School of Nursing, Anhui Medical University, Hefei, China; School of Nursing, Wannan Medical College, Wuhu, China.
School of Nursing, Anhui Medical University, Hefei, China.
Nurse Educ Pract. 2021 May;53:103055. doi: 10.1016/j.nepr.2021.103055. Epub 2021 Apr 16.
Evaluation and cultivation of clinical competence in undergraduate nursing students are essential in nursing education. Self-efficacy and good clinical learning environments are expected to have a positive influence on the clinical competence of undergraduate nursing students, but few studies have focused on the relationships among clinical competence, self-efficacy, and clinical learning environments. This study aimed to examine clinical competence and its association with self-efficacy and clinical learning environments among Chinese undergraduate nursing students. A cross-sectional questionnaire survey was conducted with 1518 undergraduate nursing students being recruited from five medical colleges in China. The nursing students' clinical competence, self-efficacy, and clinical learning environments were assessed using a set of self-reported questionnaires, including Chinese versions of the Holistic Clinical Assessment Tool; General Self-Efficacy Scale; and Clinical Learning Environment, Supervision, and Nurse Teacher Evaluation Scale. Factors significantly associated with the clinical competence of undergraduate nursing students were professional interest, self-efficacy, and clinical learning environments, accounting for 36.1% of the total variance. Self-efficacy played a mediating role between clinical learning environments and clinical competence. The results of this study can be applied as reference for the enhancement of a nursing education program to improve the clinical competence of Chinese undergraduate nursing students.
本科护生临床能力的评价与培养在护理教育中至关重要。自我效能感和良好的临床学习环境有望对本科护生的临床能力产生积极影响，但很少有研究关注临床能力、自我效能感和临床学习环境之间的关系。本研究旨在探讨中国本科护生的临床能力及其与自我效能感和临床学习环境的关系。采用横断面问卷调查法，选取中国五所医学院校的 1518 名本科护生进行调查。采用一套自陈式问卷评估护生的临床能力、自我效能感和临床学习环境，包括中文版整体临床评估工具、一般自我效能量表和临床学习环境、监督和护士教师评价量表。与本科护生临床能力显著相关的因素有专业兴趣、自我效能感和临床学习环境，占总方差的 36.1%。自我效能感在临床学习环境与临床能力之间起中介作用。本研究结果可作为加强护理教育计划以提高中国本科护生临床能力的参考依据。
