The Relationship Between Nursing Students’ Professional Competencies Related to Clinical Practices and Clinical Stressor Perceptions
Year 2024,
Volume: 7 Issue: 3, 797 - 806
Merve Aydın
,
Ceyda Uzun Şahin
,
Enes Furkan Aksu
,
Mehmet Görgöz
Abstract
Objective: This study was planned to identify the relationship between nursing students’ professional competencies toward clinical practice and their perceptions of clinical stressors.
Methods: The research was conducted in a cross-sectional and correlational design between November and December 2022. The sample consisted of 737 nursing students.
Results: The results showed that the Competency Inventory for Nursing Students score was 251.93±33.74 and the Nursing Students’ Perceptions of Clinical Stressors Scale score was 85.43±17.52. Students' competency and clinical stressor perception scores are above the medium level, based on the average of the lowest and highest scores that can be obtained from the scales. A weak statistically significant relationship in the negative direction was found between the Competence Inventory scores and the Clinical Stressor Perceptions Scale.
Conclusions: As the clinical stressor perceptions of nursing students increased, their professional competence decreased.
References
- Admi H, Moshe-Eilon Y, Sharon D, Mann M. (2018). Nursing students' stress and satisfaction in clinical practice along different stages: A cross-sectional study. Nurse Education Today, 68, 86–92.
https://doi.org/10.1016/j.nedt.2018.05.027
- Akansel N, Watson R, Palloş A. (2021). Validity and reliability of the Turkish version of Stressors in Nursing Students Scale. Perspectives in Psychiatric Care, 1–7. https://doi.org/10.1111/ppc.12936
- Al Gharibi KA, Arulappan, (2020). Repeated simulation experience on self-confidence, critical thinking, and competence of nurses and nursing students—An integrative review. SAGE open nursing, 6, 2377960820927377. https://doi.org/10.1177/ 237796 0820927377
- Almalkawi I, Jester R, Terry L. (2018). Exploring mentors' interpretation of terminology and levels of competence when assessing nursing students: An integrative review. Nurse Education Today, 69, 95–103. https://doi.org/10.1016/j.nedt.2018.07.003
- Altıok HÖ, Üstün B. (2013). The stress sources of nursing students. Educational Sciences in Theory and Practice, 13(2), 747-766.
- Aydın M, Kaşıkçı M. (2019). Patients’ perceptions of nursing care. Turkish Journal of Research & Development in Nursing 21(3), 14–24.
- Aydın M, Erdöl H, Görgöz M, Aksu EF. (2022). Turkish validity and reliability study of "Nursing Students' perceptions of Clinical Stressors Scale". Nurse Education in Practice, 64, 103440. https://doi.org/ 10.1016 /j.nepr.2022.103440
- Bazrafkan I, Kalyani MN. (2018). Nursing students’ experiences of clinical education: A qualitative study. Investigacion Educacion En Enfermeria, 36(2):e04. https://doi.org/10.17533/udea.iee.v36n3a0
- Bhurtun HD, Azimirad M, Saaranen T, Turunen H. (2019). Stress and coping among nursing students during clinical training: An integrative review. The Journal of Nursing Education, 58(5), 266–272. https://doi.org/10.3928/01484834-20190422-04
- Chan ZC, Chan YT, Lui CW, Yu HZ, Law YF, Cheung KL, Hung KK, Kei SH, Yu KH, Woo WM, Lam CT. (2014). Gender differences in the academic and clinical performances of undergraduate nursing students: A systematic review. Nurse Education Today, 34(3), 377–388. https://doi.org/10.1016/ j.nedt.2013.06.011
- Cornine A. (2020). Reducing nursing student anxiety in the clinical setting: An integrative review. Nursing Education Perspectives, 41(4), 229-234.
- Fırat Kılıç H. (2018). The relationship between nursing students’ educational stress and professional self-esteem. Journal of Hacettepe University Faculty of Nursing, 5 (1), 49-59.
- George TP, DeCristofaro C, Murphy PF. (2020). Self-efficacy and concerns of nursing students regarding clinical experiences. Nurse Education Today, 90, 104401. Advance online publication. https://doi.org/10.1016/j.nedt.2020.104401
- Graham MM, Lindo J, Bryan VD, Weaver S. (2016). Factors associated with stress among second year student nurses during clinical training in Jamaica. Journal of professional nursing: official journal of the American Association of Colleges of Nursing, 32(5), 383–391. https://doi.org/10.1016/j.profnurs.2016.01. 004
- Guerrero JG, Ali SAA, Attallah DM. (2022). The acquired critical thinking skills, satisfaction, and self-confidence of nursing students and staff nurses through high-fidelity simulation experience. Clinical Simulation in Nursing, 64, 24-30.
Gürdoğan EP, Aksoy B, Kınıcı E. (2018). Ethical awareness of nursing students, and their relationship with professional values. Journal of Health and Nursing Management, 5(3), 147-154.
- Helminen K, Johnson M, Isoaho H, Turunen H, Tossavainen K. (2017). Final assessment of nursing students in clinical practice: perspectives of nursing teachers, students and mentors. Journal of Clinic Nursing, 26 (23–24), 4795–4803. http://doi.org/10. 1111/jocn.13835
Hsu LL, Hsieh SI. (2013). Development and psychometric evaluation of the competency inventory for nursing students: A learning outcome perspective. Nurse Education Today, 33(5), 492-497.
- Immonen K, Oikarainen A, Tomietto M, Kääriäinen M, Tuomikoski AM, Kaučič B. M, Mikkonen K. (2019). Assessment of nursing students' competence in clinical practice: A systematic review of reviews. International Journal of Nursing Studies, 100, 103414.
- Ismaile S. (2017). Perceived clinical stressors among Saudi nursing students. Open Journal of Nursing, 7(04), 463.
- Kajander-Unkuri S, Meretoja R, Katajisto J, Saarikoski M, Salminen L, Suhonen R, et al. (2014). Self-assessed level of competence of graduating nursing students and factors related to it. Nurse Education Today, 34 (5), 795–801.
- Kırca N, Bademli K, Özgönül ML. (2020). Determining student nurses' the inclination to ethical values scale. Journal of Anatolia Nursing and Health Sciences, 23(3), 410-417.
- Labrague LJ, McEnroe-Petitte DM, Papathanasiou IV, Edet OB, Tsaras K, Leocadio MC, Colet P, Kleisiaris CF, Fradelos EC, Rosales RA, Vera Santos-Lucas K, Velacaria PIT. (2018). Stress and coping strategies among nursing students: an international study. Journal of Mental Health (Abingdon, England), 27(5), 402–408. https://doi.org/10.1080/09638237.2017. 1417552
- Llego J, Gabriel E, Corpus J. (2018). A correlational study on the stress level and academic performance of nursing students. Journal of Basic and Applied Research, 4(4), 83-87. https://ssrn.com/abstract=330 6863
- Oducado RMF, Sotelo M, Ramirez LM, Habaña M, Belo-Delariarte RG. (2020). English language proficiency and its relationship with academic performance and the nurse licensure examination. Nurse Media Journal of Nursing, 10(1), 46-56. https://doi.org/10.14710/ nmjn.v10i1.28564
- Oermann MH. (2018). Chapter 12: assessment methods. In: Oermann, M.H., De Gagne, J.C., Phillips, B.C. (Eds.), Teaching in Nursing and Role of the Educator: The Complete Guide to Best Practice in Teaching, Evaluation and Curriculum Development, 2nd ed.. Springer Publishing Company, New York.
- Özdemir H, Khorshıdb L, Zaybak A. (2020). Determination of nursing students’ stress level toward nursing education. Turkish Journal of Science and Health, 1(2) 20-28.
- Rafati F, Rafati S, Khoshnood Z. (2020). Perceived stress among Iranian nursing students in a clinical learning environment: A cross-sectional study. Advances in Medical Education and Practice, 11, 485–491. https://doi.org/10.2147/AMEP.S259557
- Rafati F, Sharif Nia H, Khoshnood Z, Allen KA. (2021). Development and psychometric testing of nursing students’ perceptions of clinical stressors scale: an instrument design study. BMC Psychiatry, 21(1), 1. https://doi.org/10.1186/s12888-020-02964-8
- Sharifipour F, Heydarpour S, Salari N. (2020). Nursing and midwifery students' viewpoints of clinical learning environment: A cross-sectional study. Advances in Medical Education And Practice, 11, 447–454. https://doi.org/10.2147/AMEP.S253782
- Simpson G, Sawatzky VJA. (2020). Clinical placement anxiety in undergraduate nursing students: A concept analysis. Nurse Education Tuday, 87, 104329. https://doi.org/10.1016/j.nedt.2019.104329
- Siraj H, Salam A, Roslan R, Hasan N, Jin T, Othman M. (2014). Stress and its association with the academic performance of undergraduate fourth year medical students at University Kebangsaan Malaysia. The International Journal of Malaysia, 13(1), 19-24.
- Suen WQ, Lim S, Wang W, Kowitlawakul Y. (2016). Stressors, and expectations of undergraduate nursing students during clinical practice in Singapore. International Journal of Nursing Practice, 22(6), 574–583. https://doi.org/10.1111/ijn.12473
- Ülker T, Korkmaz F. (2022). Nursing students’ self assessment of professional competence scale’ validity and reliability: Methodological study. Turkiye Klinikleri Journal of Nursing Sciences, 14(3), 788-797.
- Wang AH, Lee CT, Espin S. (2019). Undergraduate nursing students' experiences of anxiety-producing situations in clinical practicums: A descriptive survey study. Nurse Education Today, 76, 103–108. https://doi.org/10.1016/j.nedt.2019.01.016
Hemşirelik Öğrencilerinin Klinik Uygulamalara Yönelik Mesleki Yetkinlikleri ile Klinik Stresör Algıları Arasındaki İlişki
Year 2024,
Volume: 7 Issue: 3, 797 - 806
Merve Aydın
,
Ceyda Uzun Şahin
,
Enes Furkan Aksu
,
Mehmet Görgöz
Abstract
Amaç: Bu çalışma, Hemşirelik öğrencilerinin klinik uygulamalara yönelik mesleki yetkinlikleri ile klinik stresör algıları arasındaki ilişkiyi belirlemek amacıyla planlanmıştır.
Yöntem: Araştırma, kesitsel ve ilişki arayıcı desende Kasım-Aralık 2022 tarihleri arasında yapılmıştır. Örneklemde 737 hemşirelik öğrencisi bulunmaktadır.
Bulgular: Hemşirelik Öğrencilerinin Yetkinlik Ölçeği puanı 251.93±33.74, Hemşirelik Öğrencilerinin Klinik Stresör Algıları Ölçeği puanı 85.43±17.52’dir. Öğrencilerin yetkinlik ve klinik stresör algıları puanı, ölçeklerden alınabilecek en düşük ve en yüksek puanın ortalamasına göre orta düzeyin üzerindedir. Araştırmaya katılan öğrencilerin Yetkinlik Ölçeği puanları ile Klinik Stresör Algıları Ölçeği arasında negatif yönde zayıf düzeyde istatistiksel olarak anlamlı bir ilişki olduğu bulundu.
Sonuç: Hemşirelik öğrencilerinin klinik stresör algıları arttıkça mesleki yetkinlikleri azalmaktadır.
References
- Admi H, Moshe-Eilon Y, Sharon D, Mann M. (2018). Nursing students' stress and satisfaction in clinical practice along different stages: A cross-sectional study. Nurse Education Today, 68, 86–92.
https://doi.org/10.1016/j.nedt.2018.05.027
- Akansel N, Watson R, Palloş A. (2021). Validity and reliability of the Turkish version of Stressors in Nursing Students Scale. Perspectives in Psychiatric Care, 1–7. https://doi.org/10.1111/ppc.12936
- Al Gharibi KA, Arulappan, (2020). Repeated simulation experience on self-confidence, critical thinking, and competence of nurses and nursing students—An integrative review. SAGE open nursing, 6, 2377960820927377. https://doi.org/10.1177/ 237796 0820927377
- Almalkawi I, Jester R, Terry L. (2018). Exploring mentors' interpretation of terminology and levels of competence when assessing nursing students: An integrative review. Nurse Education Today, 69, 95–103. https://doi.org/10.1016/j.nedt.2018.07.003
- Altıok HÖ, Üstün B. (2013). The stress sources of nursing students. Educational Sciences in Theory and Practice, 13(2), 747-766.
- Aydın M, Kaşıkçı M. (2019). Patients’ perceptions of nursing care. Turkish Journal of Research & Development in Nursing 21(3), 14–24.
- Aydın M, Erdöl H, Görgöz M, Aksu EF. (2022). Turkish validity and reliability study of "Nursing Students' perceptions of Clinical Stressors Scale". Nurse Education in Practice, 64, 103440. https://doi.org/ 10.1016 /j.nepr.2022.103440
- Bazrafkan I, Kalyani MN. (2018). Nursing students’ experiences of clinical education: A qualitative study. Investigacion Educacion En Enfermeria, 36(2):e04. https://doi.org/10.17533/udea.iee.v36n3a0
- Bhurtun HD, Azimirad M, Saaranen T, Turunen H. (2019). Stress and coping among nursing students during clinical training: An integrative review. The Journal of Nursing Education, 58(5), 266–272. https://doi.org/10.3928/01484834-20190422-04
- Chan ZC, Chan YT, Lui CW, Yu HZ, Law YF, Cheung KL, Hung KK, Kei SH, Yu KH, Woo WM, Lam CT. (2014). Gender differences in the academic and clinical performances of undergraduate nursing students: A systematic review. Nurse Education Today, 34(3), 377–388. https://doi.org/10.1016/ j.nedt.2013.06.011
- Cornine A. (2020). Reducing nursing student anxiety in the clinical setting: An integrative review. Nursing Education Perspectives, 41(4), 229-234.
- Fırat Kılıç H. (2018). The relationship between nursing students’ educational stress and professional self-esteem. Journal of Hacettepe University Faculty of Nursing, 5 (1), 49-59.
- George TP, DeCristofaro C, Murphy PF. (2020). Self-efficacy and concerns of nursing students regarding clinical experiences. Nurse Education Today, 90, 104401. Advance online publication. https://doi.org/10.1016/j.nedt.2020.104401
- Graham MM, Lindo J, Bryan VD, Weaver S. (2016). Factors associated with stress among second year student nurses during clinical training in Jamaica. Journal of professional nursing: official journal of the American Association of Colleges of Nursing, 32(5), 383–391. https://doi.org/10.1016/j.profnurs.2016.01. 004
- Guerrero JG, Ali SAA, Attallah DM. (2022). The acquired critical thinking skills, satisfaction, and self-confidence of nursing students and staff nurses through high-fidelity simulation experience. Clinical Simulation in Nursing, 64, 24-30.
Gürdoğan EP, Aksoy B, Kınıcı E. (2018). Ethical awareness of nursing students, and their relationship with professional values. Journal of Health and Nursing Management, 5(3), 147-154.
- Helminen K, Johnson M, Isoaho H, Turunen H, Tossavainen K. (2017). Final assessment of nursing students in clinical practice: perspectives of nursing teachers, students and mentors. Journal of Clinic Nursing, 26 (23–24), 4795–4803. http://doi.org/10. 1111/jocn.13835
Hsu LL, Hsieh SI. (2013). Development and psychometric evaluation of the competency inventory for nursing students: A learning outcome perspective. Nurse Education Today, 33(5), 492-497.
- Immonen K, Oikarainen A, Tomietto M, Kääriäinen M, Tuomikoski AM, Kaučič B. M, Mikkonen K. (2019). Assessment of nursing students' competence in clinical practice: A systematic review of reviews. International Journal of Nursing Studies, 100, 103414.
- Ismaile S. (2017). Perceived clinical stressors among Saudi nursing students. Open Journal of Nursing, 7(04), 463.
- Kajander-Unkuri S, Meretoja R, Katajisto J, Saarikoski M, Salminen L, Suhonen R, et al. (2014). Self-assessed level of competence of graduating nursing students and factors related to it. Nurse Education Today, 34 (5), 795–801.
- Kırca N, Bademli K, Özgönül ML. (2020). Determining student nurses' the inclination to ethical values scale. Journal of Anatolia Nursing and Health Sciences, 23(3), 410-417.
- Labrague LJ, McEnroe-Petitte DM, Papathanasiou IV, Edet OB, Tsaras K, Leocadio MC, Colet P, Kleisiaris CF, Fradelos EC, Rosales RA, Vera Santos-Lucas K, Velacaria PIT. (2018). Stress and coping strategies among nursing students: an international study. Journal of Mental Health (Abingdon, England), 27(5), 402–408. https://doi.org/10.1080/09638237.2017. 1417552
- Llego J, Gabriel E, Corpus J. (2018). A correlational study on the stress level and academic performance of nursing students. Journal of Basic and Applied Research, 4(4), 83-87. https://ssrn.com/abstract=330 6863
- Oducado RMF, Sotelo M, Ramirez LM, Habaña M, Belo-Delariarte RG. (2020). English language proficiency and its relationship with academic performance and the nurse licensure examination. Nurse Media Journal of Nursing, 10(1), 46-56. https://doi.org/10.14710/ nmjn.v10i1.28564
- Oermann MH. (2018). Chapter 12: assessment methods. In: Oermann, M.H., De Gagne, J.C., Phillips, B.C. (Eds.), Teaching in Nursing and Role of the Educator: The Complete Guide to Best Practice in Teaching, Evaluation and Curriculum Development, 2nd ed.. Springer Publishing Company, New York.
- Özdemir H, Khorshıdb L, Zaybak A. (2020). Determination of nursing students’ stress level toward nursing education. Turkish Journal of Science and Health, 1(2) 20-28.
- Rafati F, Rafati S, Khoshnood Z. (2020). Perceived stress among Iranian nursing students in a clinical learning environment: A cross-sectional study. Advances in Medical Education and Practice, 11, 485–491. https://doi.org/10.2147/AMEP.S259557
- Rafati F, Sharif Nia H, Khoshnood Z, Allen KA. (2021). Development and psychometric testing of nursing students’ perceptions of clinical stressors scale: an instrument design study. BMC Psychiatry, 21(1), 1. https://doi.org/10.1186/s12888-020-02964-8
- Sharifipour F, Heydarpour S, Salari N. (2020). Nursing and midwifery students' viewpoints of clinical learning environment: A cross-sectional study. Advances in Medical Education And Practice, 11, 447–454. https://doi.org/10.2147/AMEP.S253782
- Simpson G, Sawatzky VJA. (2020). Clinical placement anxiety in undergraduate nursing students: A concept analysis. Nurse Education Tuday, 87, 104329. https://doi.org/10.1016/j.nedt.2019.104329
- Siraj H, Salam A, Roslan R, Hasan N, Jin T, Othman M. (2014). Stress and its association with the academic performance of undergraduate fourth year medical students at University Kebangsaan Malaysia. The International Journal of Malaysia, 13(1), 19-24.
- Suen WQ, Lim S, Wang W, Kowitlawakul Y. (2016). Stressors, and expectations of undergraduate nursing students during clinical practice in Singapore. International Journal of Nursing Practice, 22(6), 574–583. https://doi.org/10.1111/ijn.12473
- Ülker T, Korkmaz F. (2022). Nursing students’ self assessment of professional competence scale’ validity and reliability: Methodological study. Turkiye Klinikleri Journal of Nursing Sciences, 14(3), 788-797.
- Wang AH, Lee CT, Espin S. (2019). Undergraduate nursing students' experiences of anxiety-producing situations in clinical practicums: A descriptive survey study. Nurse Education Today, 76, 103–108. https://doi.org/10.1016/j.nedt.2019.01.016