Amsalu Bonsa, Fekadu Tadele, Mengesha Ayelign, Bayana Ebissa
Department of Nursing, Faculty of Public Health and Medical Science, Mettu University, Mettu, Ethiopia.
Department of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Adv Med Educ Pract. 2020 Oct 23;11:791-798. doi: 10.2147/AMEP.S267398. eCollection 2020.
Clinical practice competence is the ability to effectively integrate cognitive, affective and psychomotor skills during the delivery of health care. It is the concern and the center of attention for the managers, professional associations, government, and society as a whole. Therefore, identifying the level of clinical practice competence of students and taking appropriate action is crucial. The aim of the present study was to investigate clinical practice competence of nursing students in Mettu University.
A cross-sectional study was employed on 105 nursing students at Mettu University from February to April, 2019. Systematic random sampling technique was used to select study participants. Data were entered into EpiData manager version 4.2.2 and exported to statistical package for the social science (SPSS) version 20.0 and analyzed using descriptive statistics, bivariate and multivariate logistic regressions. The statistical significance was set at p<0.05.
Out of the total participants involved, 102 participants returned the questionnaire making response rate of 97.1%. Majority 78 (76.5%) of participants were males with the mean age of 23.05 (SD = 1.11) years. The overall clinical practice competence of participants was 2.03 (SD = 0.54) which indicates clinical practice incompetence. Year of study [AOR 4.9; 95%, CI: 0.04, 16.53] and clinical practice placement [AOR: 2.7; 95% CI: 0.1, 14.86] were the identified associated factors of clinical practice competence at p<0.05.
Clinical practice competence of nursing students was inadequate to provide quality, safe and satisfying nursing care. This could not meet patients holistic needs and may even bringfear, stress, anxiety and unnecessary errors by students at clinical sites. Nursing schools and teaching hospitals should collaborate to enhance the nursing students clinical practice competence.
临床实践能力是在提供医疗保健服务过程中有效整合认知、情感和运动技能的能力。它是管理人员、专业协会、政府乃至整个社会关注的焦点。因此，确定学生的临床实践能力水平并采取适当行动至关重要。本研究的目的是调查梅图大学护理专业学生的临床实践能力。
于2019年2月至4月对梅图大学的105名护理专业学生进行了横断面研究。采用系统随机抽样技术选取研究参与者。数据录入EpiData manager 4.2.2版本，并导出到社会科学统计软件包（SPSS）20.0版本，使用描述性统计、双变量和多变量逻辑回归进行分析。统计学显著性设定为p<0.05。
在参与的所有参与者中，102名参与者返回了问卷，回复率为97.1%。大多数78名（76.5%）参与者为男性，平均年龄为23.05（标准差=1.11）岁。参与者的总体临床实践能力为2.03（标准差=0.54），表明临床实践能力不足。学习年份[AOR 4.9；95%，置信区间：0.04，16.53]和临床实践实习地点[AOR：2.7；95%置信区间：0.1，14.86]是在p<0.05水平上确定的临床实践能力相关因素。
护理专业学生的临床实践能力不足以提供优质、安全和令人满意的护理服务。这无法满足患者的整体需求，甚至可能在临床实习地点给学生带来恐惧、压力、焦虑和不必要的错误。护理学校和教学医院应合作提高护理专业学生的临床实践能力。
