Author(s):
Kannika Supachai, Pornsiri Punthasee, Rata Srisa-art, Mayura Noppornpanth, Numpueng Prachyakoon
Email(s):
kannika.s@slc.ac.th , pornsiri@slc.ac.th , rata@slc.ac.th , mayura@slc.ac.th , numpueng@slc.ac.th
DOI:
10.52711/2454-2660.2025.00015
Address:
Kannika Supachai, Pornsiri Punthasee, Rata Srisa-art, Mayura Noppornpanth, Numpueng Prachyakoon
Saint Louis College 19 Sathon Road, Yannawa, Sathon District, Bangkok 10120, Thailand.
*Corresponding Author
Published In:
Volume - 13,
Issue - 2,
Year - 2025
ABSTRACT:
Background: Self-confidence is an essential mediating construct of clinical practice achievement, affecting competency among nursing students. This study aimed to determine levels of self-confidence concerning basic nursing procedures, identify factors related to self-confidence and explore feelings at the first period of clinical experiences among second year nursing students. Method: A combined quantitative and qualitative approach design conducted using cross-sectional time series surveyed the self-confidence level of 134 second-year nursing students on basic nursing procedures before, mid and after training at medical and surgical units. Text expression the feelings and thoughts regarding the first period of practice were explored before and after training. Results: Before training, students reported moderate and high confident levels at 78.4 and 11.2%, respectively. Mid practice, high confidence increased to 47.8%. After training, high confidence was up to 64.9%, followed by moderate level 35.1%. Mean scores of self-confidences significantly differed among the three times of nursing practice. Grade of a theoretical course of basic nursing for dependent chronic patients was significantly associated with self-confidence. Before training, positive feelings (happy and enthusiastic) and negative feelings (worried, anxious and low confidence) were expressed. After practicing, positive feelings (relaxing, delightful, and proud to be a part of patients’ recovery) and positive thoughts (gaining knowledge and experiences, increasing self-confidence, enabling to integrate and apply knowledge to practice, revising and rehearsing nursing procedures, improving communication skills, and gaining introspective self-control) resulted. Conclusion: Self-confidence concerning basic nursing procedures was increased by times of clinical experiences. Grade of a theoretical course of basic nursing was associated with self-confidence. Both positive and negative feelings occurred before training, and positive feelings and attitudes resulted after training. Evaluation of nursing students’ confidence remains necessary in nursing education and contributes to students’ competency for measuring yearly progression and learning achievement.
Cite this article:
Kannika Supachai, Pornsiri Punthasee, Rata Srisa-art, Mayura Noppornpanth, Numpueng Prachyakoon. Self-Confidence and Feelings at the beginning of Clinical Nursing Experience among second year nursing students. International Journal of Nursing Education and Research. 2025;13(2):71-6. doi: 10.52711/2454-2660.2025.00015
Cite(Electronic):
Kannika Supachai, Pornsiri Punthasee, Rata Srisa-art, Mayura Noppornpanth, Numpueng Prachyakoon. Self-Confidence and Feelings at the beginning of Clinical Nursing Experience among second year nursing students. International Journal of Nursing Education and Research. 2025;13(2):71-6. doi: 10.52711/2454-2660.2025.00015 Available on: https://ijneronline.com/AbstractView.aspx?PID=2025-13-2-3
REFERENCES:
1. Lundberg KM. Promoting self-confidence in clinical nursing students. Nurse Educator. 2008; 33(2): 86-89. Wolters Kluwer Health Lippincott Williams & Wilkins.
2. Bhati K, Sethy TP. Self-efficacy: theory to educational practice. Int J Indian Psychol. 2022 Jan-Mar; 10(1): 112. doi: 10.25215/1001.112.
3. Swift L, Henderson A, Wu CJ. Self-confidence in clinical skill: A descriptive study of the perspective of first-year nursing students. Nurse Educ Pract. 2022 Jan; 58: 103270. doi: 10.1016/j.nepr.2021.103270.
4. Bibi A, Iqbal J, Bibi J, Sultan A. Nursing students’ anxiety and self-confidence in clinical decision-making. J Psychol Theor Pract. 2023; 30(18): 2955-2960. doi: 10.53555/jptcp.v30i18.3354.
5. Cruz Araújo AA, de Godoy S, Arena Ventura CA, Silva Í, Almeida EW, Mendes IA. Reflections on nursing students' fear and anxiety arising from clinical practicums. Invest Educ Enferm. 2022 Oct; 40(3): e13. doi: 10.17533/udea.iee.v40n3e13. PMID: 36867786; PMCID: PMC10017137.
6. Lundell Rudberg S, Sormunen T, Scheja M, et al. Nursing students experienced academic emotions during education – a longitudinal descriptive study from a nursing bachelor’s program in Sweden. BMC Nurs. 2024; 23:52. doi: 10.1186/s12912-024-01729-y.
7. Oner H, Karabudak SS. Negative emotions and coping experiences of nursing students during clinical practices: A focus group interview. J Psychiatr Nurs. 2021; 12(3): 205-215.
8. Kahriman I, Aksoy B, Kandaz U, Arslan U. Investigation of nursing students’ emotional states toward challenging situations in clinical practice and metaphorical perceptions of the concept of a nurse. Nurse Educ Pract 2024 Feb: 75: 103873. doi: 10.1016/j.nepr.2024.103873. Epub 2024 Jan 11
9. Sun F, Wang F, Hu X, et al. Alexithymia and negative emotions among nursing students: a moderated mediation model. BMC Nurs. 2024; 23:167. doi: 10.1186/s12912-024-01832-0.
10. Kol Y, Vexler M. The degree of preparedness and experience of student nurses participating in the generic program during their first clinical experience. Arch Nurs Pract Care. 2021. doi: 10.17352/anp.
11. Purabdollah M, Zamanzadeh V, Ghahramanian A, et al. Competencies expected of undergraduate nursing students: A scoping review. Nurs Open. 2023; 10(12): 7487-7508. doi: 10.1002/nop2.2020.
12. Estalella I, Román Ó, Reichenberger TN, et al. Impact of a teaching strategy to promote evidence-based practice on nursing students’ knowledge and confidence in simulated clinical intervention choices. BMC Nurs. 2023; 22:361. doi: 10.1186/s12912-023-01540
13. Guerrero JG, Ali SAA, Attallah DM. The acquired critical thinking skills, satisfaction, and self-confidence of nursing students and staff nurses through high-fidelity simulation experience. Clin Simul Nurs. 2022; 64:24-30. doi: 10.1016/j.ecns.2021.11.008.
14. Kiik SM, Nuwa MS, Betan Y, Riti IF. Improving nursing student self-confidence and competence through integrated public health care training. J Nurs Soc Sci Health Illn. 2022. doi: 10.32725/kont.2022.003.
15. Zhang J, Shields L, Ma B, et al. The clinical learning environment, supervision, and future intention to work as a nurse in nursing students: a cross-sectional and descriptive study. BMC Med Educ. 2022; 22:548. doi: 10.1186/s12909-022-03609-y.
16. Amoo SA, Enyan NIE. Clinical learning experiences of nursing and midwifery students: A descriptive cross-sectional study. Int J Afr Nurs Sci. 2022; 17: 100457. doi: 10.1016/j.ijans.2022.100457.
17. Hasanah O, Haryati RTS, Wanda D, Agustini N, Masfuri M. Readiness of nursing students for clinical practice: A literature review. Health Low-Resource Settings. 2024. doi: 10.4081/hls.2024.13014.
18. Visiers-Jiménez L, Kuokkanen L, Leino-Kilpi H, et al. Graduating nursing students' empowerment and related factors: Comparative study in six European countries. Healthcare (Basel). 2022; 19(5): 754. doi: 10.3390/healthcare10050754.
19. Saleh MO, Eshah NF, Rayan AH. Empowerment predicting nurses' work motivation and occupational mental health. SAGE Open Nurs. 2022; 23(8): 23779608221076811. doi: 10.1177/23779608221076811.
20. Ghasemi S, Torabi M, Jamasbi MM. The impact of psychological empowerment of nurses on their job involvement: A descriptive correlational study. Open Nurs J. 2024;10. doi: 10.31603/nursing.v0i0.8876.
21. Mlinar Reljić N, Pajnkihar M, Fekonja Z. Self-reflection during first clinical practice: The experiences of nursing students. Nurse Educ Today. 2019; 72:61-66. doi: 10.1016/j.nedt.2018.10.019.
22. Merduaty R, Arum A. How guided self-reflection improves critical thinking of nursing students in the pre-clinical stage?. Journal of Holistic Nursing Science. 2023; 10. doi:10.31603/nursing.v0i0.8876.
23. Pitre S, Funmilayo Hanson V, Kumardhas V. Self-efficacy among nursing students at RAK Medical and Health Sciences University, United Arab Emirates. J Posit School Psychol. 2022; 6(7): 1983-1988.
24. Nuuyoma V. Feedback in clinical settings: Nursing students' perceptions at the district hospital in the southern part of Namibia. Curationis. 2021; 44(1): e1-e12. doi: 10.4102/curationis.v44i1.2147.
25. Eraydın Ş, Güven S. Peer assisted learning in clinical nursing education: A mixed-method study. J Educ Res Nurs. 2024; 21(4):1-11.
26. Fuvich JI. Exploring the perceptions of nursing students’ self-confidence in the acute care setting. Open Access Dissertations. 2017. Paper 642. Available at: https://digitalcommons.uri.edu/oa_diss/642.
27. Oanh TTH, Hoai NTY, Thuy PT. The relationships of nursing students' satisfaction and self-confidence after a simulation-based course with their self-confidence while practicing on real patients in Vietnam. J Educ Eval Health Prof. 2021;18:16. doi: 10.3352/jeehp.2021.18.16.
28. Lee T, Lee SJ, Yoon YS, et al. Personal factors and clinical learning environment as predictors of nursing students' readiness for practice: A structural equation modeling analysis. Asian Nurs Res. 2023;17(1): 44-52. doi: 10.1016/j.anr.2023.01.003.
29. Ramezanzade Tabriz E, Sadeghi M, Tavana E, et al. Approaches for boosting self-confidence of clinical nursing students: A systematic review and meta-analysis. Heliyon. 2024 Mar 6; 10(6): e27347. doi: 10.1016/j.heliyon.2024.e27347.
30. Alharbi K, Alharbi MF. Nursing students' satisfaction and self-confidence levels after their simulation experience. SAGE Open Nurs. 2022 Nov 17; 8: 23779608221139080. doi: 10.1177/23779608221139080.
31. Svellingen AH, Røykenes K, Forstrønen A, Assmus J, Brattebø G. Examining predictive factors of nursing students' self-confidence in multiple simulation sessions: A randomized controlled study. Nurse Educ Pract. 2021 Nov; 57:103231. doi: 10.1016/j.nepr.2021.103231.
32. Abdelkader A, Saad N, Abdelrahman S. The relationship between self-confidence in learning and clinical educators' characteristics by nursing students. Int J Nurs Educ. 2021; 13(2): 14614. doi: 10.37506/ijone.v13i2.14614.
33. Alamrani A, Alatawi A, Alanazi M, et al. Self-confidence and level of satisfaction of nursing students with simulated teaching in University of Tabuk. OSR J Nurs Health Sci. 2023; 12(6): 51-57. doi: 10.9790/1959-1206045157.
34. Uma R. Academic stress and self-esteem among nursing students. Asian J. Nursing Education and Research. 2023; 13(3): 189-3. doi: 10.52711/2349-2996.2023.00040 Available on: https://www.ajner.com/AbstractView.aspx?PID=2023-13-3-4
35. Nandan L. Self-esteem among the nursing students of selected Institutions of Noida. Int. J. Nur. Edu. and Research. 2021; 9(1): 91-95. doi: 10.5958/2454-2660.2021.00023.5.
36. Robert B. & Philo J. Asian Journal of Nursing Education and Research domains of empowerment among nursing students. Asian J. Nursing Education and Research. 2023; 2349-2996. Doi: 10.52711/2349-2996.2023.00060.
37. Indra V. Effective communication skills for nursing practice: A Review. Int. J. Nur. Edu. and Research. 2018; 6(3): 311-314. doi: 10.5958/2454-2660.2018.00075.3 Available on: https://ijneronline.com/AbstractView.aspx?PID=2018-6-3-25.
38. Nandini. S.O.L.E.R Way of communication in nursing. Asian J. Nursing Education and Research. 2020; 10(1): 110-111. doi: 10.5958/2349-2996.2020.00025.7 Available on: https://ajner.com/AbstractView.aspx?PID=2020-10-1-25.
39. Dahiya U. Nurse’s Reflection- A case study in palliative care. Asian J. Nursing Education and Research. 2022; 12(2):242-4. doi: 10.52711/2349-2996.2022.00050 Available on: https://ajner.com/AbstractView.aspx?PID=2022-12-2-19
40. Rocque R. Need for changing nursing in India. Int. J. Nur. Edu. and Research. 2019; 7(5): 265-8. doi: 10.5958/2454-2660.2019.00141.8
41. Sachan N, Yadav N, Masih P, Spencer P, Gautam R, Rawat R, Issac A. Depression, anxiety and stress among nursing students. Asian J. Nursing Education and Research. 2022; 12(1): 70-4. doi: 10.52711/2349-2996.2022.00014 Available on: https://www.ajner.com/AbstractView.aspx?PID=2022-12-1-14
42. Madhavi G, Gopalkrishnan S, Dasila P. A Study to assess the Emotional competence among nursing students of selected nursing colleges in Maharashtra. Int. J. Nur. Edu. and Research. 2021; 9(2): 144-148. doi: 10.5958/2454-2660.2021.00036.3 Available on: https://ijneronline.com/HTML_Papers/International%20Journal%20of%20Nursing%20Education%20and%20Research__PID__2021-9-2-4.html
43. Rachel C, Dhanam T, Jeevitha D, Shainy M, Vidya G. Gomathi A. Study involvement and emotional maturity among nursing students at college of nursing, JIPMER. Asian J. Nursing Education and Research. 2019; 9(4): 555-558. doi: 10.5958/2349-2996.2019.00120.4
44. Supriya M. A study to assess self-esteem among the third-year nursing students in selected institute of nursing education, Andheri. Asian J. Nursing Education and Research. 2016; 6(4): 497-502. doi: 10.5958/2349-2996.2016.00093.8