Perceptions of confidence among Saudi nursing interns during internship program: a cross-sectional study

Abstract

BACKGROUNDSaudi nursing students are trained in theoretical and clinical nursing competencies for four years before transition to newly graduated nurses through a one-year internship program. The transition period is crucial as nursing students have low confidence without adequate clinical experience.OBJECTIVESValidate and culturally adapt the Arabic version of the Self-Efficacy for Clinical Evaluation Scale (SECS) and explore nursing interns perceived confidence (self-efficacy).DESIGNCross-sectional.SETTINGFour public tertiary training hospitals in Riyadh, Saudi Arabia.METHODSA survey was conducted among nursing interns. Validity, reliability, and the cultural relevance of the Arabic-translated instrument was determined. Tests for differences and correlations were undertaken.MAIN OUTCOME MEASURESPerceived self-efficacy and importance of learning objectives.SAMPLE SIZE300 Saudi nursing interns.RESULTSThe Arabic version of SECS was successfully adapted cross-culturally and was valid. Reliability tests showed Cronbach’s α=.95 for confidence and Cronbach’s α=0.96 for the importance subscales. The overall mean (SD) for perceived confidence and importance of clinical evaluation were 3.7 (0.9) and 4.1 (0.8), respectively. Gender (P<.001), length of internship (P=.009), and training hospital (P<.001) were significantly correlated and had a medium effect size with perceived self-efficacy.CONCLUSIONGaining knowledge that the gender, length of internship and area of training affect the perceptions of the Saudi nursing interns towards self-efficacy can help preceptors formulate better strategies in developing nursing intern competence and gaining self-efficacy as they move from the academic to clinical nursing practice. The knowledge gathered in this study should be beneficial to nursing administrators, faculty, and mentors/preceptors.LIMITATIONSResults may not be generalizable due to the limitations in the setting and there are other factors not included in the study that may have explained variances in perceived self-efficacy.

What is the Satisfaction and Self-Confidence in Learning of Undergraduate Saudi Nursing Students who have Completed or Currently in Their Internship Experience with High-Fidelity Simulation Labs?

“…A cross-sectional study was carried out by Asboshiqaha et al, [12], to investigate the validity of a clinical training program in Saudi Hospitals. The included hospital for the study was Tertiary Hospital in Riyadh, Saudi Arabia.…”

“…The included hospital for the study was Tertiary Hospital in Riyadh, Saudi Arabia. Student's completed their clinical experience between October 2016 and March 2017 and included 300 students [12]. There was a survey study in which the validity and cultural adaptation of the "Self-Efficacy for Clinical Evaluation Scale (SECS) [12]," which is an Arabic version of selfefficacy training program instrument was studied and verified.…”

“…Student's completed their clinical experience between October 2016 and March 2017 and included 300 students [12]. There was a survey study in which the validity and cultural adaptation of the "Self-Efficacy for Clinical Evaluation Scale (SECS) [12]," which is an Arabic version of selfefficacy training program instrument was studied and verified. The finding of the article concluded that the SECS Arabic version was a valid and reliable instrument to determine the self-efficacy and satisfaction level of nurses [12].…”

“…There was a survey study in which the validity and cultural adaptation of the "Self-Efficacy for Clinical Evaluation Scale (SECS) [12]," which is an Arabic version of selfefficacy training program instrument was studied and verified. The finding of the article concluded that the SECS Arabic version was a valid and reliable instrument to determine the self-efficacy and satisfaction level of nurses [12]. Asboshiqaha et al, [12] determined female nurses had increased clinical confidence compared to their male counterparts.…”

Nursing Students’ Clinical Practice Experience During the Internship Year at Different Hospitals: A Qualitative Study

“…Likewise, a descriptive cross-sectional study was conducted among 300 Saudi nursing interns to validate and measures cultural adapt the Arabic version of self-efficacy for clinical evaluation scale (SECE) and explore nursing interns' perceived confidence. The study found that the Arabic version of SECS was successfully cross-culturally adapted to reveal that gender, duration of internship, and place of training affected the perceptions of the Saudi nursing interns regarding self-efficacy [9]. In this way, the instrument could help preceptors formulate more appropriate strategies for enhancing nursing intern competence and promoting their self-efficacy as they transition to the role of registered nurse [9].…”