[2026-02-13] Perceptions of Readiness for Practice Among Final-Year Nursing Students in Vietnam: A Cross-Sectional Study
DOI:
https://doi.org/10.33165/rmj.2027.e276757Keywords:
Cross-sectional study, Nursing education, Nursing students, Readiness for practiceAbstract
Background: Nurses’ readiness for practice is a crucial aspect of nursing education, influencing the transition from student to registered nurse. Understanding the self-perceived readiness of students can help educators refine curricula and develop effective support strategies.
Objectives: To examine the perceptions of senior nursing students regarding their readiness for practice.
Methods: This cross-sectional study included 138 final-year nursing students from a medical university in Vietnam. The Casey-Fink Readiness for Practice Survey was used to assess readiness for practice. Data were analyzed using descriptive statistics.
Results: Only 55.8% of the students felt ready for professional practice. Although students were confident in communication and clinical problem-solving, many students lacked confidence in managing multiple patients and performing complex procedures. Key challenges included patient assessment (63.8%), ethical decision-making (59.4%), prioritization (56.5%), and end-of-life care (45.7%). Students were motivated by both altruism and job stability, suggesting that extended clinical exposure is critical for enhancing readiness.
Conclusions: Addressing gaps in complex skills, ethical practice, and clinical readiness through enhanced training and mentorship is essential to support the transition of nursing students to professional roles.
References
OECD. Trends Shaping Education 2025. OECD Publishing; 2025. doi:10.1787/ee6587fd-en
Pang E, Wong M, Leung CH, Coombes J. Competencies for fresh graduates’ success at work: perspectives of employers. Ind High Educ. 2019;33(1):55-65. doi:10.1177/0950422218792333
Reagor JK. Perceived Readiness for Practice of Senior Baccalaureate Nursing Students. Dissertation. University of Kansas; 2010. Accessed 9 January 2026. https://hdl.handle.net/1808/6370
Aggarwal M, Abdelhalim R, Fowler N, Oandasan I. Conceptualizing "preparedness for practice": perspectives of early-career family physicians. Fam Med. 2023;55(10):667-676. doi:10.22454/FamMed.2023.294689
Qin Z, Zhang H, Su S, et al. Perceived professional preparedness and identity among senior nursing students: a latent profile analysis. BMC Nurs. 2024;23(1):291. doi:10.1186/s12912-024-01965-2
Doody O, Tuohy D, Deasy C. Final-year student nurses' perceptions of role transition. Br J Nurs. 2012;21(11):684-688. doi:10.12968/bjon.2012.21.11.684
Leufer T, Cleary-Holdforth J. Senior nursing students' perceptions of their readiness for practice prior to final year internship: part 2-a qualitative perspective. Dimens Crit Care Nurs. 2020;39(2):81-90. doi:10.1097/DCC.0000000000000407
Lee T, Lee SJ, Yoon YS, et al. Personal factors and clinical learning environment as predictors of nursing students' readiness for practice: a structural equation modeling analysis. Asian Nurs Res. 2023;17(1):44-52. doi:10.1016/j.anr.2023.01.003
Tal-Saban M, Weintraub N. Effectiveness of the community-academia student tutoring (CAST) program in enhancing students’ practice placement readiness. Br J Occup Ther. 2018;82(4):220-226. doi:10.1177/0308022618800179
Harrison H, Birks M, Franklin R, Mills J. An assessment continuum: how healthcare professionals define and determine practice readiness of newly graduated registered nurses. Collegian. 2020;27(2):198-206. doi:10.1016/j.colegn.2019.07.003
Benner P. From novice to expert. Am J Nurs. 1982;82(3):402-407. doi:10.1097/00000446-198282030-00004
Benner P. From Novice to Expert: Excellence and Power in Clinical Nursing Practice. Addison-Wesley; 1984.
Ankers MD, Barton CA, Parry YK. A phenomenological exploration of graduate nurse transition to professional practice within a transition to practice program. Collegian. 2018;25(3):319-325. doi:10.1016/j.colegn.2017.09.002
Kreedi F, Brown M, Marsh L, Rogers K. Newly graduate registered nurses’ experiences of transition to clinical practice: a systematic review. Am J Nurs Res. 2021;9(3):94-105. doi:10.12691/ajnr-9-3-4
Kramer M. Reality Shock; Why Nurses Leave Nursing. C. V. Mosby Company; 1974.
Usher K, Mills J, West C, Park T, Woods C. Preregistration student nurses' self-reported preparedness for practice before and after the introduction of a capstone subject. J Clin Nurs. 2015;24(21-22):3245-3254. doi:10.1111/jocn.12996
Najafi B, Nasiri A. Explaining novice nurses' experience of weak professional confidence: a qualitative study. SAGE Open Nurs. 2023;9:1-9. doi:10.1177/23779608231153457
Missen K, McKenna L, Beauchamp A. Work readiness of nursing graduates: current perspectives of graduate nurse program coordinators. Contemp Nurse. 2015;51(1):27-38. doi:10.1080/10376178.2015.1095054
El Haddad M, Moxham L, Broadbent M. Graduate nurse practice readiness: a conceptual understanding of an age old debate. Collegian. 2017;24(4):391-396. doi:10.1016/j.colegn.2016.08.004
Woods C, West C, Mills J, Park T, Southern J, Usher K. Undergraduate student nurses' self-reported preparedness for practice. Collegian. 2015;22(4):359-368. doi:10.1016/j.colegn.2014.05.003
Wray MA. Senior BSN Students’ Confidence, Comfort, and Perception of Readiness for Practice. Master’s theses. Gardner-Webb University; 2017. Accessed 9 January 2026. https://digitalcommons.gardner-webb.edu/undergrad-honors/11
Lapuz RM. Exploring BScN Recent Graduates’ Perceived Readiness to Practice. Master’s theses. University of Windsor; 2021. Accessed 9 January 2026. https://uwindsor.scholaris.ca/server/api/core/bitstreams/c9736fa1-99fc-4a1b-80d8-24f652fc938a/content
Jamieson I, Sims D, Basu A, Pugh K. Readiness for practice: the views of New Zealand senior nursing students. Nurse Educ Pract. 2019;38:27-33. doi:10.1016/j.nepr.2019.05.007
Ulupinar S, Aydogan Y. New graduate nurses' satisfaction, adaptation and intention to leave in their first year: a descriptive study. J Nurs Manag. 2021;29(6):1830-1840. doi:10.1111/jonm.13296
Lindberg M, Carlsson M, Engström M, Kristofferzon M-L, Skytt B. Nursing student's expectations for their future profession and motivating factors – a longitudinal descriptive study from Sweden. Nurse Educ Today. 2020;84:104218. doi:10.1016/j.nedt.2019.104218
Lee T, Damiran D, Konlan KD, Ji Y, Yoon YS, Ji H. Factors related to readiness for practice among undergraduate nursing students: a systematic review. Nurse Educ Pract. 2023;69:103614. doi:10.1016/j.nepr.2023.103614
Casey K, Fink R, Jaynes C, Campbell L, Cook P, Wilson V. Readiness for practice: the senior practicum experience. J Nurs Educ. 2011;50(11):646-652. doi:10.3928/01484834-20110817-03
Cha ES, Kim KH, Erlen JA. Translation of scales in cross-cultural research: issues and techniques. J Adv Nurs. 2007;58(4):386-395. doi:10.1111/j.1365-2648.2007.04242.x
Al-Ghareeb A, Mckenna L, Cooper SJ. The influence of anxiety on student nurse performance in a simulated clinical setting: a mixed methods design. Int J Nurs Stud. 2019;98:57-66. doi:10.1016/j.ijnurstu.2019.06.006
Sullivan N, Goldstein N, Lucas L, Ockimey J. Multiple patient simulation: an exemplar for designing an effective experience. Nurse Educ. 2019;44(1):2-4. doi:10.1097/nne.0000000000000513
Roca J, Reguant M, Tort G, Canet O. Developing reflective competence between simulation and clinical practice through a learning transference model: a qualitative study. Nurse Educ Today. 2020;92:104520. doi:10.1016/j.nedt.2020.104520
Brown Tyo M, McCurry MK. An integrative review of clinical reasoning teaching strategies and outcome evaluation in nursing education. Nurs Educ Perspect. 2019;40(1):11-17. doi:10.1097/01.NEP.0000000000000375
Li J, Huang Y, Fong DYT, Chen J, Song Y. Work readiness: its determinants and association with work-related outcomes among new graduate nurses. J Nurs Manag. 2022;30(7):2968-2981. doi:10.1111/jonm.13691
Al-Noumani H, Al Zaabi O, Arulappan J, George HR. Professional identity and preparedness for hospital practice among undergraduate nursing students: a cross-sectional study. Nurse Educ Today. 2024;133:106044. doi:10.1016/j.nedt.2023.106044
Huber E, Kleinknecht-Dolf M, Kugler C, Spirig R. Patient-related complexity of nursing care in acute care hospitals–an updated concept. Scand J Caring Sci. 2021;35(1):178-195. doi:10.1111/scs.12833
Uyen Binh PD, Vo Thi MT, Hoai Do TT, et al. Depression in final-year medical students in Ho Chi Minh City, Vietnam: the role of career-choice motivation. J Med Educ Curric Dev. 2024;11:23821205241238602. doi:10.1177/23821205241238602
Järvinen T, Eklöf N, Salminen L. Factors related to nursing students’ readiness to enter working life – a scoping literature review. Nurse Educ Pract. 2018;29:191-199. doi:10.1016/j.nepr.2018.01.010
Sabetsarvestani R, Geçkil E, Shirazi ZH. Dedication in nursing: a concept analysis. Nurs Midwifery Stud. 2022;11(1):62-70. doi:10.4103/nms.nms_52_21
Tharani A, Husain Y, Warwick I. Learning environment and emotional well-being: a qualitative study of undergraduate nursing students. Nurse Educ Today. 2017;59:82-87. doi:10.1016/j.nedt.2017.09.008
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