Level of clinical competency and associated factors of nursing students in Ethiopia: systematic review and meta-analysis

Level of clinical competency and associated factors of nursing students in Ethiopia: systematic review and meta-analysis | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Level of clinical competency and associated factors of nursing students in Ethiopia: systematic review and meta-analysis Moges workneh, Molla Kassa, Setegn Mihrete, Fekadeselassie Belege, and 3 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4387086/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 10 Oct, 2024 Read the published version in BMC Nursing → Version 1 posted 11 You are reading this latest preprint version Abstract Background: Assessing the clinical level of competency in nursing students is crucial as it represents the ultimate goal of nursing education. Poor competency result in low performance and can be influenced by various factors. Thus, the aim of this study was to identify level of clinical competency and associated factors of nursing students in Ethiopia Methods: systematic review and meta-analysis was employed. Searching strategy was conducted from January up to march 2024 from Web of Science, PubMed and Google Scholar. The quality of studies was assessed using PRISMA checklist. A meta-analysis was performed using R Studio with the meta package Version 1.4.1106. Results: in total, 145 studies were identified through database search, and only 7 studies were included in the meta-analysis representing 1937 nursing students. The pooled effect size of clinical competency of nursing students was 28%. Three factors were found to be associated with clinical competency: a positive clinical learning environment, student confidence in performing procedures, and effective staff-student interaction. The effect sizes of these factors were 6.30, 2.23, and 7.76, respectively. Conclusion and recommendation: The clinical competency of nursing students was 28%, and it was associated with clinical learning environment, student confidence in performing procedures, and staff-student interaction. Nursing education programs should focus on enhancing students' competency levels by addressing specific factors. (PROSPERO) International prospective register of systematic reviews: CRD42022367057 Nursing Nursing students clinical competency Ethiopia Full Text Additional Declarations No competing interests reported. Supplementary Files PRISMA2020checklist.docx Cite Share Download PDF Status: Published Journal Publication published 10 Oct, 2024 Read the published version in BMC Nursing → Version 1 posted Editorial decision: Revision requested 08 Jul, 2024 Reviews received at journal 06 Jul, 2024 Reviewers agreed at journal 25 Jun, 2024 Reviews received at journal 22 Jun, 2024 Reviewers agreed at journal 18 Jun, 2024 Reviewers agreed at journal 18 Jun, 2024 Reviewers invited by journal 18 Jun, 2024 Editor invited by journal 18 Jun, 2024 Editor assigned by journal 11 Jun, 2024 Submission checks completed at journal 11 Jun, 2024 First submitted to journal 08 May, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4387086","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":318751329,"identity":"a7ef788b-dfdb-42fd-b367-d8e4c8c51089","order_by":0,"name":"Moges 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Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Nursing, Nursing students, clinical competency, Ethiopia ","lastPublishedDoi":"10.21203/rs.3.rs-4387086/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4387086/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003eAssessing the clinical level of competency in nursing students is crucial as it represents the ultimate goal of nursing education. Poor competency result in low performance and can be influenced by various factors. Thus, the aim of this study was to identify level of clinical competency and associated factors of nursing students in Ethiopia\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003esystematic review and meta-analysis was employed. Searching strategy was conducted from January up to march 2024 from Web of Science, PubMed and Google Scholar. The quality of studies was assessed using PRISMA checklist. A meta-analysis was performed using R Studio with the meta package Version 1.4.1106.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e in total, 145 studies were identified through database search, and only 7 studies were included in the meta-analysis representing 1937 nursing students. The pooled effect size of clinical competency of nursing students was 28%. Three factors were found to be associated with clinical competency: a positive clinical learning environment, student confidence in performing procedures, and effective staff-student interaction. The effect sizes of these factors were 6.30, 2.23, and 7.76, respectively.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion and recommendation:\u003c/strong\u003e The clinical competency of nursing students was 28%, and it was associated with clinical learning environment, student confidence in performing procedures, and staff-student interaction. Nursing education programs should focus on enhancing students' competency levels by addressing specific factors.\u003c/p\u003e\n\u003cp\u003e(PROSPERO) International prospective register of systematic reviews: CRD42022367057\u003c/p\u003e","manuscriptTitle":"Level of clinical competency and associated factors of nursing students in Ethiopia: systematic review and meta-analysis","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-06-27 04:21:13","doi":"10.21203/rs.3.rs-4387086/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2024-07-08T09:55:27+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-07-06T09:55:04+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"53395829059062740738485055975305797157","date":"2024-06-25T09:44:53+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-06-22T04:43:53+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"190620944624262129776695718191288986141","date":"2024-06-18T09:10:03+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"135203362533850770900365904284273076005","date":"2024-06-18T08:53:30+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2024-06-18T08:35:25+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2024-06-18T08:30:53+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-06-11T10:33:42+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-06-11T09:42:01+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Nursing","date":"2024-05-08T06:49:10+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-nursing","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"nurs","sideBox":"Learn more about [BMC Nursing](http://bmcnurs.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/nurs/default.aspx","title":"BMC Nursing","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"d99bc494-6e38-4d6a-8da1-041b2e4d159c","owner":[],"postedDate":"June 27th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2024-10-14T16:00:49+00:00","versionOfRecord":{"articleIdentity":"rs-4387086","link":"https://doi.org/10.1186/s12912-024-02377-y","journal":{"identity":"bmc-nursing","isVorOnly":false,"title":"BMC Nursing"},"publishedOn":"2024-10-10 15:57:23","publishedOnDateReadable":"October 10th, 2024"},"versionCreatedAt":"2024-06-27 04:21:13","video":"","vorDoi":"10.1186/s12912-024-02377-y","vorDoiUrl":"https://doi.org/10.1186/s12912-024-02377-y","workflowStages":[]},"version":"v1","identity":"rs-4387086","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4387086","identity":"rs-4387086","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}