The self-assessment of clinical competence and the need for further training: A cross-sectional survey of advanced practice nursing students

Ingrid Taylor, Pia Bing-Jonsson, Sigrid Wangensteen, Elisabeth Finnbakk, Leiv Sandvik, Brendan McCormack, Lisbeth Fagerström

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16 Citations (Scopus)


Aims and objectives (a) To describe and analyse advanced practice nursing students' self-assessment of their clinical competence and need for further training and (b) to analyse the possible predictive variables in their self-assessment. Background The self-assessment of clinical competence in nursing education is important for identifying professional development and educational needs to improve patient care. Design A cross-sectional survey following STROBE guidelines was used. Methods Ninety-nine students from three universities/university colleges in Norway participated in the study, and data were collected using a revised version of the Professional Nurse Self-Assessment Scale II. Descriptive, correlation and regression analyses were performed. Results The students gave the highest self-assessment ratings for their clinical competence in taking full responsibility and for their need for further training in medication effects and interactions. Although the students gave themselves low ratings for the use of electronic devices, they assessed their need for further training in this area as average. Clinical work experience as a registered nurse and previous higher education level were not significant predictors of clinical competence nor the need for further training. Conclusion The findings indicate that self-assessment is appropriate for students in advanced practice nursing programmes. This study implies that programmes in advanced practice nursing need to familiarise students with the possibilities of information technology. It questions the entry requirement that stipulates that prospective students must have several years of clinical work experience as registered nurses before entering advanced practice nursing programmes. These programmes need to communicate that competencies other than direct clinical practice are also needed for students' future roles. Relevance to clinical practice The study contributes to the exploration of how students self-assess own clinical competence and need for further training in advanced practice nursing programmes. Further research should evaluate the development of clinical competence.
Original languageUndefined/Unknown
Pages (from-to)
Number of pages11
JournalJournal of Clinical Nursing
Issue number3-4
Publication statusPublished - 2019
MoE publication typeA1 Journal article-refereed


  • Nurse education
  • patient safety
  • Advanced practice nursing
  • Clinical competence

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