Yezengaw Telksew Yelma, Debella Adera, Animen Simachew, Aklilu Almaz, Feyisa Wondu, Hailu Mickiale, Sime Betelhem, Mohammed Ahmed, Deressa Alemayehu, Mussa Ibsa, Alemu Addisu, Mezmur Haymanot, Lami Magarsa, Eyeberu Addis
Department of Midwifery, College of Health Sciences.
School of Nursing and Midwifery.
Ann Med Surg (Lond). 2023 Nov 20;86(2):734-741. doi: 10.1097/MS9.0000000000001518. eCollection 2024 Feb.
Competence describes actions that will be demonstrated or observed and assessed while competency refers to the skill itself. Following appropriate theoretical and practical training, clinical experience is required to achieve the highest level of clinical competence. It is estimated that many women and newborns die each year due to a lack of qualified health professional around the world. As a result, the purpose of this study was to determine the prevalence and factors influencing clinical competency in the study area.
An Institutional-based cross-sectional study was conducted from 12 August to 12 September 2022, among 403 undergraduate health sciences students of Bahir Dar University. Participants were approached through simple random sampling technique. Data were collected using a pre-tested structured questionnaire through a face-to-face interview, and entered into Epidata version 3.1 and analyzed using SPSS version 22. The prevalence was reported using proportion with 95% CI and summary measures. Predictors were assessed using a multivariable logistic regression analysis model and reported using an adjusted odds ratio (AOR) with 95% CI. Statistical significance was declared at value less than 0.05.
Overall, the prevalence of clinical practice competency was 36.5% [95% CI; 33.5, 39.1]. Students who were provided a logbook (AOR=5.40, 95% CI 2.91, 10.02), adequate clinical cases in the clinical practice placement (AOR=2.72, 95% CI 1.60, 4.60), preceptor show different procedures (AOR=2.50, 95% CI 1.33, 4.71), student's confidence during conducting procedure (AOR=4.16, 95% CI 1.67, 10.35) and the suitability of the way of teaching to the learning styles of students during skills demonstration (AOR=2.10, 95% CI 1.00, 4.40) were factors statistically associated with clinical practice competence.
According to this study, more than three out of every five participants were found to be clinically incompetent. Providing logbooks, adequate clinical cases, preceptors showing different procedures, students' confidence, and suitability of the way of teaching to the learning styles of students were significantly associated with clinical practice competence. Implementing logbooks, selecting clinical sites, enhancing the confidence of students, preferred teaching/learning styles, and clinical preceptor support were important to improve the clinical competence of students.
能力描述的是将会被展示、观察和评估的行为，而胜任力指的是技能本身。经过适当的理论和实践培训后，还需要临床经验才能达到最高水平的临床能力。据估计，由于全球缺乏合格的卫生专业人员，每年有许多妇女和新生儿死亡。因此，本研究的目的是确定研究地区临床胜任力的患病率及其影响因素。
2022年8月12日至9月12日，在巴希尔达尔大学的403名健康科学专业本科生中进行了一项基于机构的横断面研究。采用简单随机抽样技术选取参与者。通过面对面访谈，使用预先测试的结构化问卷收集数据，并录入Epidata 3.1版本，然后使用SPSS 22版本进行分析。患病率以比例加95%置信区间和汇总指标的形式报告。使用多变量逻辑回归分析模型评估影响因素，并以调整后的比值比（AOR）加95%置信区间的形式报告。当P值小于0.05时，宣布具有统计学意义。
总体而言，临床实践能力的患病率为36.5%[95%置信区间：33.5，39.1]。获得日志本的学生（AOR = 5.40，95%置信区间2.91，10.02）、临床实习中获得足够临床病例的学生（AOR = 2.72，95%置信区间1.60，4.60）、带教老师展示不同操作的学生（AOR = 2.50，95%置信区间1.33，4.71）、操作过程中自信的学生（AOR = 4.16，95%置信区间1.67，10.35）以及技能演示期间教学方式与学生学习风格的适配性（AOR = 2.10，95%置信区间1.00，4.40）是与临床实践能力在统计学上相关的因素。
根据本研究，发现每五名参与者中就有超过三人临床能力不足。提供日志本、足够的临床病例、带教老师展示不同操作、学生的自信以及教学方式与学生学习风格的适配性与临床实践能力显著相关。实施日志本、选择临床实习地点、增强学生信心、偏好的教学/学习风格以及临床带教老师的支持对于提高学生的临床能力很重要。
