{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:26:16Z","timestamp":1791325576072,"version":"4.3.1"},"reference-count":51,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Research in Nursing"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The phenomenon of \u2018failing to fail\u2019 underperforming pre-registration nursing students in clinical placements is widely recognised. In the United Kingdom, updated Nursing and Midwifery Council guidelines aim to support registered nurses (RNs) in supervising and assessing students. The aim of the study is to explore RNs\u2019 experiences of the phenomenon of \u2018failing to fail\u2019 underperforming pre-registration nursing students in clinical placements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This research is a qualitative descriptive study. Semi-structured one-to-one online interviews with 14 RNs enrolled in postgraduate nursing courses at a university in the United Kingdom. Data were analysed using Elo and Kyng\u00e4s\u2019 content analysis framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Four key categories were identified: (1)\n                      <jats:italic toggle=\"yes\">The Stigma of Failure<\/jats:italic>\n                      \u2013 failure perceived as stigmatised; (2)\n                      <jats:italic toggle=\"yes\">Organisational Constraints and Time Pressures<\/jats:italic>\n                      \u2013 limiting effective mentoring and assessment; (3)\n                      <jats:italic toggle=\"yes\">Emotional and Relational Barriers to Failing<\/jats:italic>\n                      \u2013 including personal relationships, lack of confidence and fear of repercussions and (4)\n                      <jats:italic toggle=\"yes\">Enablers<\/jats:italic>\n                      \u2013 including supportive workplace culture, collaboration with universities, training and clear guidance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Failing to fail is a complex issue influenced by cultural, organisational and individual factors. It has significant implications for patient safety, professional standards and the future nursing workforce. Addressing these challenges requires changes in mentorship practices and institutional support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17449871261446842","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T05:22:54Z","timestamp":1780723374000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Nurses\u2019 experiences of \u2018failing to fail\u2019: barriers and enablers in clinical nursing education \u2013 a qualitative study"],"prefix":"10.1177","author":[{"given":"Joanna","family":"Lannon","sequence":"first","affiliation":[{"name":"Advanced Nurse Practitioner, Frail Intervention Team, Acute Medicine for Older People, Ulster Hospital, Belfast, Northern Ireland, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8200-9732","authenticated-orcid":false,"given":"Felicity","family":"Hasson","sequence":"additional","affiliation":[{"name":"Institute of Nursing and Health Research, School of Nursing &amp; Paramedic Sciences, Ulster University, Belfast, Northern Ireland, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5941-7286","authenticated-orcid":false,"given":"Sinead","family":"Keeney","sequence":"additional","affiliation":[{"name":"Institute of Nursing and Health Research, School of Nursing &amp; Paramedic Sciences, Ulster University, Belfast, Northern Ireland, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2021.103259"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.276"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.7748\/nm2012.09.19.5.16.c9260"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15356"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13292"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.17653\/23800"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0093650209356440"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/eje.12768"},{"key":"e_1_3_4_10_1","doi-asserted-by":"crossref","unstructured":"Docherty A (2018) Failing to fail in undergraduate nursing: Understanding the phenomenon. 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