{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T10:18:53Z","timestamp":1784715533685,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Clinical practice in the ICU is critical in shaping nursing students' professional development and enhancing their understanding of patient care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study examined the feelings, thoughts and experiential reflections of nursing students during their initial exposure to the intensive care unit (ICU), focusing on their perspectives on the first and last day of clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>The study employed a phenomenological design and was conducted in a province in north\u2010eastern Turkey. Data were collected from 13 nursing students who participated in ICU clinical practice for the first time as part of the Internal Medicine Nursing course during the 2023\u20132024 academic year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Three main themes emerged from students' accounts of their first\u2010day experiences in the ICU: \u2018negative emotions\u2019, \u2018positive emotions\u2019 and \u2018areas for improvement\u2019. Participants commonly described the intensive care experience as physically exhausting, emotionally overwhelming, and, at times, shocking and frightening. Additionally, students acknowledged that the ICU accurately reflects the nursing profession but described the overall atmosphere as cold. They also mentioned that the critical nature of the ICU could make it a frightening experience. Although ICUs were perceived as professionally fulfilling environments, participants noted that improvements are needed in several areas, including increasing the number of visitors allowed, enhancing physical conditions and addressing nurse staffing shortages. At the end of the 14\u2010week clinical practice, students' final evaluations of the ICU revealed two main themes: \u2018increase in professional experience\u2019 and \u2018positive emotions\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings indicate that the negative emotions experienced by nursing students at the beginning of their ICU practice were replaced by positive emotions by the end of the clinical training. The results provide a valuable resource for developing supportive strategies to enhance nursing students' adaptation to ICU clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Our findings show that the effectiveness of clinical practice in the ICU on students significantly contributes to the nursing profession by transforming negative emotions such as anxiety experienced in the first days into professional development and awareness over time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70160","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T12:02:16Z","timestamp":1757332936000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Experiences and Perceptions of Turkish Nursing Students During Their First Clinical Placement in Intensive Care Units: A Qualitative Study"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6748-6701","authenticated-orcid":false,"given":"Ya\u011fmur","family":"Akbal Demirci","sequence":"first","affiliation":[{"name":"Recep Tayyip Erdo\u011fan University Faculty of Health Sciences, Nursing Department  Rize Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6421-1518","authenticated-orcid":false,"given":"Vacide","family":"A\u015fik \u00d6zdemir","sequence":"additional","affiliation":[{"name":"Recep Tayyip Erdo\u011fan University Faculty of Health Sciences, Nursing Department  Rize Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7318-9153","authenticated-orcid":false,"given":"Zeynep","family":"Pehlivan K\u00f6ksal","sequence":"additional","affiliation":[{"name":"Recep Tayyip Erdo\u011fan University Faculty of Health Sciences, Nursing Department  Rize Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0358-6401","authenticated-orcid":false,"given":"Burcu","family":"Gen\u00e7 K\u00f6se","sequence":"additional","affiliation":[{"name":"Recep Tayyip Erdo\u011fan University Faculty of Health Sciences, Nursing Department, Department of Nursing Administration  Rize Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2157-4014","authenticated-orcid":false,"given":"Hilal","family":"Pekmezci","sequence":"additional","affiliation":[{"name":"Recep Tayyip Erdo\u011fan University Department of Elderly Care, Health Care Services Vocational School  Rize Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2016.07.015"},{"key":"e_1_2_12_3_1","unstructured":"\u201cRepublic of Turkey Ministry of Health \u201d2019 accessed February 3 2025 https:\/\/dosyasb.saglik.gov.tr\/Eklenti\/43399 siy2020\u2010tur\u201026052022pdf.pdf?0."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.5152\/TurkThoracJ.2018.170104"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2016.08.002"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S218112"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.5812\/msnj.110265"},{"issue":"2","key":"e_1_2_12_8_1","first-page":"150","article-title":"General Situation Report About the Higher Education Institutes Providing Nursing Education in Turkey","volume":"8","author":"\u00d6zk\u00fct\u00fck N.","year":"2018","journal-title":"Journal of Higher Education"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17165686"},{"issue":"4","key":"e_1_2_12_10_1","first-page":"322","article-title":"Anxiety Levels of \u0131ntern Nursing Students in \u0131ntensive Care Units","volume":"11","author":"\u00d6zden D.","year":"2018","journal-title":"Journal of Nursing Effect"},{"issue":"4","key":"e_1_2_12_11_1","first-page":"496","article-title":"Perception of Environmental Stress Sources in \u0131ntensive Care Unit by Student Nurses","volume":"24","author":"Bulut E.","year":"2021","journal-title":"Journal of Anatolia Nursing and Health Sciences"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12679"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/6674773"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2021.103074"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318757622"},{"issue":"2","key":"e_1_2_12_16_1","first-page":"100","article-title":"The \u0131mpact of Pallative Care Course on Nursing Students' Knowledge on Palliative Care","volume":"4","author":"\u00d6zveren H.","year":"2018","journal-title":"Journal of Academic Research in Nursing"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/3453085"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.974244"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.01.014"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.18037\/ausbd.1227335"},{"issue":"3","key":"e_1_2_12_21_1","first-page":"829","article-title":"Data Saturation in Qualitative Research","volume":"24","author":"Ak\u00e7ay S.","year":"2024","journal-title":"Anadolu University Journal of Social Sciences"},{"issue":"15","key":"e_1_2_12_22_1","first-page":"170","article-title":"Document Analysis as a Qualitative Data Analysis Method","volume":"8","author":"K\u0131ral B.","year":"2020","journal-title":"Journal of Social Sciences Institute"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_2_12_24_1","volume-title":"Qualitative Inquiry and Research Design: Choosing Among Five Approaches","author":"Creswell J. W.","year":"2016"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2021.103094"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2018.08.005"},{"issue":"3","key":"e_1_2_12_28_1","first-page":"153","article-title":"Intensive Care Through the Wievs of Nursing Students: A Study of Photosses","volume":"32","author":"Burucu R.","year":"2022","journal-title":"Health & Society"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.5336\/mdethic.2020-77464"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2015.03.021"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2020.06.003"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/2057158518778997"},{"issue":"3","key":"e_1_2_12_33_1","first-page":"1040","article-title":"Intensive Care Unit Experience of Nursing Students During Their Clinical Placements: A Qualitative Study","volume":"9","author":"Vatansever N.","year":"2016","journal-title":"International Journal of Caring Sciences"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.105098"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.581"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijans.2020.100263"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2016.10.004"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70160","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nicc.70160","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70160","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T04:26:10Z","timestamp":1780892770000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.70160"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":36,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1111\/nicc.70160"],"URL":"https:\/\/doi.org\/10.1111\/nicc.70160","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2025-06-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70160"}}