Volume 7, Issue 6, December 2018, Page: 304-313
Problems and Obstacles Facing Nursing Interns and Its Relation to Their Performance at Clinical Setting: A Comparative Study
Sanaa Moustafa Safan, Department of Nursing Administration, Faculty of Nursing, Menoufia University, Shebin El-Kom, Egypt
Rehab Mohamed Rashad Ebrahim, Department of Nursing Administration, Faculty of Nursing, Benha University, Benha, Egypt
Received: Nov. 27, 2018;       Accepted: Dec. 19, 2018;       Published: Jan. 16, 2019
DOI: 10.11648/j.ajns.20180706.24      View  40      Downloads  19
Nursing interns face multifaceted issues, obstacles, and problems that oblige them to use clinical skills that affect their performance; Some of the intern-nurses expressed anxiety that they had not assumed the opportunity to improve all of the psychomotor skills required to practice efficiently in the clinical setting. Aim: Assess problems and obstacles faced nursing interns and its relation to their performance at the clinical setting. Design: Descriptive, comparative design was used.Setting: Conducted at medical and surgical departments at Benha University Hospital and private Hospitals. Subjects: Convenience sample of nursing interns [150 from Benha University Hospital and 101 nursing interns from private Hospitals.Tools: a) Internship year problems questionnaires b) Nursing interns Obstacles Questionnaire. c) Observation checklist of nursing intern's performance. Results: level of problems occurrence that faced nursing interns during internship year was the average level (65.3%) at Benha University Hospital and Private Hospitals had low level (85.1%) of problems occurrence. Especially the highest mean score of problems dimension were clinical setting; supervision and communication at both hospitals.Additionally there was the highest level of total obstacles present at Benha University were (65.3.%) than private Hospitals that faced nursing interns during internship year. The most common obstacles faced nursing interns were social and cultural obstacles, while economic constraints were the lowest obstacles at the study setting.Finally level of nursing interns performance was satisfactory (84.0%) at private Hospitals and unsatisfactory (36.6%) at Benha University Hospital.More ever performance was higher in private Hospitals than Benha University Hospital. Conclusions: There were positive correlation between problems and obstacles facing nursing interns and there were negative correlation between Problems, obstacles, and nursing intern's performance. Recommendations: Nursing colleges should provide good relationship between faculty and training hospital staff and Preparation of nursing interns through well-organized program, especially the clinical experiences part.
Problems, Obstacles, Nursing Interns, Performance, Clinical Setting
To cite this article
Sanaa Moustafa Safan, Rehab Mohamed Rashad Ebrahim, Problems and Obstacles Facing Nursing Interns and Its Relation to Their Performance at Clinical Setting: A Comparative Study, American Journal of Nursing Science. Vol. 7, No. 6, 2018, pp. 304-313. doi: 10.11648/j.ajns.20180706.24
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Kaşh M and İlban M.: The relationship between problems faced during internships and interns’ view of profession and intention to work in the tourism industry. Egim Arastirmalari-Eurasian Journal of Educational Research, 2013; Vol.5 No (2), pp: 79-96.
Henderson S.: Clinical teaching involves more than evaluating students. www.cte.umtnj.edu/clinical. 2014.
Titley N.: A comparison of faculty and student perceptions of clinical nurse teacher behavior. Journal of Advanced Nursing. 2014; Vol 9, No (1), pp: 3-7.
Lauber C, Totht P, Learyt P, Martin R, and Killian C.: Program director's and clinical instructor's perceptions of important clinical instructor behavior categories in the delivery of athletic training clinical instruction. Journal of Athletic Training,2015;.Agel, A. Obstacles faces nurse working in the Palestinians hospitals in Nabuscity, Ah-Najah National University -Factually of graduate studies.,2015; Vol 38,No (4), p:336.
Narayanan L, Olk M, and Fukami J.: Clinical learning environments for student nurses: Key indices from two studies compared over a 25- year period. Nurse Eduction Practice. 2007; 7:238-244 in Learning challenges of nursing students in clinical environments: 2015;A qualitative study in Iran. Journal of Education and Health Promote, 2010; Vol 2, No, (4) PP: 52.
Gupta, K Burns S, and Schiferl L.: Problems supervisors and supervisor dysfunction: How to manage supervisor performance problems from a program, school and institutional perspective. 2010; www.capic.net.
Nadolski J, Bell A, Brewer B, Franke M, Cushing E, and Brokaw J.: Evaluating the quality of interaction between medical students and nurses in a large teaching hospital. Medical Education, 2016; Vol, 20, PP: 6-23.
Diede N, Nish G, and Coose C.: Performance expectations of the associate degree nurse graduate with in the first months. Journal of Nursing Education, 2013; Vol 39,No,(7) pp:302-307.
Mohammadi, M, Mazloumi, A, Kazemi, Z, and Zeraati H.: Evaluation of Mental Workload among ICU Ward’s Nurses. Health Promote Perspect.PubMed 2015; Vol 5,No,(4) pp:280-287.
Tan T, Zhou H, and Kelly M.: Nurse-physician communication. An integrated review. Journal of Clinical Nurses. 2017; 26(23-24):3974-89. doi: 10.1111/jocn.13832. [PubMed: 28370533].
Hammoudi B, Ismail S, and AbuYahya, O.:Factors associated with medication administration errors and why nurses fail to report them. Journal Caring Science. 2017; Vol, 3No,(5)p:4.
Driscoll A, Grant M, Carroll D, Dalton S, Deaton C, and Jones I.: Theeffect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. EUR Journal Cardiovasc Nurses 2018; Vol 17,No(1), pp:6-22. Doi:PubMed.
Rajaeian Z, and Alavi1 N.: Barriers to Nursing Performance from the Perspective of Nurses Working in Intensive Care Units. Critical Care Nurses Journal. February 2018; Vol 11,No(1) pp:64-81.
Geographers L.: Effective supervision in clinical practice settings: a literature review. Medical Education. 2015; Vol 34,No(10), p:27.
Mrayyan M, and Al-Faouri I.:Nurses’ Career Commitment and Job Performance: Differences across Hospitals, Public Policy and Administration Research www.iiste.org.ISSN 2224-5731(Paper) ISSN 2225-0972(Online) 2016; Vol l6,No (9), pp:5-7.
Som R, Mustapha R, and Othma A.: Exploratory Factor Analysis: Conceptualization, Reliability and Validity of Job Performance, International Journal of Social Science and Humanity.,2015; Vol 5,No (5), pp:440-444.
Mahmoud H, and El-Sayed N.:High Performance Work Systems that Promote Nurses' Job Performance at Main Mansoura University Hospital. Public Policy and Administration Research ISSN 2224-5731(Paper) ISSN 2225-0972(Online) 2016; Vol 6,No(4)p:(9).
.Baddar F.: Development of an operational manual for nursing internperformance at Alexandria University. Master Thesis, Faculty of Nursing, Alexandria University, Unpublished Thesis; 1991;pp:133-135,198-239.
Robinson D, and Kish C.: Core concepts in advanced practice nursing,1 st ed., Mosby, London 2011;pp: 288-292.
.El-Demerdash S.: Study the influence of shift work on job related stress and communication skills among nurses working in general medical department at Tanta University Hospital. Master thesis, Faculty of Nursing, Ain Shams University 2001; pp:101-104.
Daraghmeh S.: Women Work in the Palestinian Police Force: Motives and Constraints: A Field Study West Bank Governorates / An-Najah National University. Unpublished Master Thesis 2013;p:45.
Lola A, and Coke V.: Effects of Nurse Extern Programs on Student Nurse Performance. Master Thesis. Submitted to Grand Valley State University in partial fulfillment of the requirements for the degree of master of science in nursing Kirkh of School of Nursing 1993.http://scholarworks.gvsu.edu/theses/142.
Schwirian P.: Evaluating the performance of nurses: A multi-dimensional approach. Nursing Research, 1978; Vol 27, No(4),pp:347-351.
Ayyash H, and Aljeesh Y.:Nurses' motivation and their performance at European Gaza Hospital in Gaza Strip, Journal of Al Azhar University-Gaza (Natural Sciences), 2011; Vol 13, pp:55- 68.
Ibrahim,A, and Aly, A.:Clinical judgment among nursing interns.Clinical Nursing Studies, 2018;Vol 6,No(3)p:8.
Shen J, and Spouse J.: “Learning to nurse in China-structural factors influencing professional development in practice settings: a phenomenological study,” Nurse Education in Practice 2007.
Jamshidi, N, Molazem, Z, Sharif, F, Torabizadeh, C and Kalyani M.: The Challenges of Nursing Students in the Clinical Learning Environment: A Qualitative Study. Hindawi Publishing Corporation, Scientific World Journal, 2016; Vol 7,No (5),pp:323-331.
Baraz S, Memarian R, and Vanaki Z.: Learning challenges of nursing students in practice environments: A qualitative study in Iran. Journal of Health Educational and Health Promotion; 2015;pp: 4- 52.
Carver N, Clibbens N, Ashmore R, Sheldon, J: Mental health pre-registration nursing students’ experiences of group clinical supervision: A UK longitudinal qualitative study. Nurse Education in Practice 2014; No14, pp: 123-129.
Ghamari Z, Purfarzad Z, and Hajbaghery M: Medication Management Skills of Nursing Students: Comparing the Stu¬dents and Their Instructors' Evaluation in two Universities. Nurse Midwifery Stud, 2013; Vol 1, No (3), p: 44.
Oztürka H, Çilingirb T, and Şenelc, P.: Communication problems experienced by nursing students in clinics.Procedia - Social and Behavioral Sciences, 2013; Vol 93, pp: 2227-2232. Available online at www.Science Direct.com.
Al-Momani M.: Students felt that the hospital administration did not give them priority insuring some hospital facilities that may influence their training, 2017;p:47.
Thorkildsen K, and Raholm M.: The essence of professional competence experienced by Norwegian nurse students: A phenomenological study. Nurse Education Practice journal 2010; Vol 10,No(2), pp:183-188.201.
Denise H.: "The Experienced Critical Care RN's Perception of New Graduate Competence in Critical Care Using Benner's Novice to Expert" (2010). Nursing Theses and Capstone Projects. 189.
.Lu H, While E, and Barriball K.: Job satisfaction and its related factors: A questionnaire survey of hospital nurses in Mainland China. International Journal of Nursing Studies 2007; Vol 4,No(3), pp:574-588.
Yuxiu P, Kunaviktikul W, and jaroenkul P.: Job Characteristics and Job Performance among Professional Nurses in the University Hospitals of People’s Republic of China. CMU.Journal of National Science 2014, 2006; Vol 10,No (2):p:5.
Yang X, Su L, and Zhang J.: Evaluation on work performance of nurses and it’s influencing factors. Nursing Research 2006; No (3): 631-633.
Dayaganon A, and Renan P.: Academic proficiency, internship performance rating, and the preparedness to ASCP certification of the medical technology graduates in region XI: basis for the enhancement of clinical internship curriculum. I J A B E R, 2016; Vol 14, No(2)pp:1237-1260.
Browse journals by subject