Factors associated with clinical competency of nursing students
DOI:
https://doi.org/10.18203/2320-6012.ijrms20240847Keywords:
Nursing students, Self-awareness, Self-efficacy, Clinical learning environment, Clinical competency, Factors associatedAbstract
A critical priority and challenge in nursing education today is caused by the variability of the healthcare environment. This systematic review reported findings on the independent variables that are associated with nursing students' clinical competency. A literature review search was conducted using Mendeley’s website in 2023 with using keywords such as nursing clinical competency and nursing student. The Mixed Methods Appraisal Tool (MMAT) was used to appraise and describe the methodological quality. A narrative report was given on the synthesis of the results. Based on the inclusion and exclusion criteria, 16 papers were retained out of 1162 identified research publications. Among 16 papers, the common predictive factors mentioned in the reviewed articles on the clinical competency of nursing students include clinical learning environment, self-efficacy, and self-awareness. Other factors such as clinical training program, type of learning-teaching, learning experiences, and socio-demographics were involved as the significant variables toward clinical competency. There are several other characteristics or predictors of clinical competency that require further investigation.
References
World Health Organization. Nurse Educator Core Competencies; 2016. Available at: https://www.who.int/publications/i/item/nurse-educator-core-competencies. Accessed on 17th December 2023.
Hakimzadeh R, Ghodrati A, Karamdost N, Ghodrati H, Mirmosavi J. Factors affecting the teaching-learning in nursing education. GSE Journal of Education. 2013;2013:174-84.
Blackman I, Hall M, Gusti I, Darmawan N. Undergraduate nurse variables that predict academic achievement and clinical competence in nursing. Int Educ J. 2007;8(2):222-36.
Yamamoto Y, Okuda R, Fukada M. Factors affecting clinical nursing competency: a cross sectional study. Yonago Acta Med. 2021;64(1):46-56.
Engelhart MD, Furst EJ, Krathwohl DR. Taxonomy of educational objectives the classification of educational goals. Handbook cognitive domain. London: Longmans; 1956.
Benner P. From Novice to Expert. Am J Nurs. 1982;82(3)402-4.
Dunn SV. The development of a clinical learning environment scale. J Adv Nurs. 1995;22(6):1166-73.
Mrunalini, Chandekar PA. Factors affecting the teaching-learning in nursing education. Am Res J Nurs. 2015;1(4):11-7.
Yu M, Tong H, Li S, Wu XV, Hong J, Wang W. Clinical competence and its association with self-efficacy and clinical learning environments among Chinese undergraduate nursing students. Nurse Educ Pract. 2021:53:103055.
Yun JY, Cho IY. Structural equation model for developing person-centered care competency among senior nursing students. Int J Environ Res Public Health. 2021;18(19):10.
Bandura A. Self-efficacy: the exercise of control. W. H. Freeman; 1997:158-166.
Brennan BA. The impact of self-efficacy based prebriefing on nursing student clinical competency and self-efficacy in simulation: An experimental study. Nurse Educ Today. 2022;109.
Cha C, Hwang H, An B, Jeong S, Yang SJ. Nursing student and faculty competency improvement through a nurse-bridging program in Cambodia. Nurse Educ Today. 2020:93:104523.
Albagawi B, Hussein FM, Alotaibi JS, Albougami AS, Amer MF, Alsharari AF, et al. Self-efficacy and clinical competence of fourth-year nursing students: a self-reported study. Int J Adv Appl Sci. 2019;6(8):65-70.
Mohamadirizi S, Kohan S, Shafei F, Mohamadirizi S. The relationship between clinical competence and clinical self-efficacy among nursing and midwifery students. Int J Pediatr. 2015;3(6):1117-23.
Opacic DA. The relationship between self-efficacy and student physician assistant clinical performance. J Allied Health. 2003;32(3):158-66.
Duval S, Wicklund RA. A theory of objective self awareness. Personal Soc Pyschol Rev. 2001;5(3):230-41.
Kirkpatrick AJ, Cantrell MA, Smeltzer SC. Relationships among nursing student palliative care knowledge, experience, self-awareness, and performance: An end-of-life simulation study. Nurse Educ Today. 2019:73:23-30.
Sung-Yun A, Young-Ju K. Factors affecting the clinical competency of nursing students in pediatric nursing clinical practice. Medico-Legal Update. 2020;20(1):1698-703.
Setiawan AH, Nurjannah S, Astuti NM. The Effectiveness of Clinical Learning Module on Competency Achievement of Nursing Students. Indon Nurs J Educ Clinic (Injec). 2019;3(2):84-9.
Page-Cutrara K, Turk M. Impact of prebriefing on competency performance, clinical judgment and experience in simulation: An experimental study. Nurse Educ Today. 2017;48:78-83.
Arrogante O, González-Romero GM, López-Torre EM, Carrión-García L, Polo A. Comparing formative and summative simulation-based assessment in undergraduate nursing students: nursing competency acquisition and clinical simulation satisfaction. BMC Nurs. 2021;20(1):92.
Kim J. Effects of learning experience on core competencies of nursing students. Int J Innovat Technol Explor Engineer. 2019;8(3):154-9.
Hsieh SI, Hsu LL. An outcome-based evaluation of nursing competency of baccalaureate senior nursing students in Taiwan. Nurse Educ Today. 2013;33(12):1536-45.
Getie A, Tsige Y, Birhanie E, Tlaye KG, Demis A. Clinical practice competencies and associated factors among graduating nursing students attending at universities in Northern Ethiopia: Institution-based cross-sectional study. BMJ Open. 2021;11(4):44119.
Purwanti LE, Sukartini T, Kurniawati ND, Nursalam N, Susilowati T. Virtual simulation in clinical nursing education to improve knowledge and clinical skills: literature review. Open Access Maced J Med Sci. 2022;10(F):396-404.
Øvrebø LJ, Dyrstad DN, Hansen BS. Assessment methods and tools to evaluate postgraduate critical care nursing students’ competence in clinical placement. An integrative review. Nurse Educ Pract. 2022:58:103258.
Maniago JD, Feliciano EE, Santos AM, Agunod CL, Adolfo CS, Vasquez BA, et al. Barriers in performing physical assessment among nursing students: an integrative review. Int J Nurs Sci. 2021;8(1):120-9.
Sulosaari V, Kajander S, Hupli M, Huupponen R, Leino-Kilpi H. Nurse students’ medication competence-an integrative review of the associated factors. Nurse Educ Today. 2012;32(4):399-405.
Terefe TF, Geletie HA, GebreEyesus FA, Tarekegn TT, Amlak BT, Kindie K, et al. Clinical competency and associated factors among undergraduate nursing students studying in universities of Southern regional state of Ethiopia, 2021. Heliyon. 2023;9(8):18677.
Ličen S, Plazar N. Identification of nursing competency assessment tools as possibility of their use in nursing education in Slovenia-a systematic literature review. Nurse Educ Today. 2015;35(4):602-8.
Koy V, Yunibhand J, Angsuroch Y. The quantitative measurement of nursing care quality: a systematic review of available instruments. Int Nurs Rev. 2016;63(3):490-8.
