Student nurses are facing challenges in clinical field that hinders them to provide care

to the patient. A distinct function for student nurses in the nursing field is part of their

education and training. To obtain practical experience in a range of healthcare settings,

they work under the guidance of knowledgeable nurses and lecturers. In addition to

monitoring medical processes and helping with patient care, student nurses also take

part in educational activities.

Their responsibilities include developing critical thinking and decision-making

skills, applying academic knowledge in real-world scenarios, and studying the

fundamentals of nursing. In order to give patients holistic care, student nurses also work

in tandem with other healthcare professionals. Student nurses prepare for the transition

into professional responsibilities as registered nurses upon graduation through their

academic coursework and clinical experiences. The future of healthcare and the nursing

workforce benefits from their commitment to study and to the nursing profession.

The importance of hands-on experience. While classroom learning is essential,

the true value of nursing comes from practical, real-world experience. Student nurses

should embrace every opportunity to work alongside experienced nurses, observe their

techniques, and apply what they've learned in a clinical setting. This hands-on

experience will help them develop the skills and confidence they need to become

successful nurses. In addition, Nurses must be able to communicate clearly and

effectively with patients, their families, and other healthcare professionals. This means

listening attentively, asking the right questions, and explaining medical information in a

way that is easy for patients to understand. Student nurses should practice their

communication skills, both written and verbal, to ensure they are prepared to work in a

fast-paced, high-pressure healthcare environment.

Moreover, nursing can be a demanding and stressful profession, and it's crucial

for student nurses to learn how to manage their own well-being. This includes taking

breaks, practicing stress management techniques, and maintaining a healthy work-life

better equipped to provide the best possible care to their patients. Patient’s attitude is

one of the factors affecting student nurses to provide holistic care, whether positive or

negative, it can significantly impact their response to treatment, adherence to

recommendations, and overall health outcomes.

Based on these theories, The Neuman Systems Model and the Orem Self-Care

Deficit Nursing Theory recognize the patient’s role in maintaining their own health and

managing their care. These theories suggest that nurses should work collaboratively

with patients, taking into account their beliefs, values, and preferences, to develop

personalized care plans that address the patient’s unique needs and concerns. By

understanding and addressing the patient’s attitude, nurses can foster a more engaged

and empowered patient, leading to better health outcomes and a more positive care

experience.

Enormous number of patients is one of the factors affecting student nurses ability

to provide holistic care, it is crucial to develop a strong foundation in patient-centered

care, even when faced with an enormous number of patients. This approach requires a

deep understanding of each individual’s unique needs, preferences, and values, and a

willingness to tailor the care plan accordingly. By placing the patient at the center of

their practice, nursing students can ensure that the care they provide is responsive,

empathetic, and tailored to the specific requirements of the patient.

Additionally, implementing patient-centered care in high-volume settings can be

challenging, but it is essential for nursing students to develop the necessary skills and

strategies. This may involve effective communication techniques, such as active

listening, empathy, and shared decision-making. Nursing students should also learn to

navigate the complexities of the healthcare system, leveraging resources and

collaborating with the interprofessional team to ensure that each patient’s needs are

met.
 However, as they progress in their nursing education, students should strive to

cultivate a deep respect for the principles of patient-centered care. This may involve

seeking out opportunities to engage with patients, understanding their diverse

backgrounds and perspectives, and continuously reflecting on their own biases and

assumptions. By embracing a patient-centered approach, nursing students can develop

the skills and mindset necessary to provide exceptional care, even in the face of an

enormous number of patients, and ultimately, contribute to the overall well-being and

satisfaction of the individuals they serve.

Mounting evidence shows that the first clinical placement, in particular, is the

most influential for nursing students. The first clinical experience can affect attitudes and

help them develop different competencies such as compassion and practical

communication skills (Nejad et al., 2019). Likewise, a student's first clinical placement is

vital in the sense of belonging in their clinical placement and nursing education (Brady

et al., 2019). The clinical experience allows students to apply theory into practice and to

experience multiple humanistic experiences (Al-Anazi et al., 2019; Atakro et al., 2019;

Ramsbotham et al., 2019). The clinical experience involves physical, psychological,

emotional and organizational influences, which affects the students' learning and

motivation (Haraldseid et al., 2015; Ramsbotham et al., 2019). In order for nursing

students to gain the required qualifications for delivering high quality of care for patients,

they should develop clinical based knowledge and skills through clinical experiences

(Kalyani et al., 2019). Recent research confirms that students were faced with identity

confusion due to limited experiences in the clinical environment (Kalyani et al., 2019).

As a first time nursing student, you are embarking on a journey that is rewarding, yet

demanding. Stepping into the role of a nursing student in clinical field for the first time

can be both exciting and challenging. It aims to provide insights into the key areas a first

time nursing student should focus on navigating this journey successfully. Effective

communication is another key aspect for a first time nursing student by building trust,

understanding patients' needs, and collaborating with the healthcare team are all clear
and how we communicate to them.

Nursing educators need to use new educational strategies to actively engage

nursing students in learning activities in academic and clinical settings. Previous studies

have shown that increasing academic engagement of students could increase their

desirable academic performance and success. Recent evidence indicates that

engagement in academic-related learning activities is one of the important determinants

of students’ success in university. As a result, identifying the best teaching strategies to

sustain and promote nursing students’ engagement in academic and clinical settings

has always been a challenge for nursing educators. Hence, it is essential to provide a

set of strategies for maintaining and enhancing the academic engagement of nursing

students. Furthermore, a nursing student who's struggling to balance academic and

clinical exposure can be a common challenge for our nurses. Prioritizing tasks and

responsibilities is important for as students. This will help to improve and allowing them

to perform better in both academic and clinical exposure. With this kind of strategies

and support, student nurses can overcome this challenge and thrive in their professional

journey.