Academic training and clinical placement problems to achieve nursing competency

Authors

  • ALI ALAMI Department of Health, Faculty of Public Health, Social Determinants of Health Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran
  • ALI EKRAMI Students’ affairs Office, Cultural and students’ affairs Deputy, Gonabad University of Medical Sciences, Gonabad, Iran
  • MOHAMMAD MANSOORIAN Department of Community and Mental Health Nursing ,Faculty of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran
  • SHAHLA KHOSRAVAN Department of Community and Mental Health Nursing, Faculty of Nursing and Midwifery, Social Determinants of Health Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran
Abstract:

Introduction: High quality of care is one of the requirementsof nursing which depends on the nursing competency. In thisconnection, the aim of this research was to determine theproblems related to the academic training (nursing’ educationalprogram) and clinical practice to achieve competency from theviewpoint of nurses, faculty members, and nursing students.Methods: The study was an analytical cross-sectional one. Thesample consisted of the academic staff, the third and the fourth yearnursing students and nurses in practice. The instrument of the studywas a two-part researcher-made questionnaire with 22 questionsin the theoretical- clinical realm to assess problems related tothe theoretical and clinical teaching in nursing, and 23 questionsto assess the clinical functions. The questionnaire was validatedin terms of both face and content validity. Its reliability, usingCronbach’s Alpha coefficient, was 0.72 in the theoretical-clinicaland 0.73 in the clinical realm. Both descriptive and analyticalstatistics were used to analyze the data, using SPSS software.Results: The results of this study indicated that from theparticipants’ viewpoints, the most important problems in theacademic education for nurses to acquire competency were asfollows: lack of academic research during the clinical period(88.9%), no application of theoretical aspects of the nursing processin practice (85.6%), insufficient knowledgeable and professionaleducators (81.1%), the use of traditional routine-oriented methodson the wards (75.6%); also insufficient time for performance basedon knowledge in relation to the nurse’s workload (86.5%), weaknessand usefulness of scientific function encouragement systems inclinic (85.2%), and learnt theoretical subjects not coming intopractice in clinical fields after graduation (75.6%).Conclusion: Efforts to reduce the gap between the theoreticaland practical (clinical function) knowledge in educational andwork environment are required to improve the training ofqualified nurses.Keywords: Academic training, Clinical, Achieve, Competency

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Journal title

volume 3  issue 1

pages  15- 20

publication date 2015-01-01

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