Factors Associated with Clinical Practice Competency Among Nursing and Health Science Students in Ethiopia
DOI:
https://doi.org/10.15566/cjgh.v11i1.787Keywords:
clinical practice competency, health science students, meta-analysis, systematic reviewAbstract
Background: Clinical practice competence is affected by different factors in clinical setting like Skill of the educator, staff–student interaction, a clear assessment guideline; Effective mentoring and constructive feedback will also influence learning. Poor performance is caused by low competence and improving competency would improve performance. Therefore, the purpose of this systematic review and meta-analysis's is to asses’ factors affecting clinical practice competency of medical and health science students in Ethiopia.
Methods: We conducted a related literature search (February up to March 2023 ) of PubMed, and Web of Science databases for studies describing the factors associated with clinical practice competency among medical and health science students in Ethiopia. The quality of studies was independently assessed by the Newcastle–Ottawa quality scale (NOS), which was guided by the PRISMA checklist. The Q test and I2 statistics were used to evaluate the heterogeneity among selected studies. If the heterogeneity was obvious (I2 >50%), the random effects model (REM) was used. If the heterogeneity was low (I2≤50%), the fixed effects model (FEM) was used.
Results: There were 1613 participants in four (4) investigations. The pooled effect size of clinical practice competency among students in the form of odds ratio (OR) with the presence of a checklist 3.40 (95% CI 2.50–4.62), p<0.00001, I2=0%), with the orientation of objective 3.84 (95% CI 2.29–6.43), p<0.00001, I2=57%) ,students having receptor in clinical practice 2.42, (95% CI 1.68–3.48), p=0.00001, I2=47%) ,having confidence during performing the procedure 2.16, (95% CI 1.17–3.99), p=0.01, I2=53%)
The final pooled effect size after trim and fill analysis in the random effect model was found to be 1.27 (95%CI: -0.19, -2.73) for the association between staff encourage to do practice and clinical practice competency. This indicated that absence of a significant association between staff encourage to do practice and clinical practice competency among medical and health science students in Ethiopia.
Conclusions: The presence of a checklist, the orientation of objective, having receptor in clinical practice and students having confidence during performing the procedure are factors associated with clinical practice competency among medical and health science students in Ethiopia.
References
Getie A, Tsige Y, Birhanie E, Tlaye KG, Demis A. Clinical practice competencies and associated factors among graduating nursing students attending at universities in Northern Ethiopia: institution-based cross-sectional study. BMJ Open. 2021;11(4):e044119. https://doi.org/10.1136/bmjopen-2020-044119
Najjar HA, Rawas H. Factors affecting the clinical practice of nursing interns at tertiary hospital Jeddah in Saudi Arabia. Int J Studies Nurs. 2018;3(3):45. https://doi.org/10.20849/ijsn.v3i3.479
Tesfaye TS, Alemu W, Mekonen T. Perceived clinical practice competency and associated factors among undergraduate students of medicine and health science collage in Dilla University, SNNPR, Ethiopia. Adv Med Educ Pract. 2020:131-7. https://doi.org/10.2147/AMEP.S235823
Telksew Y. Clinical practice competence and its associated factors among midwifery and nursing students at Bahir Dar Health Sciences Colleges, Northwest Ethiopia. DSpace Institution DSpace Repository. 2022;11(22):1-48.
Shokria AL CVR, Ibrahim MA, Kamal NA. A qualitative study on factors affecting the clinical learning of nursing students in College of Nursing, Kuwait. J Educ Pract. 2017;8(36):141-55.
Alshammari FT, Sahuban RB, Rosario-Hussein CD, Madjid FT, Pasay-an E, Mousa NS. Factors influencing the clinical learning experience of student nurses in Hail Region, Kingdom of Saudi Arabia. Int J Adv Applied Sci. 2020;7(9):49-54. https://doi.org/10.21833/ijaas.2020.09.008
Lawal J, Weaver S, Bryan V, Lindo JLM. Factors that influence the clinical learning experience of nursing students at a Caribbean school of nursing. J Nurs Educ Pract. 2015;6(4). https://doi.org/10.5430/jnep.v6n4p32
Esmail Rayatdoost RRJ, Ayalbar A, Kalani N. Factors affecting the quality of clinical education from the perspective of medical students. Int J Med Invest. 2022;11(1):142-53.
Dilla E. Assessment of factors affecting clinical practice competency of undergraduate health science students in Hawassa University, South, Ethiopia. Annals Clin Lab Res. 2016;4(1):57. https://doi.org/10.21767/2386-5180.100057
Huyen TT. Challenges for nursing students in the clinical learning environment [Internet]. Student Research at Scholarship & Creative Works @ Digital UNC. 2019;8. Available from: https://digscholarship.unco.edu/cgi/viewcontent.cgi?article=1160&context=theses
Adibelli S, Korkmaz F. The factors affecting nursing students’ learning in clinical practice. Digital Library. 2017:32-4. https://doi.org/10.5176/2315-4330_WNC17.38
Hwang E, Kim J. Factors affecting academic burnout of nursing students according to clinical practice experience. BMC Med Educ. 2022;22(1):346. https://doi.org/10.1186/s12909-022-03422-7
Zainudin AA, Ahmad N, Mohadis HM. Challenges of self-directed clinical skill learning: experience among undergraduate nursing students in Malaysia. Univer J Educ Res. 2019;7(12A):60-7. https://doi.org/10.13189/ujer.2019.071908
Addisie AC, Gela A, Ataro D, Atinafu B. Challenges faced during clinical placement among nursing students. A mixed study conducted at highest institutions in Addis Ababa city, Ethiopia. Res Square J. 2022:43. https://doi.org/10.21203/rs.3.rs-1376645/v1
Mickiale Hailu MW, Haftu A, Tadesse D, Weldeamanel T, Amsalu B, Guta A, et al. Clinical practice competence and its associated factors among midwifery and nursing students at Dire Dawa Health Sciences Colleges East Ethiopia. Adv Med Educ Pract. 2021:1539-47. https://doi.org/10.2147/AMEP.S347080
Sayed SA, Alsuwat S, Alsufyani J, Althobyani A, Alharthi M, Almutairi S, et al. Factors affecting nursing students learning in clinical from student viewpoint at Taif University. Pakistan J Med Health Sci. 2022;16(06):649.
Hailu M, Welday M, Haftu A, Tadesse D, Weldeamanel T, Amsalu B, et al. Clinical practice competence and its associated factors among midwifery and nursing students at Dire Dawa Health Sciences Colleges, East Ethiopia, 2020. Adv Med Educ Pract. 2021:1539-47. https://doi.org/10.2147/AMEP.S347080
Gemuhay HM, Kalolo A, Mirisho R, Chipwaza B, Nyangena E. Factors affecting performance in clinical practice among preservice diploma nursing students in Northern Tanzania. Nurs Res Pract. 2019 Mar 3;2019. https://doi.org/10.53350/pjmhs22166649
Tesfaye K, Wudu TK, Tibebu AT, Abebe MT, Kebede YA, Chane J, et al. Factors associated with clinical practice competency among medical and health science students in Ethiopia, 2023. [Available at SSRN 4626872]. https://doi.org/10.2139/ssrn.4626872
Kajander-Unkuri S. Nurse competence of graduating nursing students [dissertation] [Internet]. Turku, Finland: University of Turku; 2015. Available from: https://www.utupub.fi/bitstream/handle/10024/103403/AnnalesD1158Kajander-Unkuri.pdf
Rajeswaran L. Clinical experiences of nursing students at a selected institute of health sciences in Botswana. Health Sci J. 2016;10(6):1.n. https://doi.org/10.21767/1791-809X.1000471
Rizany I, Hariyati RTS, Handayani H. Factors that affect the development of nurses’ competencies: a systematic review. Enfermeria clinica. 2018;28:154-7. https://doi.org/10.1016/S1130-8621(18)30057-3
Rani S, Hussain M, Afzal M, Gillani SA. The influence of personal characteristics of preceptor on professional grooming of Nursing students. Int J Med Res Health Sci. 2019;8(5):86-95.
Atakro CA, Gross J. Preceptorship versus clinical teaching partnership: literature review and recommendations for implementation in Ghana. Adv Nurs. 2016 Apr 11;2016. https://doi.org/10.1155/2016/1919246
Bäck L, Hildingsson I, Sjöqvist C, Karlström A. Developing competence and confidence in midwifery-focus groups with Swedish midwives. Women Birth. 2017;30(1):e32-e8. https://doi.org/10.1016/j.wombi.2016.08.004
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