The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
권호 표지
DOI QR코드

DOI QR Code

Development and psychometric evaluation of Clinical Practice Self-Efficacy Scale for nursing students

간호대학생을 위한 임상수행 자기효능감 척도 개발 및 타당도, 신뢰도 검증

  • Received : 2022.02.25
  • Accepted : 2022.05.06
  • Published : 2022.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The COVID-19 pandemic has increased the importance of nurses' clinical performance, and accordingly, nursing educators have emphasized students' clinical practice and performance. This study developed a Clinical Practice Self-Efficacy Scale for nursing students and examined its psychometric properties. Methods: The authors reviewed instruments for selecting items for the scale in the areas of clinical skills, communication, infection control, safety, and nursing process. After preliminary items were selected, ten experts consisting of nursing professors and clinical nurses reviewed the items considering Korean clinical and educational situations. The data for the psychometric evaluation was collected from 257 nursing students in their 2nd, 3rd, and 4th years and then analyzed. Results: The confirmatory factor analysis showed that the goodness of fit of this scale with five factors represented by 40 items was appropriate. The significant positive correlations with general self-efficacy indicated sound construct validity. The senior nursing students showed higher scores than others, as we expected. Cronbach's alpha was .94. Conclusion: The Clinical Practice Self-Efficacy Scale is appropriate for measuring Korean nursing students' self-efficacy of clinical practice. It is expected to act as a good tool to measure the effects of clinical practice education.

Keywords

References

  1. Lee OS, Gu MO. The relationship between emotional intelligence and communication skill, clinical competence & clinical practice stress in nursing students. Journal of the Korea Academia-Industrial Cooperation Society. 2013;14(6):2749-2759. http://doi.org/10.5762/KAIS.2013.14.6.2749
  2. American Nurses Association. ANA Leadership institute: competency model [internet]. Silver Spring, MD: American Nurses Association; 2013 [cited 2021 December 10]. Available from: http://www.ana-leadershipinstitute.org/Doc-Vault/About-Us/ANA-Leadership-Institute-Competency-Model-pdf.pdf
  3. Alexander MF, Runciman PJ, International Council of Nurses. ICN framework of competencies for the generalist nurse: Report of the development process and consultation. Geneva: International Council of Nurse; 2003. p. 1-51.
  4. Ion R, Craswell A, Hughes L, Johnston A, Kilbride L, Hubbard-Murdoch N, et al. International nurse education leaders' experiences of responding to the COVID-19 pandemic: A qualitative study. Journal of Advanced Nursing. 2021;77(9):3797-3805. https://doi.org/10.1111/jan.14892
  5. Korean Accreditation Board of Nursing Education. Handbook of the nursing education accreditation; Bachelor of nursing degree. Seoul: Korea Accreditation Board of Nursing Education; 2019. p. 20-62.
  6. Croxon L, Maginnis C. Evaluation of clinical teaching models for nursing practice. Nurse Education in Practice. 2009;9(4):236-243. https://doi.org/10.1016/j.nepr.2008.06.004
  7. Kang HL, Lee YR. The experiences of human body anatomy observations using the cadaver model in the nursing students. Journal of Digital Convergence. 2017;15(4):233-242. https://doi.org/10.14400/JDC.2017.15.4.233
  8. Bandura A. Regulation of cognitive processes through perceived self-efficacy. Developmental Psychology. 1989;25(5):729-735. https://doi.org/10.1037/0012-1649.25.5.729
  9. Chun YE, Hwang HY. A study on the influence of caring character on satisfaction of clinical practice and self-efficacy of clinical practice in nursing students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2020;10(1):43-54.
  10. Harvey V, McMurray N. Self-efficacy: A means of identifying problems in nursing education and career progress. International Journal of Nursing Studies. 1994;31(5):471-485. https://doi.org/10.1016/0020-7489(94)90017-5
  11. Cheraghi F, Hassani P, Yaghmaei F, Alavi-Majed H. Developing a valid and reliable self-efficacy in clinical performance scale. International Nursing Review. 2009;56(2):214-221. https://doi.org/10.1111/j.1466-7657.2008.00685.x
  12. Parker LE. When to fix it and when to leave: Relationships among perceived control, self-efficacy, dissent, and exit. Journal of Applied Psychology. 1993;78(6):949-959. https://doi.org/10.1037/0021-9010.78.6.949
  13. Ahn EK. A model for clinical nurses' self-efficacy and work performance [dissertation]. Daejeon: Chungnam National University; 2000. p. 1-147.
  14. Shin MJ, Chun YE. A study on relationships among resilience, clinical performance ability and self-efficacy of clinical practice of nursing students. Journal of Learner-Centered Curriculum and Instruction. 2017;17(7):281-304. http://doi.org/10.22251/jlcci.2017.17.7.281
  15. Schwirian PM. Evaluating the performance of nurses: A multidimensional approach. Nursing Research. 1978;27(6):347-351. https://doi.org/10.1097/00006199-197811000-00004
  16. Lee WH, Kim CJ, Yoo JS, Hur HK, Kim KS, Lim SM. Development of a clinical competency measurement tool for student. Yonsei Nursing. 1990;13(1):17-29.
  17. Park KO, Ahn YM, Kang NR, Lee MJ, Sohn M. Psychometric evaluation of a six dimension scale of nursing performance and student nurse stress index using an objective structured clinical examination - Modules for asthma and type 1 diabetes. Child Health Nursing Research. 2013;19(2):85-93. https://doi.org/10.4094/chnr.2013.19.2.85
  18. Charette M, McKenna LG, Maheu-Cadotte MA, Deschenes MF, Ha L, Merisier S. Measurement properties of scales assessing new graduate nurses' clinical competence: A systematic review of psychometric properties. International Journal of Nursing Studies. 2020;110:103734. https://doi.org/10.1016/j.ijnurstu.2020.103734
  19. Oetker-Black SL, Kreye J, Underwood S, Price A, Demetro N. Psychometric evaluation of the clinical skills self-efficacy scale. Nursing Education Perspectives. 2014;35(4):253-256. https://doi.org/10.5480/11-739.1
  20. Abdal M, Masoudi Alavi N, Adib-Hajbaghery M. Clinical self-efficacy in senior nursing students: A mixed- methods study. Nursing and Midwifery Studies. 2015;4(3):e29143. https://doi.org/10.17795/nmsjournal29143
  21. Lam SC. Validation and cross-cultural pilot testing of compliance with standard precautions scale: Self-administered instrument for clinical nurses. Infection Control and Hospital Epidemiology. 2014;35(5):547-555. https://doi.org/10.1086/675835
  22. Lim JH, Ahn JW, Son YJ. Association between hospital nurses' perception of patient safety management and standard precaution adherence: A cross-sectional study. International Journal of Environmental Research and Public Health. 2019;16(23):4744. https://doi.org/10.3390/ijerph16234744
  23. Lee NJ, An JY, Song TM, Jang HN, Park SY. Psychometric evaluation of a patient safety competency self-evaluation tool for nursing students. Journal of Nursing Education. 2014;53(10):550-562. https://doi.org/10.3928/01484834-20140922-01
  24. Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. 10th ed. Philadelphia: Lippincott Williams & Wilkins; 2017. p. 1-784.
  25. Song TM, Kim GS. Structural equation modeling for health & welfare research. Seoul: Hannarea Publishing Company; 2012. p. 1-621.
  26. Song YA. Development and validation of the general self efficacy scale [master's thesis]. Seoul: Ewha Womans University; 2010. p. 1-54.
  27. Rotter JB. Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs: General and Applied. 1966;80(1):1-28. https://doi.org/10.1037/h0092976
  28. Cha JH, Kong CJ, Kim CS. Report on construction of an internal-external control scale. Research Notes. 1973;2(19):263-271.
  29. Yu JP. The concept and understanding of structural equation modelling. Seoul: Hannarae Publishing Company; 2012. p. 1-568.
  30. Bae BR. Structural equation modeling with Amos 24. Seoul: Chenngram Books; 2017. p. 76-309.
  31. Kim YS, Oh JW. A study on the competence of drug safety of nursing college students before graduate. The Journal of Humanities and Social Science. 2021;12(2):93-105. http://doi.org/10.22143/HSS21.12.2.8
  32. Kang MS, Jang YS, Song UR. Factors affecting the patient safety management activity of nursing students: A quantile regression approach. Journal of Korean Academy of Nursing Administration. 2020;26(3):230-240. https://doi.org/10.11111/jkana.2020.26.3.230
  33. 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
  34. Kim HY, Ma HH, Lee MJ. Effects of simulation-based practice and clinical practice for critical thinking disposition and nursing process confidence. Journal of Digital Convergence. 2021;19(6):399-408. https://doi.org/10.14400/JDC.2021.19.6.399