Students' Experiences in Undertaking Nursing Professional Practice During the COVID-19 Pandemic: A Case Study of Strengthening Clinical Adaptation in Taichung City
Abstract
Purpose of the study: This study aims to explore in depth the experiences of nursing students in performing professional practice during the COVID-19 pandemic, including the challenges, adaptation strategies, and learning processes that emerged in a hospital setting.
Methodology: This study used a qualitative descriptive method with in-depth interviews. Data were collected using semi-structured interview guides, audio-recording tools, and verbatim transcription. Thematic analysis was performed using manual coding supported by Microsoft Word and Microsoft Excel to categorize themes and sub-themes.
Main Findings: The study identified three major themes: the use of personal protective equipment, students’ concerns regarding virus transmission, and obstacles encountered during clinical practice. Students reported fear of contracting and transmitting the virus, limited patient interaction, and reduced opportunities for hands-on learning. They developed self-adjustment strategies such as consistent PPE use, maintaining physical immunity, and seeking supervision support.
Novelty/Originality of this study: This study offers new insight by capturing the unique clinical learning experiences of nursing students during a global health crisis, emphasizing the intersection between psychological stress, safety compliance, and clinical learning limitations. It contributes new knowledge on how pandemics reshape professional nursing education and highlights the need for adaptive, resilient clinical training models.
References
S. Guan et al., “Molecular docking and proteomics reveals the synergistic antibacterial mechanism of theaflavin with β-lactam antibiotics against MRSA,” Front. Microbiol., vol. 13, no. November, pp. 1–13, 2022, doi: 10.3389/fmicb.2022.993430.
F. B. Hosseini, S. Ghorbani, and R. Rezaeeshirazi, “Effects of perceived autonomy support in the physical education on basic psychological needs satisfaction, intrinsic motivation and intention to perform physical activity in high school students,” Int. J. Sch. Heal., vol. 7, no. 4, pp. 39–46, 2020, doi: 10.30476/intjsh.2020.88171.1106.
E. P. Motta et al., “The anti-virulence effect of vismia guianensis against candida albicans and candida glabrata,” Antibiotics, vol. 11, no. 12, pp. 1–24, 2022, doi: 10.3390/antibiotics11121834.
S. Ghavifekr and W. A. W. Rosdy, “Teaching and learning with technology: Effectiveness of ICT integration in schools,” Int. J. Res. Educ. Sci., vol. 1, no. 2, pp. 175–191, 2015, doi: 10.21890/ijres.23596.
A. Fedorov and G. Mikhaleva, “Current trends in media and information literacy in research and scientific publications of the early 21st century,” Int. J. Media Inf. Lit., vol. 5, no. 2, pp. 153–163, 2020, doi: 10.13187/IJMIL.2020.2.153.
V. Batdı, Y. Doğan, and T. Talan, “Effectiveness of online learning: a multi-complementary approach research with responses from the COVID-19 pandemic period,” Interact. Learn. Environ., vol. 31, no. 7, pp. 4113–4146, 2023, doi: 10.1080/10494820.2021.1954035.
J. Martín-Gutiérrez, C. E. Mora, B. Añorbe-Díaz, and A. González-Marrero, “Virtual technologies trends in education,” Eurasia J. Math. Sci. Technol. Educ., vol. 13, no. 2, pp. 469–486, 2017, doi: 10.12973/eurasia.2017.00626a.
A. Signoroni, M. Savardi, A. Baronio, and S. Benini, “Deep learning meets hyperspectral image analysis: A multidisciplinary review,” J. Imaging, vol. 5, no. 5, p. 52, May 2019, doi: 10.3390/jimaging5050052.
A. K. I. Syahwani and A. Soeyono, “The effect of lecturer competence in online learning methods on student college satisfaction during the pandemic,” Procedia Soc. Sci. Humanit., vol. 1, no. c, pp. 239–250, 2021, doi: 10.21070/pssh.v1i.53.
P. Grossman, K. Hammerness, and M. McDonald, “Redefining teaching, re-imagining teacher education,” Teach. Teach. Theory Pract., vol. 15, no. 2, pp. 273–289, 2009, doi: 10.1080/13540600902875340.
R. Wang et al., “Epidemiological and clinical features of 125 Hospitalized Patients with COVID-19 in Fuyang, Anhui, China,” Int. J. Infect. Dis., vol. 95, pp. 421–428, 2020, doi: 10.1016/j.ijid.2020.03.070.
K. M. Baker, K. W. Stickney, and D. D. Sachs, “STEM cooperating teachers’ professional growth: the positive impacts of a year-long clinical residency collaboration,” Educ. Sci., vol. 14, no. 8, 2024, doi: 10.3390/educsci14080899.
S. Hamid, S. Naveed, H. Ayub, and S. Akhtar, “Academic leadership during the time of crisis: Success story of implementation success from traditional to online mode of education in a low-resource context,” Cogent Soc. Sci., vol. 9, no. 1, pp. 1–15, 2023, doi: 10.1080/23311886.2023.2197302.
M. Astatke, C. Weng, and S. Chen, “A literature review of the effects of social networking sites on secondary school students’ academic achievement,” Interact. Learn. Environ., vol. 31, no. 4, pp. 2153–2169, 2023, doi: 10.1080/10494820.2021.1875002.
Munawaroh, N. S. Setyani, L. Susilowati, and Rukminingsih, “The effect of e-problem based learning on students’ interest, motivation and achievement,” Int. J. Instr., vol. 15, no. 3, pp. 503–518, 2022, doi: 10.29333/iji.2022.15328a.
M. A. Parenti, “Motivating struggling middle school readers: Digital images as an aid for self-monitoring and enhancing retellings of text,” i-manager’s J. Educ. Technol., vol. 13, no. 1, pp. 1–6, 2016, doi: 10.26634/jet.13.1.6013.
Z. J. Yong, W. J. Lin, S. C. Hsieh, and H. J. Lin, “Comparison of carbon budgets and greenhouse gas fluxes in monoculture ponds with milkfish (Chanos chanos) and Taiwanese hard clams (Meretrix taiwanica),” Aquac. Reports, vol. 43, no. January, 2025, doi: 10.1016/j.aqrep.2025.102924.
H. Malloch, S. L. Shepherd, L. Wolf, and M. Buchanan, “Ground-penetrating radar (GPR) survey and spatial analysis of the george and addie giddens cemetery, opelika, alabama,” Southeast. Archaeol., vol. 43, no. 1, pp. 1–12, 2024, doi: 10.1080/0734578X.2023.2282805.
S. Afriana and N. Hidayat, “Internalisasi nilai keagamaan dalam menanamkan karakter peduli lingkungan,” J. Basicedu, vol. 6, no. 2, pp. 1914–1921, 2022.
M. Romero-Ariza, A. Quesada, A. M. Abril, P. Sorensen, and M. C. Oliver, “Highly Recommended and Poorly Used: English and Spanish Science Teachers’ Views of Inquiry-based Learning (IBL) and its Enactment,” Eurasia J. Math. Sci. Technol. Educ., vol. 16, no. 1, pp. 1–16, 2020, doi: 10.29333/ejmste/109658.
M. Sat, F. Ilhan, and E. Yukselturk, “Comparison and evaluation of augmented reality technologies for designing interactive materials,” Educ. Inf. Technol., vol. 28, no. 9, pp. 11545–11567, 2023, doi: 10.1007/s10639-023-11646-3.
M. Haq, “A Comparative Analysis of Qualitative and Quantitative Research Methods and a Justification for Adopting Mixed Methods in Social Research . The University of Bradford Institutional Repository,” Annu. PhD Conf. Univ. Bradford Sch. Manag., pp. 1–22, 2023.
A. Almonacid-Fierro, R. Vargas-Vitoria, R. S. De Carvalho, and M. A. Fierro, “Impact on teaching in times of COVID-19 pandemic: A qualitative study,” Int. J. Eval. Res. Educ., vol. 10, no. 2, pp. 432–440, 2021, doi: 10.11591/ijere.v10i2.21129.
J. W. Creswell, Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (4th ed.), Thousand O. CA: SAGE, 2014.
C. Nuning Tiastiti, W. Fitria Ariyanti, M. M. Alquaimi, and W. L. Chiong, “Improving Student Learning Outcomes in Light and Optical Instruments Using Team Teaching Methods with Crossword Puzzle Media,” Schrödinger J. Phys. Educ., vol. 5, no. 1, pp. 10–15, 2024, doi: 10.37251/sjpe.v5i1.881.
Y. Y. and L. W. P. Richard P. Bagozzi, “Bogazzi_Assesing Construct Validity in Organiational Research,” Adm. Sci. Q., vol. 36, no. 3, pp. 421–458, 2017, [Online]. Available: http://www.jstor.org/stable/2393203
D. Setiawan, “The development of authentic assessment instrument to expand the character values of citizenship education at primary school No 104202 and No 106811 Bandar Setia, Medan, Indonesia,” Budapest Int. Res. Critics Linguist. Educ. J., vol. 2, no. 1, pp. 79–90, Feb. 2019, doi: 10.33258/birle.v2i1.188.
M. Riza, K. Kartono, and E. Susilaningsih, “Validity and Reliability of Chemical Test Instruments for Acid and Base Solutions Oriented Generic Skills Science,” J. Educ. Res. Eval., vol. 11, no. 1, pp. 1–8, 2022, doi: 10.15294/jere.v11i1.55450.
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