Evidence map›Paper›PMID 40775768›Full record

ArticleBMC nursing2025

Exploring nursing intern students' experiences of stress and resilience during internship using photovoice.

Eddieson Pasay-An, Sahar Rafdan Alsharani, Sumathi Robert Shanmugam, Reem Humaidi Alalawi, Maha Sanat Alreshidi, Nojoud Abdullah Alrashidi, Analita Gonzales, Jeneth Gutierrez, Benito Areola, Ferdinand Gonzales and 1 more

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Eddieson Pasay-AnNursing Administration, College of Nursing, King Khalid University, Abha, Saudi Arabia.
Sahar Rafdan AlsharaniNursing Administration, College of Nursing, King Khalid University, Abha, Saudi Arabia.
Sumathi Robert ShanmugamDepartment of Maternity and Pediatric Nursing, College of Nursing, Princess Nourah Bint Abdulrahman University, Riyadh, 11671, Saudi Arabia.
Reem Humaidi AlalawiNursing Administration, College of Nursing, King Khalid University, Abha, Saudi Arabia.
Maha Sanat AlreshidiDepartment of Medical-Surgical Nursing, College of Nursing, University of Hail, Hail City, Saudi Arabia.
Nojoud Abdullah AlrashidiDepartment of Maternal and Child Nursing, College of Nursing, University of Hail, Hail City, Saudi Arabia.
Analita GonzalesNursing Administration Department, Faculty of Nursing, University of Tabuk, Tabuk City, Saudi Arabia.
Jeneth GutierrezNursing Administration Department, Faculty of Nursing, University of Tabuk, Tabuk City, Saudi Arabia.
Benito AreolaCollege of Nursing, Shaqra University, Shaqra, Riyadh, Saudi Arabia.
Ferdinand GonzalesMedical-Surgical Nursing, College of Nursing, King Khalid University, Abha, Saudi Arabia. ferdinandgonzales03@gmail.com.
Allen Joshua DominguezCollege of Nursing, Shaqra University, Shaqra, Riyadh, Saudi Arabia.

Funding

Princess Nourah bint Abdulrahman University PNURSP2025R875
6 · The paper itself

Abstract

introductionNursing intern students' experiences of stress and their resiliency construction during internships remains largely unexplored. This study aims to achieve two primary objectives: first, to explore the nuanced experiences of stress and resilience among nursing intern students, and second, to contribute insights that can lead to the development of effective programs for enhancing coping skills and building resilience during their internships.

methodsThis study employed a phenomenological investigation using photovoice, focusing on the stressors and coping mechanisms of 14 nursing interns from the King Khalid University, Abha and Khamis Muhsayt branches during the last three months of their internship. The nursing interns, comprising 14 individuals with an equal male to female ratio, took between 5 to 7 photographs that they felt best represented their experience during the internship. After taking these photographs, the participants engaged in individual and group semi-structured interviews discussing the photos and narratives. The interviews were recorded and then transcribed word for word. Thematic analysis was conducted by two researchers. Rigor was maintained by researchers' reflexivity, participant photo narrative review, and an independent inquiry audit.

resultsThe study revealed six key themes: interns experienced significant stress from the Weight of Responsibility and the Emotional Rollercoaster of patient care. However, they found Strength in Connection through peer and mentor support, engaged in Self-Care and Reflection, and gained Perspective through the Lens of photovoice. Interns also provided Recommendations for Support, advocating for systemic changes to improve the internship experience.

conclusionThis photovoice study revealed that nursing interns face significant stress from heavy responsibility and emotional challenges, but find crucial support through connections with peers and mentors. They actively use self-care and reflect on their experiences, leading to calls for systemic changes like enhanced mentorship and stress management resources to create a more supportive internship environment. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Nursing internsPhenomenologyPhotovoiceResilienceStress

Identifiers

PMID40775768
PMCPMC12333055

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.