Abstract
INTRODUCTION: Nursing intern students' experiences of stress and their resiliency construction during internships remains largely unexplored. This study aims to achieve two primary objectives: first, to explore the nuanced experiences of stress and resilience among nursing intern students, and second, to contribute insights that can lead to the development of effective programs for enhancing coping skills and building resilience during their internships. METHODS: This study employed a phenomenological investigation using photovoice, focusing on the stressors and coping mechanisms of 14 nursing interns from the King Khalid University, Abha and Khamis Muhsayt branches during the last three months of their internship. The nursing interns, comprising 14 individuals with an equal male to female ratio, took between 5 to 7 photographs that they felt best represented their experience during the internship. After taking these photographs, the participants engaged in individual and group semi-structured interviews discussing the photos and narratives. The interviews were recorded and then transcribed word for word. Thematic analysis was conducted by two researchers. Rigor was maintained by researchers' reflexivity, participant photo narrative review, and an independent inquiry audit. RESULTS: The study revealed six key themes: interns experienced significant stress from the Weight of Responsibility and the Emotional Rollercoaster of patient care. However, they found Strength in Connection through peer and mentor support, engaged in Self-Care and Reflection, and gained Perspective through the Lens of photovoice. Interns also provided Recommendations for Support, advocating for systemic changes to improve the internship experience. CONCLUSION: This photovoice study revealed that nursing interns face significant stress from heavy responsibility and emotional challenges, but find crucial support through connections with peers and mentors. They actively use self-care and reflect on their experiences, leading to calls for systemic changes like enhanced mentorship and stress management resources to create a more supportive internship environment. CLINICAL TRIAL NUMBER: Not applicable.