The clinical placement situation is a big barrier. One of the ways is, following the graduation, to have residency programs for nurses. I think this is a very important step forward, but during the program itself, there needs to be collaboration between education and service to come up with innovative strategies to offer clinical placements.
The other solution, I think, is to increase the use—and we are increasing it—of simulation in programs: virtual simulation and high-fidelity simulation.