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Patients with mental illnesses exhibit disproportionately higher rates of substance use compared to the general population, a pattern that is linked with exacerbation of psychiatric symptoms leading to poorer overall health outcomes. Consequently, a comprehensive understanding of the prevalence and patterns of substance use among psychiatric patients is essential for the development of effective, evidence-based mental health interventions. The study aimed to determine the prevalence and patterns of substance use among psychiatric patients attending a tertiary hospital in Tshwane, Gauteng Province. A cross-sectional quantitative survey was conducted among psychiatric patients, with a sample size of 405. The Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) version 3.1 was used to collect data on substance use, while a quantitative questionnaire was used to collect sociodemographic information; both were analysed descriptively. The findings of this study indicated a high prevalence of substance use, with 70.1% of participants reporting substance use. Furthermore, schizophrenia emerged as the most common psychiatric diagnosis, accounting for 32.6% of cases. Alcohol was the most frequently used substance (60.5%), followed by tobacco (49.9%) and cannabis (26.4%). These results highlight the significant overlap between psychiatric illness and substance use, emphasizing the bidirectional relationship between the two. It is thus concluded that substance use is highly prevalent among psychiatric patients, underscoring the urgent need for integrated treatment approaches that address both psychiatric conditions and substance use disorders to improve clinical outcomes, reduce relapse rates, and enhance overall quality of life.

Emergency care units are high-pressure, fast-paced environments where nurses, as frontliners, play a critical role in delivering life-saving care to patients in acute need and mental health emergencies. Despite their crucial contributions, nurses working in these settings face unique challenges that can impact not only the quality of patient care but also the physical and emotional well-being of nursing staff. Understanding these challenges is important for optimizing workplace conditions, enhancing patient care outcomes, and reinforcing the indispensable contributions of nurses within emergency healthcare settings. This study explored the challenges faced by nurses caring for mental healthcare users in emergency care units. A qualitative exploratory-descriptive design was used.  Purposive sampling selected a sample of 14 nurses from the population who participated in the study. Data were collected using semi-structured, face-to-face interviews. Data analysis was guided by thematic analysis. The findings showed that poor infrastructure and increased workload were major challenges faced by nurses in emergency care units. These challenges impacted their ability to provide optimal care to mental healthcare users. Despite the significant challenges identified, emergency care units remain central to critical patient care. Improving infrastructure and alleviating staff workload are essential to building a more resilient and responsive emergency care system. We recommend that healthcare institutions develop and implement strategies to support nurses and enhance patient outcomes within emergency care units.

Orphanhood remains a significant and multifaceted challenge in sub-Saharan Africa, where children under the age of eighteen who have lost one or both parents are often exposed to heightened risks related to inadequate education, psychosocial support, nutrition, shelter, and care. South Africa is among the most affected countries, with orphanhood compounded by poverty, inequality, disease, substance abuse, and domestic violence. Although various governmental and non-governmental interventions exist, many are limited by poor sustainability, weak contextual relevance, and insufficient community ownership. Moreover, orphaned learners are frequently positioned as passive recipients of support rather than empowered contributors to their own development. This scoping review protocol aims to map and synthesise existing evidence on mentorship and life-coaching interventions to inform future framework development designed to enhance educational achievements and life goals of orphaned secondary school learners in Klipgat. Guided by the Arksey and O’Malley framework, the review protocol will involve identifying the research question, relevant studies, study selection, data charting, and the collation and summarisation of findings, with stakeholder consultation included where appropriate. A comprehensive search of studies published between 2010 and 2025 will be conducted on PubMed, Web of Science, Grey Literature, Scopus, and Grey literature. The review process will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) protocol guidelines.

University students commonly undergo activities in their educational and social environments that may affect their psychological adjustment. Emotional Intelligence (EI) acts as a protective component in preventing psychological adjustment difficulties. Hopelessness acts as a risk factor in the dimension of psychological adjustment. Little research exists in the context of Bangladesh in the intersection of EI and hopelessness. The present research aimed to explore the effects of EI and hopelessness in predicting psychological adjustment of the students at Chittagong University. A cross-sectional survey design was adopted. A total of 100 students aged 18-25 years old, comprising 50 men and 50 women selected randomly from different departments/institutes of Chittagong University. Data was gathered utilizing a Personal Information Form (PIF), Bangla version of the EI Scale (EIS), Hopelessness Scale (BHS), & Bangla Adult Personality Assessment Questionnaire (PAQ). SPSS 16.0 was used to perform the analysis of the information gathered. The inferential statistics revealed moderate to high levels of EI (M = 129.07, SD = 12.84) but low levels of hopelessness (M = 4.55, SD = 3.51) and moderate levels of psychological adjustment (M = 137.28, SD = 25.00). There was a negative correlation between EI measures of hopelessness (r = -.54, p < 0.01) and psychological adjustment (r = -.67, p < 0.01) but a positive association between hopelessness and psychological adjustment (r = 0.50, p < 0.01). Using the regression analysis, psychological adjustment was significantly predicted by the measures of EI (β = -.56, p < 0.01) but hopelessness (β = 0.19, p < 0.05) when taken together explaining 47% of the total variability of psychological adjustment (R² = 0.47, p < 0 EI serves as a protective factor for psychological adjustment in university students, while hopelessness serves as a risk factor for the psychological adjustment of university students. These factors may influence the enhancement of psychological adjustment.

Africa’s labour market is undergoing rapid transformation driven by technological disruption, demographic shifts, climate-related pressures, and evolving employer expectations. For higher education institutions, this context presents both a challenge and a strategic opportunity: the need to recalibrate curricula to meet the demands of a future driven workforce to address this imperative, the study employs a structured desktop review drawing on scholarly literature, policy frameworks, labour market analytics, and regional case studies across African higher education, between the period of January 2020 and January 2026.  This methodological approach enables the systematic synthesis of cross-sector insights and supports a critical evaluation of the misalignments between current curriculum practices and the competencies required in an evolving labour market. The aim of this study is to critically examine the alignment between African higher education curricular and the evolving demands of the labour market, and to identify curriculum design principles that can support the development of adaptable, digitally fluent, and socially responsive graduates suited to a future driven African workforce. The analysis examines how African higher education can intentionally align curriculum design with emerging workplace realities to produce graduates who are adaptable, digitally fluent, and socially responsive. The findings reveal persistent limitations in traditional content-heavy programmes, which often fail to cultivate the flexible, interdisciplinary, and technology-enabled competencies demanded by contemporary employers in response, this study argues for a shift toward competency based, industry informed, and contextually grounded curriculum models. Curriculum recalibration is a critical lever for shaping a resilient, innovative, and inclusive African workforce. A future proof curriculum, it argues, must integrate technological competence, adaptability, and social responsibility to prepare graduates for fluid, technology-enabled, and socially responsive careers.

Parents and caregivers of children with developmental disabilities have a dual responsibility of addressing the child’s unique developmental needs while also negotiating broader societal expectations surrounding caregiving. Sustaining a balance between caregiving demands and personal well-being is often challenging, which increases their vulnerability to burnout and adverse mental health outcomes. This qualitative study used focus group discussions to explore the lived experiences of caregivers who were raising children aged 6 months to 12 years with various developmental disabilities in a rural setting. Participants were purposefully recruited from a regional hospital in northern KwaZulu-Natal, South Africa, where they were accessing healthcare. Eighteen (n = 18) isiZulu-speaking caregivers participated in five focus groups. The data were analysed using a thematic approach that followed a set framework. Three overarching themes and eight subthemes emerged from the data, capturing their experiences, the intersecting challenges they encountered, and their responses to and adaptations to the undesired outcomes. The findings showed a significant gap in knowledge and access to information regarding children's conditions among families, community members, and health professionals. Psychological acceptance was foundational for coping with challenges and was perceived as essential, requiring a swift adjustment to their current reality. This study highlights the persistent and multifaceted challenges faced by caregivers of children with developmental disabilities. The primary burdens are rooted in systemic issues, specifically healthcare limitations and educational barriers. The findings show an urgent need for structured interventions that prioritise caregiver mental health.

Marriage is one of the most important social institutions, as it greatly influences the stability of families, population, and socio-economic well-being. The changing trends of marriages and divorces in South Africa confirm the importance of predictive analysis on the stability of marriages. Marriage duration prediction is a challenging task, as it is affected by a number of factors. Recent developments in machine learning techniques provide new opportunities to model this problem. This experiment used the following seven different classifications: Random Forest, Gradient Boosting, XGBoost, Logistic Regression, Support Vector Machine, K Nearest Neighbours, and Decision Tree, which aimed to forecast the categories of marriage length (short, medium, and long). The models used the following metrics: accuracy, precision, recall, F1-score, macro ROC-AUC, and the ROC curve. The results showed that ensemble-based approaches performed better than conventional classifiers. Gradient Boosting had the best performance in macro ROC AUC and was best at discriminating classes, especially for long and medium-length marriages. Random Forest had the best overall accuracy and was best at balancing classes. XGBoost had a similar performance to that of Random Forest in predicting. SVM had a high precision value but a lower recall value. Decision Trees and KNN had poor performance. Gradient Boosting was found to be the best-performing method for multi-class prediction of duration of marriage and achieved a balance between sensitivity and specificity. The results obtained from these studies prove that ensemble learning methods can be effectively utilized for modelling complex societal events.

Patient satisfaction is an important indicator used to assess the quality and effectiveness of healthcare systems. This is especially significant for public hospitals that serve large communities by providing primary care services. High levels of patient satisfaction typically reflect positively on the quality of healthcare services offered by these institutions. This paper aims to integrate a review that combines various research methods to provide a comprehensive view of patient satisfaction with healthcare quality in state-operated hospitals. A comprehensive search was carried out using electronic databases like PubMed, CINAHL, PsycINFO, and Google Scholar to compile and synthesise studies from 2015 to 2025. The PRISMA flowchart was utilized to refine the screening process for relevance and potential inclusion. Main findings of the study demonstrate that (i) the factors determining patient satisfaction include the physical, human, and systemic aspects of healthcare delivery that affect patients' experiences; (ii)factors related to the process impacting patient satisfaction include the method of care delivery and the quality of interactions between healthcare professionals and patients; and (iii) outcomes and perceptions centered around the patient reflect the outcomes of care and the way patients view the efficacy and equity of the healthcare system. Patient satisfaction serves as a multifaceted measure of the quality of healthcare services provided in public hospitals. To enhance satisfaction and health outcomes, public health systems ought to prioritize patient-centered strategies, allocate resources towards infrastructure and human capital, and develop avenues for patient feedback. These initiatives will augment satisfaction, trust, equity, and the overall efficacy of public healthcare.

HIV/AIDS remains a critical public health challenge in South Africa, particularly among young women who are disproportionately affected. Comprehensive knowledge and appropriate behavioural responses are essential for preventing transmission and managing the disease. To determine comprehensive knowledge of HIV/AIDS, STI’s as well as the sexual behaviour among young women aged 18 – 24 years in Tshwane Sub district 1, Gauteng province, South Africa. A quantitative cross-sectional survey was conducted in Tshwane District, Gauteng province. The self-administered questionnaire was completed by 400 young women from four health care facilities rendering youth-friendly services. They indicated high knowledge scores for HIV/AIDS, STI’s and sexual behaviour, although most young people had risky sexual practices towards HIV/AIDS and that there were misconceptions about prevention and transmission methods of HIV. Despite high knowledge on STI’s, 27% of the participants self-reported to have had STIs. While most young women in Tshwane possess good knowledge of HIV/AIDS, a considerable proportion still engage in behaviours that increase their risk of infection. This disconnects between knowledge and practice highlights the need for more targeted interventions that not only educate but also empower young women to make safer sexual health choices. Comprehensive strategies addressing both knowledge and socioeconomic barriers are essential for reducing HIV transmission in this vulnerable population.

The sustainability of nursing education hinges on the well-being of its faculty, underscoring the intricate relationships between Work-Life Balance, the nurse educator role, and the Nursing Education Institution. This concept analysis using the Walker and Avant Method explores the interdependent connections between these core concepts, positing that they form a triad where each element influences the others. Compromised Work-Life Balance leads to burnout, diminished job satisfaction, and decreased instructional quality, ultimately affecting student outcomes. The institution's culture, policies, and leadership play a pivotal role in either enabling or hindering educator Work-Life Balance. Through an examination of core attributes and model cases, a cyclical relationship emerges, supportive institutions foster educator Work-Life Balance, yielding a virtuous cycle of high performance, retention, and institutional success. Conversely, unsupportive institutions trigger a vicious cycle of burnout, turnover, and declining educational quality. This analysis highlights the need for a multi-level approach, advocating for integrated interventions that strengthen institutional structures, support the nurse educator role, and promote Work-Life Balance strategies.

South Africa's primary health care relies on nurses, the largest healthcare profession. Thus, their mental health must be maintained. Due to the rising number of infectious illnesses and workload, COVID-19 has overburdened the public health system. Due to these demands, nurses worked long hours and burnt out. Recognising nurses' role in providing excellent PHC services to communities and protecting their mental health is crucial. It examined the mental health effects of COVID-19 on nurses in Ekurhuleni South sub-district primary healthcare institutions and identified mental health issues following exposure. A self-administered questionnaire was used to perform a quantitative, cross-sectional descriptive survey of 280 primary healthcare nurses in the South sub-district of Ekurhuleni. Every eligible nurse who was available for data collection was picked using sequential sampling. The data collection tool included socio-demographic data, health and COVID-19 profiles of nurses and their families, mental health profiles and the impact of COVID-19 on participants, and conventional depressive, anxiety, and insomnia screening measures. Analysing data with descriptive statistics and testing for associations with the Chi-squared test. Most of the 280 nurse participants—87.5%—were female. From 28 to 63, participants participated. 40.4 percent of participants were 38–47 years old, while 13.9% were 58 and older. They had 54.6% diplomas, 23.2% degrees, 18.2% certificates, and 3.9% postgraduate degrees. Eighty-five percent of nurses were professional, with a median of 16 years. Nursing staff were 77.1% COVID-19-positive and 79.29% quarantined. 67% of nurses' family members had COVID-19, and 53.9% had lost someone close to them. Pre-pandemic, 87.1% of nurses had no psychiatric history. A high prevalence of clinical depression, anxiety, and sleeplessness was found in nurses, especially professional nurses and those aged 38–47. Study found 72.86% of nurses had serious depression and 17.5% mild depression. Nurses had 63.2% severe anxiety, 28.6% moderate anxiety, and 8.2% mild anxiety. This distribution demonstrates that 91.8% of nurses had moderate to severe anxiety, and 71.4% had clinical sleeplessness, where 36.8% were severe, 34.6% moderate, and 27.1% subthreshold. Most nurses had clinical depression, anxiety, and sleeplessness risk. Nurses reported depression, anxiety, and insomnia after COVID-19 exposure. Knowing these patterns of mental health issues among nurses is essential for designing comprehensive mental health support measures to address the immediate and long-term consequences of COVID-19 on their mental health.

The South African Society of Radiography noted that a great number of South African radiographers were leaving the government sector to seek employment abroad as well as in private practices. The aim of the research was to determine the factors that affect radiographers' intentions to leave public health care institutions in the KwaZulu-Natal Province. The study used a quantitative approach. Data were obtained from a cross-sectional survey using a stratified random sample of 220 employed radiographers in various public hospitals across KwaZulu-Natal. Logistic regression analysis was used to determine the predictors of intention to leave. The results reflect that the intention to leave the organization was strongly related to several factors such as incentives, employee engagement, leadership, and burnout levels. Discontentment with leadership increased the likelihood of exit sevenfold. Employees with medium engagement were found to be twice as likely to exit compared to highly engaged employees. Radiographers with insufficient and moderate incentives were 90% and 93% less likely to exit the organization, respectively. Those with reduced burnout were 92% less likely to exit the organization. The findings highlight leadership, employee engagement, incentive structures, and burnout as key determinants influencing employee intention to leave. Focusing on these areas could improve job satisfaction and reduce turnover rates

The South African insurance industry faces pricing challenges due to increasing catastrophic events driven by climate change and socio-economic uncertainties. The purpose is to find the best practices for vehicle pricing in South Africa. Five leading predictive models: Generalised Linear Models, Random Forest, XGBoost, Gradient Boosting Regressor, and Artificial Neural Networks are compared for estimating motor insurance premiums under normal and optimised conditions. Furthermore, analyses of catastrophic risk distribution are conducted. Results indicate that machine learning techniques, particularly XGBoost, achieve superior predictive accuracy under optimised conditions, along with the lowest RMSE and MAE. Traditional models like GLM ensure interpretability and regulatory compliance but struggle with non-linear complexities. However, integrating GLM with XGBoost enhances predictive performance. XGBoost is superior and GLM highly complies with the regulations. Gauteng is susceptible to malicious damage, KwaZulu-Natal is mostly exposed to floods and storms, and Western Cape is more vulnerable to droughts and earthquakes. These insights highlight the necessity of adaptive, data-driven risk management tailored to regional vulnerabilities. This research contributes to advancements in insurance pricing methodologies, offering actionable insights for policy development, disaster preparedness, and resilience-building strategies to address South Africa’s evolving risk landscape.

The issue of leadership styles, perceptions of employees, and culture within the organization of RMA was investigated. The study employed qualitative research with an interview of 15 participants at different levels of leadership. The results indicated the prevalence of transformational and servant leaders who increased engagement levels, trust, and feelings of ownership but made employees more responsible with fewer creative and morale levels at the transactions and autocratic levels. Quantitatively, the results showed an increase in employee engagement levels from 2022 (82%) to 2023 (85%), an increase in the perception of trust of employees with leadership levels (70% to 73.3%), and an increase in the perception of development of employees’ careers (65% to 70%). Finally, the study recommends that the development of employees’ leadership should take place in an organized manner with an official program of development of employees’ careers and that the standard of the leaders should remain consistent. Additionally, the study recommends that decision-making should take place with the participation of employees. Future research should involve bigger samples of the study.

Despite efforts made by the government and organizations with the intent of improving gender equality and promoting women’s participation at the highest levels of management within the financial sector and other male-dominated industries, women still lag significantly. This issue persists despite the prevalence of biases that affect their performance. This study examined the experience of female leaders working within the financial services sector of a South African organization with regards to the availability of access to mentoring and the glass ceiling phenomenon. A qualitative approach of research methodology was employed through the application of semi-structured interviews with an in-depth exploration of the opinions of nine female leaders. Themes were used to identify patterns that emerged with the application of this approach. The study results indicated that the female executives experience numerous difficulties that include inequality during the process of selecting employees, pay disparities between the female and male employees, lack of respect from their fellow workers or employees at their respective institutions of employment, as well as a lack of adequate mentoring programs. Women’s leadership journeys are affected by structural, cultural, and individual barriers. To foster the growth of female leaders, organizations should embrace solid gender equity initiative implementation and promote inclusive cultures at the workplace. This study’s results are useful in designing improved pathways of access and minimizing gender-related barriers within the male-dominated sector

The World Health Organization’s recommendation of exclusive breastfeeding (EBF) of babies within the first six months of life has been considered a milestone for enhancing the survival rate of the children and the well-being of the mothers. The adoption of EBF among South African mothers, however, remains a concern since it has not yet attained the recommended standards globally. This was a quantitative cross-sectional study undertaken among 399 mothers of children between the ages of 6 and 24 months who accessed immunization services at three clinics that were selected using a random sampling procedure. The study employed systematic sampling to get the subjects. Data collection used a structured questionnaire that focused on the level of knowledge, practices, and factors inhibiting the practice of EBF. There was a good level of maternal knowledge of EBF, with 98.2% having good knowledge, mostly attained through interaction with healthcare providers. All mothers practiced breastfeeding, but only 19.1% breastfed immediately after delivery. There was poor compliance with EBF, yet the majority (60%) introduced nothing but breast milk, although a large proportion (35.6%) introduced formula feeds and solid foods before the age of six months. There were no significant relations between knowledge and both socio-demographic and other factors (all p>0.05). The predominant factors that hindered the practice of EBF included reduced maternal autonomy (16.3%), fear of breasts sagging (6.8%), fear of low milk production (6.0%), maternal illness and preterm delivery, work constraints, and a lack of involvement of the father (35.6%). Despite high levels of maternal knowledge of EBF, there are a number of personal, cultural, and societal factors that exist that serve to impede the achievement of optimal practices. It is recommended that strategies be focused on the enhancement of supportive factors—principally paternal participation—fostered breastfeeding support at work, and concertedly addressed maternal counselling, targeted towards those experiencing difficulties related to maternal health and confidence.

South Africa is dedicated to attaining Universal Health Coverage via the National Health Insurance program, with the NHI Bill set to be enacted into law in 2024. The primary healthcare system, essential for Universal Health Coverage delivery, encounters ongoing challenges such as a shortage of healthcare professionals, insufficient infrastructure and medication shortages, financial limitations, and inadequate governance frameworks. The Johannesburg health district has experienced high turnover among trained primary healthcare nurses over the past two financial years, leading to staff shortages and decreased morale. This situation threatens the achievement of Universal Health Coverage. Additionally, patients were often turned away from primary health facilities due to early closures and staff shortages, limiting access to healthcare and hindering UHC goals. To achieve UHC, healthcare services must be available, accessible, affordable, and of high quality.To explore the experiences of professional nurses with regards to the implementation of Universal Health Coverage at Primary Health Care facilities in the Johannesburg health district, Gauteng. A qualitative, exploratory, descriptive methodology was employed. Eleven participants, comprising operational managers, professional nurses, and an area manager, were purposefully selected from eight primary healthcare facilities in Regions C and G of Johannesburg. Semi-structured interviews were performed, audio-recorded, and thematically evaluated using Braun & Clarke’s framework. Three themes emerged: (1) Hhuman resource limitations and professional erosion including staff shortages and high turnover, (2) healthcare system inadequacies  and patient accessibility such as poor infrastructure and medication stockouts; and (3) financial and policy constraints that impede effective UHC implementation. Nurses' experiences indicate structural obstacles hindering the implementation of UHC. It is essential to address personnel shortages, infrastructure deficiencies, and policy inefficiencies. Enhancing governance and prioritising nurse involvement in policymaking are crucial for attaining equitable, high-quality healthcare in South Africa.

African institutions are under pressure to innovate, adapt, and maintain global competitiveness in rapidly changing circumstances. Innovation management, leadership changes, capacity building, and governance frameworks are increasingly seen as key to institutional performance and sustainability. These methods are becoming more important, but research on their nature, execution, and efficacy is scarce. In this scoping study, we map and synthesise the literature on management strategic initiatives to improve African institutional performance between 2015 and 2025. The six steps are establishing the research question, locating suitable studies, selecting a study, charting the data, gathering, summarising, and reporting the results, and consulting stakeholders. A comprehensive search technique will be used throughout Scopus, Web of Science, PubMed/MEDLINE, ProQuest, AJOL, and grey literature sites including Google Scholar, World Bank, and African Development Bank repositories. Peer-reviewed and grey material published in English between 2015 and 2025 on managerial approaches to improve African institutional performance is eligible. Two reviewers will independently screen titles, abstracts, and entire texts, with differences handled by discussion or a third reviewer. A standardised charting form will guide data extraction, and narrative synthesis with tables and figures will present findings. Since this study reviews current literature, ethical approval is not needed. Institutional leaders, policymakers, academics, and practitioners will benefit from findings. Publishing in a peer-reviewed journal, academic conferences, stakeholder workshops, and policy briefings will optimise impact.

The increase in the use of energy drinks among school learners has raised significant public health concerns. There is a lack of South African literature on the consumption of energy drinks among school learners, hence the need for the current study which aimed to investigate the prevalence of energy drinks usage among secondary school learners in Mahikeng sub-district of Northwest Province. A quantitative cross-sectional survey conducted was conducted among 505 secondary school learners using self-administered questionnaires. The study utilised a multistage sampling technique and data were analysed using STATA software version 18. The study findings indicate that the prevalence of current energy drinks usage was (82.11%). Pearson chi-square test of association identified seven factors that showed a significant relation with the frequency of energy drinks consumption. It is concluded that the prevalence of energy drinks usage among secondary school learners in Mahikeng was excessive. This underscores the need for heightened public health awareness campaigns and necessary policy regulations considering the risks associated with the use of these beverages.

The pandemic has presented unprecedented challenges to healthcare and nursing education. Clinical exposure provides students the opportunity to acquire knowledge and prepare for their professional responsibilities. A high-quality, safe clinical learning environment is essential for fostering students' professional and academic development, which has been adversely affected by the global pandemic. To investigate the educational challenges and psycho-emotional impacts of the pandemic on the clinical teaching of undergraduate nursing students at a university in Gauteng, South Africa. A qualitative exploratory and descriptive technique was employed, utilising semi-structured face-to-face interviews that were audio recorded. Purposive sampling was utilised, and 25 persons expressed interest in participating; however, data saturation was achieved with 15 participants. Participation was voluntary, and participants' information was maintained in a confidential and private manner.  Thematic data analysis was conducted, revealing themes related to educational setbacks necessitating adjustments, including hybrid learning as an alternative clinical teaching and learning method, simulation as an alternative clinical teaching and learning method, extension of training, absenteeism from clinical areas, and NEI unpreparedness for the pandemic. The categories of Reluctance at clinical settings, Anxiety and Fear, Stress, Regret, and Loss of Hope constituted the theme of Psycho-emotional consequences. This research indicated that undergraduate nursing students encountered considerable educational challenges and psychological distress during clinical instruction amid the epidemic. Consequently, it is essential to raise awareness that NEIs should be better equipped for pandemics of this sort. It required all stakeholders to evaluate and formulate strategies for professional nursing education during pandemics in conjunction with students.