PURPOSE
This study aimed to construct and test the structural relationships between self efficacy and clinical performance among undergraduate nursing students. The model was based on Bandura's self efficacy theory and a review of previous studies. The hypothesized model included emotional intelligence as a personal factor, self efficacy as self efficacy beliefs, problem solving ability as a skill, and clinical performance as a performance.
METHODS
Data were collected from June 23 to August 11, 2014 using structured questionnaires. The study sample was 205 senior nursing students. Data were analyzed using SPSS/WIN 21.0 and AMOS 21.0 programs.
RESULTS
The hypothesized model was shown to be χ2=183.186 (dF=118), Goodness-of- Fit Index (GFI)=.91, Normed Fit Index (NFI)=.91, Comparative Fit Index (CFI)=.96, and Root Mean Squared Error of Approximation (RMSEA)=.05. Self efficacy (β=.29 p=.033) and problem solving ability (β=.42 p=.007) had a direct effect on the clinical performance. Furthermore, self efficacy had mediating effect on the relationship between emotional intelligence and clinical performance.
CONCLUSION
These findings provide that when developing nursing curriculum and intervention programs, self efficacy and problem solving ability should be considered as key factors facilitating the clinical performance of nursing students. Moreover, consideration should be given to the indirect effects of emotional intelligence subscales on clinical performance via self efficacy and problem solving ability.

Citations

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  BMC Nursing.2025;[Epub]     CrossRef
• The relationship between emotional intelligence, self-efficacy, and clinical decision-making among critical care nurses in Jordan
  Mohammed R. AL Btoush, Malakeh Z. Malak, Shaher H. Hamaideh, Ahmed H. Shuhaiber
  Journal of Human Behavior in the Social Environment.2025; 35(3): 454.     CrossRef
• The mediating role of self-efficacy in nursing students’ initial clinical practice experience
  Mensure Turan, Zeliha Cengiz
  Teaching and Learning in Nursing.2025; 20(3): e676.     CrossRef
• Cultural and emotional intelligence correlates with healthy lifestyles
  Keisuke Kokubun, Kiyotaka Nemoto, Yoshinori Yamakawa
  Acta Psychologica.2025; 255: 104854.     CrossRef
• Determinants of Problem‐Solving Skills of Nursing Students: Solution‐Focused Thinking Skills and Emotional Intelligence
  Alime Selçuk Tosun, Nurcan Akgül Gündoğdu, Dilek Avci, Emine Selda Gündüz
  Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
• Emotional intelligence in medical education: Its role in professional identity formation: AMEE Guide No. 186
  Shereen El Tarhouny, Amira Hassouna, Tayseer Mansour
  Medical Teacher.2025; : 1.     CrossRef
• Cool head after warm heart. Hypothesis and verification of a developmental phase model showing the relationship between emotional and cultural intelligence, intercultural adjustment, work engagement, and performance of expatriates
  Keisuke Kokubun, Kiyotaka Nemoto, Yoshinori Yamakawa
  Personality and Individual Differences.2025; 246: 113288.     CrossRef
• Investigating the relationship between happiness and self-esteem with self-efficacy in the clinical performance of midwives working in medical centers and comprehensive health services
  Zahra Mohebbi-Dehnavi, Mahnaz Noroozi
  Journal of Education and Health Promotion.2024;[Epub]     CrossRef
• The relationship between difficulties in emotion regulation and solution-focused thinking in nursing students
  Emre Ciydem
  Nurse Education in Practice.2024; 79: 104088.     CrossRef
• COVID-19 Pandemi Süreci Uzaktan Eğitim Döneminde Hemşirelik Öğrencilerinde Anksiyete ve Klinik Performans Öz-Yeterlilik Algısı İlişkisi
  Yeliz AKKUŞ, Nihal BOSTANCI DAŞTAN
  Sağlık Bilimlerinde Değer.2024; 14(1): 106.     CrossRef
• Exploring the Self-efficacy and Its Influencing Factors of University Nursing Students in Taiwan during the Clinical Practicum
  I-Ju PAN, Pin-Cheng YEN, Yi-Hui Liu
  Journal of Comprehensive Nursing Research and Care.2024;[Epub]     CrossRef
• Relationship between nursing students’ levels of liking children and self-efficacy in paediatric medication administration
  Mehmet Bulduk, Veysel Can, Eda Nur Muhafiz
  BMC Medical Education.2024;[Epub]     CrossRef
• Predicting New Graduate Nurses’ Retention during Transition Using Decision Tree Methods: A Longitudinal Study
  Taewha Lee, Yea Seul Yoon, Yoonjung Ji
  Journal of Nursing Management.2024; 2024: 1.     CrossRef
• THE RELATIONSHIP BETWEEN EMOTIONAL INTELLIGENCE WITH JOB PERFORMANCE AND OCCUPATIONAL STRESS IN NURSES WORKING IN EDUCATIONAL AND MEDICAL CENTERS IN URMIA IN 2022
  Rozita Cheraghi, Laleh Almasi, Vahid Alinejad, Nader Aghakhani, Madineh Jasemi, Samereh Eghtedar
  Nursing and Midwifery Journal.2023; 21(7): 575.     CrossRef
• Factors Influencing Nurses’ Job Performance in Korea and Mongolia: A Cross-Sectional Study
  Zolzaya Bayarsaikhan, YunHee Shin
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 404.     CrossRef
• Emotional Intelligence among Nurses and Its Relationship with Their Performance and Work Engagement: A Cross-Sectional Study
  Fatimah Turjuman, Bayan Alilyyani, Majed Alamri
  Journal of Nursing Management.2023; 2023: 1.     CrossRef
• A study on Emotional Intelligence & Empathy in Allied Vision Sciences Students
  Muhammad Shaheer, Asima Rafique, Zahid Kamal Siddiqui, Ummarah Rasheed
  Journal of Rawalpindi Medical College.2023;[Epub]     CrossRef
• Developing nursing students' self-efficacy and problem solving skills via high-fidelity simulation
  Zeliha Cengiz, Züleyha Gürdap, Hatice Oltuluoğlu, Hakime Aslan, Seher Çevik Aktura
  Teaching and Learning in Nursing.2023; 18(4): e167.     CrossRef
• Impact of emotional intelligence on work performance: The mediating role of occupational stress among nurses
  Abdulaziz Mohsen Alsufyani, Ahmad Eissa Aboshaiqah, Fawzeih Ayed Alshehri, Yasir Mohsen Alsufyani
  Journal of Nursing Scholarship.2022; 54(6): 738.     CrossRef
• İlkokul Öğrencilerinde Problem Çözmenin Yordayıcıları Olarak Duygusal ve Psikolojik İyi Oluş ile Yaşam Doyumu
  Mehmet Enes SAĞAR
  Afyon Kocatepe Üniversitesi Sosyal Bilimler Dergisi.2022; 24(4): 1274.     CrossRef
• The Mediating Effect of Self-Regulated Learning on the Relationships Among Emotional Intelligence, Collaboration, and Clinical Performance in Korean Nursing Students
  Sun-Hee KIM
  Journal of Nursing Research.2022; 30(3): e212.     CrossRef
• Nursing students’ confidence in clinical competency and job readiness during the COVID-19 pandemic era
  Kyung-Sook Bang, Jeong Hee Kang, Eun Sook Nam, Mi Yeul Hyun, Eunyoung Suh, Sun-Mi Chae, Heeseung Choi, Da-Ae Shin
  The Journal of Korean Academic Society of Nursing Education.2021; 27(4): 402.     CrossRef

PURPOSE
The purpose of this study was to identify the effects of multi-mode simulation learning on critical thinking disposition, on the problem solving process and on clinical competence of nursing students.
METHODS
A non-equivalent control group with pre-posttest was designed. The participants in this study were 65 students who were enrolled in an emergency and critical nursing course at N university. The treatment group consisted of 33 juniors in 2010 and the control group 32 juniors in 2011. Collected data were analyzed using chi-square, independent t-test, and ANCOVA with the SPSS/WIN 18.0 for Window Program.
RESULTS
There were significant increases in problem solving process and clinical competence in the treatment group who participated in the multi-mode simulation learning compared to the control group who did not (t=-2.39, p=.020; F=12.76, p=.001). However, there were no significant differences in critical thinking disposition between the treatment and control group (t=0.40, p=.692).
CONCLUSION
Multi-mode simulation is an effective teaching and learning method to enhance the problem solving process and clinical competence of nursing students. Further exploration is needed to develop and utilize multi-mode simulation for diverse scenarios, depending on emergency nursing educational goals and environments and to develop a universal method to measure outcomes.

Citations

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  George Oliveira Silva, Natália Del' Angelo Aredes, Jessica Oliveira Cecilio, Flavia Silva e Oliveira, Agueda Maria Ruiz Zimmer Cavalcante, Suzanne Hetzel Campbell
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• The effectiveness of online Visually Enhanced Mental Simulation in developing casualty triage and management skills of paramedic program students: A quasi-experimental research study
  Songül Demir, Zahide Tunçbilek, Guillaume Alinier
  International Emergency Nursing.2023; 67: 101262.     CrossRef
• Developing nursing students' self-efficacy and problem solving skills via high-fidelity simulation
  Zeliha Cengiz, Züleyha Gürdap, Hatice Oltuluoğlu, Hakime Aslan, Seher Çevik Aktura
  Teaching and Learning in Nursing.2023; 18(4): e167.     CrossRef
• Effect of different simulation methods in nursing education on critical thinking dispositions and self-efficacy levels of students
  Pınar Doğan, Merdiye Şendir
  Thinking Skills and Creativity.2022; 45: 101112.     CrossRef
• Tradução e adaptação transcultural do Creighton Competency Evaluation Instrument para o Brasil
  Nilton Orlando da Silva, Jorge Vinícius Cestari Felix, Radamés Boostel, Lucina Puchalski Kalinke, Stela Adami Vayego, Alessandra Mazzo, Jéssica de Oliveira Veloso Vilarinho, Amanda Carolina de Oliveira Bialetzki Fontoura
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  Derya Uzelli Yilmaz, Dilek Sari
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• Effectiveness of the Infectious Disease (COVID-19) Simulation Module Program on Nursing Students: Disaster Nursing Scenarios
  Won Ju Hwang, Jungyeon Lee
  Journal of Korean Academy of Nursing.2021; 51(6): 648.     CrossRef
• Standardize Hasta Uygulamasının Birinci Sınıf Hemşirelik Öğrencilerinin Öz Etkililik-Yeterlik ve İlk Klinik Deneyim Sırasındaki Stres Düzeylerine Etkisi
  Ayşe DEMİRAY, Nagihan İLASLAN
  Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi.2021; 6(2): 162.     CrossRef
• Repeated Simulation Experience on Self-Confidence, Critical Thinking, and Competence of Nurses and Nursing Students—An Integrative Review
  Koukab Abdullah Al Gharibi, MSN, Judie Arulappan, MSc(N), PhD, DNSc
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• The Timing of Simulation-Based Scenario Implementation in Patient Safety Education: The Example of the Operating Room
  Nermin Ocaktan, Yasemin Uslu, Merve Kanıg, Vesile Unver, Ukke Karabacak
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• The Effect of High Fidelity Simulation Training on Critical Thinking and Problem Solving Skills in Nursing Students in Turkey
  Feride Taskin Yilmaz, Meral Kelleci, Kadriye Aldemir
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• Avaliação de competências individuais e interprofissionais de profissionais de saúde em atividades clínicas simuladas: scoping review
  Fernanda Berchelli Girão Miranda, Alessandra Mazzo, Gerson Alves Pereira Junior
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• Effect of simulation training on the development of nurses and nursing students' critical thinking: A systematic literature review
  Mohsen Adib-Hajbaghery, Najmeh Sharifi
  Nurse Education Today.2017; 50: 17.     CrossRef
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  Robyn P. Cant, Simon J. Cooper
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• Virtual versus face-to-face clinical simulation in relation to student knowledge, anxiety, and self-confidence in maternal-newborn nursing: A randomized controlled trial
  Shelley Cobbett, Erna Snelgrove-Clarke
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  Pok-Ja Oh, Kyeong Deok Jeon, Myung Suk Koh
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PURPOSE
The present study was designed to understand the conceptual definition and attributes of the clinical critical thinking ability(CCTA) in nursing and to grasp the characteristics of clinical critical thinking abilities.
METHODS
The data were analyzed using the Hybrid model of Schwartz-Barcott and Kim(2000).
RESULTS
Having the skills and dispositions to think critically, CCTA refers to something that implies the cognizant ability to interpret contextual meanings, analyze the relationships between materials or circumstances, draw out the best conclusions, predict things using relevant information and evaluate the reliability of information and the strength of inference on the one hand and the emphatic disposition to be curious, open-minded, intellectually integral, systematic and creative and to reflect on things in contextual terms on the other.
CONCLUSION
CCTA is characterized by clinical circumstances, such as guessing the reasons for facts, predicting things, connecting theory to practice and approaching individual situation in total terms as well as by the Korean circumstances, such as taking another person's perspective. Hence, this study proposes developing the tools to measure the clinical critical thinking ability and the strategies to improve the clinical critical thinking ability and seeking to verify their validity, on the basis of the findings.

PURPOSE
This study was conducted to develop a simulation-based education course and to evaluate the results after the application for second year nursing students. METHODS: This study was a non-equivalent control pre-post design. Based on the clinical situation scenarios about patients with COPD and MI, a total of two simulation-based learning modules was developed. Pretest and posttest was conducted to evaluate the difference in critical thinking disposition, problem solving, and clinical competence between two groups of 102 students for the experimental group, 2007 and 90 students for the control group, 2006. The experimental group conducted a clinical performance evaluation in the final test, on December 10, 2007. RESULTS: In the experimental group, knowledge related to learning objectives was significantly increased and core intervention was performed almost exactly, but the same result was not observed in domains of analysis of laboratory test, and nursing education for patients. Self-evaluated clinical competence and problem solving level were significantly more improved in the experimental group than control group, but critical thinking disposition level wasn't. CONCLUSION: In conclusion, a simulation-based education course needs to utilize self-directed learning module like computer-based learning through web contents and MicroSim and video productions for improving nursing students' critical thinking.

PURPOSE
This study aimed to explore the discourses and the patterns of problem solving behaviors among the nurse managers. The focus of the study was the difficult situations in caring with patients and their families.
METHODS
Field study was performed at a for-profit hospital from March, 2004 to March, 2007. The participants of the study were 5 head nurses and 2 nurses in charge. The data were collected with iterative interviews and participant- observations. For the analysis of the data, taxonomy and critical discourse analyzing were applied.
RESULTS
The nurse mangers who showed wholistic patterns of behavior took the role of a broker among the client system, professional nursing system, medical system, and other allied health system. The nurse managers whose approach was profession-centered took the role of protector of nursing system. The nurse manager who practiced nurse-oriented pattern of behavior tried not to have harm against other members of health system. The experiences of nurse managers were effected from the discourses of patriarchal and market mechanism.
CONCLUSION
The situation that provoke conflict between clients and nurses become more common with the changes to the health care system and to society. Nurse managers take the role of these conflict problems. The successful solving of conflict in a nursing care setting promotes the quality of care and satisfaction of clients. Programs for enhancing nurse's problem solving competency should anchored be in their practices.