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Examining Perceptions of Clinical Competence of Undergraduate Nursing Students During the Era of Social Distancing

Victoria Foster *, Elicia S. Collins **, Dianne E. Nelson***, Rebecca Morgan****, Comfort N. Obi*****, Sue Gronka******, Jennie Bergen*******, Shereda Taylor-Shaw********, Angela Hollis*********, Martricia Turner**********, Samina Damani***********, Annette Crew-Gooden************, Crystal Marchant*************

*-************* Clayton State University Georgia.

Periodicity:August - October'2021
DOI : https://doi.org/10.26634/jnur.11.3.17837

Abstract

In the year 2020, COVID-19 caused dramatic changes in nursing education. Traditional educational methods were rapidly replaced with distance learning and virtual simulation. This study examined the impact of these changes on undergraduate education and students' perceptions of clinical competence, along with use of virtual simulation in light of social distancing. The study design was cross-sectional and comparative. Data were obtained from undergraduate nursing students at a public university in the Southeast who have completed the Clinical Competence Questionnaire (CCQ) and the Simulation Effectiveness Tool-Modified (SET). Data were analyzed with SPSS® Version 26. The SET was completed by 57 students with a mean of 2.31 (SD 0.47) and CCQ mean of 4.4 (SD 0.35). Scores were higher for senior-level students and for those who experienced some traditional learning. Scores on the SET and CCQ were positively correlated. Findings revealed that the students perceived a sense of clinical competence through virtual simulation.

Keywords

Undergraduate Nursing Students, Clinical Competence, Virtual Simulation, Social Distancing.

How to Cite this Article?

Foster, V., Collins, E. S., Nelson, D. E., Morgan, R., Obi, C. N., Gronka, S., Bergen, J., Taylor-Shaw, S., Hollis, A., Turner, M., Damani, S., Crew-Gooden, A., and Marchant, C. (2021). Examining Perceptions of Clinical Competence of Undergraduate Nursing Students During the Era of Social Distancing. i-manager's Journal on Nursing, 11(3), 10-20. https://doi.org/10.26634/jnur.11.3.17837

References

[1]. Axley L. (2008). Competence: A concept analysis. Nursing Forum, 43(4) 214–222.

[2]. Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215.

[3]. Bensfield, L. A., Olech, M. J., & Horsley, T. L. (2012). Simulation for high-stakes evaluation in nursing. Nurse Educator, 37(2), 71-74.

[4]. Centers for Disease Control and Prevention. (2017). Adverse drug events in adults. Medication Safety Program, Atlanta, Georgia.

[5]. Grady, D. J. (2017). A critical review of the application of Kolb's experiential learning theory applied through the use of computerbasedsimulations within virtual environments 2000-2016(Unpublisheddoctoraldissertation). State University of New York at Albany.

[6]. Hayden, J. K., Smiley, R. A., Alexander, M., KardongEdgren, S., & Jeffries, P. R. (2014). The NCSBN national simulation study: A longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education. Journal of Nursing Regulation, 5(2), S3-S40.

[7]. Hickerson, K. A., Taylor, L. A., & Terhaar, M. F. (2016). The preparation–practice gap: An integrative literature review. The Journal of Continuing Education in Nursing, 47(1), 17-23.

[8]. Immonen, K., Oikarainen, A., Tomietto, M., Kääriäinen, M., Tuomikoski, A. M., Kaučič, B. M., ... & Mikkonen, K. (2019). Assessment of nursing students' competence in clinical practice: a systematic review of reviews. International Journal of Nursing Studies, 100, 1-13.

[9]. International Council of Nurses (2012). The ICN Code of Ethics for Nurses.

[10]. Ironside, P. M., Jeffries, P. R., & Martin, A. (2009). Fostering patient safety competencies using multiplepatient simulation experiences. Nursing Outlook, 57(6), 332-337.

[11]. Kiernan, L. C. (2018). Evaluating competence and confidence using simulation technology. Nursing, 48(10), 45-52.

[12]. Kolb, D. A. (1984). Experiential learning: Experience as the Source of Learning and Development (Vol. 1). Englewood Cliffs, NJ: Prentice-Hall.

[13]. Lioce, L. (2020). Healthcare Simulation Dictionary (2nd Ed.). Agency for Healthcare Research and Quality, Rockville, MD.

[14]. Leighton, K., Ravert, P., Mudra, V., & Macintosh, C. (2015). Updating the simulation effectiveness tool: Item modifications and reevaluation of psychometric properties. Nursing Education Perspectives, 36(5), 317-323.

[15]. Lejonqvist, G. B., Eriksson, K., & Meretoja, R. (2016). Evidence of clinical competence by simulation, a hermeneutical observational study. Nurse Education Today, 38, 88-92.

[16]. Liou, S. R., & Cheng, C. Y. (2014). Developing and validating the Clinical Competence Questionnaire: A selfassessment instrument for upcomingbaccalaureate nursing graduates. Journal of Nursing Education and Practice, 4(2), 56-66.

[17]. MacIntyre, R. C., Murray, T. A., Teel, C. S., & Karshmer, J. F. (2009). Five recommendations for prelicensure clinical nursing education. Journal of Nursing Education, 48(8), 447-453.

[18]. May, B., Edell, V., Butell, S., Doughty, J., & Langford, C., (1999). Critical thinking and clinical competence: A study of their relationship in BSN seniors. Journal of Nursing Education, 38(3), 100-110.

[19]. Mezirow, J. (1991).Transformative Dimensions of Adult Learning. Jossey-Bass, San Francisco, CA.

[20]. Mohamadirizi, S., Kohan, S., Shafei, F., & Mohamadirizi, S. (2015). The relationship between clinical competence and clinical self-efficacy among nursing and midwifery students. International Journal of Pediatrics, 3(6.2), 1117-1123.

[21]. Notarnicola, I., Petrucci, C., Barbosa, M. R. D. J., Giorgi, F., Stievano, A., & Lancia, L. (2016). Clinical competence in nursing: A concept analysis. Professioni infermieristiche, 69(3), 174-181.

[22]. Pai, H. C., Ko, H. L., Eng, C. J., & Yen, W. J. (2017). The mediating effect of self-reflection and learning effectiveness on clinical nursing performance in nursing students: A follow-up study. Journal of Professional Nursing, 33(4), 287-292.

[23]. Reid, J., & Catchpole, K. (2011). Patient safety: a core value of nursing-so why is achieving it so difficult? Journal of Research in Nursing, 16(3), 209-223.

[24]. Rudaz, A., Gut, A. M., Louis-Simonet, M., Perrier, A., Vu, N. V., & Nendaz, M. R. (2013). Acquisition of clinical competence: added value of clerkship real-life contextual experience. Medical Teacher, 35(2), e957-e962.

[25]. Salminen, H., Zary, N., Björklund, K., Toth-Pal, E., & Leanderson, C. (2014). Virtual patients in primary care: developing a reusable model that fosters reflective practice and clinical reasoning. Journal of Medical Internet Research, 16(1).

[26]. Valizadeh, L., Zamanzadeh, V., Eskandari, M., & Alizadeh, S. (2019). Professional competence in nursing: a hybrid concept analysis. Medical-Surgical Nursing Journal, 8(2), 1–8.

[27]. Waldner, M. H., & Olson, J. K. (2007). Taking the patient to the classroom: Applying theoretical frameworks to simulation in nursing education. International Journal of Nursing Education Scholarship, 4(1), 1-16.

[28]. Weatherspoon, D. L., & Wyatt, T. H. (2012). Testing computer-based simulation to enhance clinical judgment skills in senior nursing students. Nursing Clinics of North America, 47(4), 481-491.

[29]. World Health Organization. (2008). World alliance for patient safety progress report 2006-2007. World Health Organization.

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