Table 1 Factors extracted from NSPCSS

9. Instructor’s inadequate attention and guidance

8. Difference between instructor’s education and student’s educational needs

15. Instructor’s limited skills

10.Instructor’s use of traditional teaching methods and routine in clinical education

2.Instructor failure to provide independence for students

13. Over emphasis of theoretical training (as opposed to applied clinical education by instructor)

24. Inadequate equipment for appropriate nursing care

22. Shortage of recreational and educational facilities in the clinical environment

23.Observing the violation of patient rights by healthcare providers

6. Students exploitation by healthcare providers

7.Observing non-standard care delivery to a patient by others

21. Inadequate time for appropriate nursing care

20. Fatigue due to heavy physical workload

28. Receiving inadequate support from healthcare providers

25. Misconduct by a patient or family member

4. Inconsistency between the theoretical and clinical education explanation provided.

2.Student’s inadequate knowledge for patient care

1.Student’s inadequate experience in patient care

3.Student’s inadequate skills for patient care and equipment use

36. Vague job description

35. Vague explanations of the objectives of clinical education

37. Instructors’ personalized approach to the use of educational rules and regulations

34.Inappropriate planning for clinical education by school authorities

16.Instructor’s inappropriate conduct in the case of student error

17.Instructor’s high expectations

19.Instructor’s unfair evaluation

14.Lack of instructor’s feedback after doing a task

11.Instructor’s insufficient education about personal safety

18.Feeling of bafflement due to contradiction by some instructors

30.Concern over affliction of psychological problems during patient care

31.Concern over legal problems due to negligence or error in patient care

32.Concern over affliction of physical problems during patient care