Department of Nursing, National Tainan Junior College of Nursing, Tainan, Taiwan.
Institute of Clinical Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Nurs Open. 2024 Aug;11(8):e70012. doi: 10.1002/nop2.70012.
Limited available studies compare the core competence performance of students undertaking their practicum at different level-of-care practicum sites. This study aimed to (1) compare the gaps between the perception of importance for competence and the perceived performance of nursing students at practicum sites involving different level-of-care and (2) identify low competencies that must be prioritized for improvement at different sites during the fundamental nursing practicum.
Cross-sectional design.
A total of 659 students who had passed their fundamental nursing practicum within 1 month from six nursing colleges in Taiwan were recruited. The students completed the 25-item Core Competence in Fundamental Nursing Practicum Scale, wherein both the importance and performance level of each item are indicated. One-way analysis of variance along with the Scheffe post hoc test and importance-performance analysis were used to explore the gaps between the perception of importance for competence and the perceived performance and to identify weak competencies that must be prioritized for improvement, respectively.
Compared with nursing students practicing in district hospitals (predominantly caring for chronically ill patients), nursing students practicing in medical centres (predominantly caring for patients with severe and critical conditions) had larger gaps in total scores and the application of nursing processes. Students in medical centres also had larger gaps in professional attitude than their counterparts in long-term care facilities. Importance-performance analysis identified a common shortfall in communication skills among nursing students for all level-of-care practicum sites. Students at long-term facilities had the highest number of weak competencies that required improvement. The results of this study can guide instructors in designing curricular activities focused on the weaker core competencies of the students at a practicum site for each level of care.
No patient or public contributions.
有限的可用研究比较了在不同护理水平实习场所进行实习的学生的核心能力表现。本研究旨在：（1）比较涉及不同护理水平的实习场所的学生对能力重要性的感知与实际表现之间的差距；（2）确定在基础护理实习期间，不同实习场所必须优先提高的低水平能力。
横断面设计。
共招募了台湾六所护理学院在基础护理实习结束后 1 个月内通过基础护理实习的 659 名学生。学生完成了 25 项基础护理实习核心能力量表，其中每个项目的重要性和表现水平都有显示。采用单因素方差分析和 Scheffe 事后检验以及重要性-绩效分析，分别探讨能力感知重要性与感知表现之间的差距，并确定必须优先改进的薄弱能力。
与在地区医院（主要照顾慢性病患者）实习的护理学生相比，在医疗中心（主要照顾重症和危急患者）实习的护理学生在总分和护理过程的应用方面差距较大。医疗中心的学生在专业态度方面也比长期护理机构的学生差距更大。重要性-绩效分析发现，所有护理水平实习场所的护理学生在沟通技巧方面都存在共同的不足。长期护理机构的学生需要改进的薄弱能力最多。本研究的结果可以指导教师为每个护理水平的实习场所设计针对学生薄弱核心能力的课程活动。
无患者或公众贡献。
