Nursing and Health Sciences Journal (NHSJ)
Vol. 6 No. 2 (2026): June 2026

Early mental health exposure and clinical readiness of nursing students: A qualitative study

Bagus Dwi Cahyono (Faculty of Nursing, Universitas Jember)
Ronal Surya Aditya (Faculty of Nursing, Universitas Jember)
Nurul Huda (Faculty of Nursing, Universitas Jember)
Apriana Rahmawati (Faculty of Nursing, Universitas Jember)
Evy Aristawati (Faculty of Nursing, Universitas Jember)



Article Info

Publish Date
01 Jun 2026

Abstract

Early experiential exposure is increasingly advocated to enhance psychiatric clinical readiness; however, empirical evidence regarding real-world social rehabilitation settings remains limited, particularly within low- and middle-income countries where clinical placements are often delayed. This study examined nursing students’ learning experiences and perceived clinical readiness following early exposure to individuals with mental disorders in a community rehabilitation setting. A qualitative descriptive design utilizing reflexive thematic analysis was conducted with 35 third-semester Diploma nursing students in East Java, Indonesia. Purposive sampling achieved thematic saturation at 28 interviews. Data were collected via semi-structured interviews and analyzed using reflexive thematic analysis, adhering strictly to COREQ reporting standards to ensure methodological transparency. Findings delineated a developmental trajectory from initial stigma and anxiety toward empathy, therapeutic confidence, and clinical preparedness. Four interconnected themes emerged: (1) attitudinal reconstruction regarding mental illness, (2) emerging relational agency in therapeutic communication, (3) cognitive-affective integration of theoretical constructs, and (4) transitional clinical readiness. Supervised face-to-face engagement within a supportive rehabilitation environment, facilitated stigma deconstruction, and cultivated adaptive interpersonal competencies. It contextualized abstract classroom knowledge through authentic patient interaction, thereby bridging the theory-practice divide. Early structured exposure transcends passive observation, functioning as a transformative pedagogical mechanism that synchronizes affective, cognitive, and relational development. Systematically embedding community-based experiential learning prior to acute psychiatric placements is critical to optimizing global clinical readiness, mitigating entrenched stigma, and advancing recovery-oriented nursing curricula worldwide, particularly in resource-constrained educational systems

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Journal Info

Abbrev

nhs

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

Nursing and Health Sciences Journal (NHSJ) is peer-reviewed and open access international journal which published by KHD Production, to accommodate researchers and health practitioners publishing their scientific articles. NHSJ accepts original papers, review articles, short communications, case ...