Volume 35, Issue 250 (11-2025)
J Mazandaran Univ Med Sci 2025, 35(250): 130-143 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Jodaki K, Fatehi R, Hasani S A, Esmaeelzadeh N, Barzegari S. The Relationship Between Professional Nursing Image and Self-Esteem with Clinical Competence Among Nursing Students in the Internship Stage at Mazandaran University of Medical Sciences in 2023. J Mazandaran Univ Med Sci 2025; 35 (250) :130-143
URL: http://jmums.mazums.ac.ir/article-1-21550-en.html
URL: http://jmums.mazums.ac.ir/article-1-21550-en.html
Abstract: (56 Views)
Background and purpose: The process of developing clinical competence in nursing begins with academic education and practical experience in clinical settings and is influenced by personal and professional factors. This study aimed to examine the relationship between nursing professional image and self-esteem with clinical competence among nursing students at Mazandaran University of Medical Sciences in 2023.
Materials and methods: This descriptive-analytical study was conducted using a census method on 148 seventh- and eighth-semester nursing students. Inclusion criteria were being in the clinical internship and willingness to participate, while exclusion criteria included withdrawal from education or unwillingness to participate. Data were collected using standardized questionnaires on nursing professional image, self-esteem, and self-assessed clinical competence. Data analysis was performed using SPSS version 26.
Results: The mean age of participants was 22.24±1.22 years; 51.4% were female, and 83.8% were single. The mean total scores of clinical competence, nursing professional image, and self-esteem were 183.54±24.66, 76.47±5.91, and 19.02±4.56, respectively. The highest competence was observed in the ethical domain (50.66±6.96) and the lowest in the safety domain (25.52±4.64). Multiple regression analysis revealed that being female (β=0.427, p≤0.001), having a more positive professional image (β=0.184, p=0.010), higher self-esteem (β=0.360, p≤0.001), higher academic semester (β=0.190, p=0.004), having family members or relatives in nursing (β=0.179, p=0.026), and having moderate (β=0.328, p=0.001) or high income (β=0.253, p=0.005) were significant predictors of higher clinical competence. In contrast, lower paternal education (diploma level) was associated with reduced competence (β=-0.256, p=0.004). The regression model explained 63.1% of the variance in clinical competence.
Conclusion: The findings demonstrated that nursing students’ clinical competence is influenced by their professional image, self-esteem, and certain demographic factors. Promoting a positive professional image, enhancing self-esteem, and addressing individual and familial characteristics may contribute to strengthening clinical competence and improving the quality of nursing education.
Materials and methods: This descriptive-analytical study was conducted using a census method on 148 seventh- and eighth-semester nursing students. Inclusion criteria were being in the clinical internship and willingness to participate, while exclusion criteria included withdrawal from education or unwillingness to participate. Data were collected using standardized questionnaires on nursing professional image, self-esteem, and self-assessed clinical competence. Data analysis was performed using SPSS version 26.
Results: The mean age of participants was 22.24±1.22 years; 51.4% were female, and 83.8% were single. The mean total scores of clinical competence, nursing professional image, and self-esteem were 183.54±24.66, 76.47±5.91, and 19.02±4.56, respectively. The highest competence was observed in the ethical domain (50.66±6.96) and the lowest in the safety domain (25.52±4.64). Multiple regression analysis revealed that being female (β=0.427, p≤0.001), having a more positive professional image (β=0.184, p=0.010), higher self-esteem (β=0.360, p≤0.001), higher academic semester (β=0.190, p=0.004), having family members or relatives in nursing (β=0.179, p=0.026), and having moderate (β=0.328, p=0.001) or high income (β=0.253, p=0.005) were significant predictors of higher clinical competence. In contrast, lower paternal education (diploma level) was associated with reduced competence (β=-0.256, p=0.004). The regression model explained 63.1% of the variance in clinical competence.
Conclusion: The findings demonstrated that nursing students’ clinical competence is influenced by their professional image, self-esteem, and certain demographic factors. Promoting a positive professional image, enhancing self-esteem, and addressing individual and familial characteristics may contribute to strengthening clinical competence and improving the quality of nursing education.
Type of Study: Research(Original) |
Subject:
nursing
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Articles Copyright © The Author(s). Owned by Mazandaran University of Medical Sciences.
Contact Us
Address: Journal Office, Building No. 2, Mazandaran University of Medical Sciences, Moallem Square, Sari.Tel: +98 (011)34484874 Postal code: 48175-866 E-Mail: jmums@mazums.ac.ir Telefax: +98 (011)33262679
