Enhancing Clinical Training in Nursing Education: Overcoming Barriers and Exploring Innovative Solutions

Main Article Content

Bilal S. H. Badr Naga
Ferial Hayajneh
Elham H. Othman

Abstract

Abstract Background: The availability of clinical training sites presents a significant barrier to developing and implementing an effective nursing curriculum. There are several challenges to effective nursing clinical training, affecting both students and healthcare facilities globally. Method: This study reviews the barriers and challenges related to clinical training in nursing education, examining existing literature on related aspects. Additionally, the paper explores innovative solutions, such as simulation training, inter-professional education, and academic-practice partnerships, to address these issues. Results: The findings highlight critical obstacles, including insufficient clinical placements, shortage of nurse educators, and inadequate infrastructure. Simulation and inter-professional education models were identified as effective strategies to supplement traditional clinical training and improve student competencies while encouraging collaboration among healthcare professionals. Conclusion: Addressing training site limitations and adopting simulation-based learning, inter-professional education, and stronger academic-practice partnerships will ensure a more effective, adaptable nursing curriculum that meets the evolving needs of healthcare systems. Keywords: Clinical training, challenges, nursing education, recommendations.

Article Details

Section

Review Article

Author Biographies

Bilal S. H. Badr Naga, University of Jordan, Jordanian Nursing Council, Amman, Jordan.

RN, MSN, PhD Candidate at the University of Jordan, Jordanian Nursing Council, Amman, Jordan,

Ferial Hayajneh, The University of Jordan, Amman, Jordan.

RN, PhD, Faculty of Nursing, The University of Jordan, Amman, Jordan.

How to Cite

Enhancing Clinical Training in Nursing Education: Overcoming Barriers and Exploring Innovative Solutions. (2025). International Journal of Nursing Education, 17(3), 2-9. https://doi.org/10.37506/my5pfk28

References

2021-2022 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing: AACN [Internet]. Aacnnursing.org. 2021 [cited 2025 Apr 11]. Available from: https://www.aacnnursing.org/store/product-info/productcd/idsr_22enrollbacc

American Association of Colleges of Nursing. The Essentials: Core Competencies for Professional Nursing Education [Internet]. 2021 Apr. Available from: https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf

Advancing Healthcare Transformation: A New Era for Academic Nursing [Internet]. Available from: https://www.aacnnursing.org/Portals/42/Publications/AACN-New-Era-Report.pdf

Aul K, Bagnall L, Bumbach MD, Gannon J, Shipman S, McDaniel A, et al. A key to transforming a nursing curriculum: Integrating a continuous improvement simulation expansion strategy. Sage Open Nursing. 2021 Jan;7.

Bakewell-Sachs S, Trautman D, Rosseter R. Addressing the nurse faculty shortage [Internet]. American Nurse. 2022. Available from: https://www.myamericannurse.com/addressing-the-nurse-faculty-shortage-2/

Bliss M, Aitken LM. Does simulation enhance nurses’ ability to assess deteriorating patients? Nurse Education in Practice. 2018 Jan;28(1):20–6.

Buthelezi ND, Khumoetsile Daphney Shopo. Challenges experienced by nurse educators developing postgraduate nursing diploma curriculum programmes, Gauteng. Curationis [Internet]. 2023 Jun 15;46(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476455/

Benner P. Educating Nurses: A Call for Radical Transformation—How Far Have We Come? Journal of Nursing Education [Internet]. 2012 Apr 1;51(4):183–4. Available from: https://pubmed.ncbi.nlm.nih.gov/22476535/

Hagler D, Hultquist BL, Bradshaw MJ. Innovative Teaching Strategies in Nursing and Related Health Professions. Jones & Bartlett Learning; 2024.

Billings D, Halstead JA. Teaching in Nursing: A Guide for Faculty. 6th ed. St. Louis, Missouri: Elsevier; 2020.

Decker SI, Anderson M, Boese T, Epps C, McCarthy J, Motola I, et al. Standards of Best Practice: Simulation Standard VIII: Simulation-Enhanced Interprofessional Education (Sim-IPE). Clinical Simulation in Nursing. 2015 Jun;11(6):293–7.

Hong KJ, Yoon HJ. Effect of nurses’ preceptorship experience in educating new graduate nurses and preceptor training courses on clinical teaching behavior. International Journal of Environmental Research and Public Health [Internet]. 2021 Jan 22;18(3):975. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908293/

Divayana DGH, Suyasa PWA, Widiartini NK. An innovative model as evaluation model for information technology-based learning at ICT vocational schools. Heliyon. 2021 Feb;7(2):e06347.

Fealy GM. Sharing the experience: Interdisciplinary education and interprofessional learning. Nurse Education in Practice. 2005 Nov;5(6):317–9.

Gaberson KB, Oermann MH, Shellenbarger T. Clinical teaching strategies in nursing. New York, Ny: Springer Publishing Company, Llc; 2015.

Gimbel S, Kohler P, Mitchell P, Emami A. Creating academic structures to promote nursing’s role in global health policy. International Nursing Review. 2017 Jan 4;64(1):117–25.

Hermann CP, Head BA, Black K, Singleton K. Preparing Nursing Students for Interprofessional Practice: The Interdisciplinary Curriculum for Oncology Palliative Care Education. Journal of Professional Nursing [Internet]. 2016 Jan;32(1):62–71. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724378/

Henderson A, Fox R, Armit L. Education in the clinical context: Establishing a strategic framework to ensure relevance. Collegian. 2008 May;15(2):63–8.

Huston C. The Impact of Emerging Technology on Nursing Care: Warp Speed Ahead. OJIN: The Online Journal of Issues in Nursing. 2013 May 31;18(2).

Institute of Medicine. The future of nursing: Leading change, advancing health [Internet]. PubMed. 2021. Available from: https://pubmed.ncbi.nlm.nih.gov/24983041/

Nelson ML. Book Review: Ironside, P. M. (Ed.). (2005). Beyond Method: Philosophical Conversations in Healthcare Research and Scholarship. Madison, WI: The University of Wisconsin Press. Nursing Science Quarterly. 2009 Apr;22(2):184–5.

Interprofessional education contributes to better patient outcomes [Internet]. Healio.com. 2016 [cited 2025 Apr 11]. Available from: https://www.healio.com/news/optometry/20160412/interprofessional-education-contributes-to-better-patient-outcomes

Jamshidi N, Molazem Z, Sharif F, Torabizadeh C, Najafi Kalyani M. The Challenges of Nursing Students in the Clinical Learning Environment: A Qualitative Study. The Scientific World Journal [Internet]. 2016 Jun 5;2016(1846178):1–7. Available from: https://www.hindawi.com/journals/tswj/2016/1846178/

Malcolm Shepherd Knowles, F E, Swanson RA. The adult learner : the definitive classic in adult education and human resource development. Amsterdam: Elsevier, Cop; 2011.

Koy V. THE LIFESPAN OF NURSING EDUCATION IN CAMBODIA. Belitung Nursing Journal. 2016 Aug 22;2(4).

Lewitt M, Cross B, Sheward L, Beirne P. Interprofessional Education to Support Collaborative Practice: An Interdisciplinary Approach [Internet]. 2015. Available from: https://srhe.ac.uk/wp-content/uploads/2020/03/LewittCrossFinalReport.pdf

Wang Y, Hu S, Yao J, Pan Y, Wang J, Wang H. Clinical nursing mentors’ motivation, attitude, and practice for mentoring and factors associated with them. BMC Nursing. 2024 Jan 30;23(1).

Mathisen C, Bjørk IT, Heyn LG, Jacobsen TI, Hansen EH. Practice education facilitators perceptions and experiences of their role in the clinical learning environment for nursing students: a qualitative study. BMC nursing [Internet]. 2023 May 17;22(1):165. Available from: https://pubmed.ncbi.nlm.nih.gov/37198631/

Burns HK, Northcutt T. Supporting Preceptors: A Three-Pronged Approach for Success. The Journal of Continuing Education in Nursing. 2009 Nov 1;40(11):509–13.

Mhango L, Baluwa M, Chirwa E. The Challenges of Precepting Undergraduate Nursing Students in Malawi. Advances in Medical Education and Practice [Internet]. 2021 May;Volume 12:557–63. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8168959/

Motsaanaka MN, Makhene A, Ally H. Student nurses’ experiences regarding their clinical learning opportunities in a public academic hospital in Gauteng province, South Africa. Health SA Gesondheid. 2020 Jan 30;25.

National League for Nursing. Novice nurse educator competencies with task statements [Internet]. National League for Nursing. 2022. Available from: https://www.nln.org/news/newsroomnln-position-documents/novice-nurse-educator-competencies-with-task-statements

Okuda Y, Bryson EO, DeMaria S, Jacobson L, Quinones J, Shen B, et al. The Utility of Simulation in Medical Education: What Is the Evidence? Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine. 2009 Aug 1;76(4):330–43.

Palaganas JC. Exploring Healthcare Simulation as a Platform for Interprofessional Education [Internet]. TheScholarsRepository@LLU: Digital Archive of Research, Scholarship & Creative Works. 2015 [cited 2025 Apr 11]. Available from: https://scholarsrepository.llu.edu/etd/91/

Ravert P, McAfooes J. NLN/Jeffries Simulation Framework: State of the Science Summary. Clinical Simulation in Nursing. 2014 Jul;10(7):335–6.

Sanford P. Simulation in Nursing Education: A Review of the Research. The Qualitative Report. 2014 Nov 19;15(4).

Diener M. Compassion Tech: Merging Technology, Consumerism and the Human Connection for Health Innovation | AHA News [Internet]. www.aha.org. Available from: https://www.aha.org/news/healthcareinnovation-thursday-blog/2021-02-11-compassion-tech-merging-technology-consumerism

Lindell DF, Hagler D, Poindexter K. A National, Qualitative Study of the Motivators and Outcomes of Nurse Educator Certification. Nursing Education Perspectives. 2020 Jun 26;41(6):327–33.

Thompson RA. Increasing racial/ethnic diversification of nursing faculty in higher ed is needed now. Journal of Professional Nursing. 2021 May;37(4).

Organization WH. Nurse educator core competencies [Internet]. iris.who.int. World Health Organization; 2016. Available from: https://iris.who.int/handle/10665/258713