خودكارآمدي در شايستگي باليني دانشجويان پرستاري دانشگاه علوم پزشكي تبريز

Assessing Self-efficacy in Clinical Competence Among Nursing Students

با توجه به ارتباط نزديك بين مفهوم كيفيت و شايستگي باليني و همچنين ارتقاي كيفيت خدمات پرستاري با افزايش شايستگي باليني، اين مطالعه با هدف تعيين خودكارآمدي در شايستگي باليني دانشجويان پرستاري و ارتباط آن با مشخصات فردي_اجتماعي صورت پذيرفت. اين مطالعه ي توصيفي_تحليلي در دانشگاه علوم پزشكي تبريز در سال تحصيلي 92-1391صورت گرفت. جهت جمع آوري داده ها از پرسش نامه ي خودكارآمدي براي شايستگي پرستاري حرفه اي استفاده شد كه شامل 181 گويه مي باشد كه در شش حيطه شامل حيطه ي ارتباط پرستار - مددجو، حيطه ي ارتقاي سلامتي، حيطه ي پيش گيري از بيماري/صدمه، حيطه ي مراقبت حمايتي، حيطه ي مراقبت توان بخشي و حيطه ي عملكرد حرفه اي تدوين شده است. داده ها با نسخه ي 13 نرم افزار SPSS مورد تجزيه و تحليل آماري قرار گرفت. بر اساس يافته ها، ميانگين خودكارآمدي در شايستگي پرستاري حرفه اي 5/14± 1/68 مي باشد. از ميان حيطه هاي مربوطه، حيطه ي عملكرد حرفه اي (4/16± 02/73) بيشترين و حيطه ي ارتقاي سلامتي ( 6/16± 7/64) كمترين سطح را دارد. در مطالعه ي حاضر ارتباط بين جنسيت و خودكارآمدي در شايستگي پرستاري حرفه اي معنادار بود (01/0P=). با توجه به اينكه خودكارآمدي در شايستگي پرستاري حرفه اي در محدوده ي متوسط قرار دارد، نياز است برنامه هاي پرستاري در راستاي افزايش خودكارآمدي دانشجويان با اتكاي بر كسب شايستگي باليني تعديل يابد و كسب شايستگي پرستاري در ارزيابي هاي پرستاري گنجانده شود.

Due to the close relationship between the meaning of quality and clinical competence and also improving quality of nursing services by increasing clinical competence, this study was conducted with the goal of determination of self-efficacy in clinical competence of nursing students as well as its relationship with demographic characteristics. The descriptive-analytical study was carried out at Tabriz medical university in academic year 2012-13. For collecting data, the Self-efficacy Questionnaire was used for Professional Nursing Competence, and it was also included 181 items and provided in six areas namely relationship between nurse-patient, health promotion, disease/injury prevention, supportive care, rehabilitation care, and professional performance area. In addition, statistical analysis of data was done by applying SPSS13 software Based on the findings, average level of self-efficacy in professional nursing competence was 68.10±14.50. Among related areas, professional performance area (73.02±16.42) was at the highest level while health promotion area (64.78±16.66) was at the lowest level. In this study, relationship between gender and self-efficacy in professional nursing competency was meaningful (P = 0.01); by noticing that self-efficacy in professional nursing competence was at the middle level, therefore, it is required that nursing program improve based on achieving clinical competence in order to increase students’ self-efficacy. Moreover, gaining nursing competency should be added as a part of nursing assessments.