A mixed-methods study on the core competencies of nursing interns and their influencing factors
10.3760/cma.j.cn115682-20240818-04619
- VernacularTitle:实习护生核心能力现状及影响因素的混合方法研究
- Author:
Qianqian FENG
1
;
Jing LI
1
;
Fei YAO
1
;
Juanjuan NIU
1
Author Information
1. 首都医科大学附属北京天坛医院护理部，北京 100070
- Publication Type:Journal Article
- Keywords:
Student, nursing;
Intern;
Core competencies;
Mixed research;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2025;31(3):293-298
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status and influencing factors of the core competencies of nursing interns based on a mixed-methods approach, with the goal of providing a reference for the reform of high-quality teaching models and the enhancement of nursing students' core competencies.Methods:An explanatory sequential research design of mixed-methods research was adopted. Using convenience sampling, 105 nursing interns who were on clinical practice at Beijing Tiantan Hospital, Capital Medical University, from July to August 2022, were selected as participants. A general information questionnaire and a core competency scale for nursing students were used for data collection, and multiple linear regression analysis was conducted to identify the factors influencing the core competencies. From September to October 2022, purposive sampling was used to select six nursing interns for semi-structured interviews. Thematic framework analysis was used to extract opinions, categorize inferences, and summarize themes.Results:The overall average score of the core competencies of the 105 nursing interns was (6.11±0.74). The highest mean score was for the "moral and responsibility" dimension, which was (6.36±0.93), while the lowest was for the "clinical biomedical science" dimension, with a mean score of (5.21±1.04). Parental recognition of the nursing profession was identified as a factor influencing the core competencies ( P<0.05). The qualitative interviews yielded three themes: the teaching ability of instructors directly impacts the enhancement of interns' core competencies; professional identity influences nursing interns' motivation to improve core competencies; clinical practice is an effective way to enhance the core competencies of nursing interns. Conclusions:In this study, the core competencies of nursing interns were found to be at a moderately high level, influenced by various factors. Insufficient teaching resources and clinical practice opportunities are objective factors affecting the development of core competencies. The ability of interns to gain recognition of the nursing profession through external or self-practice and gradually build professional confidence is an intrinsic motivation for the development of core competencies.
