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Understanding the influences on self-confidence among first-year undergraduate nursing students in Ireland

Chesser-Smyth, PA and Long, T 2012, 'Understanding the influences on self-confidence among first-year undergraduate nursing students in Ireland' , Journal of Advanced Nursing .

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    Abstract

    Aim. To report a mixed-methods study of the development of self-confidence in Irish nursing students undertaking the first year of an undergraduate nursing programme. Background. Self-confidence underpins nurses’ competence to carry out care effectively, yet there is little empirical evidence of how this attribute is fostered in pre-registration preparation. There is an assumption, however, that self-confidence develops independently and spontaneously. Design. A sequential, mixed methods three-phase design was used. Method. The design involved pretest and posttest measurements of self-confidence, focus group interviews, a student self-evaluation questionnaire and analysis of the relevant curriculum content. Data were collected between September 2007–April 2008 and sampling was from three cohorts of students at three different Institutes of Technology in Ireland. Data collection matched the nature of the data, including descriptive, non-inferential statistics and qualitative content analysis. Results. There was considerable variation in the amount and nature of theoretical preparation. Factors in clinical practice exerted the most influence. Self-confidence fluctuated during the first clinical placement and as students’ self-confidence developed, simultaneously, motivation towards academic achievement increased. Conversely, self-confidence was quickly eroded by poor preceptor attitudes, lack of communication, and feeling undervalued. Conclusion. The development of self-confidence is complex and multi-factorial. This study offers further understanding of facilitators and barriers that may be relevant elsewhere in promoting student nurses’ developing self-confidence. The development of self-confidence must be recognized as a central tenet for the design and delivery of undergraduate programmes.

    Item Type: Article
    Themes: Health and Wellbeing
    Schools: Colleges and Schools > College of Health & Social Care
    Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences > Centre for Nursing, Midwifery & Social Work Research
    Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences
    Journal or Publication Title: Journal of Advanced Nursing
    Publisher: Blackwell
    Refereed: Yes
    ISSN: 03092402
    Depositing User: JC Potter
    Date Deposited: 10 May 2012 16:37
    Last Modified: 20 Aug 2013 18:27
    URI: http://usir.salford.ac.uk/id/eprint/22618

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