The Improvement of Student Competency in a Clinical Study in Indonesia: What Factors Played an Important Role?

Abstract

Background: The improvement of nursing student competency currently is still being an issue for the majority of nursing education institutions in Indonesia. This is due to partnership with hospitals has not been supported by adequate policies and other factors. Objectives: The purpose of this study was to identify the appropriate model in improving student competency in a clinical study. Design used in this study was observational study with cross-sectional approach. Methods: The research design used cross-sectional approach with involving five hospitals (Fatmawati Jakarta Hospital, Hasan Sadikin Bandung Hospital, Kariadi Semarang Hospital, Sardjito Yogyakarta Hospital, Soetomo Surabaya Hospital) and five universities namely Muhammadiyah Jakarta University, Padjajaran Bandung University, Gadjah Mada Jogjakarta University, Diponegoro Semarang University, Airlangga Surabaya University. Three hundred and eighty-four participants were recruited from these sites. Data were analyzed using multiple logistic regression. Results: The result showed that partnership contributed 3,36 times, the patient variations 2,96 times, job description of clinical educator 2,30 times, a role model 2,28 times, expertise of faculty educator 2,08 times, toward the achievement of student competency in clinical study. Conclusions: It can be concluded that partnership aspect, the patient variation, job description of clinical educator, role model, expertise of faculty educator, and level of education have significant role to improve the achievement of student competency in clinical study. The results of this study can be used by nursing educational institutions, hospitals and government to organize nursing education model that has been present for more optimal achievement of student competencies.

The Development of Clinical Education Model Based on Community of Practice for the Patient Safety Competency Achievement in Nursing Students: a Pls-Sem Approach

“…There is a significant effect of learning facility on clinical education and on the achievement of patient safety goals competency. One of the factors that affect the success of clinical education for nursing students is the learning facilities contained in the practice area (Hadi et al 2017). Learning facilities consist of learning tools and learning places.…”

The Effect of the Application of the Team-STEPPS-Based Preceptorship Guidance Model on the Competence of Nursing Students

“… 19 This happened because the guidance orientation with the preceptorship method was based on qualitative research on cognitive abilities and individual management, 20 and the diversity of nurse preceptors adds difficulty to the preparation of guidance programs and the development of evaluation instruments, 21 thus affecting the quality of competence of students. 22 Meanwhile, the competencies expected during clinical practice, students are expected to master several competencies, including clinical competence, nursing management, technical competence, individual management, and patient-oriented care. 23 This can increase clinical supervisors’ understanding of the impact of competency quality for nursing students on nursing services in general, which can inform the need for the development of clinical mentoring strategies to reduce the potential for negative perceptions from society for nursing services in the future.…”