Chinese Journal of Medical Education ›› 2022, Vol. 42 ›› Issue (2): 163-167.DOI: 10.3760/cma.j.cn115259-20210720-00918

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Investigation and influencing-factors analysis on nursing students' competence during internship

Yao Xiuyu1, Shen Yiru2, Yu Lingling2, Wang Xiaoran3, Kang Zihua4   

  1. 1Department of Fundamental Nursing, School of Nursing, Peking Union Medical College, Beijing 100144, China;
    2Undergraduate, Four-year Program, Nursing Major, Enrolled in 2019, School of Nursing, Peking Union Medical College, Beijing 100144, China;
    3Undergraduate, Four-year Program, Nursing Major, Enrolled in 2018, School of Nursing, Peking Union Medical College, Beijing 100144, China;
    4Department of Emergency, Zibo Center Hospital of Shandong Province, Zibo 255000, China
  • Received:2021-07-20 Online:2022-02-01 Published:2022-01-19
  • Contact: Kang Zihua, Email: kangzihua1985@163.com

Abstract: Objective To investigate the current situation of nursing interns' competence and to analyze the influencing factors on the building of competence. Methods From November to December 2020, nursing students from four hospitals in Beijing and Shandong were investigated by the Chinese version of Nursing Students Competence Instrument, Professional Identity Questionnaire and General Self-Efficacy Scale, and the influencing factors were analyzed by multiple linear regression. Results A total of 887 nursing students participated in the survey and the total competence score of the students was (220.44±41.44). The results of multiple linear regression analysis showed that the higher the professional identity (b=0.282, P<0.001) and self-efficacy (b=0.461, P<0.001), the better the competence of nursing students. Compared with nursing students trained in rural health institutions and not exposed to professional development training, nursing students trained in urban city institutions and received professional development courses or training showed better competence (b=0.087, P<0.001) and (b=0.067, P=0.028) respectively . The four variables of professional identity, self-efficacy, residence location and career development course can explain 50.6% of the total variation in completion ability score. Conclusions The competence of nursing interns is above the average level though there is still space for further improvement. Professional identity and self-efficacy have positive impacts on the competence development of nursing interns. Nursing educators can set up relevant courses and pay more attention to the students from rural area to help nursing students to establish professional emotion and to strengthen education on professional identity and self-efficacy, so as to support the capacity building of nursing students.

Key words: Internship, Nursing students, Competence, Professional identity, Self-efficacy, Influencing factor

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