Klinické vzdelávanie na detskom oddelení a jeho vplyv na vedomosti a sebahodnotenie vlastného výkonu u študentov ošetrovateľstva
Clinical Education on a Pediatric’s Ward and its Impact on Nursing Students’ Knowledge and Self-performance

Summary/Abstract: Aim: To assess the impact of clinical practice in a children’s ward (CHW) on nursing students’ level of knowledge and self-performance, and the impact of self-efficacy and clinical experiences on students’ self-performance. Methods: A total of 76 female students - 1st year nursing students were enrolled in the study. The mean age of the students was 20 years (M - 20.39, SD - 2.59, range: 19 - 40).By the questionnaire we assessed: level of knowledge (range: 1-25), self-performance in 25 nursing interventions in a pediatric patient (range: 1-5), self-efficacy (range: 1-4), completion of clinical practice at CHW, and experiences with clinical learning in this department (range: 0-10). Results: Female students who completed the clinical learning at CHW had a higher level of knowledge (M - 7.06) than students who were not at CHW during the semester (M - 4.93) (p = 0.000). The global score for the “self-performance” domain was 3.29. Students have the least confidence in inserting nasogastric tube (M - 1.74), applying drugs intramuscularly (M - 2.46), working with injector/infusion pump (M - 2.13). Students who received clinical learning at CHW rated their performance slightly better (M - 3.39) than students who did not (M - 3.21) (p = 0.272). Students’ self-efficacy significantly correlated with self-performance (r: .308, p=0.007). Students who completed clinical learning at CHW reported average experiences with clinical education (M - 5.76). Conclusion: Clinical learning at pediatric ward increased the students’ knowledge, but did not have a significant impact on the students’ confidence in providing nursing care to the pediatric patient. The low level of self-performance is a consequence of the students’ lower self-efficacy and average quality of experiences with clinical teaching at the pediatric ward.

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