Assessment of Clinical Practice Competency and Associated Factors Among Graduating Nursing Students in Universities of Amhara Region, Northern Ethiopia, 2018 GC
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Date
2018-06
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Addis Ababa Universty
Abstract
Background: Health workers, including nurses, are not adequately prepared to meet the needs of society, especially in developing countries. The practice of nursing requires a complex combination of various attributes and nursing students require highly specialized competencies to accurately predict and determine patients' status and cope with the problems that may occur during nursing care. Clinical experiences are critically important to achieve the maximum level of clinical competence after receiving adequate theoretical and practical instructions. However, most new bachelor graduates have adequate theoretical knowledge but lack clinical competence.
Objective: To assess clinical practice competency and associated factors among graduating nursing students in universities of Amhara region, Northern Ethiopia, 2018
Methods: Institutional based Cross-sectional study was carried among 307 graduating BSc nursing student. The study was conducted in Amhara region universities. Simple random sampling technique was applied to select study subject and the data was collected by using a self-administered questionnaire and observation from February 25/2018 –April 25 /2018 G.C. Descriptive analysis was employed to describe the percentages and distributions of the respondents for socio-demographic characteristics. Bivariate and multivariate analysis was also used to see the association of independent with the dependent variable. Crude and adjusted odds ratios together with the corresponding 95% confidence intervals were computed. P-value < 0.05 was considered statistically significant.
RESULT: The study revealed that 103 (33.6%) of the study participants were clinically competent. Clinical instructor factors [AOR: 3.051; 95% CI (1.717-5.421)] and student-staff interaction factors [AOR: 2.348; 95% CI (1.337-4.124)] were statistically significant variables with level of competency of the student. Students who had good clinical instructor were 3.1 times clinically competent than students who had not and students who had good interaction with clinical staffs were 2.348 times clinically competent than students who had no good interaction.
CONCLUSION AND RECOMMENDATIONS: Generally, the results of this study revealed that about more than half of graduating nursing students were clinically incompetent. Variables such as clinical instructor and staff-student interaction were significantly associated with clinical practice competency among graduating nursing students. So designing appropriate clinical practice protocol which includes improving supervision of clinical instructor is important to enhance clinical practice competency of student
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Keywords
Health workers,developing countries,nurses