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The relationship among academic achievement, clinical competence, and confidence in clinical performance of nursing students

간호학생의 학업성취도와 임상수행능력 및 임상수행자신감의 관련성

  • Received : 2020.12.24
  • Accepted : 2021.02.10
  • Published : 2021.02.28

Abstract

Purpose: The purpose of this study was to determine relationships between academic achievement, clinical competence, and confidence in the clinical performance of nursing students, and to identify factors that influence them. Methods: This was a descriptive correlation study. Data were collected from 118 nursing students at a nursing college in Seoul. One-way variance analysis, Pearson's correlation coefficient, and multiple linear regression analysis were used to examine relationships between academic achievement, clinical competence, and confidence in clinical performance. Results: Clinical competence was related to academic achievement in students' previous semester and to students' academic scores in a fundamental of nursing course. Clinical competence showed a weak positive correlation with academic achievement in students' previous semester and academic scores in a fundamental of nursing course in both evaluations by the professor and students' self-evaluations. However, confidence in clinical performance had no significant correlation with academic achievement. The factor affecting the clinical competence was academic scores in a fundamental of nursing course, and factors affecting confidence in clinical performance were health status, personality, major suitability, and class satisfaction in a fundamental of nursing skills course. Conclusion: These findings indicate that students with high academic achievement have better clinical performance, but confidence in clinical performance is not related to academic achievement.

Keywords

References

  1. Kim JA, Chu MS, Kwon KJ, Seo HK, Lee SN. Core competencies for new nurses. Journal of Korean Clinical Nursing Research. 2017;23(1):40-53. https://doi.org/10.22650/JKCNR.2017.23.1.40
  2. Lee SY, Oh EJ, Sung KM. The experiences of turnover intention in early stage nurses. Journal of East-West Nursing Research. 2013;19(2):168-176. https://doi.org/10.14370/jewnr.2013.19.2.168
  3. Cha BK, Choi J. A comparative study on perception of patient safety culture and safety care activities: Comparing university hospital nurses and small hospital nurses. Journal of Korean Academy of Nursing Administration. 2015; 21(4):405-416. https://doi.org/10.11111/jkana.2015.21.4.405
  4. Han JY, Park HS. Effects of teaching effectiveness and clinical learning environment on clinical practice competency in nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(3):365-372.
  5. Jang HJ, Kwag YK. Affecting factors on clinical competence of nursing students. Journal of the Korea Academia-Industrial Cooperation Society. 2013;14(9):4380-4387. https://doi.org/10.5762/kais.2013.14.9.4380
  6. Lee EK, Park JA. Ego-resilience and the clinical competence of nursing students. Journal of Korean Public Health Nursing. 2013;27(2):293-303. https://doi.org/10.5932/jkphn.2013.27.2.293
  7. Park JS, Choi MJ, Jang SY. The effects of preclinical clinical performance examination on nursing students' confidence in nursing skills and critical thinking competence. The Journal of Korean Academic Society of Nursing Education. 2015;21(1):75-85. https://doi.org/10.5977/jkasne.2015.21.1.75
  8. Park SN, Lee SK. Factors influencing basic nursing skill competency in nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2008;15(1):6-13.
  9. Kim MG. Core basic nursing competence, clinical nursing competence, and self-efficacy among final year nursing students. Journal of Seoul Women's College of Nursing. 2016;29:13-22.
  10. Lee I, Park CS. Factors influencing confidence in performance competence of core basic nursing skills by nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2015;22(3):297-307. https://doi.org/10.7739/jkafn.2015.22.3.297
  11. Park HJ. Relationship among authentic leadership, self-efficacy, competency of new hospital nurse [master's thesis]. Seoul: Yonsei University; 2015. p. 1-60.
  12. Kim SO, Kang BH. The influence of nursing students' learning experience, recognition of importance and learning self-efficacy for core fundamental nursing skills on their self-confidence. Journal of the Korea Academia-Industrial Cooperation Society. 2016;17(8):172-182. https://doi.org/10.5762/kais.2016.17.8.172
  13. Park SY, Kweon YR. The effect of using standardized patients in psychiatric nursing practical training for nursing college students. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2012;21(1):79-88. https://doi.org/10.12934/jkpmhn.2012.21.1.79
  14. Bang SS, Kim IO. Relationship among essentials of fundamental nursing skills performance, stress from work and work capability of new clinical nurses. The Journal of Korean Academic Society of Nursing Education. 2014; 20(4):628-638. https://doi.org/10.5977/jkasne.2014.20.4.628
  15. Kang KJ, Kim EM, Ryu SA. Factors influencing clinical competence for general hospital nurses. The Journal of the Korea Contents Association. 2011;11(1):284-293. https://doi.org/10.5392/jkca.2011.11.1.284
  16. Baartman LKJ, de Bruijn E. Integrating knowledge, skills and attitudes: Conceptualising learning processes towards vocational competence. Educational Research Review. 2011;6(2):125-134. https://doi.org/10.1016/j.edurev.2011.03.001
  17. Yoho RM, Tallerico V, Vardaxis V. Relationship between student academic and clinical performance in podiatric medical education at Des Moines University. Journal of the American Podiatric Medical Association. 2012;102(4): 314-318. https://doi.org/10.7547/1020314
  18. Yoho RM, Vardaxis V, Millonig K. Relationship between academic performance and student self-assessment of clinical performance in the college of podiatric medicine and surgery. Journal of the American Podiatric Medical Association. 2016;106(3):214-217. https://doi.org/10.7547/14-166
  19. Do ES, Seo YS. Factors influencing clinical competence in nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2014;21(3):283-291. https://doi.org/10.7739/jkafn.2014.21.3.283
  20. Blackman I, Hall M, Darmawan IGN. Undergraduate nurse variables that predict academic achievement and clinical competence in nursing. International Education Journal. 2007;8(2):222-236.
  21. Montz R. Finding correlations among academic performance, demographic influences & clinical competency utilizing predictive variables in an Associate Degree Nursing program. Beaumont: Lamar University; 2018. p. 1-216.
  22. Kim MG, Kim HW. Comparison of self-confidence in performance and achievement of core basic nursing skills among graduation year nursing college students who were at the year of nursing education certification assessment or 1 year later. Journal of Seoul Women's College of Nursing 2018;31:19-28.
  23. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, New Jersey: Lawrence Erlbaum Associates; 1988. p. 407-414
  24. International Council of Nurses. An implementation model for the ICN framework of competencies for the generalist nurse. Geneva: International Council of Nurses; 2003. p. 1-30.
  25. Kim MG, Lee HS. Effects of core basic nursing education using cellular phone video recordings on self-confidence in performance, achievement, and practice satisfaction. Journal of Korean Academy of Fundamentals of Nursing. 2017; 24(2):128-137. https://doi.org/10.7739/jkafn.2017.24.2.128
  26. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1977;84(2):191-215. https://doi.org/10.1037/0033-295X.84.2.191
  27. Jafari H, Aghaei A, Khatony A. Relationship between study habits and academic achievement in students of medical sciences in Kermanshah-Iran. Advances in Medical Education and Practice. 2019;10:637-643. https://doi.org/10.2147/AMEP.S208874
  28. Corfield P. Hobbling around with the burden of easily forgotten information. Times Higher Education. 2008 September 25:24-25.
  29. Shin KA, Cho BH. Professional self-concept, critical thinking disposition and clinical competence in nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2012;19(1):46-56. https://doi.org/10.7739/jkafn.2012.19.1.046
  30. Kim SH, Choi JY, Kweon YR. Correlations among learning self-efficacy, confidence in performance, perception of importance and transfer intention for core basic nursing skill in nursing students at a nursing university. The Journal of the Korea Contents Association. 2017;17(9):661-671. https://doi.org/10.5392/JKCA.2017.17.09.661