Document Type : Original Article


1 Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences

2 Department of Nursing, Faculty of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran


Clinical education requires creating a supportive atmosphere for learners and nursing students, who
need support to be prepared for their future profession. The purpose of this study is to investigate
the challenges of supporting the nursing students in clinical education. This article reviewed studies
conducted between 2009 and 2019 with the keywords including support, challenge, students,
education, and nursing using SID, Magiran, IranMedex, Google Scholar, Elsevier, and PubMed as
databases. Among the 926 articles obtained during the two review stages, which were based on the
inclusion and exclusion criteria and the first one analyzed the title and the abstract and the second
one analyzed the whole article, ultimately 32 articles were selected for the study. The types of articles
used in this study are as follows: qualitative (16 articles), descriptive analytical and cross‑sectional (12
articles), review (3 articles), and mixed‑methods (1 article). The focus of all studies was on the
students’ clinical education environment. The participants of the studies were undergraduate nursing
students (in 22 articles), graduate students (in 2 articles), nursing instructors and students (in 4
articles), and nursing instructors and managers (in 1 article). Most of the challenges of supporting the
students included violence, fear, and anxiety; socio‑cultural challenges, environmental‑organizational
stresses; and ineffective clinical education. The findings of this study showed that nursing students
face many challenges in the clinical setting. Therefore, the managers of educational and health‑care
centers should give a high priority to their students’ support programs.


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