Abstract:
Background: Clinical experience is vital in nursing education for enhancing the clinical
competence of undergraduate students. However, there is a lack of research evidence on how
nursing undergraduates perceive their clinical experiences.
Objectives: To identify perception and challenges encountered by nursing undergraduates of the
University of Sri Jayewardenepura, Sri Lanka during their clinical training
Methods: A descriptive quantitative design was employed, involving purposively selected nursing
undergraduates (n=77) from the University of Sri Jayewardenepura. The sample included students
in the 2nd, 3rd, and 4th years. Data were collected using a researcher-developed, pre-tested, self
administered questionnaire with open-ended questions. Descriptive and inductive analysis were
used to analyse the data.
Results: The majority of participants were females (79.5%), with 4th year students comprising
46.2% of the sample. Most participants (72%) agreed that their clinical appointments were
sufficient for enhancing their knowledge and skills. However, they expressed dissatisfaction with
various aspects, including the availability of equipment (48%), facilities in hospitals (44%) and
universities (50%) for clinical practice, and guidance from hospital nursing staff (60%). On the
other hand, most participants (53%) agreed that the clinical supervision guidance provided by the
university academic staff is adequate. Open-ended data revealed that most participants reported
positive experiences in clinical training at specific hospitals, particularly Apeksha Hospital, where
the nursing staff were noted to be supportive and encouraging. Identified challenges included
transportation problems, inadequate rooms and meal facilities, and the need for procedure books.
Open-ended data showed improving changing room facilities, assigning a graduate nurse or
clinical instructor for support, and tailoring assessments to each clinical placement as suggestions.
Conclusions: The findings highlight the need to develop strategies to address resource
inadequacies, foster positive attitudes, improve support and supervision to enhance nursing
undergraduates' clinical training in Sri Lanka.
