Research Article

The Effect of a Training Program (Retention) on the Clinical Competence, Self-Efficacy, and Occupational Stress of Undergraduate Students of Anesthesia: The Transition from Studenthood to the Clinical Workforce

Abstract

Background: Transferring students from university to the workplace due to facing many challenging and stressful factors is one of the important stages that, if the educational authorities do not pay attention, it leads to low efficiency and an increase in the number of resignations from the workplace, which leads to financial and human losses for the system. Purpose: Investigating the effect of a training program on the clinical competence, self-efficacy, and occupational stress of Anesthesiology undergraduate students, in their transition from the studenthood to the clinical workforce.
Methods: In this prospective longitudinal semi-experimental study, all final-year undergraduate and newly graduated students of anesthesia studying at AJUMS, Ahvaz, Iran (60 people) were included in the study and were divided into two groups by a simple random method. The intervention consisted of an educational-supportive program called retention that was applied to the intervention group and lasted for 6 months. The required data in both groups were examined by nurses' competence questionnaires (CIRN), stress and job self-efficacy through pre- and post-tests. Chi-square, independent t and paired t tests were used to analyze the data.
Results: After the intervention, the two groups were significantly different in terms of clinical competence (P=0.020) and work self-efficacy (P=0.001). The results of the paired t-test of occupational stress in the intervention group showed that the difference between the pre-test and post-test scores was statistically significant. (P = 0.036)
Conclusion: Implementation of the intervention (the retention program) in the intervention group was effective in terms of clinical competence, self-efficacy, and occupational stress of the students after graduation.

[1] Tolyat M, Taherirad M, Pirannezhad R. The challenges of clinical education in operating room and anesthesia Students of Birjand University of Medical1-1 Sciences. DSME 2020; 7(1):52-60
[2] Tseng MY, Hwang SL. 'SURVIVAL' intervention program effects on student nurses' transition to staff nurses: A quasi-experimental study. Nurse Educ Pract. 2021; 56:103184
[3] Abedi HA, Heidari A, Salsali M. New graduate nurses’ experiences of their professional readiness during transition to professional roles. Iran J Med Educ. 200;4(2):69-78.
[4] Kim EY, Yeo JH. Effects of pre-graduation characteristics and working environments on transition shock of newly graduated nurses: A longitudinal study. Nurse Educ Today. 2019; 78:32-6.
[5] Hoffart N, Waddell A, Young MB. A model of new nurse transition. J PROF NURS. 2011;27(6):334-43.
[6] Bahrami Z, Norouzi S, Ramezanibadr F, Norouzi A. Design, Implementation and Evaluation of an Operational Program to Improve the Quality of Basic Clinical Skills in Nursing Students in Zanjan University of Medical Sciences in 2017. J Med Edu Dev. 2019;12(34):34-40.
[7] Liaw SY, Koh Y, Dawood R, Kowitlawakul Y, Zhou W, Lau ST. Easing student transition to graduate nurse: a simulated professional learning environment (SIMPLE) for final year student nurses. Nurse Educ Today. 2014;34(3):349-55.
[8] Chen F, Liu Y, Wang X, Dong H. Transition shock, preceptor support and nursing competency among newly graduated registered nurses: A cross-sectional study. Nurse Educ Today. 2021; 102:104891.
[9] Jeon Y, Ritmala-Castrén M, Meretoja R, Vahlberg T, Leino-Kilpi H. Anaesthesia nursing competence: Self-assessment of nursing students. Nurse Educ Today. 2020; 94:104575.
[10] Imani B, Zandyeh M, Mahdiyoun A. The effect of emotional intelligence on the clinical competency. J Nurs Educ. 2019;7(3):63-9.
[11] Olyaiekhachic R, Bozorgnejad M, Haghani SH, Khayeri F, Seyedfatemi N. Evaluating the Effect of Positive Self-Talk on Job Stress among Nurses Working in the Emergency Wards. Iran J Nurs. 2020; 33(127):89-102
[12] Ramezanpoor E, Amiri F, Rashidi N. Relationship between leadership style of operating room head nurses and Job self-efficacy of operating room technologists. J Health Promot Manag. 2020;9(1):51-8.
[13] Imani B, Imani G, Karampourian A. Correlation between spiritual intelligence and clinical competency in students who are children of war victims. Iranian J Psychiatr. 2021;16(3):329.
[14] Ramezanpoor E, Amiri F, Rashidi N. Relationship between leadership style of operating room head nurses and Job self-efficacy of operating room technologists. J Health Promot Manag. 2020;9(1):51-8.
[15] Zhang Y, Steege LM, Pavek KU, Brown RL, Zhang Y. Identifying patterns of occupational stress trajectories among newly graduated nurses: A longitudinal study. Int J Nurs Stud. 2019; 99:103332.
[16] Woo MW, Newman SA. The experience of transition from nursing students to newly graduated registered nurses in Singapore. Int J Nurs Sci. 2020;7(1):81-90.
[17] Duchscher JE. Transition shock: The initial stage of role adaptation for newly graduated registered nurses. J Adv Nurs. 2009; 65(5):1103-13.
[18] Duchscher JE. Transition shock: The initial stage of role adaptation for newly graduated registered nurses. J Adv Nurs. 2009;65(5):1103-13.
[19] Valizadeh S, Mohammadpour Y, Parvan K, Lakdizaji S. The Effect of Outcome-Based Education on Nursing Students' Clinical Competency. Iran J Med Educ. 2009;9(2).
[20] Sharif MR, Mirbagher Ajorpaz N, Arandian N. Effects of mastery learning model on clinical competencies in the operating room students. J Community Health. 2017;10(3):11-8.
[21] Jeon Y, Ritmala-Castrén M, Meretoja R, Vahlberg T, Leino-Kilpi H. Anaesthesia nursing competence: Self-assessment of nursing students. Nurse Educ Today. 2020; 94:104575.
[22] Willman A, Bjuresäter K, Nilsson J. Newly graduated registered nurses' self‐assessed clinical competence and their need for further training. Nurs Open. 2020;7(3):720-30.
[23] Chipas A, Cordrey D, Floyd D, Grubbs L, Miller S, Tyre B. Stress: perceptions, manifestations, and coping mechanisms of student registered nurse anesthetists. AANA journal. 2012;80(4).
[24] Conner M. Self-efficacy, stress, and social support in retention of student registered nurse anesthetists. AANA journal. 2015;83(2).
[25] Mathew J, Padden A. Institution of a mindfulness program to improve nurse anesthesia students' self-efficacy, coping skills, and stress management (Doctoral dissertation, Rutgers University-School of Nursing-RBHS).
[26] Albooghobeish M, Saidkhani V, Angali KA, Farzaneh M. Clinical Decision-Making and Self-efficacy Skills in Anesthesiology Nursing Students: A Cross-Sectional Study. Shiraz E Med J. 2023; 24(4).
[27] Chen F, Liu Y, Wang X, Dong H. Transition shock, preceptor support and nursing competency among newly graduated registered nurses: A cross-sectional study. Nurse Educ Today. 2021; 102:104891.
[28] Kim EA, Lee JS, Bong YS, Jang EH, Lim YH, Kim JA, Song N. Nursing practice readiness improvement program tailored for newly graduated registered nurses: A quasi-experimental study. Nurse Educ Today. 2024; 133:106077.
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IssueVol 11 No 1 (2025): Winter QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/aacc.v11i1.17486
Keywords
Clinical competence Transition Occupational stress Self-efficacy Nurse Anesthesia Students
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How to Cite
1.
Khalafi A, Hovyzian S, Sarvi-Sarmeydani N. The Effect of a Training Program (Retention) on the Clinical Competence, Self-Efficacy, and Occupational Stress of Undergraduate Students of Anesthesia: The Transition from Studenthood to the Clinical Workforce. Arch Anesth & Crit Care. 2024;11(1):19-28.