G-1739

Clinical Self-Efficacy and Influencing Factors Among Nursing Students at Qazvin University of Medical Sciences in 2025

 Mohammadreza Asadi ¹ ℗, Haniyeh Shadin ¹, Mojtaba Senmar ² ©   

 
Abstract

Introduction: Clinical self-efficacy is a pivotal component in cultivating professional competence and ensuring the provision of high-quality care by nursing students. Identifying the factors that effectively impact this construct can significantly contribute to the enhancement of educational programs and the advancement of students' capabilities. This study aimed to determine the status of clinical self-efficacy and its associated factors among nursing students at Qazvin University of Medical Sciences. 4. Methods and Materials: This research employed a descriptive-analytical, cross-sectional, correlational design, conducted in 2025 at the School of Nursing, Qazvin University of Medical Sciences. The study sample comprised 193 nursing students enrolled from the fourth to eighth academic semesters, selected through a convenience sampling method. Inclusion criteria mandated active enrollment in one of these semesters and the provision of informed consent for participation. Students who submitted incomplete questionnaires were excluded. Data collection instruments included a demographic information questionnaire and a standardized Clinical Performance Self-Efficacy Scale. Overall clinical self-efficacy was the dependent variable; others were independent. Data analysis involved descriptive statistics such as frequency, percentage, mean, and standard deviation, along with inferential statistics including Pearson correlation coefficient and multiple linear regression, performed using SPSS software, version 26. 5. Results: The 193 participating students (56.5% female; mean age 22.81±2.27 years) had a mean cumulative GPA of 16.71±1.26. The study found a favorable level of clinical self-efficacy, with a mean score of 129.25±22.44 (standardized score: 62.34 out of 100). Among the sub-domains, "implementation of care plan" scored highest (66.82), while "evaluation of care plan" scored lowest (60.33). Pearson correlation revealed a significant positive correlation between cumulative GPA and overall clinical self-efficacy (r=0.270,p0.001). Multiple regression analysis further showed that for every one-unit increase in GPA, clinical self-efficacy increased by 0.274 units (p0.001). Other variables like age, gender, and academic semester did not show a significant effect (p0.05). 6. Conclusion and Discussion: The study's findings indicate a favorable level of clinical self-efficacy among nursing students, which is significantly and positively correlated with their cumulative GPA. Cumulative GPA was identified as a crucial predictor of clinical self-efficacy. This highlights that focusing on student academic performance is important for enhancing their belief in their clinical capabilities. Therefore, interventions designed to improve student academic progress are recommended to strengthen their clinical self-efficacy.

Keywords: Clinical self-efficacy, Self-efficacy, Nursing students, Academic performance