Pengalaman Pembelajaran Transformatif Mahasiswa Keperawatan Selama Praktik Klinik: Studi Kualitatif Reflektif
Sari
ABSTRACT
Clinical practice is a pivotal phase in nursing education and serves as a foundation for the formation of students’ professional identity. However, this phase is often accompanied by emotional tension, adaptation challenges, and complex learning dynamics that influence students’ readiness and personal transformation. This study aimed to explore the process of self-transformation among nursing students through their first clinical practice experience. A reflective qualitative design was employed, involving 34 undergraduate nursing students from classes IA and IC at the University of Timor (UNIMOR) who completed their initial clinical practice for the Fundamentals of Nursing course at Mgr. Gabriel Manek, SVD Hospital, Atambua, from 5 May to 28 June 2025. Data were obtained from in-depth written reflections and analyzed using reflective thematic analysis to identify patterns of personal and professional change. Four major themes emerged: (1) emotional transition from fear to confidence; (2) reframing the role and responsibilities of professional nurses; (3) strengthening communication skills, empathy, and self-regulation; and (4) professional identity formation through continuous reflection. Findings indicate that clinical practice plays a substantial role in shaping students’ emotional, ethical, and professional competencies. Clinical practice strengthens not only students’ technical abilities but also serves as a crucial space for personal transformation and the development of professional identity. Educational institutions are encouraged to enhance reflective support and emotional guidance to facilitate student growth during clinical placements.
Keywords: Self-Transformation, Clinical Practice, Nursing Students, Reflection, Professional Identity.
ABSTRAK
Pengalaman praktik klinik merupakan fase fundamental dalam pendidikan keperawatan dan menjadi landasan pembentukan identitas profesional mahasiswa. Namun, fase ini sering disertai ketegangan emosional, tuntutan adaptasi, dan dinamika pembelajaran yang kompleks yang dapat memengaruhi kesiapan dan proses transformasi diri mahasiswa. Penelitian ini bertujuan mengeksplorasi proses transformasi diri mahasiswa keperawatan melalui pengalaman praktik klinik pertama. Penelitian menggunakan desain kualitatif reflektif dengan melibatkan 34 mahasiswa Program Studi Keperawatan UNIMOR dari kelas IA dan IC yang telah menyelesaikan praktik klinik perdana pada mata kuliah Keperawatan Dasar di RSUD Mgr. Gabriel Manek, SVD Atambua, periode 5 Mei–28 Juni 2025. Data dikumpulkan melalui refleksi tertulis mendalam dan dianalisis menggunakan analisis tematik reflektif untuk mengidentifikasi pola perubahan personal dan profesional selama praktik. Empat tema utama ditemukan, yaitu: (1) transisi emosional dari ketakutan menuju kepercayaan diri; (2) pemaknaan ulang peran dan tanggung jawab profesional perawat; (3) penguatan keterampilan komunikasi, empati, dan regulasi diri; dan (4) pembentukan identitas profesional melalui refleksi berkelanjutan. Temuan menunjukkan bahwa praktik klinik berperan signifikan dalam pengembangan kompetensi emosional, etis, dan profesional mahasiswa. Praktik klinik tidak hanya memperkuat keterampilan teknis, tetapi juga menjadi ruang penting bagi transformasi personal dan pembentukan identitas profesional mahasiswa keperawatan. Institusi pendidikan perlu memperkuat dukungan reflektif dan pembinaan emosional untuk memfasilitasi perkembangan mahasiswa selama praktik klinik.
Kata Kunci: Transformasi Diri, Praktik Klinik, Mahasiswa Keperawatan, Refleksi, Identitas Profesional.
Teks Lengkap:
Download ArtikelReferensi
Abaribe, C., Uduhirinwa, C., & Onuiri, A. (2025). Perceived stress and coping mechanisms among nursing students during clinical placements in Babcock university, Ilishan-Remo, Ogun state. BMC Nursing, 24. https://doi.org/10.1186/s12912-025-03374-5
Agustin, T. R. D. N., Pertamana, D., & Rahmat, R. (2022). Students’ Self-Efficacy in Public Speaking: A Case Study in Indonesian EFL Context. TLEMC (Teaching and Learning English in Multicultural Contexts). https://doi.org/10.37058/tlemc.v6i2.5220
Ahmadpour, N., Shariati, A., & Moghadam, M. P. (2025). Effect of narrative writing based on Gibbs’ reflective model on the empathy and communication skills of nursing students. BMC Medical Education, 25. https://doi.org/10.1186/s12909-024-06593-7
Ali, S., Iqbal, S., & Issrani, R. (2025). Impact of Early Preclinical Exposure on Academic Performance, Clinical Skills, and Confidence Among BDS Students at Private Dental College. Scientifica. https://doi.org/10.1155/sci5/5178600
Alsari, R. S. A., Dighrir, K. M. H. Al, Alyami, A. S. M., Alnajrani, F. M. R., Sharif, M. A. H. Al, Alshtewi, A. K. H., Alhareth, H. A. S., Alsogour, F. M. R., Alnajrani, S. M. M., Almasabi, F. M., & Yami, H. E. S. Al. (2024). The Collaborative Pulse of Healthcare: a critical analysis of Nursing’s Role in a Holistic Approach to Patient Care Across Medical Specialties. Journal of Ecohumanism. https://doi.org/10.62754/joe.v3i7.4685
Anggreni, A. (2020). Experential Learning (Pembelajaran Berbasis Mengalami). 1, 186–199. https://doi.org/10.30736/atl.v1i2.86
Azadian, M., Nasrabadi, T., Ebadi, A., & Nouri, J. (2024). Role Model Nursing Instructors and Facilitation of Students’ Professional Growth Process: Directed Content Analysis. Iranian Journal of Nursing and Midwifery Research, 29, 208–216. https://doi.org/10.4103/ijnmr.ijnmr_334_22
Beltran-Aroca, C., Ruiz-Montero, R., Labella, F., & Girela-López, E. (2021). The role of undergraduate medical students training in respect for patient confidentiality. BMC Medical Education, 21. https://doi.org/10.1186/s12909-021-02689-6
Buyanova, G., Gitman, Y., Popova, T., & Dolmatova, N. (2020). Formation of students’ professional identity during university years: Stages of developing professional commitment. Science for Education Today. https://doi.org/10.15293/2658-6762.2004.03
Carpio, L., Covarrubias, S., Nolledo, S., & Samson, M. A. (2025). Restricted and hands-on clinical experience on patient care: Effects on the confidence and integrity of care among nursing students. Environment and Social Psychology. https://doi.org/10.59429/esp.v10i4.3528
Chaabane, S., Chaabna, K., Bhagat, S., Abraham, A., Doraiswamy, S., Mamtani, R., & Cheema, S. (2021). Perceived stress, stressors, and coping strategies among nursing students in the Middle East and North Africa: an overview of systematic reviews. Systematic Reviews, 10. https://doi.org/10.1186/s13643-021-01691-9
Chen, M. X., & Howes, D. (2024). Singapore nurses’ perception of professional identity. The Asia Pacific Scholar. https://doi.org/10.29060/taps.2024-9-2/oa3062
Chiu, S. K. (2019). Innovative experiential learning experience: Pedagogical adopting Kolb’s learning cycle at higher education in Hong Kong. Cogent Education, 6. https://doi.org/10.1080/2331186x.2019.1644720
Cruess, R., Cruess, S., Boudreau, J., Snell, L., & Steinert, Y. (2015). A schematic representation of the professional identity formation and socialization of medical students and residents: a guide for medical educators. Academic Medicine : Journal of the Association of American Medical Colleges, 90 6, 718–725. https://doi.org/10.1097/acm.0000000000000700
De-Lira-Padilla, G.-P., Vallín-López, K.-A., Compeán-Padilla, V., Gago-Valiente, F.-J., Martins-Teixeira-Da-Costa, E.-I., & Merino-Godoy, M. (2025). Stress level of nursing students at the clinical practicum in the University of Aguascalientes (Mexico). Frontiers in Education. https://doi.org/10.3389/feduc.2025.1605172
Dias, J. M., Subu, M., Al-Yateem, N., Ahmed, F., Rahman, S., Abraham, M., Forootan, S. M., Sarkhosh, F. A., & Javanbakh, F. (2024). Nursing students’ stressors and coping strategies during their first clinical training: a qualitative study in the United Arab Emirates. BMC Nursing, 23. https://doi.org/10.1186/s12912-024-01962-5
Findyartini, A., Greviana, N., Felaza, E., Faruqi, M., Afifah, T. Z., & Firdausy, M. A. (2022). Professional identity formation of medical students: A mixed-methods study in a hierarchical and collectivist culture. BMC Medical Education, 22. https://doi.org/10.1186/s12909-022-03393-9
Fortino, N., Dommert, P., Santiago, N., & Smith, J. (2022). Positive Psychological Transformation: A Mixed Methods Investigation Into Catalysts and Processes of Meaningful Change. The International Journal of Transpersonal Studies. https://doi.org/10.24972/ijts.2021.40.1.96
Gaberson, K., Foreman, R., & Brzustowicz, R. (2024). Integrative Review of Sources of Baccalaureate Nursing Students’ Clinical Practice Anxiety. The Journal of Nursing Education, 63 6, 349–355. https://doi.org/10.3928/01484834-20240207-05
Galaksi, G. (2025). Implementation of the Experiential Learning Model in the Aqidah Akhlak Subject for Student Character Development at Madrasah Tsanawiyah An-Nur Padang. Ruhama : Islamic Education Journal. https://doi.org/10.31869/ruhama.v8i1.6680
García-Velasco, L., Alcoceba-Herrero, I., García, S., López, M., Albertos-Muñoz, I., Castro, M.-J., & Jiménez, J. (2025). Assessing anxiety and stress levels in undergraduate nursing students during their clinical placements: a quasi-experimental study. BMC Nursing, 24. https://doi.org/10.1186/s12912-025-03264-w
Güner, Y., Turhal, E., Üçüncüoğllu, M., Tuncel, B., Akturan, S., & Keleş, Ş. (2021). The Formation of Professional Identity in Nursing. Turkish Journal of Bioethics. https://doi.org/10.5505/tjob.2021.72677
Guraya, S., Sulaiman, N., Hasswan, A., Salmanpour, V., Jirjees, F., Taha, M., Alamara, J., Kawas, S., Awad, M., Dias, J. M., David, L., Haider, M., Guraya, S., Dash, N., Al-Qallaf, A., Shorbagi, S., & Mahmoud, I. (2025). Enhancing the understanding of safety and the quality of patient care among medical and health sciences students in interprofessional climate: an interventional study. BMC Health Services Research, 25. https://doi.org/10.1186/s12913-024-12086-6
Ha, M. T., & Siddiqui, Z. S. (2025). Understanding medical students’ transition to clinical training: a qualitative study of transformative learning and professional identity formation. BMJ Open, 15. https://doi.org/10.1136/bmjopen-2024-098675
Jamaludin, S., Ilias, D., Nurumal, M., Hasan, M. C., Kyu, K. W., & Ariyanto, H. (2025). The Readiness of Final-Year Nursing Students’ Clinical Competency and Intention to Work in Clinical Setting: A Systematic Review. INTERNATIONAL JOURNAL OF CARE SCHOLARS. https://doi.org/10.31436/ijcs.v8i2.454
Kalokerinos, E., Résibois, M., Verduyn, P., & Kuppens, P. (2017). The Temporal Deployment of Emotion Regulation Strategies During Negative Emotional Episodes. Emotion, 17, 450. https://doi.org/10.1037/emo0000248
Khalil, A. I., & Alqhtani, S. S. (2025). Translating theory into practice: students’ lived experiences on the utilization of OSVE and role-play for acquiring psychiatric nursing competencies. Journal of Medicine and Life, 18, 364–374. https://doi.org/10.25122/jml-2024-0383
Klementyeva, M., & Rodonich, V. (2025). Profession & Career & Vocation: A View Through the Prism of Identity Development Among Students. Humanities and Social Sciences. Bulletin of the Financial University. https://doi.org/10.26794/2226-7867-2025-15-2-16-23
Ko, E. J., Seo, E., Lee, Y., Ha, J., Kim, S., & Park, J.-H. (2025). The impact of an empathy education programme on empathy, communication skills and emotional competency in nursing students: A quasi-experimental study. Nurse Education in Practice, 85, 104364. https://doi.org/10.1016/j.nepr.2025.104364
Koh, E. Y. H., Koh, K. K., Renganathan, Y., & Krishna, L. (2023). Role modelling in professional identity formation: a systematic scoping review. BMC Medical Education, 23. https://doi.org/10.1186/s12909-023-04144-0
Leonardsen, A. (2023). The Impact of Clinical Experience in Advanced Practice Nursing Education—A Cross-Sectional Study of Norwegian Advanced Practice Nurses’ Perspectives. Nursing Reports, 13, 1304–1317. https://doi.org/10.3390/nursrep13030110
Li, F., Zeng, Y., Fu, Y., Wang, Y., Lin, T., Deng, Q., & Li, J. (2024). Stressors and coping styles of nursing students in the middle period of clinical practicum: a qualitative study. BMC Nursing, 23. https://doi.org/10.1186/s12912-024-02063-z
Mehtab, L., Rafat, J., & Salma, R. (2023). Intersecting Pathways: Examining Hildegard Peplau’s and Rosemarie Parse’s Nursing Theories through a Comparative Lens. Clinical Journal of Nursing Care and Practice. https://doi.org/10.29328/journal.cjncp.1001046
Mohamed, N., Ali, S., Ehrahim, E. E. E., Ahmed, A. L., & Wahba, A. (2024). Predictors of Academic and Clinical Stress Among Nursing Students. SAGE Open Nursing, 10. https://doi.org/10.1177/23779608241290392
Morris, T. (2019). Experiential learning – a systematic review and revision of Kolb’s model. Interactive Learning Environments, 28, 1064–1077. https://doi.org/10.1080/10494820.2019.1570279
Naragon-Gainey, K., McMahon, T., & Chacko, T. (2017). The Structure of Common Emotion Regulation Strategies: A Meta-Analytic Examination. Psychological Bulletin, 143, 384. https://doi.org/10.1037/bul0000093
Pfitzner-Eden, F. (2016). Why Do I Feel More Confident? Bandura’s Sources Predict Preservice Teachers’ Latent Changes in Teacher Self-Efficacy. Frontiers in Psychology, 7. https://doi.org/10.3389/fpsyg.2016.01486
Pitanupong, J., Sathaporn, K., Ittasakul, P., & Karawekpanyawong, N. (2023). Relationship of mental health and burnout with empathy among medical students in Thailand: A multicenter cross-sectional study. PLOS ONE, 18. https://doi.org/10.1371/journal.pone.0279564
Pourteimour, S., & Hosseini, M. (2025). The Relations of Nursing Clinical Teacher Effectiveness, Clinical Belongingness Sense, and Compassionate Competencies among Undergraduate Nursing Students: A Cross-Sectional Correlation Study. Journal of Advances in Medical Education & Professionalism, 13, 225–234. https://doi.org/10.30476/jamp.2025.105124.2096
Praveena, K., F, J., Patil, C., & K, B. (2025). Using Gibb’s Reflective Model Approach for Enhancing Project-Based Learning Among Students Through Reflective Assessment. Journal of Engineering Education Transformations. https://doi.org/10.16920/jeet/2025/v38is2/25018
Sarraf-Yazdi, S., Teo, Y., How, A. E. H., Teo, Y., Goh, S., Kow, C., Lam, W. Y., Wong, R., Ghazali, H., Lauw, S.-K., Tan, J. R. M., Lee, R. B. Q., Ong, Y., Chan, N., Cheong, C., Kamal, N. H. A., Lee, A., Tan, L., Chin, A., … Krishna, L. (2021). A Scoping Review of Professional Identity Formation in Undergraduate Medical Education. Journal of General Internal Medicine, 36, 3511–3521. https://doi.org/10.1007/s11606-021-07024-9
Sathaporn, K., & Pitanupong, J. (2022). Factors associated with the improvement of the empathy levels among clinical-year medical students in Southern Thailand: a university-based cross-sectional study. BMC Psychology, 10. https://doi.org/10.1186/s40359-022-00842-4
Sukri, U. (2024). Self-transformation: The Importance of Education for Adults in the Modern Era. Global International Journal of Innovative Research. https://doi.org/10.59613/global.v2i10.343
Tang, Y., Chen, X., Liao, Y., Zheng, T., Xiao, Y., & You, Y. (2025). Status and associations of transition shock among nursing students during clinical practice: A cross-sectional study. PLOS ONE, 20. https://doi.org/10.1371/journal.pone.0313524
Tieleman, T., & Cable, S. (2021). Using Duchscher’s Theory of Transition Shock To Inform The Experience Of Newly Graduated Nurses In Qatar: A Qualitative Case Study. MedEdPublish, 10. https://doi.org/10.15694/mep.2021.000156.1
Tverdokhliebova, N. (2025). Personal transformations in the process of professional self-realization. Law and Safety. https://doi.org/10.32631/pb.2025.1.02
Vabo, G., Slettebø, Å., & Fossum, M. (2021). Nursing students’ professional identity development: An integrative review. Nordic Journal of Nursing Research, 42, 62–75. https://doi.org/10.1177/20571585211029857
Wang, Q., Cao, X., & Du, T. (2022). First-year nursing students’ initial contact with the clinical learning environment: impacts on their empathy levels and perceptions of professional identity. BMC Nursing, 21. https://doi.org/10.1186/s12912-022-01016-8
Wu, P.-L. (2024). The Impact of Clinical Practice Stress on Nursing Professional Competence among Undergraduate Nursing Students: A Cross-Sectional Study. Florence Nightingale Journal of Nursing, 32, 312–321. https://doi.org/10.5152/fnjn.2024.24102
Ye, X., Guo, H., Xu, Z., & Xiao, H. (2020). Empathy variation of undergraduate medical students after early clinical contact: a cross-sectional study in China. BMJ Open, 10. https://doi.org/10.1136/bmjopen-2019-035690
Yu, C., Tan, L., Le, M., Tang, B., Liaw, S., Tierney, T., Ho, Y., Lim, B. E. E., Lim, D., Ng, R., Chia, S., & Low, J. (2022). The development of empathy in the healthcare setting: a qualitative approach. BMC Medical Education, 22. https://doi.org/10.1186/s12909-022-03312-y
Zhang, H., He, W., Cao, D., Liu, J., Yang, Y., Zhu, X., & Jiang, M. (2025). Epidemic-induced changes in nursing students’ professional identity: a qualitative investigation. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1565212
Zhang, X., Wang, F., Wang, Q., Liu, H., & Lee, S.-Y. (2024). The link between patient safety competence and adverse event among master of nursing students: a cross-sectional mixed-methods study. BMC Nursing, 23. https://doi.org/10.1186/s12912-024-02213-3
DOI: https://doi.org/10.33024/mahesa.v6i7.23504
Refbacks
- Saat ini tidak ada refbacks.
Publisher: Universitas Malahayati Lampung

Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License


Panduan Penulisan





