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Clinical Self-Efficacy in Senior Nursing Students: A Mixed- Methods Study.
Marzieh Abdal1, Negin Masoudi Alavi1, Mohsen Adib-Hajbaghery1
1Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, IR Iran.
Senior nursing students demonstrated moderate clinical self-efficacy. Factors like the clinical environment, nursing colleagues, and educators significantly influence student self-efficacy development.
Area of Science:
- Nursing Education
- Clinical Psychology
Background:
- Clinical education is crucial for nursing students' professional independence.
- Effective clinical training fosters clinical self-efficacy in senior nursing students.
Purpose of the Study:
- To assess the level of clinical self-efficacy among senior nursing students.
- To explore senior nursing students' perceptions of clinical self-efficacy.
Main Methods:
- A mixed-methods approach combining quantitative (cross-sectional survey) and qualitative (semi-structured interviews) research.
- Utilized the Nursing Clinical Self-Efficacy Scale (NCSES) with 58 senior nursing students.
- Conducted qualitative content analysis of interviews with 14 senior nursing students.
Main Results:
- Quantitative analysis revealed a moderate mean self-efficacy score (219.28 ± 35.8) among students, with variations across different skills.
- Qualitative analysis identified three main themes: factors influencing self-efficacy, outcomes of self-efficacy, and strategies for improvement.
- 355 open codes were categorized into 12 themes from student interviews.
Conclusions:
- Senior nursing students generally exhibit moderate levels of clinical self-efficacy.
- The clinical learning environment, peer interactions, and guidance from clinical educators are key determinants of self-efficacy.
- Understanding these factors can inform strategies to enhance nursing students' confidence and competence.
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