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dc.contributor.authorForsman, Henrietta
dc.contributor.authorJansson, Inger
dc.contributor.authorLeksell, Janeth
dc.contributor.authorLepp, Margret
dc.contributor.authorAndersson, Christina Sundin
dc.contributor.authorEngstrom, Maria
dc.contributor.authorNilsson, Jan
dc.date.accessioned2020-01-22T03:02:58Z
dc.date.available2020-01-22T03:02:58Z
dc.date.issued2019
dc.identifier.issn0309-2402
dc.identifier.doi10.1111/jan.14222
dc.identifier.urihttp://hdl.handle.net/10072/390718
dc.description.abstractAIMS: To identify clusters based on graduating nursing students' self-reported professional competence and their achievement on a national examination. Furthermore, to describe and compare the identified clusters regarding sample characteristics, students' perceptions of overall quality of the nursing programme, and students' general self-efficacy (GSE). DESIGN: A cross-sectional study combining survey data and results from a national examination. METHODS: Data were collected at two universities and one university college in Sweden in January 2017, including 179 students in the final term of the nursing programme. The study was based on the Nurse Professional Competence Scale, the GSE scale, and results from the National Clinical Final Examination. A two-step cluster analysis was used to identify competence profiles, followed by comparative analyses between clusters. RESULTS: Three clusters were identified illustrating students' different competence profiles. Students in Clusters 1 and 2 passed the examination, but differed in their self-assessments of competence, rating themselves under and above the overall median value, respectively. Students in Cluster 3 failed the examination but rated themselves at the overall median level or higher. CONCLUSION: The study illustrates how nursing students' self-assessed competence might differ from competency assessed by examination, which is challenging for nursing education. Self-evaluation is a key learning outcome and is, in the long run, essential to patient safety. IMPACT: The study has identified clusters of students where some overestimate and others underestimate their competence. Students who assessed their competence low but passed the exam assessed their GSE lower than other students. The findings illuminate the need for student-centred strategies in nursing education, including elements of self-assessment in relation to examination to make the students more aware of their clinical competence.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley Blackwell
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrom199
dc.relation.ispartofpageto208
dc.relation.ispartofissue1
dc.relation.ispartofjournalJournal of Advanced Nursing
dc.relation.ispartofvolume76
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode1110
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordscluster analysis
dc.subject.keywordsnursing education
dc.titleClusters of competence: Relationship between self-reported professional competence and achievement on a national examination among graduating nursing students
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationForsman, H; Jansson, I; Leksell, J; Lepp, M; Andersson, CS; Engstrom, M; Nilsson, J, Clusters of competence: Relationship between self-reported professional competence and achievement on a national examination among graduating nursing students, Journal of Advanced Nursing, 2019, 76 (1), pp. 199-208
dcterms.dateAccepted2019-09-24
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-01-21T23:49:05Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2019 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorLepp, Margret


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