1016/j.nedt.2020.104711.
      M. Nabavian, N. Rahmani, and H. Alipour, “Experiences of Nursing Students in the Care for Patients Diagnosed With COVID‐19: A Qualitative Study,” Journal of Patient Experience 8 (2021): 23743735211039925, https://doi.org/10.1177/23743735211039925.
      D. Ulenaers, J. Grosemans, W. Schrooten, and J. Bergs, “Clinical Placement Experience of Nursing Students During the COVID‐19 Pandemic: A Cross‐Sectional Study,” Nurse Education Today 99 (2021): 104746, https://doi.org/10.1016/j.nedt.2021.104746.
      H. Yazici and Ç. Ökten, “Nursing Students' Clinical Practices During the COVID‐19 Pandemic: Fear of COVID‐19 and Anxiety Levels,” Nursing Forum 57, no. 2 (2022): 298–304, https://doi.org/10.1111/nuf.12680.
      U. Gül, D. Altuntaş, and E. Efe, “A Year and a Half Later: Clinical Experiences of Intern Nursing Students in the COVID‐19 Pandemic: A Constructivist Grounded Theory,” Nurse Education in Practice 63 (2022): 103381, https://doi.org/10.1016/j.nepr.2022.103381.
      Z. Cengiz, Z. Gurdap, and K. Işik, “Challenges Experienced by Nursing Students During the COVID‐19 Pandemic,” Perspectives in Psychiatric Care 58, no. 1 (2022): 47–53, https://doi.org/10.1111/ppc.12923.
      J. Y. Joo, “Abrupt Transition to Remote Learning in Nursing Students During the COVID‐19 Pandemic,” Journal of Nursing Education 63, no. 2 (2024): 108–115, https://doi.org/10.3928/01484834-20231031-01.
      N. Ates, Y. Güçlüel, M. Pirecioğlu, E. Güngörmüş, and A. Yıldırım, “Opinions and Recommendations of Intern Nurse, Mentor Nurse and Clinical Responsible Nurse About Intern Clinical Practice Program (Turkish),” Journal of Research and Development in Nursing 19, no. 3 (2017): 1–11.
      M. Vaismoradi and S. Snelgrove, “Theme in Qualitative Content Analysis and Thematic Analysis,” Forum: Qualitative Social Research 20, no. 3 (2019): 1–14, https://doi.org/10.17169/fqs-20.3.3376.
      S. Elo and H. Kyngäs, “The Qualitative Content Analysis Process,” Journal of Advanced Nursing 62, no. 1 (2008): 107–115, https://doi.org/10.1111/j.1365-2648.2007.04569.x.
      A. Tong, P. Sainsbury, and J. Craig, “Consolidated Criteria for Reporting Qualitative Research (COREQ): A 32‐Item Checklist for Interviews and Focus Groups,” International Journal for Quality in Health Care 19, no. 6 (2007): 349–357, https://doi.org/10.1093/intqhc/mzm042.
      S. Campbell, M. Greenwood, S. Prior, et al., “Purposive Sampling: Complex or Simple? Research Case Examples,” Journal of Research in Nursing 25, no. 8 (2020): 652–661, https://doi.org/10.1177/1744987120927206.
      R. A. Krueger and M. A. Casey, Focus Groups: A Practical Guide for Applied Research, 5th ed. (Thousand Oaks: SAGE, 2015), https://us.sagepub.com/en-us/nam/focus-groups/book243860.
      I. Korstjens and A. Moser, “Series: Practical Guidance to Qualitative Research. Part 4: Trustworthiness and Publishing,” European Journal of General Practice 24, no. 1 (2018): 120–124, https://doi.org/10.1080/13814788.2017.1375092.
      D. F. Polit and C. T. Beck, Nursing Research: Principles and Methods 7th ed. (Philadelphia: Lippincott, Williams & Wilkins, 2004).
      M. Tsukuda, T. Kayano, and Y. Ito, “Experiences of COVID‐19‐Related Stigma: A Qualitative Study on Nurses Caring for Patients With COVID‐19,” Journal of Nursing Research 30, no. 6 (2022): e241, https://doi.org/10.1097/jnr.0000000000000528.
      N. Kalal and N. Rana, “Perspectives: Nursing Students and COVID‐19: Challenges and Coping Strategies,” Journal of Research in Nursing 27, no. 5 (2022): 494–498, https://doi.org/10.1177/17449871221114547.
      M. R. Oțelea, A. Rașcu, C. Staicu, et al., “Exhaustion in Healthcare Workers After the First Three Waves of the COVID‐19 Pandemic,” International Journal of Environmental Research and Public Health 19, no. 14 (2022): 8871, https://doi.org/10.3390/ijerph19148871.
      N. Rana, N. Kalal, and S. K. Sharma, “Fear and Challenges of Nursing Students Being in Hospital for Clinical Posting During the COVID‐19 Pandemic: An Exploratory Survey,” Frontiers in Psychology 13 (2022): 867606, https://doi.org/10.3389/fpsyg.2022.867606.
      Q. X. Ng, C. E. Yau, C. Y. L. Yaow, et al., “Impact of COVID‐19 on Environmental Services Workers in Healthcare Settings: A Scoping Review,” Journal of Hospital Infection 130 (2022): 95–103, https://doi.org/10.1016/j.jhin.2022.09.001.
      L. Huang, W. Lei, F. Xu, H. Liu, and L. Yu, “Emotional Responses and Coping Strategies in Nurses and Nursing Students During Covid‐19 Outbreak: A Comparative Study,” PLoS One 15, no. 8 (2020): e0237303, https://doi.org/10.1371/journal.pone.0237303.
      R. A. Joseph, T. Turner, C. Lee, S. W. Akers, E. Whorley, and C. Goodrich, “Impact of COVID‐19 on Nursing Students: Factors Associated With PTSD Risk,” Journal of Christian Nursing 39, no. 4 (2022): 250–257, https://doi.org/10.1097/CNJ.0000000000000951.
      K. F. W. Dyer, C. Shannon, L. McCann, et al., “Psychological Support for Healthcare Workers During the COVID‐19 Pandemic: A Mixed Methods Study Involving Support Providers,” European Journal of Psychotraumatology 13, no. 2 (2022): 2151282, https://doi.org/10.1080/20008066.2022.2151282.
      S. Tariq, “Psychological Experience of University Students in COVID 19 Lockdown: A Qualitative Research,” Pakistan Social Sciences Review 4, no. 3 (2020): 807–823, https://doi.org/10.35484/pssr.2020(4-III)57.
      M. Mulyadi, S. I. Tonapa, S. Luneto, W. T. Lin, and B. O. Lee, “Prevalence of Mental Health Problems and Sleep Disturbances in Nursing Students During the COVID‐19 Pandemic: A Systematic Review and Meta‐Analysis,” Nurse Education in Practice 57 (2021): 103228, https://doi.org/10.1016/j.nepr.2021.103228.
      H. Xiao, Y. Zhang, D. Kong, S. Li, and N. Yang, “Social Capital and Sleep Quality in Individuals Who Self‐Isolated for 14 Days During the Coronavirus Disease 2019 (COVID‐19) Outbreak in January 2020 in China,” Medical Science Monitor: International Medical Journal of Experimental and Clinical Research 26 (2020): e923921, https://doi.org/10.12659/MSM.923921.
      J. I. Gallego‐Gómez, M. T. R. González‐Moro, J. M. R. González‐Moro, et al., “Relationship Between Sleep Habits and Academic Performance in University Nursing Students,” BMC Nursing 20, no. 1 (2021): 100, https://doi.org/10.1186/s12912-021-00635-x.
      A. L. Johnson, L. Jung, K. C. Brown, M. T. Weaver, and K. C. Richards, “Sleep Deprivation and Error in Nurses Who Work the Night Shift,” JONA: Journal of Nursing Administration 44, no. 1 (2014): 17–22, https://doi.org/10.1097/NNA.0000000000000016.
      J. Rodríguez‐Almagro, A. Hernández‐Martínez, C. Romero‐Blanco, A. Martínez‐Arce, M. C. Prado‐Laguna, and F. J. García‐Sanchez, “Experiences and Perceptions of Nursing Students During the COVID‐19 Crisis in Spain,” International Journal of Environmental Research and Public Health 18, no. 19 (2021): 10459, https://doi.org/10.3390/ijerph181910459.
      M. Dziurka, M. Machul, P. Ozdoba, et al., “Clinical Training During the COVID‐19 Pandemic: Experiences of Nursing Students and Implications for Education,” International Journal of Environmental Research and Public Health 19, no. 10 (2022): 6352, https://doi.org/10.3390/ijerph19106352.
      L. Dempsey, L. Gaffney, S. Bracken, et al., “Experiences of Undergraduate Nursing Students Who Worked Clinically During the COVID‐19 Pandemic,” Nursing Open 10, no. 1 (2023): 142–155, https://doi.org/10.1002/nop2.1289.
      M. Nabolsi, F. Abu‐Moghli, I. Khalaf, A. Zumot, and W. Suliman, “Nursing Faculty Experience With Online Distance Education During COVID‐19 Crisis: A Qualitative Study,” Journal of Professional Nursing 37, no. 5 (2021): 828–835, https://doi.org/10.1016/j.profnurs.2021.06.002.
      İ. Özkan, S. Taylan, and E. İlaslan, “The Experiences of Nursing Students Towards Distance Education During the COVID‐19 Pandemic,” International e‐Journal of Educational Studies 5, no. 10 (2021): 106–117, https://doi.org/10.31458/iejes.942443.
      N. Rohmani and R. Andriani, “Correlation Between Academic Self‐Efficacy and Burnout Originating From Distance Learning Among Nursing Students in Indonesia During the Coronavirus Disease 2019 Pandemic,” Journal of Educational Evaluation for Health Professions 18 (2021): 9, https://doi.org/10.3352/jeehp.2021.18.9.
      Y. Zhang, N. Zhang, H. Liu, Y. Kan, and Y. Zou, “The Impact of Distance Education on Nursing Students Course Performance in a Sino‐Foreign Cooperative Program During the Onset of COVID‐19: A Quasi‐Experimental Study,” BMC Nursing 22, no. 1 (2023): 16, https://doi.org/10.1186/s12912-022-01136-1.
      H. Demirdağ and N. Uysal, “Problems Experienced by Nursing Students in Clinical Training During the COVID‐19 Pandemic: A Descriptive Study,” Progress in Health Sciences 12, no. 2 (2022): 20–28.
      J. M. Jarosinski, L. Seldomridge, T. P. Reid, and J. Willey, “Nurse Faculty Shortage: Voices of Nursing Program Administrators,” Nurse Educator 47, no. 3 (2022): 151–155, https://doi.org/10.1097/NNE.0000000000001139.
      S. Karaoz, B. Ustun, K. Eroglu, and S. Dogan, “The Situation of Nursing Education in Turkey During the Coronavirus 19 Pandemic,” Journal of Education and Research in Nursing 18 (2022): 56–64, https://doi.org/10.5152/jern.2022.21181.
      F. Mpasa, M. Baluwa, F. Lungu, et al., “COVID‐19 Related Fears Among Mzuzu University's Nursing Students During Clinical Practice,” Nursing: Research and Reviews 11 (2021): 31–39, https://doi.org/10.2147/NRR.S331137.
    • Grant Information:
      The authors received no specific funding for this work.
    • Contributed Indexing:
      Keywords: COVID‐19; clinical experience; content analysis; distance education; nursing student; qualitative study
    • Publication Date:
      Date Created: 20250120 Date Completed: 20250502 Latest Revision: 20260323
    • Publication Date:
      20260323
    • Accession Number:
      10.1111/jep.14305
    • Accession Number:
      39831632