Exploring clinical competency of nursing students and related factors

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Abstract

Introduction: The clinical competence of nursing students is a core factor in relation to professional standards and patient safety. Objectives: This study aims to determine the clinical competence of nursing students and related factors. Methodology: A descriptive cross-sectional study, combining quantitative and qualitative methods, was conducted on 306 nursing students who participated in clinical practice at the hospital. The research content consists of 3 parts: (1) General characteristics of the research objects; (2) The clinical competence of nursing students is assessed by the Clinical Competency Measurement Tool questionnaire consisting of 34 questions divided into 5 domains: Nursing process, Nursing skills, Nursing Leadership, Communication, Professional development; and (3) The influencing factors and propose solutions to improve clinical competence. Results: The clinical competence of nursing students reached the average level with 3.47 ± 0.34/5 points; the Professional development ability got the highest score with 3.60 ± 0.45 points and the Nursing skill got the lowest score with 3.29 ± 0.44 points. There was a statistically significant relationship between the clinical competence of nursing students and the level of satisfaction with clinical practice (p<0.001); clinical practice learning method (p=0.001) and grade level (p<0.001). The results of the qualitative analysis show a more comprehensive view of the factors affecting the clinical competence of nursing students, including factors from individual students, factors related to clinical lecturers and the clinical practice environment. Conclusion: The clinical competence of nursing students reached the average level. It is necessary to improve the level of clinical practice satisfaction as well as to find out appropriate strategies and learning methods for nursing students to enhance their clinical competence. Key words: clinical competence, clinical practice, nursing students.
护生临床胜任力及其影响因素探讨
导读:护生的临床能力是关系到专业水平和患者安全的核心因素。目的:探讨护生临床胜任力及其影响因素。方法:采用定量与定性相结合的描述性横断面研究方法,对306名在该院参加临床实习的护生进行调查。研究内容包括三个部分:(1)研究对象的一般特征;(2)采用临床胜任力测量工具问卷对护生临床胜任力进行测评,问卷共34个问题,分为护理过程、护理技能、护理领导、沟通、专业发展5个领域;(3)影响临床能力的因素及提高临床能力的对策。结果:护生临床能力达到平均水平(3.47±0.34/5分);专业发展能力得分最高,为3.60±0.45分;护理技能得分最低,为3.29±0.44分。护生临床能力与临床实践满意度有统计学意义(p<0.001);临床实践学习方法(p=0.001)与年级水平(p<0.001)。定性分析结果更全面地反映了护生临床能力的影响因素,包括学生个人因素、临床讲师因素和临床实践环境因素。结论:护生临床能力达到中等水平。提高护理学生的临床实践满意度,寻找适合护理学生临床实践的策略和学习方法是提高护理学生临床实践能力的必要条件。关键词:临床能力,临床实习,护生。
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