Abstract
Objective: To describe current difficulties of students at learning activities following the credit systemin Nam Dinh University of Nursing.
Methods: A cross-sectional survey was carried out among 500 full-time students from the 10th, 11th and 12th courses.
Results: 100% of the students in the study had varied levels of difficulties in participation in the academic credit system, included difficulties in adherence to learning environment, difficulties in learning relationships, difficulties in learning motivation, learning excitement, difficulty in learning skills, and difficulties in learning cognition by credit (only difficulty when learning in the form of new credit training). Students had the most difficulty learning skills, and 85.9% felt “pressure by test scores”.
Conclusion: Students faced many difficulties in participating credit system.

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