The Impact of Clinical Experiences on the Student Nurse’s Mental Health – A Case Study of a Rural University in Limpopo Province, South Africa

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Nursing students often face increased risks to their mental health due to the combined pressures of academic workload and clinical training. Clinical placements, while essential for practical learning, can expose students to emotionally demanding situations that impact their psychological well-being. This study sought to explore how clinical experiences affect the mental health of student nurses in a rural university in South Africa. Using a qualitative exploratory and descriptive approach, the researchers conducted semi-structured interviews with fifteen nursing students at the University of Venda, comprising both level 2 and level 4 learners. Through a rigorous thematic framework analysis, four main themes emerged. Firstly, students expressed confusion about the complexity of teaching and learning activities, such as overlapped tests, presentations, and exams. Secondly, poor communication between charge nurses, staff, and students in clinical settings led to feelings of exclusion and frustration. Thirdly, the emotional strain of clinical placements manifested itself as trauma, pressure, and feelings of being overwhelmed. Finally, there was a clear lack of support systems and resources, with students highlighting the need for better mental health services and adequate recess periods to help them cope. The study concluded that the combination of inadequate resources and challenging clinical environments contributes significantly to student nurses’ emotional distress. The study recommends enhanced clinical mentorship, improved communication within clinical teams, accessible mental health support on campus, scheduled breaks during training, and sufficient learning resources. This research adds valuable insight into the mental health challenges faced by nursing students in rural South African contexts, emphasizing the urgent need for systemic support to safeguard their well-being and academic success. Keywords: Experiences, Mental Health, Nursing, Practicum, Resources, Students.

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