Keywords
Interpretative Phenomenological Analysis
Nursing Students
Professional Development
How to Cite
Abstract
Introduction. Large-scale healthcare emergencies have profoundly reshaped nursing education, particularly its experiential and clinical components. The reorganization of clinical placements and the integration of nursing students into Intensive Care Units (ICUs) dedicated to COVID-19 patients exposed students to highly complex, technologically advanced, and emotionally demanding care environments. Understanding how students experienced these placements is essential to inform educational strategies that ensure both learning and well-being in crisis contexts.
Methods. A qualitative study was conducted using an Interpretative Phenomenological Analysis (IPA) approach to explore nursing students’ lived experiences during ICU placements in a large-scale healthcare emergency. Eight third-year undergraduate nursing students who had completed at least 15 days of internship in medical or surgical ICUs participated in semi-structured, in-depth interviews. Data were analysed following the IPA methodological framework, allowing for an in-depth exploration of shared meanings and individual sense-making processes.
Results. Four interconnected themes emerged from the analysis: (1) Evolution of Feelings and Emotions, describing an initial phase of fear, uncertainty, and emotional strain; (2) Challenging Reality, reflecting exposure to critically ill patients and high-intensity care; (3) Going on Side by Side, highlighting the central role of relational support from clinical tutors, healthcare teams, and family members; and (4) Deep Growth, representing the development of professional confidence, resilience, and reflective capacity. Over time, students reframed distressing experiences into meaningful learning opportunities.
Discussion. Despite the psychological and emotional challenges associated with ICU placements during a healthcare emergency, students reported substantial personal and professional growth when adequate support was present. These findings underscore the importance of structured mentorship, emotional support, and reflective spaces within clinical education. Integrating such elements into nursing curricula may better prepare students to navigate high-pressure clinical environments while safeguarding their well-being and fostering professional identity development.
References
Barisone, M., Ghirotto, L., Busca, E., Diaz Crescitelli, M. E., Casalino, M., Chilin, G., Milani, S., Sanvito, P., Suardi, B., Follenzi, A., & Dal Molin, A. (2022). Nursing students’ clinical placement experiences during the Covid-19 pandemic: A phenomenological study. Nurse Education in Practice, 59, 103297. https://doi.org/10.1016/j.nepr.2022.103297
Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497–529.
Canet-Vélez, O., Botigué, T., Lavedán Santamaría, A., Masot, O., Cemeli, T., & Roca, J. (2021). The perception of training and professional development according to nursing students as health workers during COVID-19: A qualitative study. Nurse Education in Practice, 53, 103072. https://doi.org/10.1016/j.nepr.2021.103072
Casafont, C., Fabrellas, N., Rivera, P., Olivé-Ferrer, M. C., Querol, E., Venturas, M., Prats, J., Cuzco, C., Frías, C. E., Pérez-Ortega, S., & Zabalegui, A. (2021). Experiences of nursing students as healthcare aid during the COVID-19 pandemic in Spain: A phemonenological research study. Nurse Education Today, 97, 104711. https://doi.org/10.1016/j.nedt.2020.104711
Corbin, J., & Strauss, A. (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory. Sage publications.
Crowe, M., Inder, M., & Porter, R. (2015). Conducting qualitative research in mental health: Thematic and content analyses. Australian & New Zealand Journal of Psychiatry, 49(7), 616–623. https://doi.org/10.1177/0004867415582053
Darwin, C. (2008). The descent of man, and selection in relation to sex. Princeton University Press.
Dickel, C. L. (2021). COVID-19: Nursing Students Should Have the Option to Help. American Journal of Public Health, 111(3), 334–334. https://doi.org/10.2105/AJPH.2020.306123
Eweida, R. S., Rashwan, Z. I., Desoky, G. M., & Khonji, L. M. (2020). Mental strain and changes in psychological health hub among intern-nursing students at pediatric and medical-surgical units amid ambience of COVID-19 pandemic: A comprehensive survey. Nurse Education in Practice, 49, 102915. https://doi.org/10.1016/j.nepr.2020.102915
Fowler, K., & Wholeben, M. (2020). COVID-19: Outcomes for trauma-impacted nurses and nursing students. Nurse Education Today, 93, 104525. https://doi.org/10.1016/j.nedt.2020.104525
Grande, R. A. N., Butcon, V. E. R., Indonto, M. C. L., Villacorte, L. M., & Berdida, D. J. E. (2021). Quality of life of nursing internship students in Saudi Arabia during the COVID-19 pandemic: A cross-sectional study. International Journal of Africa Nursing Sciences, 14, 100301. https://doi.org/10.1016/j.ijans.2021.100301
Hernández‐Martínez, A., Rodríguez‐Almagro, J., Martínez‐Arce, A., Romero‐Blanco, C., García‐Iglesias, J. J., & Gómez‐Salgado, J. (2025). Nursing students’ experience and training in healthcare aid during the COVID‐19 pandemic in Spain. Journal of Clinical Nursing, 34(12), 5192–5199. https://doi.org/10.1111/jocn.15706
Kim, S.-H., & Park, S. (2021). Influence of learning flow and distance e-learning satisfaction on learning outcomes and the moderated mediation effect of social-evaluative anxiety in nursing college students during the COVID-19 pandemic: A cross-sectional study. Nurse Education in Practice, 56, 103197. https://doi.org/10.1016/j.nepr.2021.103197
Mahmoud, M. H. (2014). Practical learning and theory practice gap as perceived by nursing students. International Journal of Current Research, 6(2), 5083–5093.
Martin-Delgado, L., Goni-Fuste, B., Alfonso-Arias, C., De Juan, M., Wennberg, L., Rodríguez, E., Fuster, P., Monforte-Royo, C., & Martin-Ferreres, M. L. (2021). Nursing students on the frontline: Impact and personal and professional gains of joining the health care workforce during the COVID-19 pandemic in Spain. Journal of Professional Nursing, 37(3), 588–597. https://doi.org/10.1016/j.profnurs.2021.02.008
McClelland, D. C. (1965). Toward a theory of motive acquisition. American Psychologist, 20(5), 321–333. https://doi.org/10.1037/h0022225
McHugh, M. D., & Lake, E. T. (2010). Understanding clinical expertise: Nurse education, experience, and the hospital context. Research in Nursing & Health, 33(4), 276–287. https://doi.org/10.1002/nur.20388
Mortari, L. (2019). María Zambrano: Respirare la vita. Feltrinelli Editore.
Nabavian, M., Rahmani, N., & Alipour, H. (2021). Experiences of Nursing Students in the Care for Patients Diagnosed With COVID-19: A Qualitative Study. Journal of Patient Experience, 8, 23743735211039925. https://doi.org/10.1177/23743735211039925
O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for Reporting Qualitative Research: A Synthesis of Recommendations. Academic Medicine, 89(9), 1245–1251. https://doi.org/10.1097/ACM.0000000000000388
Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23(4), 334–340. https://doi.org/10.1002/1098-240X(200008)23:4%253C334::AID-NUR9%253E3.0.CO;2-G
Smith, J. A., Larkin, M., & Flowers, P. (2021). Interpretative phenomenological analysis: Theory, method and research (Second). SAGE Publications ltd.
Ulenaers, D., Grosemans, J., Schrooten, W., & Bergs, J. (2021). Clinical placement experience of nursing students during the COVID-19 pandemic: A cross-sectional study. Nurse Education Today, 99, 104746. https://doi.org/10.1016/j.nedt.2021.104746
Van Nes, F., Abma, T., Jonsson, H., & Deeg, D. (2010). Language differences in qualitative research: Is meaning lost in translation? European Journal of Ageing, 7(4), 313–316. https://doi.org/10.1007/s10433-010-0168-y
Zhu, Y., Zhang, L., Zhou, X., Li, C., & Yang, D. (2021). The impact of social distancing during COVID-19: A conditional process model of negative emotions, alienation, affective disorders, and post-traumatic stress disorder. Journal of Affective Disorders, 281, 131–137. https://doi.org/10.1016/j.
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Copyright (c) 2026 Federica Dellafiore, Luca Guardamagna, Lorenzo Casole, Gloria Modena, Orejeta Diamanti, Tiziana Nania, Alessandro Delli Poggi, Giovanna Artioli