Purpose This study was done to examine the effect of direct practice of newborn health assessment on nursing student’s clinical competence and self-efficacy and to propose effective strategies for clinical education on newborn care.
Methods Design was a nonequivalent control group quasi-experimental study. The direct practice program was composed of a lecture, demonstration, drill and feedback using a manikin, and repeated direct practice regarding newborn health assessment. Participants were 65 student nurses taking the pediatric nursing practicum in the nursery room at M hospital. The experimental group (n=33) participated in the direct practice program for newborn health assessment and the control group (n=32) received the traditional practice method. Nursing clinical competence was assessed by two nurse investigators and structured questionnaires were used to measure self-efficacy.
Results The experimental group’s clinical competence was significantly higher than that of the control group (t = -4.82, p = .000). However no significant difference was found between the two groups for self-efficacy (t = 1.264, p = .211).
Conclusion These findings indicate that the direct practice program is effective in improving nursing student’s clinical competence, but it was not effective in increasing self-efficacy. Direct practice in various clinical education settings is recommended and longitudinal effects be evaluated.
Citations
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Effects of a Blended Simulation for High-risk Neonatal Nursing on Nursing Students’ Learning Outcomes by Learning Strategy Eun Jung Cho Journal of Health Informatics and Statistics.2025; 50(4): 410. CrossRef
Levels of Nursing Students’ Core Skills Performance, Satisfaction, and Clinical Judgment According to Four Types of High-risk Neonatal Nursing Simulation during Three Phases Eun Jung Cho, Won Kee Lee Journal of Health Informatics and Statistics.2019; 44(2): 206. CrossRef
Effects of a Neonatal Nursing Practice Program on Students’ Stress, Self-efficacy, and Confidence Yunsoo Kim, Horan Park, Sung Sil Hong, Hee Jin Chung Child Health Nursing Research.2018; 24(3): 319. CrossRef
Purpose The purpose of this study was to identify differences between the degree of nursing need and nursing performance as perceived by caregivers of hospitalized children.
Methods Participants included 200 main caregivers from two pediatric hospitals where their children had been hospitalized for at least 2 days. Data were collected from October 30 to December 10, 2014.
Results The degree (2.64±0.40) of nursing performance perceived by caregivers with hospitalized children was found to be significantly lower than that (3.39±0.21) of nursing needs of caregivers. Of nursing needs, direct nursing had the highest score at 3.59, and nursing assessment, the lowest at 3.23. For nursing performance, nursing assessment had the highest score at 2.76, and education and counseling, the lowest at 2.35.
Conclusion These results suggest that performance of nursing activities by nurses caring for hospitalized children do not meet the nursing needs of the caregivers. Therefore it is necessary to develop nursing strategies to reduce the gap between nursing needs and nursing performance.
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Factors influencing the caregiving performance of mothers of hospitalized toddlers with acute respiratory diseases: A path analysis Han Hye-Yul, Kim Shin-Jeong, Ellis Kevin Wayne, Kang Kyung-Ah Journal of Child Health Care.2018; 22(4): 591. CrossRef
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