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      The Effects of the COVID-19 Pandemic on the Clinical Practicum of Undergraduate Nursing and Midwifery Students in Jordan: A Descriptive Survey

      research-article
      , PhD, MSN, RN 1 , , PhD, MSN, RN 2 , , RN 3 , , PhD, MSN, RN 4 ,
      SAGE Open Nursing
      SAGE Publications
      clinical nursing practicum, competence, COVID-19, Jordan, midwifery, self-confidence

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          Abstract

          Introduction

          The effects of COVID-19 lockdowns and the discontinued face-to-face clinical practicum had negative consequences on nursing and midwifery students at many levels. The clinical learning environment includes all the training and learning experiences that nursing students undergo during their clinical practicum.

          Objectives

          This study aimed to assess the effects of the COVID-19 lockdowns on the nursing and midwifery students’ practicum training in governmental and private universities and academic faculties of nursing in Jordan.

          Methods

          A descriptive cross-sectional study of 1025 nursing and midwifery students from academic faculties of nursing of both governmental and private Jordanian universities was conducted in September 2021. The research group from two Jordanian universities designed and validated a 13-item survey to determine and evaluate the impact of mass lockdowns on nursing and midwifery students’ practicum training. The responses were assessed using descriptive and inferential analyses.

          Results

          The findings revealed that the lockdown had a negative impact on nursing and midwifery students’ self-confidence and competency in performing nursing procedures. The academic year of the students was a significant independent predictor of their self-confidence and competency levels in performing nursing procedures.

          Conclusion

          The study concluded that nursing and midwifery students were dissatisfied with their clinical education during the COVID-19 pandemic, which led to poor self-confidence in performing nursing procedures. The study group recommended repeating the clinical practicum, incorporating extensive laboratory and hospital courses, and implementing a one-year internship for newly graduated nurses and midwives to address the training gap and enhance self-confidence in clinical procedures.

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          Most cited references43

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          Distance learning in clinical medical education amid COVID-19 pandemic in Jordan: current situation, challenges, and perspectives

          Background As COVID-19 has been declared as a pandemic disease by the WHO on March 11th, 2020, the global incidence of COVID-19 disease increased dramatically. In response to the COVID-19 situation, Jordan announced the emergency state on the 19th of March, followed by the curfew on 21 March. All educational institutions have been closed as well as educational activities including clinical medical education have been suspended on the 15th of March. As a result, Distance E-learning emerged as a new method of teaching to maintain the continuity of medical education during the COVID-19 pandemic related closure of educational institutions. Distance E-Learning is defined as using computer technology to deliver training, including technology-supported learning either online, offline, or both. Before this period, distance learning was not considered in Jordanian universities as a modality for education. This study aims to explore the situation of distance E-learning among medical students during their clinical years and to identify possible challenges, limitations, satisfaction as well as perspectives for this approach to learning. Methods This cross-sectional study is based on a questionnaire that was designed and delivered to medical students in their clinical years. For this study, the estimated sample size (n = 588) is derived from the online Raosoft sample size calculator. Results A total of 652 students have completed the questionnaire, among them, 538 students (82.5%) have participated in distance learning in their medical schools amid COVID-19 pandemic. The overall satisfaction rate in medical distance learning was 26.8%, and it was significantly higher in students with previous experience in distance learning in their medical schools as well as when instructors were actively participating in learning sessions, using multimedia and devoting adequate time for their sessions. The delivery of educational material using synchronous live streaming sessions represented the major modality of teaching and Internet streaming quality and coverage was the main challenge that was reported by 69.1% of students. Conclusion With advances in technologies and social media, distance learning is a new and rapidly growing approach for undergraduate, postgraduate, and health care providers. It may represent an optimal solution to maintain learning processes in exceptional and emergency situations such as COVID-19 pandemic. Technical and infrastructural resources reported as a major challenge for implementing distance learning, so understanding technological, financial, institutional, educators, and student barriers are essential for the successful implementation of distance learning in medical education.
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            Nursing Competency: Definition, Structure and Development.

            Nursing competency includes core abilities that are required for fulfilling one's role as a nurse. Therefore, it is important to clearly define nursing competency to establish a foundation for nursing education curriculum. However, while the concepts surrounding nursing competency are important for improving nursing quality, they are still not yet completely developed. Thus, challenges remain in establishing definitions and structures for nursing competency, competency levels necessary for nursing professionals, training methods and so on. In the present study, we reviewed the research on definitions and attributes of nursing competency in Japan as well as competency structure, its elements and evaluation. Furthermore, we investigated training methods to teach nursing competency.
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              Adaptations to a face-to-face initial teacher education course ‘forced’ online due to the COVID-19 pandemic

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                Author and article information

                Journal
                SAGE Open Nurs
                SAGE Open Nurs
                SON
                spson
                SAGE Open Nursing
                SAGE Publications (Sage CA: Los Angeles, CA )
                2377-9608
                22 April 2024
                Jan-Dec 2024
                : 10
                : 23779608241246877
                Affiliations
                [1 ]Ringgold 59303, universityNursing Department, Al-Balqa Applied University; , Irbid, Jordan
                [2 ]Princess Aisha Bint Al-Hussein College for Nursing & Health Sciences, Al-Hussein Bin Talal University, Ma’an, Jordan
                [3 ]Ringgold 246649, universityKing Saud Hospital; , Ministry of Health, Unayzah, Saudi Arabia
                [4 ]Medical-Surgical and Critical Care Nursing, Nursing Department, Ringgold 48161, universityPrince Sultan Military College of Health Sciences; , Dhahran, Saudi Arabia
                Author notes
                [*]Mahmoud Abdel Hameed Shahin, Medical-Surgical and Critical Care Nursing, Nursing Department, Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia. Emails: mshahein@ 123456psmchs.edu.sa ; mahmood81us@ 123456yahoo.com
                Author information
                https://orcid.org/0000-0002-8295-6852
                https://orcid.org/0000-0001-5145-3702
                Article
                10.1177_23779608241246877
                10.1177/23779608241246877
                11036915
                38654973
                60545c24-6d83-456b-aafc-d01d87e5f44d
                © The Author(s) 2024

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 19 July 2023
                : 9 February 2024
                : 23 March 2024
                Categories
                Original Research Article
                Custom metadata
                ts19
                January-December 2024

                clinical nursing practicum,competence,covid-19,jordan,midwifery,self-confidence

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