Related Experiment Video
Updated: Mar 10, 2026

Problem-Solving Before Instruction PS-I: A Protocol for Assessment and Intervention in Students with Different Abilities
Published on: September 11, 2021
A structural equation model on the attributes of a skills enhancement program affecting clinical competence of
Ma Carina D R Rebueno1, Dyan Dee D Tiongco1, John Rey B Macindo1
1College of Nursing, University of Santo Tomas, España Boulevard, Manila 1015, Philippines.
Background:
Clinical competence remains an issue in nursing and has received greater emphasis than academic competence. Although skill enhancement programs are recommended and beneficial, there is limited evidence on its influence on the clinical competence of pre-graduate nursing students.
Objective:
This study explored the attributes of a skills enhancement program that affect the perceived clinical competence of pre-graduate nursing students.
Design And Setting:
A cross-sectional study was conducted in a private higher education institution in the Philippines from April to May 2016.
Participant And Methods:
A total of 245 pre-graduate nursing students participated and completed a three-part survey composed of the respondent's robotfoto, the Skills Enhancement Program Questionnaire, and the Clinical Competence Questionnaire. Factor analysis explicated the attributes of the skills enhancement program while structural equation modeling and path analysis analyzed the variables' relationship.
Results:
Findings showed that a skills enhancement program has 4 attributes: supportive clinical instructor, comprehensive orientation, formative goals and objectives, and conducive learning environment. Although all attributes of the program positively affected clinical competence, a supportive clinical instructor had the strongest influence on all clinical competency dimensions.
Conclusion:
A skills enhancement program that has a supportive clinical instructor, comprehensive orientation, formative goals and objectives, and conducive learning environment facilitates clinical competency development among pre-graduate nursing students. This knowledge provides momentum for nursing educators to review and refine their skills and the existing design of their skills enhancement program to further develop clinical competency among pre-graduate nursing students.
Related Concept Videos
The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.
Nursing Evaluation
Patient-centered Care
Factors Influencing Attraction V: Social Skills
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
Critical Thinking I

