Transition from Classroom to Clinical Practice: Lived Experiences of Novice Nurses in a Government Hospital

Transition from classroom to clinical practice represents a critical phase for novice nurses, marked by challenges that shape their professional identity and competence. This study aims to explore the lived experiences of novice nurses during this transition to professional practice. Utilizing a transcendental phenomenological approach, the study was conducted in a government hospital in Dipolog City. Twelve novice nurses, selected through purposive sampling, participated in semi-structured interviews to share their transition experiences. Data were analyzed using Moustakas' phenomenological reduction techniques to extract significant themes and insights. The findings revealed six interconnected themes reflecting the lived experiences of novice nurses in their transition to clinical practice. These themes include experiencing fatigue, building resilience, and managing emotional labor; growing through time from training to professional becoming; adjusting to and navigating clinical spaces toward confident practice; building supportive relationships with colleagues and patients; navigating technology, adapting to challenges, and developing competence; and developing competence, practicing accountability, and ensuring safe and reflective patient care. The study concludes that these lived experiences significantly impact novice nurses' professional growth, underscoring the need for holistic support to mitigate transition shock and enhance resilience. Healthcare institutions may implement structured mentorship programs and supportive work environments to facilitate a smoother transition and promote patient safety.

clinical transition, novice nurses, professional development, resilience, workplace adaptation

1. Alaca, R., & Öz, F. (2020). The effect of Peplau’s interpersonal relations–based group therapy on psychological symptoms and interpersonal relationships of individuals with depression. Perspectives in Psychiatric Care, 56(2), 389–397. https://doi.org/10.1111/ppc.12454 [Google Scholar] [Crossref]

2. Alameri, R. A., Almulla, H. A., Al Swyan, A., et al. (2024). Sleep quality and fatigue among nurses working in high acuity clinical settings in Saudi Arabia: A cross-sectional study. BMC Nursing, 23, Article 51. https://doi.org/10.1186/s12912-023-01693-z [Google Scholar] [Crossref]

3. An, M., Heo, S., Hwang, Y. Y., Kim, J., & Lee, Y. (2022). Factors affecting turnover intention among new graduate nurses: Focusing on job stress and sleep disturbance. Healthcare, 10(6), 1122. https://doi.org/10.3390/healthcare10061122 [Google Scholar] [Crossref]

4. Atypon, J. (2022). Resilience, stress, anxiety, and depression: Exploring the mental health of new graduate nurses transitioning to practice during COVID-19. Journal of Continuing Education in Nursing, 53(12), 533–543. [Google Scholar] [Crossref]

5. Azad, M., Sadeghi, T., & Hosseini, F. (2023). Experiences of novice nurses in clinical practice: The role of supportive work environment and mentoring. Journal of Nursing Management, 31(2), 456–468. https://pubmed.ncbi.nlm.nih.gov/37187548/ [Google Scholar] [Crossref]

6. Bae, S. H., & Fabry, D. (2021). Nursing work environment and patient outcomes: A review of literature. Journal of Nursing Scholarship, 53(2), 151–160. https://doi.org/10.1111/jnu.12616 [Google Scholar] [Crossref]

7. Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Addison-Wesley. [Google Scholar] [Crossref]

8. Boamah, S. A., Laschinger, H. K. S., Wong, C. A., & Clarke, S. (2022). Effect of work environment on nurse performance and patient-centered care: A structural equation model analysis. Journal of Advanced Nursing, 78(5), 1503–1514. https://doi.org/10.1111/jan.15223 [Google Scholar] [Crossref]

9. Casey, K., Fink, R., Krugman, M., & Propst, J. (2021). The graduate nurse experience: Qualitative insights. Journal of Nursing Administration, 51(1), 24–30. https://doi.org/10.1097/NNA.0000000000000987 [Google Scholar] [Crossref]

10. Catarelli, B., Nobles, P., Aull, M., & Yi, F. (2023). Evaluating burnout and resiliency in new graduate nurses: A cross-sectional study. JONA: The Journal of Nursing Administration, 53(5), 259–265. https://doi.org/10.1097/NNA.0000000000001279 [Google Scholar] [Crossref]

11. Chang, Y., Li, C., & Lee, S. (2021). Professional growth and skill development among newly graduated nurses: A longitudinal study. Journal of Clinical Nursing, 30(7–8), 1001–1012. https://doi.org/10.1111/jocn.15682 [Google Scholar] [Crossref]

12. Chan, E., & Gould, D. (2024). Transforming nursing work environments: The impact of organizational culture on work-related stress among nurses A systematic review. BMC Health Services Research, 24, Article 1526. https://doi.org/10.1186/s12913-024-12003-x [Google Scholar] [Crossref]

13. Chen, H., Li, Y., & Wang, S. (2022). The impact of mentoring programs on newly graduated nurses’ competence and confidence: A systematic review. Nurse Education Today, 112, 105350. https://pubmed.ncbi.nlm.nih.gov/34987012/ [Google Scholar] [Crossref]

14. Chien, W. T., Cheung, K., & Leung, S. F. (2022). Enhancing clinical competence of novice nurses through supportive mentorship and guided exposure to complex care situations. Journal of Clinical Nursing, 31(1–2), 45–57. https://doi.org/10.1111/jocn.15980 [Google Scholar] [Crossref]

15. Ching, H. Y., Fang, Y. T., & Wang, K. Y. (2022). How new nurses experience workplace belonging: A qualitative study. SAGE Open, 12(3). https://doi.org/10.1177/21582440221119471 [Google Scholar] [Crossref]

16. Cho, H., Sagherian, K., & Steege, L. (2023). Nurses’ experiences with workarounds and resource limitations in clinical practice: A qualitative study. Journal of Nursing Management, 31(4), 1123–1134. https://pmc.ncbi.nlm.nih.gov/articles/PMC10086098/ [Google Scholar] [Crossref]

17. Chung, J., Lee, H., & Kim, M. (2021). Impact of workplace support on new graduate nurses’ transition experience and stress. Journal of Nursing Management, 29(3), 496–504. https://doi.org/10.1111/jonm.13182 [Google Scholar] [Crossref]

18. Duchscher, J. E. B. (2009). Transition shock: The initial stage of role adaptation for newly graduated registered nurses. Journal of Advanced Nursing, 65(5), 1103–1113. https://doi.org/10.1111/j.1365-2648.2008.04898.x [Google Scholar] [Crossref]

19. Ebrahimi, H., Alizadeh, S., & Rahimi, A. (2023). Mentoring as a relational strategy for professional development of novice nurses in clinical settings. BMC Nursing, 22, 178. https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-023-01167-9 [Google Scholar] [Crossref]

20. Ebrahimi, H., Memarian, R., & Cheraghi, M. A. (2021). Professional identity development in novice nurses: A qualitative study. BMC Nursing, 20, Article 22. https://doi.org/10.1186/s12912-021-00560-x [Google Scholar] [Crossref]

21. Fang, Y., Yang, H., Zhang, Y., Song, Y., & Lin, J. (2022). Longitudinal study on stress, social support, and self-efficacy among newly graduated nurses. Journal of Nursing Management, 30(1), 85–94. https://doi.org/10.1111/jonm.13498 [Google Scholar] [Crossref]

22. Fardellone, C., Musil, C. M., Smith, E., & Taylor, E. (2018). The impact of work environment on nurse fatigue. Clinical Nursing Studies, 6(1), 1–7. https://doi.org/10.5430/cns.v6n1p1 [Google Scholar] [Crossref]

23. Fero, L. J., Witsberger, C. M., Wesmiller, S. W., Zullo, T. G., & Hoffman, L. A. (2020). Critical thinking ability of new graduate and experienced nurses. Journal of Advanced Nursing, 76(2), 523–534. https://doi.org/10.1111/jan.14250 [Google Scholar] [Crossref]

24. Fitzpatrick, J., Dawson, L., & Smith, K. (2021). Mentorship and clinical skill acquisition among novice nurses: A mixed-method study. Journal of Clinical Nursing, 30(15–16), 2345–2357. https://pubmed.ncbi.nlm.nih.gov/33921245/ [Google Scholar] [Crossref]

25. Fitzpatrick, J. M., Kostas-Polston, E., & White, K. (2022). Self-care and resilience among nurses: Essential components of caring science. Journal of Nursing Scholarship, 54(2), 123–131. [Google Scholar] [Crossref]

26. Forchuk, C., & Brown, B. (1989). Establishing a therapeutic relationship: The nurse–client relationship in Peplau’s theory. Journal of Psychosocial Nursing and Mental Health Services, 27(6), 35–38. https://doi.org/10.3928/0279-3695-19890601-07 [Google Scholar] [Crossref]

27. Gautam, S., Poudel, A., Paudyal, K., Prajapati, M. M., et al. (2023). Transition to professional practice: Perspectives of new nursing graduates of Nepal. BMC Nursing, 22, Article 273. https://doi.org/10.1186/s12912-023-01418-2 [Google Scholar] [Crossref]

28. Gottlieb, M., Landry, A., Egan, D. J., & Pettit, K. (2022). The role of psychological safety and supportive supervision in clinical learning environments. Medical Education, 56(2), 214–223. https://doi.org/10.1111/medu.14657 [Google Scholar] [Crossref]

29. Guo, Y., Lei, L., Yan, J., & Li, X. (2025). Relationship between social inhibition and transition shock among newly graduated registered nurses: A cross-sectional study. BMC Nursing, 24, Article 706. https://doi.org/10.1186/s12912-025-03431-z [Google Scholar] [Crossref]

30. Haque, M. (2019). Florence Nightingale’s environmental theory: A critical analysis in the context of infection control. International Journal of Nursing Education, 11(4), 1–5. https://doi.org/10.5958/0974-9357.2019.00083.5 [Google Scholar] [Crossref]

31. Han, P., Sun, Y., Chen, H., et al. (2024). The early career resilience experience of generation Z newly graduated registered nurses in standardized training in the emergency department: A qualitative study in Shanghai. BMC Nursing, 23, Article 391. https://doi.org/10.1186/s12912-024-02043-3 [Google Scholar] [Crossref]

32. Hiestand, S., Waage, S., Forthun, I., Pallesen, S., & Bjorvatn, B. (2024). Factors leading to excessive fatigue in nurses – a three-year follow-up study. BMC Nursing, 23, Article 446. https://doi.org/10.1186/s12912-024-02066-w [Google Scholar] [Crossref]

33. Hui, M., Zakeri, I., & Soltanmoradi, S. (2023). The impact of clinical technology proficiency on novice nurses’ competency and workflow efficiency. BMC Nursing, 22(1), 45. [Google Scholar] [Crossref]

34. Hussein, R., Hegazy, F., & Soliman, A. (2020). Mentorship and peer support for novice nurses in intensive care units. Journal of Clinical Nursing, 29(23–24), 4642–4653. https://doi.org/10.1111/jocn.15456 [Google Scholar] [Crossref]

35. Kelly, M., Ahern, K., & McEvoy, L. (2021). Transition experiences of newly qualified nurses: The influence of clinical environment familiarity on confidence and competence. Journal of Clinical Nursing, 30(7–8), 1050–1061. https://doi.org/10.1111/jocn.15612 [Google Scholar] [Crossref]

36. Kim, E.-Y., & Yeo, J.-H. (2021). Transition shock and job satisfaction changes among newly graduated nurses in their first year of work: A prospective longitudinal study. Journal of Nursing Management, 29(3), 451–458. https://doi.org/10.1111/jonm.13164 [Google Scholar] [Crossref]

37. Kim, K., & Lee, Y. (2022). Influence of sleep characteristic changes on nurses’ quality of life during their transition to practice. International Journal of Environmental Research and Public Health, 19(1), 573. [Google Scholar] [Crossref]

38. Koukourikos, K., Tsaloglidou, A., Kourkouta, L., et al. (2021). Simulation in clinical nursing education. Acta Informatica Medica, 29(1), 15–20. https://doi.org/10.5455/aim.2021.29.15 [Google Scholar] [Crossref]

39. Laschinger, H. K. S., Wong, C. A., & Grau, A. L. (2020). The influence of authentic leadership on newly graduated nurses’ experiences of workplace bullying, burnout and retention outcomes. International Journal of Nursing Studies, 103, 103467. https://doi.org/10.1016/j.ijnurstu.2019.103467 [Google Scholar] [Crossref]

40. Lee, T., & Yang, Y. (2019). Using Benner’s model to explore development of clinical competence among novice nurses. Journal of Continuing Education in Nursing, 50(6), 257–263. [Google Scholar] [Crossref]

41. Lin, Y.-E., Hu, M.-L., Tzeng, S., & Chien, L.-Y. (2017). The impact of resilience on turnover among newly graduated nurses. Journal of Nursing Management, 25(5), 409–417. [Google Scholar] [Crossref]

42. MacPhee, M., Chang, G. E., & Skelly, J. M. (2024). Self-efficacy, grit, and early-career aspirations among newly graduated nurses. BMC Nursing, 23, Article 50. [Google Scholar] [Crossref]

43. McCutcheon, K., Lohan, M., Traynor, M., & Martin, D. (2021). The role of workplace support in newly qualified nurses’ adjustment. Nursing Open, 8(3), 1165–1175. [Google Scholar] [Crossref]

44. McDonald, K., Jackson, D., Wilkes, L., & Vickers, M. H. (2022). Resilience in newly graduated nurses: A scoping review. Journal of Clinical Nursing, 31(3–4), 321–336. [Google Scholar] [Crossref]

45. Narbona-Gálvez, Á., et al. (2024). Stress in novice nurses in new work environments: A systematic review. Frontiers in Public Health, 12, Article 1463751. [Google Scholar] [Crossref]

46. Nightingale, F. (1860/1969). Notes on nursing: What it is, and what it is not. Dover Publications. [Google Scholar] [Crossref]

47. O’Connor, S., Peters, K., & Hegney, D. (2022). Reflection and clinical competence in novice nurses. Nurse Education Today, 115, 105414. [Google Scholar] [Crossref]

48. Papadopoulos, I., et al. (2025). Occupational burnout and insomnia in relation to psychological resilience among Greek nurses. Behavioral Sciences, 15(2), Article 126. [Google Scholar] [Crossref]

49. Park, S., & Yu, M. (2022). Impact of work environment and stress on new graduate nurses’ adaptation and performance. BMC Nursing, 21(1), 78–89. [Google Scholar] [Crossref]

50. Peplau, H. E. (1952). Interpersonal relations in nursing: A conceptual frame of reference for psychodynamic nursing. G. P. Putnam’s Sons. [Google Scholar] [Crossref]

51. Peplau, H. E. (1997). Interpersonal relations in nursing: A conceptual frame of reference for psychodynamic nursing. Springer Publishing Company. [Google Scholar] [Crossref]

52. Pajnkihar, M., Stiglic, G., & Vrbnjak, D. (2020). The concept of Watson’s carative factors. Nursing Ethics, 27(4), 947–960. [Google Scholar] [Crossref]

53. Purvis, A., Yap, C., & Kinnell, N. (2023). Impacts of technology implementation on nurses’ work motivation. Journal of Clinical Nursing. [Google Scholar] [Crossref]

54. Rudge, T., Seibert, D., & Pittman, P. (2021). The effect of residency programs on nurse competence. Journal of Nursing Administration, 51(6), 316–321. [Google Scholar] [Crossref]

55. Sharif, F., & Masoumi, S. (2021). Reflection and learning in nursing practice. BMC Nursing, 20, Article 13. [Google Scholar] [Crossref]

56. Senn, J. F. (2019). Peplau’s theory of interpersonal relations. Nursing Science Quarterly, 32(1), 57–63. [Google Scholar] [Crossref]

57. Thomas, C. M., & Kellgren, M. (2017). Benner’s novice to expert model. Nursing Science Quarterly, 30(3), 227–234. [Google Scholar] [Crossref]

58. Turkel, M. C., Watson, J., & Giovannoni, J. (2018). Caring science or science of caring. Nursing Science Quarterly, 31(1), 66–71. [Google Scholar] [Crossref]

59. Watson, J. (1979). Nursing: The philosophy and science of caring. Little, Brown and Company. [Google Scholar] [Crossref]

60. Wei, H., & Watson, J. (2022). Healthcare interprofessional team members’ perspectives on human caring. International Journal of Nursing Sciences, 9(1), 86–94. [Google Scholar] [Crossref]

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