Abstract
BACKGROUND: Nurse students reportedly face lots of challenges during skill development practice in health institutions. However, the prevalence of challenges and factors associated aren't well understood yet. OBJECTIVE: The objective of the study was to identify the challenges experienced by nursing students in health institutions during skill development practice. METHOD: A cross-sectional study was employed on the participants selected using a simple random sampling technique. The data was cleaned using Epi-data and exported to SPSS for analysis. Logistic regression analysis and correlation analysis were carried out to identify the associated factors. RESULT: The participants are more challenged by instructor factors (43.6%) and facility factors (40%). The prevalence of the challenge was 16.9%. Substance use and learning institutions are found to be independent predictors. A negative correlation was identified between the total challenge score and the overall competency score. CONCLUSION: The determined nursing students' challenges are strong enough to affect the quality of education; therefore, it is essential to plan and improve the students' integrated supportive supervision.