International Journal of Education, Science and Social Sciences

Original Articles

Vol. 5 No. 1 (2026)

Clinical Role Perceptions of Nursing Students in Selected Health Facilities in Central and Eastern Kenya

Published
2026-01-30

Abstract

Training of nursing students entails classroom theory and clinical practice in a clinical learning environment. Over 70% of the time in nursing training is spent in hospital practicing provision of patient care. This is the most crucial part of the training since nursing students get opportunities to put theory into practice. Therefore, when their roles are clear, there is an assurance of patient safety and enriched learning experience. The main objective of this study was to assess the role of nursing students in the clinical learning environment. This study used cross-sectional quantitative study and was conducted in Meru, Nyeri, and Chuka Teaching and Referral Hospitals. Data was collected from 235 undergraduate nursing students from four selected universities who had been to at least one clinical placement. A structured questionnaire was used to obtain the data. Descriptive statistics was used to analyze data and presented in frequencies, percentages, tables, and figures. The results showed the mean age of the participants was 23 years. Approximately 61.8% (n=107) were female and 38.2% (n=66) were male. The majority of participants 100% (n=173) indicated doing assignments, caring for patient and applying theory to practice. 86.7% (n=150) indicated reporting to the ward as scheduled while 75.7% (n=131) indicated interact with other health workers in the wards. The results revealed that nursing students were aware of their roles in the clinical setting. The implication of these findings impacts students as they cultivate their future profession, patients who require safe healthcare provision, other healthcare providers who work as a team in healthcare provision, and general public who expect protection from malpractice. The study recommends to the nursing training institutions to outline roles of nursing student with the aid of clear objectives and scope of practice before clinical placement.

References

  1. Alammar, K., Ahmad, M., Almutairi, S., & Salem, O. (2020). Nursing Students’ Perception of the Clinical Learning Environment. The Open Nursing Journal, 14(1). https://opennursingjournal.com/contents/volumes/V14/TONURSJ-14-174/TONURSJ-14-174.pdf
  2. Alkhelaiwi WA, Traynor M, Rogers K, Wilson I. (2024). Assessing the Competence of Nursing Students in Clinical Practice: The Clinical Preceptors' Perspective. Healthcare (Basel) ;12(10):1031. doi: 10.3390/healthcare12101031. https://doi.org/10.3390/healthcare12101031
  3. Alrashidi, N., Pasay an, E., Alrashedi, M.S. et al. (2023). Effects of simulation in improving the self-confidence of student nurses in clinical practice: a systematic review. BMC Med Educ 23, 815 (2023). https://doi.org/10.1186/s12909-023-04793-1
  4. Baraz, S., Memarian, R. & Vanaki, Z. (2015). Learning challenges of nursing students in clinical environments: A qualitative study in Iran. Journal of Education and Health Promotion 4(1):p 52. https://journals.lww.com/jehp/fulltext/2015/04000/learning_challenges_of_nursing_students_in.52.aspx
  5. Billings, D. M. and Halstead, J. A. (2016). Teaching in Nursing: A Guide for Faculty. (5th ed.). Philadelphia. Elsevier Saunders.
  6. Bradshaw, M. J., Hultquist, B. L. and Hagler, D. A. (2021). Innovative Teaching Strategies in Nursing and Related Health Professions. (8th Ed.). Burlington. Jones & Bartlett Learning.
  7. Chan Dominic (2002). Development of the Clinical Learning Environment Inventory: using the theoretical framework of learning environment studies to assess nursing students' perceptions of the hospital as a learning environment. Journal of Nursing Education. 41(2):69-75. https://doi.org/10.3928/0148-4834-20020201-06
  8. Ekstedt, M., Lindblad, M. & Löfmark, A. (2019). Nursing students’ perception of the clinical learning environment and supervision in relation to two different supervision models – a comparative cross-sectional study. BMC Nurs 18, 49. https://doi.org/10.1186/s12912-019-0375-6
  9. Ghasemi MR, Moonaghi HK, Heydari A. (2020). Strategies for sustaining and enhancing nursing students' engagement in academic and clinical settings: a narrative review. Korean Journal of Medical Education.;32(2):103-117. https://pmc.ncbi.nlm.nih.gov/articles/PMC7272374/
  10. Henderson A, Twentyman M, Heel A, Lloyd B. (2006). Students' perception of the psycho-social clinical learning environment: an evaluation of placement models. Nurse Education Today. 26(7):564-71. https://doi.org/10.1016/j.nedt.01.012
  11. Jamshidi N, Molazem Z, Sharif F, Torabizadeh C, Najafi Kalyani M. The Challenges of Nursing Students in the Clinical Learning Environment: A Qualitative Study. Scientific World Journal. 2016;2016:1846178. https://doi.org/10.1155/2016/1846178.
  12. Jamshidi, N. (2012). The challenges of clinical teaching in nursing skills and lifelong learning from the standpoint of nursing students and educators. Procedia - Social and Behavioral Sciences, 46, 3335–3338. https://doi.org/10.1016/j.sbspro.2012.05.679
  13. Kamolo, E., Vernon, R., & Toffoli, L. (2017). A critical review of preceptor development for nurses working with undergraduate nursing students. International Journal of Caring Sciences. 10(2), 1089-1099. https://www.internationaljournalofcaringsciences.org/docs/50_kamolo_special_10_2.pdf
  14. Kaphagawani, N.C. and Useh, U. (2013) Analysis of Nursing Students Learning Experiences in Clinical Practice: Literature Review. Studies on Ethno-Medicine (7) 181-185. https://doi.org/10.1080/09735070.2013.11886459
  15. Karimi Mirzanezam A, Ghahramanian A, Ghafourifard M, Davoodi A, Bagheriyeh F, Hajieskandar A. (2024). Nursing students' perception of the clinical learning environment and its impact on academic adjustment: a cross-sectional descriptive study. BMC Medical Education. 28;24(1):1543. https://doi.org/10.1186/s12909-024-06562-0
  16. Leighton School of Nursing, (2023). Student Handbook. Marian University.
  17. Mclellan, A., Mohammed, S., Tarimo, E., Ndaiman, A., Phiri, M., & Hillan, E. (2024). Roles, perceptions, and context of
  18. nursing student clinical facilitation in sub-Saharan Africa: An integrative review. International Journal of Africa Nursing Sciences, 20, 100671. https://doi.org/10.1016/j.ijans.2024.100671
  19. Mutair Abbas Al (2015) Clinical Nursing Teaching in Saudi Arabia Challenges and Suggested Solutions. Journal of Nursing Care 4: 312. https://doi.org/10.4172/2167-1168.1000312
  20. Najafi Kalyani, M., Jamshidi, N., Molazem, Z., Torabizadeh, C., & Sharif, F. (2019). How do nursing students experience the clinical learning environment and respond to their experiences? BMJ Open, 9(7). https://bmjopen.bmj.com/content/9/7/e028052.abstract
  21. Negm LMMA, Mersal FA, Fawzy MS, Rajennal AT, Alanazi RS, Alanazi LO. (2024). Challenges of nursing students during clinical training: A nursing perspective. AIMS Public Health.;11(2):379-398. https://doi.org/10.3934/publichealth.2024019.
  22. Newton, J. M., Jolly, B. C., Ockerby, C. M. & Cross, W. M. (2010). Clinical Learning Environment Inventory: Factor Analysis. Journal of Advanced Nursing 66(6), 1371-1381. doi.org/10.1111/j.1365-2648.2010.05303.x
  23. Nursing Council of Kenya (2012a). Code of Ethics and Conduct for Nurses in Kenya (2nd ed.). Nursing Council of Kenya.
  24. Nursing Council of Kenya (2012b). Scope of Practice for Nurses in Kenya. (3rd ed.). Nursing Council of Kenya.
  25. Nursing Council of Kenya (2012c). Standards of Nursing Education and Practice for Nurses in Kenya. (2nd ed.). Nursing Council of Kenya.
  26. Nursing Council of Kenya (2014). Bachelor of Science in Nursing: Students Training File. Nursing Council of Kenya.
  27. Nursing Council of Kenya (2019). Manual of Clinical Procedures in Nursing and Midwifery. 4th Edition. Nursing
  28. Council of Kenya. Nairobi.
  29. Prathibha Rani, S. K. (2021). Clinical Learning Environment in Nursing Education: A Comprehensive Review. Govt College of Nursing, Thiruvananthapuram.
  30. Prosen, M. (2022). Nursing students’ perceptions of their professional roles and gender stereotypes. Nurse Education Today, 112, 105–112. https://doi.org/10.1016/j.nedt.2022.105112
  31. Ramoeletsi, S. & Tlou, B. (2024). ‘Challenges of clinical accompaniment amongst undergraduate nursing students: University of KwaZulu-Natal’, Health SA Gesondheid 29(0), a2535. https://doi.org/10.4102/hsag.v29i0.2535
  32. Sellars Educate, LLC, (2025) Building Confidence in Nursing Students: Overcoming Fear and Anxiety in Clinical Settings
  33. Thamara D Amarasekara, Rasika Perera and Rasika Jayasekara. (2023). Challenges Impacting Clinical Placement Quality: Insights From Nursing Undergraduates in Sri Lanka – A Mixed Methods Study 19(2). https://doi.org/10.34297/AJBSR.2023.19.002571
  34. Trede, F., Macklin, R., & Bridges, D. (2012). Professional identity development: A review of the higher education literature. Studies in Higher Education, 37(3), 365–384. https://doi.org/10.1080/03075079.2010.521237
  35. University of Pittsburgh (2023). Student Nurse Position Description. Titusville.
  36. Waweru, L. W., Mapesa, O., & Elijah, N. (2016). Factors hindering Integration of theory Into practice by bachelor of science in nursing students at Thika Level Five Hospital, Kenya. International Journal of Nursing Education, 8(4), 99-104.
  37. Zhang, J., Shields, L., Ma, B. et al. (2022). The clinical learning environment, supervision and future intention to work as a nurse in nursing students: a cross-sectional and descriptive study. BMC Med Educ 22, 548 https://doi.org/10.1186/s12909-022-03609-
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