When a clinical crisis strikes: Lessons learned from the reflective writings of nursing students

Aim The following is a qualitative study of reflective journaling related to an unexpected crisis situation as it unfolded through the eyes of nursing students. Background In September 2014, nursing students in clinical rotations at a Texas hospital were faced with the arrival of the first unplanned patient soon to be diagnosed with Ebola virus disease (EVD) in the United States. Reflective journaling was a technique used by nursing students to help process thoughts and feelings during this public health crisis. Design The students' unedited experiences were captured through the technique of reflective journaling and written comments were analyzed using qualitative design with thematic analysis. Results Three main themes were identified as an array of emotions, nursing as a calling, and personal protection. Conclusion This study demonstrates how reflective journaling can help reduce the stress of an unexpected clinical situation involving nursing students and encourages immediate coping strategies for those affected. With recent reports from Africa of patients newly diagnosed with EVD, being aware of how to facilitate the learning of nursing students in all clinical settings becomes essential.