Challenges Faced by Nursing Interns during Clinical Practice: A Scoping Review

Authors

  • Naintara Janat Ali MSc. Nursing Lecturer, Liaquat National Hospital & College of Nursing, Institute for Undergraduate & Postgraduate Medical Studies & Health Sciences Author
  • Dr. Sumaira Khowaja-Punjwani Ph.D in Health Professions Education & Ph.D in Bioethics & Global Public Health Principal/Associate Professor, Ziauddin University, Faculty of Nursing & Midwifery Author
  • Dr. Salma Rattani Ph.D in Nursing Associate Professor, Aga Khan University, School of Nursing & Midwifery Author
  • Fatima Ahil Vayani Bsc. Nursing Lecturer, Liaquat National Hospital & College of Nursing, Institute for Undergraduate & Postgraduate Medical Studies & Health Sciences Author
  • Saba Saeed Sheikh M.A. English Literature, M.A. English Linguistics  Lecturer, Liaquat National Hospital & College of Nursing, Institute for Undergraduate & Postgraduate Medical Studies & Health Sciences Author
  • Rabia Danish  MSc. Nursing Senior Lecturer, Liaquat National Hospital & College of Nursing, Institute for Undergraduate & Postgraduate Medical Studies & Health Sciences Author

DOI:

https://doi.org/10.66021/pakmcr1248

Keywords:

Nursing, Clinical Practice, Hospital, internships

Abstract

Background:

Nursing internships serve as a crucial transition from theoretical learning to clinical practice, helping interns develop essential skills and professional growth. However, nursing interns often face several challenges that can negatively impact their learning experience. These include overwhelming workloads, emotional distress, communication barriers, and insufficient mentorship. Addressing these issues is essential for enhancing their experience and preparing them for complex healthcare environments.

Methodology:

A scoping review was conducted to identify and synthesize the challenges faced by nursing interns during their clinical practice. A systematic search of databases such as PubMed, CINAHL, Scopus, and Google Scholar was carried out using keywords like "nursing interns," "clinical practice," and "challenges." Articles were selected based on predetermined inclusion and exclusion criteria, and the review process was documented through a PRISMA flowchart to ensure transparency. Ultimately, 40 articles were included in the review.

Results:

Key themes identified from literature include overwhelming workloads, emotional stress, communication barriers, lack of mentorship, and challenges in organizational culture. These themes highlight the complexity of transitioning from academic settings to clinical environments. The studies reviewed emphasize that these challenges negatively affect interns' confidence, performance, and mental well-being.

Conclusion:

Nursing interns encounter various challenges during their clinical practice that impact both their professional development and emotional health. Addressing these challenges requires a holistic approach that includes improved mentorship, supportive organizational culture, enhanced communication skills training, and better workload management. Future research should focus on developing and evaluating interventions that provide necessary support to nursing interns during their transition to professional practice.

Author Biographies

  • Dr. Sumaira Khowaja-Punjwani, Ph.D in Health Professions Education & Ph.D in Bioethics & Global Public Health Principal/Associate Professor, Ziauddin University, Faculty of Nursing & Midwifery

     

     

     

     

  • Dr. Salma Rattani, Ph.D in Nursing Associate Professor, Aga Khan University, School of Nursing & Midwifery

     

     

     

     

  • Fatima Ahil Vayani, Bsc. Nursing Lecturer, Liaquat National Hospital & College of Nursing, Institute for Undergraduate & Postgraduate Medical Studies & Health Sciences

     

     

     

     

  • Saba Saeed Sheikh, M.A. English Literature, M.A. English Linguistics  Lecturer, Liaquat National Hospital & College of Nursing, Institute for Undergraduate & Postgraduate Medical Studies & Health Sciences

     

     

     

     

  • Rabia Danish , MSc. Nursing Senior Lecturer, Liaquat National Hospital & College of Nursing, Institute for Undergraduate & Postgraduate Medical Studies & Health Sciences

     

     

Downloads

Published

2026-06-14

How to Cite

Challenges Faced by Nursing Interns during Clinical Practice: A Scoping Review. (2026). Pakistan Journal of Medical & Cardiological Review, 5(2), 3446-3456. https://doi.org/10.66021/pakmcr1248