Nursing Students’ Understanding and Experiences of Student-Patient Relationships: A Thematic Analysis

Authors

  • Dayang Nurhaifa Aqilah Awang Ziadi PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam
  • Yusrita Zolkefli PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam

DOI:

https://doi.org/10.31436/ijcs.v8i1.407

Keywords:

Student-patient, Nursing, Students, Clinical placement, Relationships, Brunei

Abstract

Background: A good student-patient relationship influences the quality of patient care and promotes student learning opportunities. There are only a few recent studies related to the student-patient relationship, and most of them were conducted in quantitative studies. This study aimed to explore Bruneian nursing students’ perspectives on nursing student-patient relationships during their clinical placement. Furthermore, the factors influencing these relationships and reflected on the changes students undergo were examined.

Methods: The study adopted a qualitative descriptive approach. Seventeen students from the second, third, and fourth years participated in online interviews, which were transcribed verbatim and analyzed using thematic analysis. Purposive sampling was employed.

Results: This study identified three broad themes regarding students’ perceptions, understanding, and experiences of student-patient relationships: (1) navigating professional boundaries in student-patient interactions, 2) mentorship and relationship building with patients, and (3) barriers to effective student-patient interaction

Conclusion: This study highlights the relationships that nursing students have with patients. Students first find it difficult to maintain professional boundaries with patients but become better through mentorship and clinical experiences. Nurses’ roles, clinical experiences and positive patient attitudes are significant factors. Nevertheless, language barriers, patient health conditions, and time constraints present challenges. Nursing education programs should continue to provide continuous support to students to help them establish professional and therapeutic relationships with patients, as well as to support their emotional resilience. This support should be provided through encouragement and guidance. 

References

Abdolrahimi M, Ghiyasvandian S, Zakerimoghadam M, Ebadi A. Therapeutic communication in nursing students: A Walker & Avant concept analysis. Electron Physician [Internet]. 2017;9(8):4968–77. Available from: http://dx.doi.org/10.19082/4968

Sharkiya SH. Quality communication can improve patient-centred health outcomes among older patients: a rapid review. BMC Health Serv Res [Internet]. 2023;23(1):886. Available from: http://dx.doi.org/10.1186/s12913-023-09869-8

Gessesse AG, Mohammed Haile J, Woldearegay AG. The nexus between physician-patient communication and health outcomes: Level of patient communication satisfaction and its impact on adherence in Ethiopian comprehensive specialised hospitals. Patient Prefer Adherence [Internet]. 2022;16:2509–19. Available from: http://dx.doi.org/10.2147/PPA.S381937

Suikkala A, Koskinen S, Katajisto J, Leino-Kilpi H. Congruence between nursing students’ and patients’ views of student-patient relationships. Adv Health Sci Educ Theory Pract [Internet]. 2021;26(1):79–115. Available from: http://dx.doi.org/10.1007/s10459-020-09972-z

Kwame A, Petrucka PM. A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nurs [Internet]. 2021;20(1):158. Available from: http://dx.doi.org/10.1186/s12912-021-00684-2

Cruz Araújo AA, de Godoy S, Arena Ventura CA, Rodolfo Silva Í, Santos de Almeida EW, Costa Mendes IA. Reflections on nursing students' fear and anxiety arising from clinical practicums. Invest Educ Enferm [Internet]. 2022;40(3). Available from: http://dx.doi.org/10.17533/udea.iee.v40n3e13

Stubin C. Clinical stress among undergraduate nursing students: perceptions of clinical nursing faculty. Int J Nurs Educ Scholarsh [Internet]. 2020;17(1). Available from: http://dx.doi.org/10.1515/ijnes-2019-0111

Lotfi M, Zamanzadeh V, Valizadeh L, Khajehgoodari M. Assessment of nurse-patient communication and patient satisfaction from nursing care. Nurs Open [Internet]. 2019;6(3):1189–96. Available from: http://dx.doi.org/10.1002/nop2.316

Braun V, Clarke V. Thematic analysis: A practical guide. London, England: SAGE Publications; 2021.

Heggestad AKT, Konow-Lund A-S, Christiansen B, Nortvedt P. A vulnerable journey towards professional empathy and moral courage. Nurs Ethics [Internet]. 2022;29(4):927–37. Available from: http://dx.doi.org/10.1177/09697330221074013

Weurlander M, Lönn A, Seeberger A, Broberger E, Hult H, Wernerson A. How do medical and nursing students experience emotional challenges during clinical placements? Int J Med Educ [Internet]. 2018;9:74–82. Available from: http://dx.doi.org/10.5116/ijme.5a88.1f80

Weilenmann S, Schnyder U, Parkinson B, Corda C, von Känel R, Pfaltz MC. Emotion transfer, emotion regulation, and empathy-related processes in physician-patient interactions and their association with physician well-being: A theoretical model. Front Psychiatry [Internet]. 2018;9:389. Available from: http://dx.doi.org/10.3389/fpsyt.2018.00389

Honkavuo L. Ethics simulation in nursing education: Nursing students’ experiences. Nurs Ethics [Internet]. 2021;28(7–8):1269–81. Available from: http://dx.doi.org/10.1177/0969733021994188

Alsalamah Y, Albagawi B, Babkair L, Alsalamah F, Itani MS, Tassi A, et al. Perspectives of nursing students on promoting reflection in the clinical setting: A qualitative study. Nurs Rep [Internet]. 2022;12(3):545–55. Available from: http://dx.doi.org/10.3390/nursrep12030053

Price B. Improving nursing students’ experience of clinical placements. Nurs Stand [Internet]. 2019;34(9):43–9. Available from: http://dx.doi.org/10.7748/ns.2019.e11328

Aryuwat P, Asp M, Lövenmark A, Radabutr M, Holmgren J. An integrative review of resilience among nursing students in the context of nursing education. Nurs Open [Internet]. 2023;10(5):2793–818. Available from: http://dx.doi.org/10.1002/nop2.1559

Lopez V, Yobas P, Chow YL, Shorey S. Does building resilience in undergraduate nursing students happen through clinical placements? A qualitative study. Nurse Educ Today [Internet]. 2018;67:1–5. Available from: http://dx.doi.org/10.1016/j.nedt.2018.04.020

Mikkonen K, Tomietto M, Tuomikoski A-M, Miha Kau?i? B, Riklikiene O, Vizcaya-Moreno F, et al. Mentors’ competence in mentoring nursing students in clinical practice: Detecting profiles to enhance mentoring practices. Nurs Open [Internet]. 2022;9(1):593–603. Available from: http://dx.doi.org/10.1002/nop2.1103

Kung P-C, Huang H-L, Che H-L, Chou Y-F, Chi S-F, Tseng S-M. Effectiveness of clinical mentorship program for students of long-term aged care: A mixed-methods study. Nurse Educ Today [Internet]. 2023;125(105781):105781. Available from: http://dx.doi.org/10.1016/j.nedt.2023.105781

Foolchand D, Maritz JE. Experience of nurses regarding the clinical mentoring of student nurses in resource-limited settings. Health SA Gesondheid [Internet]. 2020;25:1434. Available from: http://dx.doi.org/10.4102/hsag.v25i0.1434

Mpangane EA, Makhene A, Ally H. Experiences of student nurses on role modelling of a therapeutic approach by registered nurses: Recommendations for improvement. Curationis [Internet]. 2021;44(1):e1–7. Available from: http://dx.doi.org/10.4102/curationis.v44i1.2168

Rusticus SA, Pashootan T, Mah A. What are the key elements of a positive learning environment? Perspectives from students and faculty. Learn Environ Res [Internet]. 2023;26(1):161–75. Available from: http://dx.doi.org/10.1007/s10984-022-09410-4

Stransky ML, Morris MA. Adults with Communication Disabilities Face Health Care Obstacles: Adults with communication disabilities struggle to access quality health care-significantly more than typical peers. How can we get them needed health information and services? ASHA Lead [Internet]. 2019;24(3):46–55. Available from: http://dx.doi.org/10.1044/leader.ftr1.24032019.46

Pandey M, Maina RG, Amoyaw J, Li Y, Kamrul R, Michaels CR, et al. Impacts of English language proficiency on healthcare access, use, and outcomes among immigrants: a qualitative study. BMC Health Serv Res [Internet]. 2021;21(1):741. Available from: http://dx.doi.org/10.1186/s12913-021-06750-4

Kim S, Kim M. Nursing students’ experiences and perceptions of barriers to the implementation of person-centred care in clinical settings: A qualitative study. Nurs Open [Internet]. 2023;10(3):1889–99. Available from: http://dx.doi.org/10.1002/nop2.1514

Downloads

Published

2025-03-31

How to Cite

Awang Ziadi, D. N. A., & Zolkefli, Y. (2025). Nursing Students’ Understanding and Experiences of Student-Patient Relationships: A Thematic Analysis. INTERNATIONAL JOURNAL OF CARE SCHOLARS, 8(1), 98–107. https://doi.org/10.31436/ijcs.v8i1.407

Most read articles by the same author(s)

1 2 3 4 > >> 

Similar Articles

You may also start an advanced similarity search for this article.