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Nursing Interns Perception Regarding Their One-Year Clinical Practicum


Article Information

Title: Nursing Interns Perception Regarding Their One-Year Clinical Practicum

Authors: Gideon Victor, Tamoor Gill, Saleem Khan

Journal: Journal of Gandhara Nursing and Allied Health Sciences (JGNAHS)

HEC Recognition History
Category From To
Y 2024-10-01 2025-12-31

Publisher: Gandhara University, Peshawar

Country: Pakistan

Year: 2023

Volume: 3

Issue: 1

Language: English

DOI: 10.37762/jfinph.79

Keywords: perceptionExperiencesNursing studentInternshipStudent-Nurse

Categories

Abstract

OBJECTIVES
The objective of this study was to measure experiences of nursing interns in their internship period.
METHODOLOGY
Cross sectional study design was adopted. Total 141 Bachelors of Science in Nursing interns participated in the study from a university hospital. The structured self-administered questionnaire containing items related to organizational commitment, professional commitment, role ambiguity, role overload, workplace support and workplace bullying were used for data collection. SPSS v25.0 was used for analysis.RESULTS
The mean score of organizational commitment was 3.14, 42% interns showed week commitment. Perceived ambiguity mean was 3.14, 54% reported it negative. The perception of role overload’ mean was 3.50, 66% perceived adverse effects. The professional commitment mean score was 3.06, 58% showed low commitment. Overall workplace support mean score was 3.12, colleagues 3.47 and nurse manger’s support was 2.31 lowest. Varying frequency of bullying was experienced by 90% interns. Significant difference among gender concerning organizational commitment, workplace support and workplace bullying was found (p-value <0.05). Comparison between three cohorts revealed organizational commitment, role ambiguity, role overload and professional commitment mean score decreased (P-Value < 0.05). While workplace support and bullying score remained consistent. CONCLUSION
The unclear role, increased workload, perceived bullying and low support could negatively impact professional and organizational commitment. Internship program requires improvement.


Research Objective

To measure the experiences of nursing interns during their one-year internship period, focusing on organizational commitment, professional commitment, role ambiguity, role overload, workplace support, and workplace bullying.


Methodology

A cross-sectional study design was employed. A structured, self-administered questionnaire was used to collect data from 141 Bachelor of Science in Nursing interns at a university hospital. The questionnaire included scales for organizational commitment, professional commitment, role ambiguity, role overload, workplace support, and workplace bullying. Data were analyzed using SPSS v25.0.

Methodology Flowchart
                        graph TD;
    A["Study Design: Cross-sectional"];
    B["Data Collection: Structured Self-Administered Questionnaire"];
    C["Participants: 141 BSN Interns"];
    D["Measures: OC, PC, RA, RO, WS, WB"];
    E["Data Analysis: SPSS v25.0"];
    F["Statistical Tests: Descriptive Statistics, Mann-Whitney U-test, Tukey's HSD"];
    G["Results Interpretation"];
    H["Conclusion and Recommendations"];                    

Discussion

The study suggests that unclear roles, increased workload, perceived bullying, and low support negatively impact professional and organizational commitment among nursing interns. These factors can lead to discouragement and potential attrition from the nursing profession. The internship program requires improvement to address these challenges and foster a more supportive environment.


Key Findings

- Mean score for organizational commitment was 3.14, with 42% of interns showing weak commitment.
- Mean score for perceived ambiguity was 3.14, with 54% reporting it negatively.
- Mean score for role overload was 3.50, with 66% perceiving adverse effects.
- Mean score for professional commitment was 3.06, with 58% showing low commitment.
- Overall workplace support mean score was 3.12, with collegial support at 3.47 and nurse manager support at 2.31 (lowest).
- 90% of interns experienced bullying with varying frequency.
- Significant differences were found among gender concerning organizational commitment, workplace support, and workplace bullying (p < 0.05).
- Mean scores for organizational commitment, role ambiguity, and role overload decreased over time (p < 0.05), while workplace support and bullying scores remained consistent.


Conclusion

The internship program for nursing interns is a critical period that can be negatively influenced by a lack of support, workplace bullying, and work overload, potentially leading to low organizational and professional commitment. Enhancing the internship program through collaboration with stakeholders is recommended to mitigate these issues and retain nurses in the profession.


Fact Check

- 141 Bachelor of Science in Nursing interns participated in the study.
- 90% of interns experienced bullying to varying frequencies.
- The mean score for nurse manager support was 2.31.


Mind Map

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