St. Paul University (Manila), Manila 1004, Philippines.
Faculty of Chinese Medicine Science Guangxi University of Chinese Medicine, NanNing 530021, China.
Nurse Educ Today. 2024 Nov;142:106360. doi: 10.1016/j.nedt.2024.106360. Epub 2024 Aug 14.
Newly graduated nurses' lack of professional competence is associated with inadequate preparation during their clinical placement as nursing students. Clinical placement is a critical stage in the development of nursing students' professional preparedness. However, research on the trajectory of nursing students' professional preparedness during clinical placement has not yielded findings with the same specificity.
The aim of this study is to estimate differences in professional preparedness levels at different clinical placement stages, to identify distinct patterns of professional preparedness trajectories during clinical placement, and to evaluate predictors of these trajectory group memberships.
A quantitative longitudinal study.
Participants were recruited on a voluntary basis using convenience sampling at a tertiary hospital in Nanning, China.
224 senior nursing students were initially invited to participate in the study. A total of 178 nursing students successfully completed the follow-up assessments at baseline, as well as at 1 month, 4 months, and 8 months into their clinical placement.
Participants completed four online surveys, during which their professional preparedness level was measured using the Perceived Professional Preparedness questionnaire for senior nursing students. Professional preparedness scores at different time points were compared using one-way repeated measures ANOVA and latent growth model. Group-based trajectory model was applied to identify professional preparedness trajectories. Multiple logistic regression was adopted to determine the predictors of trajectory group memberships.
The entire sample of Senior nursing students experienced a significant increase in professional preparedness during clinical placement. The best-fitting group-based trajectory model delineated three distinct trajectories: low-slowly increase trajectory (27.53 % of sample), moderate-rapidly increase trajectory (47.19 % of sample) and a high-stably increase trajectory (25.28 % of sample). Male, good and excellent academic performance, and very high degree of professional interest are the predictors of the moderate-rapidly increase trajectory. While male, good and excellent academic performance, high and very high degree of professional interest and participating in medical-related part-time employment are the predictors of the high-stable increase trajectory.
Senior nursing students exhibit different levels of professional preparedness throughout their clinical placement. Simultaneously, three different trajectories were identified among the sample of nursing students. Therefore, in future research, greater attention should be directed towards the professional preparedness levels of nursing students with different trajectories, and early identification and targeted interventions should be prioritized.
新毕业护士的专业能力不足与护理学生临床实习准备不足有关。临床实习是护理学生专业准备发展的关键阶段。然而，关于护理学生在临床实习期间专业准备的轨迹的研究并没有得出同样具体的结果。
本研究旨在估计不同临床实习阶段专业准备水平的差异，确定临床实习期间专业准备轨迹的不同模式，并评估这些轨迹群体归属的预测因素。
一项定量纵向研究。
参与者是在中国南宁的一家三级医院自愿使用便利抽样招募的。
共有 224 名高年级护理学生最初被邀请参加这项研究。共有 178 名护理学生成功完成了基线、1 个月、4 个月和 8 个月的临床实习的随访评估。
参与者完成了四次在线调查，在此期间，他们使用高级护理学生的感知专业准备问卷来衡量他们的专业准备水平。使用单因素重复测量方差分析和潜在增长模型比较不同时间点的专业准备得分。应用基于群组的轨迹模型来识别专业准备轨迹。采用多因素逻辑回归确定轨迹群体归属的预测因素。
整个高级护理学生样本在临床实习期间专业准备水平显著提高。最佳拟合的基于群组的轨迹模型描绘了三个不同的轨迹：低-缓慢增加轨迹（样本的 27.53%）、中-快速增加轨迹（样本的 47.19%）和高-稳定增加轨迹（样本的 25.28%）。男性、良好和优秀的学业成绩以及非常高的专业兴趣是中-快速增加轨迹的预测因素。而男性、良好和优秀的学业成绩、高和非常高的专业兴趣以及参加与医学相关的兼职工作是高稳定增加轨迹的预测因素。
高年级护理学生在整个临床实习期间表现出不同的专业准备水平。同时，在护理学生样本中确定了三个不同的轨迹。因此，在未来的研究中，应更加关注具有不同轨迹的护理学生的专业准备水平，并优先进行早期识别和有针对性的干预。
