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Effectiveness of a multidimensional competency-based training program for enhancing clinical competence in novice
Sue-Hsien Chen1, Shu-Ching Chen2, Yo-Ping Lai3
1Chang Gung Medical Education Research Centre, CG-MERC, Gueishan, Taoyuan, Taiwan; Department of Nursing Management, Chang Gung Medical Foundation Administration, Taiwan; School of Nursing, Chang Gung University, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
Nurse Education Today
|July 31, 2026
Summary
A new multidimensional competency-based education program significantly improved novice nurses' clinical competence, confidence, and passion. This tailored training approach is essential for preparing new nurses for clinical challenges and enhancing retention.
Area of Science:
- Nursing Education
- Healthcare Professional Development
- Competency-Based Education
Background:
- Novice nurses face challenges transitioning to practice, leading to stress and turnover.
- Nurse residency programs and Competency-Based Education (CBE) are vital for skill enhancement and retention.
- CBE's focus on patient-centered care, critical thinking, and accountability, along with multidimensional training, fosters effective mentorship and collaboration.
Purpose of the Study:
- To develop and evaluate a multidimensional competency-based approach for novice nurses.
- To enhance skill development and competency acquisition through individualized practice, feedback, and preceptor interactions.
- To assess the impact on clinical competence, professional confidence, and passion for nursing.
Main Methods:
- A mixed-methods approach combining qualitative descriptive analysis and quantitative assessment.
- Qualitative data from facilitated group discussions informed the design of a six-month tailored training program.
- The program included interactive sessions, simulation, hands-on practice, and reflective exercises, with pre- and post-intervention quantitative assessments.
Main Results:
- Significant improvements were observed in professional competence, confidence, passion for nursing, and perceived healthcare team support (p < 0.05).
- Simulation-based learning and structured team support enhanced confidence, clinical capability, and engagement.
- A 100% retention rate was achieved among program completers at one-year follow-up.
Conclusions:
- The multidimensional competency-based education program effectively improved novice nurses' clinical competency, professional confidence, and passion.
- Tailored, multidimensional training is crucial for equipping novice nurses to manage clinical challenges and build resilience.
- This approach significantly enhances skill acquisition and professional satisfaction, contributing to improved nurse retention.
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