Journal of Qualitative Research in Health Sciences

Document Type : Original Article


1 1- Department of Nursing, Student Research Committee, Khalkhal University of Medical Sciences , Khalkhal University of Medical Sciences, Khalkhal,Iran

2 2- Bachelor of Nursing, Student Research Committee, Khalkhal University of Medical Sciences, Khalkhal, Iran

3 Assistant Professor, Department of Nursing,School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht,Iran

4 Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam,Iran

5 6- PhD candidate in Nursing, Student Research Committee, Tehran University of Social Welfare and Rehabilitation Sciences, Tehran, Iran (Corresponds author, Email:


Background: Nurses are an important part of the health system, and their effective clinical education has a significant impact on community health. The clinical environment has variable characteristics, and student education is full of stress. Due to the negative effect of stressors on education, the present study was conducted to explain the clinical environment stressors.
Methods: In this qualitative study (content analysis), the participants were selected using purposive sampling method. In-depth semi-structured interviews were conducted with 16 nursing students of Khalkhal University of Medical Sciences who had completed at least one semester of internship until data saturation. The data were coded, the related codes were classified into a category, and the main themes were extracted.
Results: Four categories were obtained in this study, including personal problems; interaction between student and patient, patient's family, instructor, and ward staff; executive planning; and clinical education environment. The most important source of stress was personal problems, including a lack of awareness and fear of following some clinical guidelines. The lower-semester students were reported to have more stress than the final-semester students.

Conclusion: Due to frequent clinical stressors, the concerned authorities are required to promote students’ professional development by identifying the clinical environment stressors and providing appropriate solutions to reduce and control them. In this regard, considering the role of instructors in reducing stress and facilitating student learning, educational programs to train instructors in this field can be one of the main steps to reduce student stress.


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