J Korean Acad Soc Nurs Educ.  2024 Feb;30(1):29-38. 10.5977/jkasne.2024.30.1.29.

Nursing students’ satisfaction and clinical competence by type of pediatric nursing practicum during the COVID-19 pandemic

• Ju HO
• Lee JH

• KMID: 2553083
• DOI: http://doi.org/10.5977/jkasne.2024.30.1.29

Abstract

Purpose
This study aimed to investigate student nurses’ satisfaction by type of clinical practicum and to determine predictors of clinical competence in pediatric nursing.
Methods
A total of 189 Junior and Senior student nurses across seven colleges in the Busan Metropolitan City were enrolled in the study. The participants completed a structured questionnaire containing items about their learning satisfaction with different types of pediatric nursing practicums and their clinical competence. Data were analyzed using the mean, standard deviation, independent t-test, ANOVA, and multiple regression analysis.
Results
Regarding satisfaction with each type of clinical practicum, the mean satisfaction score (out of 10) was 8.18±2.26 for on-site clinical rotations and 7.35±2.20 for alternative practicums. Among the different types of alternative practicum approaches, those with a satisfaction score of 7 or higher included fundamental nursing skills, watching videos, simulation etc., while those with a satisfaction score of less than 6 were virtual simulation and problem-based learning. The predictors of clinical competence in pediatric nursing were learning satisfaction with practice, school year, and alternative practicum, accounting for 35.0% of the variance in clinical competency.
Conclusion
It would be helpful to combine on-site clinical rotations with alternative practicum approaches and to develop various alternative practice programs using simulation practice, virtual reality, immersive interactive systems, and standardized patients to enhance students’ clinical competency.

Keyword

Students, Nursing, Preceptorship, Clinical competence; 학생, 간호, 임상실습교육, 임상수행능력