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Assessing Perceived Nursing Competence of Final Year Students of Selected Nursing Colleges

Authors

  • Lissa Peter

    Department of Obstetrical and Gynaecological Nursing, Lisie College of Nursing, Ernakulam 682018, India

    Author
  • Usha Marath

    Department of Mental Health Nursing, Lisie College of Nursing, Ernakulam 682018, India

    Author
  • Aalbina Thomas

    Nursing Department, Lisie College of Nursing, Ernakulam 682018, India

    Author
  • Aiswarya Santhosh

    Nursing Department, Lisie College of Nursing, Ernakulam 682018, India

    Author
  • Aleena Joy

    Nursing Department, Lisie College of Nursing, Ernakulam 682018, India

    Author
  • Aneena Shaju

    Nursing Department, Lisie College of Nursing, Ernakulam 682018, India

    Author
  • Annmariya Devis

    Nursing Department, Lisie College of Nursing, Ernakulam 682018, India

    Author

DOI:

https://doi.org/10.63385/ipt.v2i1.123

Keywords:

Assess, Perceived Nursing Competence, Undergraduate Nursing Students, Nursing Colleges

Abstract

Lack of clinical competence remains a significant concern in impacting the quality of nursing care. In today’s complex healthcare environment, the delivery of high-quality nursing care increasingly depends on the competence of nursing professionals. Recognizing this, the present study aimed to assess the perceived nursing competence of final-year undergraduate nursing students from selected nursing colleges, with the goal of identifying potential gaps and informing educational strategies to better prepare graduates for professional practice. A non-experimental descriptive research design was employed. A total of 200 final-year undergraduate nursing students were selected through convenience sampling. Data were collected using a structured rating scale to assess students' perceived nursing competence. In this study, 36.5% of nursing students perceived their overall competence as excellent, 59% as good, 4% as average, and 0.5% as poor. No students rated their competence as very poor. In specific areas, 60.5% perceived excellent competence in basic nursing skills, while 42% reported average competence in advanced skills. Additionally, 59.5% perceived good competence in core nursing competencies, and 59% rated their professional nursing behaviors as excellent. Competence is essential for safe and effective nursing practice. Strengthening educational preparation is crucial to ensure students gain the confidence and skills needed for clinical practice.

References

[1]Coster, S., Watkins, M., Norman, I.J., 2018. What is the impact of professional nursing on patients’ outcomes globally? An overview of research evidence. International Journal of Nursing Studies. 78(2), 76–83. DOI: https://doi.org/10.1016/j.ijnurstu.2017.10.009

[2]Bifftu, B.B., Dachew, B.A., Truneh, B.T., et al., 2016. Perceived clinical competence among undergraduate nursing students in the University of Gondar and Bahir Dar University, Northwest Ethiopia: A cross-sectional Institution Based Study. Advances in Nursing. 2016(1), 9294673. DOI: https://doi.org/10.1155/2016/9294673

[3]Ahmed, N.G., Adam, S.M., 2011. Patient safety: Assessing nurses’ perception and developing an improvement plan. Life Science Journal. 8(2), 53–64. Available from: https://www.researchgate.net/publication/288481494

[4]Abdelaliem, S.M.F., Alsenany, S.A., 2022. Factors affecting patient safety culture from nurses’ perspectives for sustainable nursing practice. Healthcare. 10(10), 1889. DOI: https://doi.org/10.3390/healthcare10101889

[5]Bandeali, A., 2023. Global Critical Shortage of Nurses: Pathway to Solution. In Nursing – Development and Trends. IntechOpen: London, UK. DOI: https://doi.org/10.5772/intechopen.110479

[6]White, A.H., 2003. Clinical decision making among fourth-year nursing students: An interpretive study. Journal of Nursing Education. 42(3), 113–120. DOI: https://doi.org/10.3928/0148-4834-20030301-06

[7]Purabodollah, M., Zamanzadeh, V., Ghahramanian, A., et al., 2024. Competency gap among graduating nursing students: What they have achieved and what is expected of them? BMC Medical Education. 24, 546. Available from: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-024-05532-w

[8]Mohtashami, J., Rahnama, H., Farzinfard, F., et al., 2015. A survey of correlation between professional identity and clinical competency of psychiatric nurses. Open Journal of Nursing. 5(9). Available from: https://www.scirp.org/journal/paperinformation?paperid=59727

[9]Fukada, M., 2018. Nursing competency: Definition, structure and development. Yonago Acta Medica. 61(1), 1–7. DOI: https://doi.org/10.33160/yam.2018.03.001

[10]Stievano, A., Tschudin, V., 2019. The ICN code of ethics for nurses: A time for revision. International Nursing Review. 66(2), 154–156. DOI: https://doi.org/10.1111/inr.12525

[11] Bergjan, M., Hertel, F., 2013. Evaluating students’ perceptions of their clinical placements: Testing the Clinical Learning Environment and Supervision and Nurse Teacher scale in Germany. Nurse Education Today. 33(11), 1393–1398. DOI: https://doi.org/10.1016/j.nedt.2012.11.002

[12]Berkow, S., Virkstis, K., Stewart, J., 2009. Assessing new graduate nurse performance. Nurse Educator. 34(1), 17–22. DOI: https://doi.org/10.1097/01.NNE.0000343405.90362.15

[13]Thi, H.T., Ton, M.D.N., Phuong, N.T.A., et al., 2022. Exploring clinical competency of nursing students and related factors. Journal of Medicine and Pharmacy. 12(6). DOI: https://doi.org/10.34071/jmp.2022.6.3 (in Vietnamese)

[14]Nehrir, B., Vanaki, Z., Mokhtari, N., et al., 2016. Competency in nursing students: A systematic review. International Journal of Travel Medicine and Global Health. 4(1), 3–11. DOI: https://doi.org/10.20286/ijtmgh-04013

[15]Getie, A., Tsige, Y., Birhanie, E., et al., 2021. Clinical practice competencies and associated factors among graduating nursing students attending universities in Northern Ethiopia: Institution-based cross-sectional study. BMJ Open. 11(4), 44119. DOI: https://doi.org/10.1136/bmjopen-2020-044119

[16]Ministry of Education, 2013. Harmonized Modular Curriculum for Bachelor of Science in Nursing Program. Available from: https://www.scribd.com/document/392985891/National-Harmonized-Nursing-Curr-March-2014 (cited 7 July 2025).

[17]Upashe, S.P., Shil, R., Shetty, S., 2023. Self-reported clinical practice skill readiness of final-year nursing students studying in Bengaluru, Karnataka: An institutional-based cross-sectional study. Journal of Health and Allied Sciences NU. 13(1), 114–125. DOI: https://doi.org/10.1055/s-0042-1744554

[18]Shafakhah, M., Zarshenas, L., Sharif, F., et al., 2015. Evaluation of nursing students’ communication abilities in clinical courses in hospitals. Global Journal of Health Sciences. 7(4), 323–328. DOI: https://doi.org/10.5539/gjhs.v7n4p323

[19]Koto-Shimada, K., Carandang, R.R., Shibanuma, A., et al., 2023. Understanding competency of nursing students in case-based learning in Cambodia: A convergent mixed-method study. BMC Nursing. 22(1). DOI: https://doi.org/10.1186/s12912-023-01420-8

[20]Zhang, N., 2025. Transforming nursing education: A conceptual overview of curriculum redesign models. Curriculum Teaching Methodology. 8(3). DOI: https://doi.org/10.23977/curtm.2025.080313

[21]Sumpter, D., Blodgett, N., Beard, K., et al., 2022. Transforming nursing education in response to the Future of Nursing 2020–2030 report. Nursing Outlook. 70(6 Suppl 1), S20–S31. Available from: https://www.nursingoutlook.org/article/S0029-6554(22)00019-7/fulltext

[22]Carless-Kane, S., Nowell, L., 2023. Nursing students’ learning transfer from classroom to clinical practice: An integrative review. Nurse Education in Practice. 71, 103731. DOI: https://doi.org/10.1016/j.nepr.2023.103731

[23]Frenk, J., Chen, L., Bhutta, Z.A., et al., 2010. Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world. The Lancet. 376(9756), 1923–1958. Available from: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)61854-5/abstract

[24]Lewis, L.S., Rebeschi, L.M., Hunt, E., 2022. Nursing Education Practice Update 2022: Competency-based education in nursing. Sage Open Nursing. 8, 23779608221140774. DOI: https://doi.org/10.1177/23779608221140774

[25]Jadav, R., 2021. New B.Sc. Nursing syllabus by INC gazetted on 214-451. Available from: https://www.scribd.com/document/826646174/New-B-Sc-Nursing-Syllabus-By-INC-Gazetted-on-214-451-1 (cited 12 February 2025).

[26]American Association of Colleges of Nursing (AACN), 2021. The Essentials: Core Competencies for Professional Nursing Education. AACN: Washington, DC, USA.

[27]Sharma, S.K., Sharma, R., 2024. Nursing Education and Educational Technology, 3rd ed. Elsevier: New Delhi, India. pp. 9–16, 80, 84.

[28]Sankaranarayan, B., Gopinathan, S., 2025. The Basis of Nursing Education: Educational Technology, 1st ed. Jaypee Brothers Medical Publishers: New Delhi, India. pp. 15–16, 84–85, 87–88.

[29]AfzaLalDin, 2025. Competency-based nursing education: The shift towards skill-oriented training. Available from: https://nurseseducator.com/competency-based-nursing-education-the-shift-towards-skill-oriented-training/ (cited 3 September 2025).

[30]Mani, Z.A., 2025. Transitioning to competency-based education in nursing: A scoping review of curriculum review and revision strategies. BMC Nursing. 24, 1111. Available from: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-025-03319-y (cited 25 August 2025).

[31]UWorld, 2024. Competency-based learning in nursing education. Available from: https://nursing.uworld.com/wp-content/uploads/2024/12/NUR-WhitePaper_AACN-Essentials-CBE.pdf (cited 3 September 2025).

[32]National League for Nursing, 2023. Integrating Competency-Based Education in the Nursing Curriculum. National League for Nursing: Washington, DC, USA. Available from: https://www.nln.org/docs/default-source/default-document-library/vision-series_integrating-competency-based-education-in-the-nursing-curriculumd6eb0a1e-1f8b-4d60-bc4f-619f5e75b445.pdf?sfvrsn=b37e7538_3 (cited 19 July 2025).

[33]Miller, J., 2024. Effective clinical learning for nursing students. American Nurse Journal. 4(1), 32–37. DOI: https://doi.org/10.51256/anj042432

[34]Rae, A.O., Peters, K., Shajani, Z., et al., 2025. Improving the evaluation of clinical competence in undergraduate students, evidence and technology: An integrative review. Journal of Professional Nursing. 56(1), 19–25. DOI: https://doi.org/10.1016/j.profnurs.2024.10.003

[35]Kerala University of Health Sciences (KUHS), 2021. Regulations and Syllabus for Bachelor of Science in Nursing (B.Sc. Nursing), Course Code: 006 – 2021 Credit & Semester System. Kerala University of Health Sciences: Thrissur, India. Available from: https://www.gcne.kerala.gov.in/images/pdf/KUHS-BSc-2021-SEMESTER-SYSTEM.pdf

[36] Indian Nursing Council, 2012. Eligibility Criteria. Available from: https://indiannursingcouncil.org/eligibility-criteria (cited 9 September 2025).

[37]Agarwal, A., 2025. Kerala B.Sc Nursing Admission 2025: Dates, Eligibility, Admission Process, Top Colleges. Available from: https://www.collegedekho.com/articles/kerala-bsc-nursing-admission-process/ (cited 9 September 2025).

[38]Gender Dynamics in Nursing, 2024. Available from: https://theacademicinsights.com/gender-dynamics-in-nursing/ (cited 9 September 2025).

[39]Joshi, D., Abhishek, S., Nandi, S., et al., 2024. Feminization of the health and care workforce in India and South Asia: implications for women’s labor and decent work. In Handbook on Sex, Gender and Health. Springer: Singapore. Available from: https://link.springer.com/rwe/10.1007/978-981-19-9265-0_37-1

[40]Polit, D.F., Beck, E.T., 2012. Nursing Research: Generating and Assessing Evidence for Nursing Practice, 11th ed. Lippincott Williams and Wilkins: Philadelphia, PA, USA.

[41]Zeleníková, R., Gurková, E., Pěrůžková, R., et al., 2023. Self-assessed competence of final-year nursing students. Nursing Open. 10(7), 4607–4618. DOI: https://doi.org/10.1002/nop2.1708

[42]Manna, M., Mandal, K., Pattanayak, K., 2020. Nursing competency self-efficacy among final year students: Feedback to course outcome in a selected college, Kolkata, West Bengal. International Journal of Science and Healthcare Research. 5(1), 182–185. Available from: https://www.researchgate.net/publication/343555341

[43]Youhasan, P., 2017. Perceived level of clinical competency among graduate nursing students in Eastern University, Sri Lanka: A comparative study between male and female students. KDU Journal of Multidisciplinary Studies. 1(1), 80–86. Available from: http://ir.kdu.ac.lk/bitstream/handle/345/3078/KJMS-FGS_p80-p87.pdf

[44]Sharma, S., Arora, D., Belsiyal, X., 2020. Self-reported clinical practice readiness of nurses graduating from India: A cross-sectional survey in Uttarakhand. Journal of Education and Health Promotion. 9(1), 125. DOI: https://doi.org/10.4103/jehp.jehp_55_20

[45]Pakkonen, M., Stolt, M., Edvardsson, D., et al., 2023. Person-centred care competence and person-centred care climate described by nurses in older people's long-term care: A cross-sectional survey. International Journal of Older People Nursing. 18(3), e12532. DOI: https://doi.org/10.1111/opn.12532

[46]Ghane, G., Esmaeili, M., 2019. Nursing students’ perception of patient-centred care: A qualitative study. Nursing Open. 7(1), 383–389. DOI: https://doi.org/10.1002/nop2.400

[47]Mercan, N., 2023. Examination of nursing students’ communication with life examples: A mixed method study. Journal of Education and Research in Nursing. 20(3), 232–240. DOI: https://doi.org/10.14744/jern.2021.21291

[48]Jimenez, J.-M., Lopez, M., Castro, M.-J., et al., 2021. Development of critical thinking skills of undergraduate students throughout the 4 years of nursing degree at a public university in Spain: A descriptive study. BMJ Open. 11(10), e049950. DOI: https://doi.org/10.1136/bmjopen-2021-049950

[49]Choi, E., Jeon, J., 2022. Factors influencing problem-solving competence of nursing students: A cross-sectional study. Healthcare. 10(7), 1184. DOI: https://doi.org/10.3390/healthcare10071184

[50]Chrisnawati, C., Ladjar, I.I., Agustina, D.M., et al., 2017. Nursing students’ competencies in evidence-based practice. In Proceedings of the 1st Health Science International Conference (HSIC 2017), Malang, Indonesia, 4–5 October 2017. Available from: https://www.semanticscholar.org/paper/Nursing-Students%27-Competencies-in-Evidence-Based-Chrisnawati-Ladjar/8cdc12415f133443798e71c39d6fe1f1fe3db51c

[51]Tomas, N., Ndjamba, A.K., Munangatire, T., 2021. Undergraduate nursing students’ self-reported professional behaviour at the University of Namibia. Health SA. 26(1), 1703. DOI: https://doi.org/10.4102/hsag.v26i0.1703

[52]Albalawi, M.M., Rezq, K.A., 2024. Evaluating clinical skill competence and professional behaviors in nursing students following simulation training at the University of Tabuk. SAGE Open Nursing. 10, 23779608241274194. Available from: https://journals.sagepub.com/doi/10.1177/23779608241274194

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How to Cite

Peter, L., Marath, U., Thomas, A., Santhosh, A., Joy, A., Shaju, A., & Devis, A. (2026). Assessing Perceived Nursing Competence of Final Year Students of Selected Nursing Colleges. Innovations in Pedagogy and Technology, 2(1), 49–66. https://doi.org/10.63385/ipt.v2i1.123