This is a descriptive study to examine nursing students´ low performance and confidence in basic nursing skills, and to identify the reasons for low performance in basic nursing skills after the completion of clinical practice.
The data were collected from 86 nursing students who performed during clinical practices at 3 tertiary general hospitals, in D city from September 30 to October 16, 2002.
The instrument was questionnaire that was developed by researcher based on textbooks of clinical nursing skills and orientation materials for novice nurses. This questionnaire consists of 106 items with basic nursing skills inn 11 categories and 8 items with general characteristics 45 items In 9 categories were analyzed finally on basic nursing skills with lower 25%(The direct practice ratio).
The data were analyzed with SPSS WIN 10 0 program Using statistics of frequency.
The results of this study were as follows´
Below 10% performances on basic nursing skills were all ages of CPRs and reliefs of FBAO in oxygenation category, gastric gavage, bladder irrigation, insertion of NG tube in nutrition and elimination category, vaginal medication and postmortem care.
Reasons why the subjects only observed basic nursing skills during clinical practice were that there were ´no opportunities´ of performance for subjects in all 45 items. Reasons for ´no performance´ of basic nursing skills during clinical practice were ´no cases´ on 29 items of 45 items. Most of the answers of the other 12 items were ´no opportunities´
And more than 10%, the answers such as ´no confidence´ of performance on basic nursing skills were all ages of CPRs and reliefs of FBAO, endotracheal suctioning etc in oxygenation category, gastric gavage, insertion of NG tube, bladder irrigation, gastrostomy feeding in nutrition and elimination category, postmortem care and blood transfusion and inhalation therapy.
As a conclusion, there were many basic nursing skills for subjects to only observe or not to perform. Most of the reasons were ´no cases´ or ´no opportunities´ for subjects. As well it appeared the confidence was low in basic nursing skills of ´only-observation´ or ´no performance´. Therefore, the reasons associated with low opportunities of direct performance by the nursing students need to be examined and to be considered for improvement of clinical practice education.
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