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Journals / Yükseköğretim Dergisi / 2026 / Cilt: 16 Sayı: 1

Attitudes of Turkish Nursing Students Toward Clinical Practices and Factors Influencing Positive Learning: A Cross-Sectional Study

Türk Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Tutumları ve Olumlu Öğrenmeyi Etkileyen Faktörler: Kesitsel Bir Çalışma

Öznur Gürlek Kısacık(Afyonkarahisar Sağlık Bilimleri Üniversitesi)0000-0002-1317-3141
Azize Özdaş Gündoğan(AFYONKARAHİSAR SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0001-7186-3792
Münevver Sönmez(UNIVERSITY OF HEALTH SCIENCES, GULHANE SCHOOL OF NURSING)0000-0001-7646-1864
Pages
159–174
Publication Date
2026-03-09
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Enhancing clinical experiences, fostering a supportive learning environment, and increasing professional motivation may further improve their attitudes.

📌 3 Key Takeaways

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Objective & Hypothesis:Clinical practice, a critical component of nursing education, is a fundamental prerequisite for cultivating competent professional nurses.
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Key Findings & Data:A cross-sectional design was used with 414 nursing students.
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Conclusion & Impact:Enhancing clinical experiences, fostering a supportive learning environment, and increasing professional motivation may further improve their attitudes.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Tutum · Klinik Uygulama · Hemşirelik Eğitimi

Abstract

Clinical practice, a critical component of nursing education, is a fundamental prerequisite for cultivating competent professional nurses. This study aimed to determine Turkish nursing students’ attitudes towards clinical practice and factors influencing positive learning outcomes. A cross-sectional design was used with 414 nursing students. Data were collected via the Student Information Form and Attitude Scale towards Clinical Practices and analyzed using descriptive statistics, Two-Way ANOVA, and a multiple linear regression model. The mean attitude score was 100.48±16.31. Factors significantly associated with a more positive attitude included finding weekly clinical practice hours sufficient (β=0.314; p<0.001), willingly choosing nursing (β=0.203; p<0.001), attending orientation training (β=0.148; p<0.001), not experiencing difficulties during training (β=0.115; p=0.012), finding clinical practice areas adequate (β=0.115; p=0.011), and receiving sufficient support (β=0.097; p<0.001). Turkish nursing students generally have a positive attitude towards clinical practice. Enhancing clinical experiences, fostering a supportive learning environment, and increasing professional motivation may further improve their attitudes.

Özet

Hemşirelik eğitiminin kritik bir bileşeni olan klinik uygulama, yetkin profesyonel hemşireler yetiştirmek için temel bir ön koşuldur. Bu çalışma, Türk hemşirelik öğrencilerinin klinik uygulamalara yönelik tutumlarını ve olumlu öğrenme çıktılarını etkileyen faktörleri belirlemeyi amaçlamaktadır. Tanımlayıcı ve kesitsel tipteki bu çalışma 414 hemşirelik öğrencisi ile çalışma gerçekleştirildi. Veriler, Öğrenci Bilgi Formu ve Klinik Uygulamalara Yönelik Tutum Ölçeği aracılığıyla elde edildi, verilerin analizinde tanımlayıcı istatistikler, İki Yönlü ANOVA ve çoklu doğrusal regresyon analizi kullanıldı. Klinik uygulamaya ilişkin ortalama tutum puanı 100.48±16.31 olarak bulundu. Daha olumlu bir tutumla anlamlı şekilde ilişkili faktörler önem sırasına göre; haftalık klinik uygulama saatlerinin yeterli bulunması (β=0.314; p<0.001), hemşireliği isteyerek seçme (β=0.203; p<0.001), oryantasyon eğitimine katılma (β=0.148; p<0.001), eğitim sırasında zorluk yaşamama (β=0.115; p=0.012), klinik uygulama alanlarının fiziksel yeterliliği (β=0.115; p=0.011) ve klinik uygulama eğitimi sürecinde yeterli yardım ve destek alabilme (β=0.097; p<0.001) idi. Türk hemşirelik öğrencileri genel olarak klinik uygulamaya karşı olumlu bir tutuma sahiptir. Klinik deneyimleri geliştirmek, destekleyici bir öğrenme ortamı yaratmak ve mesleki motivasyonu artırmak tutumlarını daha da iyileştirebilir.

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Cite This Article

Kısacık, Ö. G., Gündoğan, A. Ö., Sönmez, M. (2026). Attitudes of Turkish Nursing Students Toward Clinical Practices and Factors Influencing Positive Learning: A Cross-Sectional Study. Yükseköğretim Dergisi, Cilt: 16 Sayı: 1, 159–174. https://doi.org/10.53478/yuksekogretim.1666623

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References (38)

  1. Ajzen, I., & Fishbein, M. (2000). Attitudes and the attitude-behavior relation: Reasoned and automatic processes. European Review of Social Psychology, 11(1), 1–33. https://doi.org/10.1080/14792779943000116
  2. Almalkawi, I., Jester, R., & Terry, L. (2018). Exploring mentors’ interpretation of terminology and levels of competence when assessing nursing students: An integrative review. Nurse Education Today, 69, 95–103. https://doi.org/10.1016/j.nedt.2018.07.003
  3. Aragaw, Y., Sinishaw, W., Daba, W., & Mekie, M. (2019). Attitude of nursing and midwifery students towards clinical practice and its associated factors in Northwest Ethiopia: A cross-sectional study. BMC Research Notes, 12(205), 1–6. https://doi.org/10.1186/s13104-019-4230-3
  4. Arkan, B., Ordin, Y., & Yılmaz, D. (2018). Undergraduate nursing students’ experience related to their clinical learning environment and factors affecting their clinical learning process. Nurse Education in Practice, 22, 127–132. https://doi.org/10.1016/j.nepr.2017.12.005
  5. Asadi, M., Noorian, S., Motefakker, S., Heydari, F., Shahsavari, N., & Senmar, M. (2023). The state of clinical education and factors affecting effective clinical education: The point of view of nursing and midwifery students. BMC Medical Education, 23(967), 1–9. https://doi.org/10.1186/s12909-023-04957-z
  6. Baştürk, S., & Taştepe, M. (2013). Evren ve örneklem. In S. Baştürk (Ed.), Bilimsel araştırma yöntemleri (pp. 129–159). Vize Yayıncılık.
  7. Bianchi, M., Bressan, V., Cadorin, L., Pagnucci, N., Tolotti, A., Valcarenghi, D., Watson, R., Bagnasco, A., & Sasso, L. (2016). Patient safety competencies in undergraduate nursing students: A rapid evidence assessment. Journal of Advanced Nursing, 72(12), 2966–2979. https://doi.org/10.1111/jan.13033
  8. Bisholt, B., Ohlsson, U., Engström, A. K., Johansson, A. S., & Gustafsson, M. (2014). Nursing students’ assessment of the learning environment in different clinical settings. Nurse Education in Practice, 14, 304–310. https://doi.org/10.1016/j.nepr.2013.11.005
  9. Cant, R., Ryan, C., & Cooper, S. (2021). Nursing students’ evaluation of clinical practice placements using the clinical learning environment, supervision, and nurse teacher scale – A systematic review. Nurse Education Today, 104, 104983. https://doi.org/10.1016/j.nedt.2021.104983
  10. Cusson, R. M., Meehan, C., Bourgault, A., & Kelley, T. (2020). Educating the next generation of nurses to be innovators and change agents. Journal of Professional Nursing, 36, 13–19. https://doi.org/10.1016/j.profnurs.2019.07.004
  11. Ergezen, F. D., Akcan, A., & Kol, E. (2022). Nursing students’ expectations, satisfaction, and perceptions regarding clinical learning environment: A cross-sectional, profile study from Turkey. Nurse Education in Practice, 61, 103333. https://doi.org/10.1016/j.nepr.2022.103333
  12. Fathi, K. Y., & Ibrahim, R. H. (2023). Factors influencing integration of theory into practice in clinical skills acquisition among nursing students. Informatics in Medicine Unlocked, 37, 101181. https://doi.org/10.1016/j.imu.2023.101181
  13. Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention and behavior: An introduction to theory and research. Addison Wesley.
  14. Flott, E. A., & Linden, L. (2016). The clinical learning environment in nursing education: A concept analysis. Journal of Advanced Nursing, 72(3), 501–513. https://doi.org/10.1111/jan.12861
  15. Gradišnik, M., Fekonja, Z., & Vrbnjak, D. (2024). Nursing students’ handling patient safety incidents during clinical practice: A retrospective qualitative study. Nurse Education Today, 132, 105993. https://doi.org/10.1016/j.nedt.2023.105993
  16. Ha, E. H. (2015). Attitudes toward clinical practice in undergraduate nursing students: A Q methodology study. Nurse Education Today, 35, 733–739. https://doi.org/10.1016/j.nedt.2015.01.013
  17. Helminen, K., Coco, K., Johnson, M., Turunen, H., & Tossavainen, K. (2016). Summative assessment of clinical practice of student nurses: A review of the literature. International Journal of Nursing Studies, 53, 308–319. https://doi.org/10.1016/j.ijnurstu.2015.09.014
  18. Kalyani, M. N., Jamshidi, N., Molazem, Z., Torabizadeh, C., & Sharif, F. (2019). How do nursing students experience the clinical learning environment and respond to their experiences? A qualitative study. BMJ Open, 9, e028052. https://doi.org/10.1136/bmjopen-2018-028052
  19. Kara, B., Akdeniz, C., & Kavaslar, İ. (2022). Nursing 2.0: Suggestion of a paradigm change in nursing care and education in Turkey. Journal of Health and Social Welfare Research, 4(1), 136–143.
  20. Kınas, S.B., Bilgiç, Ş., & Paslı Gürdoğan, E. (2025). The relationship between nursing students’ communication skills and their attitudes toward clinical practice: A descriptive and correlational study. Mediterranean Nursing and Midwifery, 5(1), 53–61.
  21. Kocaman, G., & Yürümezoglu, H. (2015). Situation analysis of nursing education in Turkey: Nursing education with numbers (1996-2015). Journal of Higher Education and Science, 5(3), 255–262.
  22. Kol, E., & İnce, S. (2018). Determining the opinions of the first-year nursing students about clinical practice and clinical educators. Nurse Education in Practice, 31, 35–40. https://doi.org/10.1016/j.nepr.2018.04.009
  23. Kudubeş, A.A., Zengin, H., Ayar, D., Bektaş, İ., & Bektaş, M. (2024). The effect of nursing students’ liking of children and attitudes toward clinical practice on their comfort and worry levels in the pediatric clinic. Comprehensive Child and Adolescent Nursing, 47(1), 31–43. https://doi.org/10.1080/24694193.2023.2269264
  24. Mbakaya, B. C., Kalembo, F. W., Zgambo, M., Konyani, A., Lungu, F., Tveit, B., Kaasen, A., Simango, M., & Bvumbwe, T. (2020). Nursing and midwifery students’ experiences and perception of their clinical learning environment in Malawi: A mixed-method study. BMC Nursing, 19(87), 1–14. https://doi.org/10.1186/s12912-020-00480-4
  25. Munangatire, T., Tomas, N., & Asino, H.M.M., 2023. Nursing students’ experiences and expectations of clinical learning: A qualitative study. Nurse Education Today, 124, 105758. https://doi.org/10.1016/j.nedt.2023.105758
  26. Nabolsi, M., Zumot, A., Wardam, L., & Abu-Moghli, F. (2012). The experience of Jordanian nursing students in their clinical practice. Procedia - Social and Behavioral Sciences, 46, 5849–5857. https://doi.org/10.1016/j.sbspro.2012.06.527
  27. Papastavrou, E., Dimitriadou, M., Tsangari, H., & Andreou, C. (2016). Nursing students’ satisfaction of the clinical learning environment: A research study. BMC Nursing, 15(44), 41–10. https://doi.org/10.1186/s12912-016-0164-4
  28. Rodríguez-García, M. C., Gutiérrez-Puertas, L., Granados-Gámez, G., Aguilera-Manrique, G., & Márquez-Hernández, V. V. (2021). The connection of the clinical learning environment and supervision of nursing students with student satisfaction and future intention to work in clinical placement hospitals. Journal of Clinical Nursing, 30, 986–994. https://doi.org/10.1111/jocn.15642
  29. Serçekuş, P., & Başkale, H. (2016). Nursing students’ perceptions about clinical learning environment in Turkey. Nurse Education in Practice, 17, 134–138. https://doi.org/10.1016/j.nepr.2015.12.008
  30. Sparacino, L., & Diggle, B. S. (2017). Reducing perceived stress through an orientation program for nursing students entering their first nursing course. Journal of Nursing Education and Practice, 7(9), 54–60. https://doi.org/10.5430/jnep.v7n9p54
  31. Steven, A., Rossi, S., Dasso, N., Napolitano, F., Grosso, A., Villa, S., Aleo, G., Catania, G., Sasso, L., Zanini, M., & Bagnasco, A. (2023). A qualitative exploration of undergraduate nursing students’ experience of emotional safety for learning during their clinical practice. Nurse Education Today, 121, 105673. https://doi.org/10.1016/j.nedt.2022.105673
  32. Suliman, M. (2019). Measuring patient safety competence among nursing students in the classroom and clinical settings. Nursing Education Perspectives, 40(3), E3–E7. https://doi.org/10.1097/01.NEP.0000000000000460
  33. Tuomikoski, A. M., Ruotsalainen, H., Mikkonen, K., & Kääriäinen, M. (2020). Nurses’ experiences of their competence at mentoring nursing students during clinical practice: A systematic review of qualitative studies. Nurse Education Today, 85, 104258. https://doi.org/10.1016/j.nedt.2019.104258
  34. Ugwu, S. N., Ogbonnaya, N. P., Chijioke, V. C., & Esievo, J. N. (2023). Causes and effects of theory-practice gap during clinical practice: The lived experiences of baccalaureate nursing students. International Journal of Qualitative Studies on Health and Well-Being, 18, 2164949. https://doi.org/10.1080/17482631.2023.2164949
  35. Uysal, D., & Bayülgen, M. (2022). Development of the nursing students’ attitudes towards clinical practices scale. Eurasian Journal of Health Sciences, 5(2), 1–9. https://doi.org/10.53493/avrasyasbd.971359
  36. Xiang, D., Ge, S., Zhang, Z., Twumwaah Budu, J., & Mei, Y. (2023). Relationship among clinical practice environment, creative self-efficacy, achievement motivation, and innovative behavior in nursing students: A cross-sectional study. Nurse Education Today, 120, 105656. https://doi.org/10.1016/j.nedt.2022.105656
  37. Ying, W., Mingxuan, L., Qian, Z., Shuxian, Z., Yufang, G., & Kefang, W. (2023). The mediating role of professional commitment between the clinical learning environment and learning engagement of nursing students in clinical practice: A cross-sectional study. Nurse Education Today, 121, 105677. https://doi.org/10.1016/j.nedt.2022.105677
  38. Yu, M., Tong, H., Li, S., Wu, X. V., Hong, J., & Wang, W. (2021). Clinical competence and its association with self-efficacy and clinical learning environments among Chinese undergraduate nursing students. Nurse Education in Practice, 53, 103055. https://doi.org/10.1016/j.nepr.2021.103055