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Comparison of Second and Third Year B.Sc. Nursing Students' Clinical Competency for Subcutaneous Insulin Administration and its Determining Factors
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Background: Medication administration is a core function of nursing practice, where nurses must possess good knowledge and skill in medication administration. Training the Nursing students in medication administration helps them to become competent in their practice. How well they learn to practice their nursing skills before graduating may determine the success of their transition from being a student nurse to becoming a competent staff nurse.
Methods: A descriptive comparative design was used to compare the clinical competency of UG Nursing students. Observational checklists, knowledge questionnaire and an Opinionnaire were used.
Results: Analysis showed that,
• All UG Nursing students were found to be less competent in insulin administration. • Area wise competency analysis showed that there was a significant difference in knowledge(Z=- 3.134, p<0.05) and skill(Z=-2.004,p<0.05) scores of second and third year BSc.Nursing students, but there was no significant difference between professional behavior of second and third year students.
• Results showed that there is no significant correlation between knowledge and skill, knowledge and professional behavior of second and third year students, no significant correlation between skill and professional behavior of second year students but there is significant correlation between skill and professional behavior of third year students(r=0.372,p<0.05)
• The students' opinion showed that Procedure demonstration, Teachers' approachability, Unbiased clinical evaluation, Students interest and Confidence Were major factors facilitating their clinical competency. The factors hindering their clinical competency were: Inability to understand the discussions during nurses' rounds, Non availability of standardized protocol in the ward, Lack of support from other health team members.
Keywords
- Mushtaq AM. Study of insulin injection technique amongst the nursing staff. Pakistan Journal of Medical sciences. 2006;22:(3)310-312
- Lofmark A, Wikblad K. Facilitating and obstructing factors for the development of learning in clinical practice: a student perspective. Journal of Advanced Nursing. 2001;34(1):43-50
- Polit D,Hungler B. Nursing Research –principles and methods. Philadelphia: JP Lippincott Company; 2000.
- Tissot E,Cornette C,Demoly P. Medication errors at the administration stage in an intensive care unit. Intensive Care Medicine. 1999; 25(4):353-359.
- DeBack V, Mentkowski M. Does the baccalaureate make a difference? Differentiating nurse performance by education and experience. Journal of nursing education. 1986; 25(7):275-85.
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