Biagioli Valentina, Bulfone Giampiera, Mazzotta Rocco, Vannini Valeria, Sist Luisa, Latina Roberto, Mecugni Daniela
Department of Medical and Surgical Sciences - DIMEC, University of Bologna, via Massarenti 9, Bologna 40138, Italy.
Department of Medical, Surgical Science and Advanced Technology "G. Ingrassia", University of Catania, Catania 95123, Italy.
Nurse Educ Pract. 2025 Aug;87:104479. doi: 10.1016/j.nepr.2025.104479. Epub 2025 Jul 18.
Develop and validate a scale that measures nursing students' self-efficacy (SE) in performing core clinical skills typically acquired during undergraduate clinical placements.
Student perceptions of SE can enhance motivation, foster improvement and serve as a robust predictor of academic achievement. For nursing students, success relies not only on theoretical knowledge but also on performing core clinical skills, usually acquired during undergraduate clinical placements. Therefore, it is necessary to assess students' SE in clinical skills.
A multicenter, cross-sectional, descriptive, validation study.
We developed the Nursing Student Self-Efficacy in Clinical Skills Scale (NSSE-CS) and conducted an Exploratory Factor Analysis (EFA) to evaluate its construct validity. An online survey was administered to third-year nursing students at the end of their final clinical placements in October 2024.
Overall, 393 nursing students from five universities across Italy completed the survey. EFA revealed four factors for the 48-item NSSE-CS: "Fundamental care", "Assessment and planning", "Low-complexity care" and "High-complexity care". SE scores were positively correlated with the frequency of practicing core skills during placements. SE was also significantly associated with gender, nationality, university affiliation and completion of the clinical placement examination. The omega composite reliability was good (ω =.98).
The NSSE-CS is a valid and reliable instrument for assessing third-year nursing students' SE in clinical skills. By encouraging students to reflect on their own SE, nurse educators can provide more targeted support and tailored learning opportunities, helping students effectively master core clinical skills.
开发并验证一个量表，用以衡量护理专业学生在执行本科临床实习期间通常所掌握的核心临床技能方面的自我效能感（SE）。
学生对自我效能感的认知可以增强动机、促进进步，并作为学业成绩的有力预测指标。对于护理专业学生而言，成功不仅依赖于理论知识，还取决于执行核心临床技能，这些技能通常是在本科临床实习期间获得的。因此，有必要评估学生在临床技能方面的自我效能感。
一项多中心、横断面、描述性的验证性研究。
我们开发了护理专业学生临床技能自我效能量表（NSSE-CS），并进行探索性因素分析（EFA）以评估其结构效度。于2024年10月在最后临床实习结束时，对三年级护理专业学生进行了在线调查。
总体而言，来自意大利五所大学的393名护理专业学生完成了调查。探索性因素分析显示，48个条目的NSSE-CS有四个因素：“基础护理”、“评估与计划”、“低复杂性护理”和“高复杂性护理”。自我效能感得分与实习期间核心技能的练习频率呈正相关。自我效能感还与性别、国籍、大学所属机构以及临床实习考试的完成情况显著相关。欧米伽综合信度良好（ω =.98）。
NSSE-CS是评估三年级护理专业学生临床技能自我效能感的有效且可靠的工具。通过鼓励学生反思自己的自我效能感，护理教育工作者可以提供更有针对性的支持和量身定制的学习机会，帮助学生有效掌握核心临床技能。
