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Development and evaluation of a stepwise clinical competency development program for new nurses: A single-group
1Department of Nursing, Sunchon National University, Suncheon-si, Jeollanam-do, Republic of Korea.
Plos One
|February 9, 2026
Summary
A structured clinical competency development program (SCCDP) significantly improved new nurses' knowledge and clinical skills. These gains were sustained over six months, aiding adaptation and retention in practice.
Area of Science:
- Nursing Education
- Clinical Competency Development
- Healthcare Professional Training
Background:
- New nurses face adaptation challenges due to clinical knowledge and skill gaps, impacting patient safety and retention.
- Existing orientation and preceptorship programs lack consistency and longitudinal evaluation.
- Effective training is crucial for supporting new nurses' clinical adaptation.
Purpose of the Study:
- To develop a structured, stepwise clinical competency development program (SCCDP) for newly graduated nurses.
- To evaluate the effectiveness of the SCCDP on new nurses' clinical adaptation.
- To assess the longitudinal impact of the SCCDP on knowledge, performance, and self-efficacy.
Main Methods:
- A single-group, repeated-measures quasi-experimental design was used.
- 49 new nurses participated in the SCCDP, involving lectures, practice, and expert-validated simulations.
- Outcomes (basic/advanced clinical knowledge, clinical performance, self-efficacy) were measured at baseline, immediately post-intervention, and at 3 and 6 months.
Main Results:
- The SCCDP significantly improved basic and advanced clinical knowledge, with sustained effects at 3 and 6 months.
- Clinical performance ability showed notable gains at 3 and 6 months, particularly in interpersonal and communication skills.
- Self-efficacy did not show a significant change over the study period.
Conclusions:
- The SCCDP effectively enhanced new nurses' clinical knowledge and performance with lasting benefits.
- Structured, competency-based education is recommended to improve new nurse adaptation and retention.
- The SCCDP provides a valuable model for supporting the transition of new nurses into hospital settings.
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