Exploration of how nursing students view their clinical competence during training and focused on students registered for the Regulation No. 171 Diploma in Nursing program

This study adopted a qualitative research approach to explore and describe student nurses' views regarding their clinical competence. The participants were chosen through purposive sampling. Face-to-face, semi-structured individual interviews allowed the researcher to explore the views of 12 nursing students. The sample size was determined by data saturation.The six steps of thematic data analysis, as described by Creswell & Creswell, were used to analyse the data and identify themes and sub-themes. The following six themes emerged from conducted individual interviews with R.171 nursing students at a selected NEI in Gauteng province, namely: inadequate clinical exposure, unsuitable situations in clinical facilities, inadequate competency and confidence, discrepancy between theory and practice, discrimination and hierarchies, and lack of preparation for independent practice. These themes further guided the recommendations for nursing management, nursing practice, nursing education, and future research.

本研究采用质性研究方法（qualitative research approach），旨在探究并描述护理专业学生对其临床胜任力（clinical competence）的看法。研究对象通过立意抽样法（purposive sampling）选取，研究者借助面对面半结构化个人访谈（semi-structured individual interviews）得以探究12名护生的观点，样本量依据数据饱和原则（data saturation）确定。本研究采用Creswell与Creswell提出的主题数据分析六步法（six steps of thematic data analysis）对数据进行分析，提炼主题与子主题。针对豪登省某选定NEI的R.171名护生开展的个人访谈，最终提炼出六大主题，具体包括：临床实习暴露不足、临床机构实践环境不适宜、胜任力与自信心匮乏、理论与实践脱节、歧视与层级制度，以及独立执业准备不足。上述主题可为护理管理、护理实践、护理教育及未来研究提供相应的参考建议。