Self-Directed Learning and Competencies as Perceived by New Graduates Before and After the Pandemic: A Repeated Cross-Sectional Study

IF 3.7 2区 医学 Q2 MANAGEMENT
Sara Dentice, Alessandro Galazzi, Stefania Chiappinotto, Satu Kajander-Unkuri, Luca Grassetti, Anna Brugnolli, Alvisa Palese
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引用次数: 0

Abstract

Background: The COVID-19 pandemic led to significant changes in nursing education; however, their impact on competencies and self-directed learning (SDL) skills achieved at the point of graduation has been limitedly investigated.

Aims: To compare the perceived SDL skills and competencies at the time of graduation between pre- and postpandemic graduates; and to assess correlations, if any, between the SDL skills and competencies in both groups.

Design: A repeated cross-sectional study design following the Strengthening of the Reporting of Observational Studies in Epidemiology checklist.

Methods: All 2019 (prepandemic) and 2023 (postpandemic group) new graduates from two Italian Universities and willing to participate were included. The Self-Rating Scale of SDL (SRSSDLITA) and the Nurse Competence Scale (NCS) were administered. Descriptive and inferential statistics were used.

Results: Postpandemic graduates reported slightly lower SDL scores (pre- 4.27 vs. postpandemic 4.18 out of 5, p = 0.030), with significant declines in “Awareness” (p = 0.005), “Learning Strategies” (p < 0.001), and “Interpersonal Skills” factors (p = 0.007). Perceived overall competence as measured with the NCS was higher in the postpandemic group (pre- 68.01 out of 100 vs. post- 71.08, p = 0.020), with significant gains in “Helping Role” (p = 0.005), “Teaching-Coaching” (p < 0.001), and “Ensuring Quality” dimensions (p < 0.001). Correlations between SDL skills and competencies perceived were weaker in the postpandemic group.

Conclusions: The perceived competencies have improved while the SDL skills slightly declined in the postpandemic group, suggesting new needs of graduates in the transition to their professional role. The weak correlation between SDL skills and competencies in the postpandemic group underlines the importance of clinical experience in promoting self-direct learning.

Implications for Nursing Management: Nurse Managers are required to develop tailored strategies to support the transition process beyond the development of clinical competencies, with greater support for independence in learning—a crucial skill to become resilient and adaptable and to continually face the complexities of modern healthcare.

大流行前后应届毕业生的自主学习和能力:一项重复的横断面研究
背景:2019冠状病毒病大流行导致护理教育发生重大变化;然而,他们对毕业时获得的能力和自主学习(SDL)技能的影响的调查有限。目的:比较大流行前和大流行后毕业生毕业时感知的SDL技能和能力;并评估两组中SDL技能和能力之间的相关性(如果有的话)。设计:重复横断面研究设计遵循加强流行病学观察性研究报告检查表。方法:纳入来自意大利两所大学的所有2019年(大流行前)和2023年(大流行后组)应届毕业生,并愿意参与。采用SDL自评量表(SRSSDLITA)和护士能力量表(NCS)。采用描述性统计和推断性统计。结果:大流行后的毕业生报告的SDL得分略低(4.27 vs. 4.18 / 5, p = 0.030),“意识”(p = 0.005),“学习策略”(p < 0.001)和“人际交往能力”因素显著下降(p = 0.007)。用NCS测量的感知整体能力在大流行后组中更高(前68.01 / 100 vs后71.08,p = 0.020),在“帮助角色”(p = 0.005),“教学指导”(p < 0.001)和“确保质量”维度(p < 0.001)方面有显着提高。在大流行后组中,SDL技能与感知能力之间的相关性较弱。结论:大流行后群体的感知能力有所提高,而SDL技能略有下降,表明毕业生在向专业角色过渡的过程中存在新的需求。SDL技能与大流行后群体能力之间的弱相关性强调了临床经验在促进自我直接学习方面的重要性。对护理管理的影响:护士管理人员需要制定量身定制的策略,以支持临床能力发展之外的过渡过程,并更大程度地支持独立学习——这是一项具有弹性和适应性的关键技能,能够不断面对现代医疗保健的复杂性。
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来源期刊
CiteScore
9.40
自引率
14.50%
发文量
377
审稿时长
4-8 weeks
期刊介绍: The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety
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