Perceptions of Clinical Instructors on Their Role in Mental Health Education: A Mixed-Methods Study in a Singa

Year Submitted: 2025
Published Date: 14 January 2026

Tags: Product Development, Proof Of Concept, Care Process ＆ Redesign, Technology, Digitalisation, Virtual Reality, Digital Health, Training ＆ Education, Learning Approach, Gamification

About this Content

Aims

To explore Clinical Instructors' perceptions of their roles and responsibilities, identify challenges they face, and develop targeted support strategies

Background

Clinical Instructors (CIs) are pivotal for nursing students education, particularly in mental health, a critical component of well-being. Despite studies emphasizing the link between CIs role and clinical education quality, CIs role perception remains understudied. This study, aiming to explore CIs' perception of their roles and challenges, could inform targeted support strategies for CIs and enhance nursing students learning experiences.

Methods

A mixed-methods study was conducted involving 56 CIs from a mental health hospital and electronic surveys incorporating open-ended questions examining their experiences, challenges, and support needs. Their responses were thematically analysed across four domains: Professional Satisfaction, Operational Challenges, Student-Related Challenges, and Support Needs.

Results

All participants (n=56) rated the importance of quality clinical education for student development and mental health nursing promotion highly, with a mean score of 9.1/10. Professional satisfaction was substantial, with 75% (n=42) of CIs reporting enhanced fulfilment, capability building, and professional growth. However, significant challenges were identified: 93% (n=52) reported difficulties managing high student ratio, 86% (n=48) struggled with multiple concurrent clinical assignments, and 75% (n=42) encountered student behavioural issues, particularly low motivation. Most CIs advocated for improvements, with 89% (n=50) requesting single ward assignments and 82% (n=46) seeking enhanced
faculty development opportunities.

Conclusion

These evidence-based modifications could significantly enhance CIs teaching effectiveness and students learning experiences to enhance outcomes for mental health nursing education.

Lessons Learnt

Findings highlighted the pressing need for systemic reforms in CI deployment and support. Recommended interventions include optimising student-to-CI ratios, implementing single ward assignments, establishing dedicated teaching spaces, and strengthening faculty development programmes.

Additional Information

Certificate of Merit, Finalist of Health Professions Education Research Investigator Award

Keywords

Clinical Instructor, mental health education

Innovators' Details

Connect with this contributor!

Wang Jia - jia.wang@nhghealth.com.sg

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