10.3389/fpsyg.2012.00132

Vollständiger Abstract

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<h4>Introduction</h4>Community health nursing (CHN) is central to primary healthcare delivery, but undergraduate nursing students may encounter educational, organizational, resource-related, and sociocultural barriers that affect their readiness for community-based practice. This study aimed to identify and quantify perceived barriers to CHN practice among nursing students in Saudi Arabia and to examine their relationships with self-reported educational preparedness and organizational support.<h4>Methods</h4>A quantitative cross-sectional survey was conducted among nursing students enrolled in Saudi universities. A structured online questionnaire assessed perceived CHN practice barriers, educational preparedness, and organizational support. The instruments underwent cultural adaptation, forward-backward translation, expert-panel content validation, pilot testing, and internal-consistency assessment. Descriptive statistics, non-parametric tests, correlation analyses, and exploratory multiple linear regression were used.<h4>Results</h4>A total of 139 nursing students completed the survey. Participants reported minor-to-moderate overall barriers (<i>M</i> = 2.69, SD = 0.96). Resource barriers were rated highest, with shortage of equipment (<i>M</i> = 2.93, SD = 1.38) and lack of educational materials (<i>M</i> = 2.86, SD = 1.32) identified as the most salient challenges. Educational preparedness (<i>M</i> = 3.25, SD = 0.98) and organizational support (<i>M</i> = 3.46, SD = 1.03) were rated moderately positive. Small-to-moderate positive correlations were observed between barriers and educational preparedness (<i>r</i> = 0.269, <i>p</i> = 0.001) and between barriers and organizational support (<i>r</i> = 0.242, <i>p</i> = 0.004); these findings were interpreted cautiously as potentially reflecting awareness effects, conceptual overlap, or shared-method variance. The multivariable regression model was not statistically significant and explained a small proportion of variance (<i>R</i> 2 = 0.089, <i>p</i> = 0.052).<h4>Discussion</h4>Nursing students in Saudi Arabia perceived meaningful, though not severe, barriers to effective CHN practice, with resource limitations and skills gaps as primary concerns. The findings support strengthened curriculum-practice integration, expanded simulation and community-immersion experiences, improved placement resources, and targeted faculty development aligned with healthcare transformation priorities.

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