Student nurses to newly hired nurses: Challenges encountered in clinical practice
Christine Joy A. Alvarez, Marc Christian M. Cornelio, Bianca Michaela V. Lacopia, Michelle S. Sarmiento & Leilani C. Dela Vega
Abstract
Although the nursing profession remains in high demand globally, nurse turnover rates continue to rise. The transition from student nurse to licensed professional is a critical phase in a nurse’s development, during which individuals are particularly vulnerable to stress and workplace challenges. The Philippines, widely recognized for producing nurses who serve healthcare systems worldwide, has limited local research examining transition experiences within domestic healthcare settings. This study explored challenges encountered by newly hired nurses as they moved from students to licensed professionals. It examined gaps in knowledge, skills, and attitudes, and identified support systems and coping strategies that facilitated adjustment to clinical practice. A phenomenological design was employed using semi-structured interviews with newly hired nurses from two private hospitals in Candelaria, Quezon Province. Ten participants were selected through purposive sampling. Data were analyzed using thematic analysis supported by NVivo 15 software, generating nine themes: Navigating Role Transition, Professional Adaptation, Reality Shock, Adaptive Communication, Clinical Preparedness Deficit, Decision-Making Hesitancy, Institutional Support, Peer Support, and Personal Resilience. Findings revealed challenges related to psychological adjustment, inadequate clinical skills, and gaps between theoretical education and practice. These challenges underscore the need for structured transition programs and institutional support. Based on the findings, the study proposed Pathway to Care, an Information, Education, and Communication material designed to prepare licensed nurses for professional realities. The insights may inform educators, administrators, and policymakers in strengthening transition initiatives.
Keywords
student nurses, newly hired nurses, newly licensed nurses, transition challenges, clinical practice
Author information & Contribution
Christine Joy A. Alvarez. Bachelor of Science in Nursing, Manuel S. Enverga University Foundation-Candelaria, Inc. Email: christinealvarez120703@gmail.com
Marc Christian M. Cornelio. Bachelor of Science in Nursing, Manuel S. Enverga University Foundation-Candelaria, Inc. Email: marcchristiancornelio@gmail.com
Bianca Michaela V. Lacopia. Bachelor of Science in Nursing, Manuel S. Enverga University Foundation-Candelaria, Inc. Email: michaelabianca19@gmail.com
Michelle S. Sarmiento. Bachelor of Science in Nursing, Manuel S. Enverga University Foundation-Candelaria, Inc. Email: michellesarmiento1503@gmail.com
Leilani C. Dela Vega. Registered Nurse, Master of Arts in Nursing. Manuel S. Enverga University Foundation-Candelaria, Inc. Email: leilani_delavega@yahoo.com
Author 1 contributed to the transcription of the conducted interviews and took an active participation in the interview process and careful documentation of participants’ feedback in order to ensure proper organization, structure, and translation of the responses. Furthermore, the researcher also gathered relevant scholarly literature and reviewed it to strengthen the theoretical foundation of the study.
Author 2 consistently coordinated the overall research methodological process and direction. The author supervised chapter organization and research outputs to ensure coherence and consistency throughout the manuscript. One of the proponent‘s major contribution centered on data analysis, which involved interpretation of the participants’ responses, generation of themes, and conducting thematic analysis to address the research objectives, as well as the development of the research’s abstract. Aside from this, scholarly articles were reviewed and synthesized to strengthen the theoretical framework of the study.
Author 3 was responsible for the compilation and documentation of all research outputs. Interview transcripts were completed, translated, and systematically organized to accurately reflect participants’ statements. Moreover, local and international related literature, along with relevant scholarly articles, were gathered and examined to support the study. Through these efforts, the research outputs were consolidated, and the final manuscript was carefully reviewed and finalized as part of her contribution.
Author 4 was responsible for the transcription of the conducted interviews and corroborated the veracity of information to ensure accuracy and completeness in documenting participants’ responses. Relevant related literature was gathered and reviewed from relevant scholarly sources to support the study. These materials were systematically organized and integrated to reinforce the theoretical framework of the research.
Author 5 is the research adviser who read, edited and approved the final manuscript before publication.
Disclosure statement
No potential conflict of interest was reported by the authors.
Funding
This work was not supported by any funding.
Institutional Review Board Statement
This study was conducted in accordance with the ethical guidelines set by Manuel S. Enverga University Foundation-Candelaria, Inc. The conduct of this study has been approved and given relative clearance by MSEUF University Ethics Review Committee with Ethics Review Board.
Data and Materials Availability
The data supporting the findings of this study are available from the corresponding author upon reasonable request.
AI Declaration
AI tools were not used in writing this paper.
Notes
Acknowledgement
The authors declare the use of artificial intelligence (AI) in writing this paper. In particular, the authors utilised ChatGPT for language editing, restructuring sentences, and improving clarity. The authors take full responsibility for ensuring proper review and editing of the AI-generated content.
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Cite this article:
Alvarez, C.J.A., Cornelio, M.C.M., Lacopia, B.M.V., Sarmiento, M.S. & Dela Vega, L.C. (2025). Student nurses to newly hired nurses: Challenges encountered in clinical practice. Journal of Allied Health Sciences & Medical Research, 1(4), 47-77. https://doi.org/10.53378/jahsmr.353299
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This work is licensed under a Creative Commons Attribution (CC BY 4.0) International License.
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