Nursing Students’ Perceptions of Barriers, Facilitators and Solutions in Their Role as Health Promoters: Findings from a Qualitative Study

<b>Background</b>: Nurses play a crucial role in health promotion (HP) policy and in encouraging healthy behaviors. However, challenges persist in effectively integrating HP as a core component of healthcare systems and nursing practice. Therefore, it is essential to develop specialized...

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Main Authors: Gloria Modena, Beatrice Mazzoleni, Anna Sponton, Orejeta Diamanti, Giovanna Artioli, Gaia Monti, Valentina Negri, Federica Dellafiore
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Nursing Reports
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Online Access:https://www.mdpi.com/2039-4403/15/7/232
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author Gloria Modena
Beatrice Mazzoleni
Anna Sponton
Orejeta Diamanti
Giovanna Artioli
Gaia Monti
Valentina Negri
Federica Dellafiore
author_facet Gloria Modena
Beatrice Mazzoleni
Anna Sponton
Orejeta Diamanti
Giovanna Artioli
Gaia Monti
Valentina Negri
Federica Dellafiore
author_sort Gloria Modena
collection DOAJ
description <b>Background</b>: Nurses play a crucial role in health promotion (HP) policy and in encouraging healthy behaviors. However, challenges persist in effectively integrating HP as a core component of healthcare systems and nursing practice. Therefore, it is essential to develop specialized and advanced competencies in nursing students, incorporate HP into nursing academic curricula, and better understand the factors influencing nursing students’ development of these competencies—an area that remains underexplored. Accordingly, this study explores and describes the factors nursing students perceive as essential in developing competencies in HP and in fulfilling their role as health promoters. <b>Methods</b>: A qualitative study was conducted using Reflexive Thematic Analysis. Data were collected through semi-structured interviews with 19 nursing students. <b>Results</b>: Five main themes emerged: (1) Training Needs of Future Health Promoters, (2) Navigating Time Constraints in Health Promotion, (3) Nurses’ Awareness of Their Role in HP, (4) Perceived Need to Adopt Healthier Lifestyles, and (5) Challenges of Lifestyle Management. Key facilitators included strong mentorship and well-structured educational programs; barriers included insufficient clinical exposure and time constraints. Additionally, students emphasized the need for HP to be a core aspect of nursing curricula. While acknowledging existing obstacles, participants also identified practical solutions that could be integrated into training and practice to enhance the impact of HP in nursing care. <b>Conclusions</b>: The study highlights significant gaps in HP education for nursing students and the need for curriculum reforms to better prepare them as health promoters. Future research should consider the perspectives of clinical mentors and evaluate the effectiveness of innovative teaching methods—such as simulation-based training—in strengthening students’ HP competencies.
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spelling doaj-art-c2d904ec8f7e4c5ca8db3adf9d9662b82025-08-20T02:47:22ZengMDPI AGNursing Reports2039-439X2039-44032025-06-0115723210.3390/nursrep15070232Nursing Students’ Perceptions of Barriers, Facilitators and Solutions in Their Role as Health Promoters: Findings from a Qualitative StudyGloria Modena0Beatrice Mazzoleni1Anna Sponton2Orejeta Diamanti3Giovanna Artioli4Gaia Monti5Valentina Negri6Federica Dellafiore7Department of Biomedicine and Prevention, University of Tor Vergata, 00133 Rome, ItalyDepartment of Biomedical Sciences, Humanitas University, 20072 Milan, ItalyIRCCS Humanitas Research Hospital, 20089 Rozzano, ItalyDepartment of Biomedicine and Prevention, University of Tor Vergata, 00133 Rome, ItalyDepartment of Medicine and Surgery, University of Parma, 43125 Milan, ItalyDivision of Otolaryngology and Head and Neck Surgery, European Institute of Oncology, 20141 Milan, ItalyDepartment of Biomedical Sciences, Humanitas University, 20072 Milan, ItalyDepartment of Life Science, Health, and Health Professions, Link Campus University, 00165 Rome, Italy<b>Background</b>: Nurses play a crucial role in health promotion (HP) policy and in encouraging healthy behaviors. However, challenges persist in effectively integrating HP as a core component of healthcare systems and nursing practice. Therefore, it is essential to develop specialized and advanced competencies in nursing students, incorporate HP into nursing academic curricula, and better understand the factors influencing nursing students’ development of these competencies—an area that remains underexplored. Accordingly, this study explores and describes the factors nursing students perceive as essential in developing competencies in HP and in fulfilling their role as health promoters. <b>Methods</b>: A qualitative study was conducted using Reflexive Thematic Analysis. Data were collected through semi-structured interviews with 19 nursing students. <b>Results</b>: Five main themes emerged: (1) Training Needs of Future Health Promoters, (2) Navigating Time Constraints in Health Promotion, (3) Nurses’ Awareness of Their Role in HP, (4) Perceived Need to Adopt Healthier Lifestyles, and (5) Challenges of Lifestyle Management. Key facilitators included strong mentorship and well-structured educational programs; barriers included insufficient clinical exposure and time constraints. Additionally, students emphasized the need for HP to be a core aspect of nursing curricula. While acknowledging existing obstacles, participants also identified practical solutions that could be integrated into training and practice to enhance the impact of HP in nursing care. <b>Conclusions</b>: The study highlights significant gaps in HP education for nursing students and the need for curriculum reforms to better prepare them as health promoters. Future research should consider the perspectives of clinical mentors and evaluate the effectiveness of innovative teaching methods—such as simulation-based training—in strengthening students’ HP competencies.https://www.mdpi.com/2039-4403/15/7/232health promotionnursing studentseducationclinical practicequalitative research
spellingShingle Gloria Modena
Beatrice Mazzoleni
Anna Sponton
Orejeta Diamanti
Giovanna Artioli
Gaia Monti
Valentina Negri
Federica Dellafiore
Nursing Students’ Perceptions of Barriers, Facilitators and Solutions in Their Role as Health Promoters: Findings from a Qualitative Study
Nursing Reports
health promotion
nursing students
education
clinical practice
qualitative research
title Nursing Students’ Perceptions of Barriers, Facilitators and Solutions in Their Role as Health Promoters: Findings from a Qualitative Study
title_full Nursing Students’ Perceptions of Barriers, Facilitators and Solutions in Their Role as Health Promoters: Findings from a Qualitative Study
title_fullStr Nursing Students’ Perceptions of Barriers, Facilitators and Solutions in Their Role as Health Promoters: Findings from a Qualitative Study
title_full_unstemmed Nursing Students’ Perceptions of Barriers, Facilitators and Solutions in Their Role as Health Promoters: Findings from a Qualitative Study
title_short Nursing Students’ Perceptions of Barriers, Facilitators and Solutions in Their Role as Health Promoters: Findings from a Qualitative Study
title_sort nursing students perceptions of barriers facilitators and solutions in their role as health promoters findings from a qualitative study
topic health promotion
nursing students
education
clinical practice
qualitative research
url https://www.mdpi.com/2039-4403/15/7/232
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