Evidence map›Paper›PMID 40115782›Full record

ArticleFrontiers in medicine2025

Exploring nursing students' reality shock and professional behavioral development in clinical practice: a hermeneutic phenomenological study.

Feifei Cui, Yundan Jin, Rongting Wang, Jingya Zhang, Congying Jin, Fangju Xu, Songping Yang, Meiqi Yao, Shijian Han, Hangying He

Abstract read
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Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

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0cells of the map it votes in
10citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Feifei CuiDepartment of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China.
Yundan JinDepartment of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China.
Rongting WangDepartment of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China.
Jingya ZhangDepartment of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China.
Congying JinDepartment of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China.
Fangju XuDepartment of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China.
Songping YangDepartment of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China.
Meiqi YaoDepartment of Nursing, The Second Affiliated Hospital, Zhejiang University, School of Medicine, Hangzhou, China.
Shijian HanDepartment of Quality Management, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China.
Hangying HeDepartment of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The reality shock experienced by nursing students in clinical practice has attracted considerable attention. However, existing studies largely focus on quantitative analysis and overlook the depth of individual experiences. Objective: This study adopts a qualitative research method and utilizes hermeneutic phenomenology to examine in depth the reality of the shock faced by nursing students during clinical practice, to demonstrate its impact on the development of professional behavior and to provide empirical evidence to improve nursing education. Methods: A qualitative research method was adopted involving 30 nursing students completing a 32-week clinical internship at a tertiary hospital in Jinhua City. The subjects participated in focus group interviews conducted in three groups to collect information about their learning experiences during the internship. Wiklund's hermeneutic-phenomenological approach was used to analyze and interpret the data. Findings: From the learning experiences of nursing students in clinical practice, three main themes of "promoting professional nursing behavior" were summarized: (1) Guidance from clinical instructors: The influence of preceptors' words and actions on students' professional behaviors; (2) Inspiration from clinical nurses: Observing experienced nurses enhances students' professional identity; (3) Learning from real-life cases: Clinical cases help students understand the core values of nursing. Conclusion: Nursing students face emotional challenges and cognitive changes during clinical practice. Clinical instructors should instill positive energy in these students through professional behavior. They should encourage students to observe, analyze, and reflect on the exemplary words and actions of clinical nurses and to obtain authentic feedback through patient interactions to refine their professional behavior. This study can serve as a valuable reference for clinical teachers in supervising nursing students entering clinical practice for the first time and helping them develop their professional nursing behavior.

Indexed as

first clinical internshipnursing behaviornursing studentsreality shockstress perception

Identifiers

PMID40115782
PMCPMC11922931

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.