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Table 6 Students with high clinical competence vs low clinical competence (independent sample t-test)

From: Development of clinical competence – a longitudinal survey of nurse practitioner students

Item no.

Item

Group

Baseline Mean (SD)

Follow-up Mean (SD)

Difference Mean

Ceiling effect

2

I am independently responsible for health assessment (systematic physical examination), examinations and treatment of patients with uncomplicated medical conditions

High clinical competence

7.75 (1.71)

8.50 (1.09)

0.75

No

Low clinical competence

5.42 (1.68)

8.17 (0.94)

2.75

3

I plan and prioritise nursing and medical interventions

High clinical competence

7.75 (0.75)

8.58 (1.08)

0.83

No

Low clinical competence

5.58 (1.51)

8.00 (1.35)

2.42

4

I identify patients’ health problems

High clinical competence

7.92 (1.17)

8.67 (1.16)

0.75

No

Low clinical competence

6.42 (1.51)

8.33 (0.99)

1.91

9

I apply both subjective and objective methods when examining, treating and caring for patients

High clinical competence

7.75 (0.87)

8.92 (1.17)

1.17

No

Low clinical competence

5.25 (1.36)

8.08 (1.08)

2.83

12

I identify changes in patients’ health and medical conditions

High clinical competence

7.92 (1.17)

8.75 (0.87)

0.83

No

Low clinical competence

5.58 (2.35)

8.67 (0.65)

3.09

13

I develop and administer health-promoting and illness-preventive actions for patients

High clinical competence

7.00 (1.35)

8.67 (0.89)

1.67

No

Low clinical competence

4.09 (2.12)

7.73 (1.27) a

3.64

14

I systematically gather information from each patient about her/his health resources

High clinical competence

6.73 (1.85)

8.64 (1.29) a

1.91

No

Low clinical competence

4.25 (1.55)

8.08 (1.00)

3.83

20

I am actively responsible for my own professional development

High clinical competence

9.33 (0.89)

9.50 (0.80)

0.17

Yes

Low clinical competence

7.17 (2.04)

8.92 (0.90)

1.75

21

I take patients’ mental health needs (mood swings, feelings of hopelessness, depression, etc.) into account when assessing and planning for the health and life situation of patients

High clinical competence

8.33 (1.07)

8.75 (1.01)

0.42

Yes

Low clinical competence

6.42 (1.62)

8.25 (1.06)

1.83

22

I take patients’ spiritual health needs (feelings of meaninglessness, existential needs, beliefs, fear of death, etc.) into account when assessing and planning for the health and life situation of patients

High clinical competence

8.08 (1.56)

8.00 (1.54)

−0.08

Yes

Low clinical competence

5.67 (1.83)

7.83 (1.03)

2.16

23

I take patients’ physical health needs (illness, pain, disabilities, etc.) into account when assessing and planning for the health and life situation of patients

High clinical competence

8.92 (0.90)

9.08 (0.79)

0.16⁎⁎

Yes

Low clinical competence

6.75 (1.14)

8.58 (0.79)

1.83⁎⁎

24

I act ethically when caring for patients

High clinical competence

8.83 (0.84)

9.17 (0.84)

0.33

Yes

Low clinical competence

6.83 (1.80)

8.83 (0.72)

2.00

25

I identify and assume responsibility for patients’ own health resources in planning nursing care

High clinical competence

8.08 (1.44)

8.33 (1.07)

0.25⁎⁎

Yes

Low clinical competence

5.33 (1.72)

8.42 (1.00)

3.08⁎⁎

26

I take patients’ social health needs (leisure activities, friends, financial situation, etc.) into account when assessing and planning for the health and life situation of patients

High clinical competence

7.55 (1.44)

8.18 (1.33) a

0.63

No

Low clinical competence

4.58 (1.93)

7.42 (1.17)

2.83

27

I support and guide patients in mastering their illnesses and health problems

High clinical competence

8.50 (1.09)

8.42 (1.08)

−0.08⁎⁎2.67⁎⁎

Yes

Low clinical competence

5.50 (1.83)

8.17 (0.72)

 

30

I put emphasis on patients’ own wishes when assessing and planning for nursing care and medical treatment

High clinical competence

8.50 (1.73)

9.00 (0.85)

0.50

Yes

Low clinical competence

6.08 (2.11)

8.50 (1.00)

2.42

32

I take full responsibility for my own actions

High clinical competence

9.17 (0.94)

9.25 (1.14)

0.08

Yes

Low clinical competence

8.00 (1.71)

9.25 (1.06)

1.25

34

I understand the consequences my decisions may have for patients

High clinical competence

8.67 (1.16)

9.17 (0.94)

0.5

Yes

Low clinical competence

7.17 (1.47)

9.00 (0.95)

1.83

37

I consult other professional experts when required

High clinical competence

9.42 (0.79)

9.25 (0.97)

−0.17

Yes

Low clinical competence

7.17 (2.25)

9.00 (0.96)

1.83

38

I cooperate actively with other health professionals when coordinating patients’ nursing, care and treatment

High clinical competence

9.25 (0.87)

9.08 (0.90)

−0.17

Yes

Low clinical competence

7.33 (2.02)

9.00 (1.04)

1.67

39

I am cognisant of when my medical knowledge is insufficient when assessing patients’ health conditions

High clinical competence

9.58 (0.67)

9.25 (0.75)

−0.33

Yes

Low clinical competence

8.17 (1.47)

9.17 (0.58)

1.00

41

I reflect on my actions

High clinical competence

9.00 (0.74)

9.08 (1.08)

0.08

Yes

Low clinical competence

7.25 (2.09)

9.00 (0.74)

1.75

  1. Notes: aCompetency not covered in the programme: item no. 13—1 student; item no. 14—1 student; item no. 26—1 student
  2. p < 0.05
  3. ⁎⁎p < 0.001