Leadership and management: exploring culture shock in clinical settings in Brunei Darussalam

Abstract

Background/Aims For midwifery students, differences between the academic and clinical settings may cause culture shock, as a result of the dynamic and demanding nature of clinical practice. This study explored culture shock among midwifery students during clinical attachments in Brunei Darussalam, as they developed leadership and management skills. Methods Through written essays, 43 university students shared their perspectives on factors contributing to culture shock, challenges hindering clinical learning, and suggestions for how to enhance the learning experience. Their essays were analysed thematically. Results Culture shock resulted from a lack of familiarity with the clinical environment, role confusion related to leadership and poor communication and adaptability skills. The participants emphasised the importance of a gradual introduction to leadership, and advocated for more practical, hands-on learning. Conclusions Further research is needed to investigate additional strategies for improving students’ readiness in developing their leadership and managerial skills. Implications for practice Educators and clinical policymakers must collaborate to improve student preparation for clinical practice. Educators should address clinical challenges, while clinical policymakers should invest in training for staff to effectively mentor students.