Cent Eur J Nurs Midw 2024, 15(3):1197-2018 | DOI: 10.15452/cejnm.2024.15.0018

Mapping the link between graduating nursing students’ professional competence and educational components: a scoping review

Viktorija Kielė1,2, Sanna Koskinen1, Natalja Istomina1,2, Marija Tru¹3, Helena Leino-Kilpi1,4
1 University of Turku, Department of Nursing Science, Turku, Finland
2 Vilnius University, Faculty of Medicine, Institute of Health Sciences, Department of Nursing, Vilnius, Lithuania
3 Klaipeda University, Faculty of Health Sciences, Department of Nursing, Klaipeda, Lithuania
4 The Wellbeing Services County of Southwest Finland / VARHA, Turku University Hospital, Turku, Finland

Aim: To explore the link between nurse professional competence and various educational components within nursing education based on empirical evidence.

Design: A scoping review.

Methods: A comprehensive literature search was conducted from 1999 to 2024 using the Academic Search Premier, Business Source Complete, CINAHL, Education Research Complete, ERIC, and PubMed databases. Data were analysed using thematic analysis.

Results: Thirty relevant studies met the inclusion criteria. The identified competencies were grouped into three main categories: management, nursing intervention, and societal and social competencies. Educational components were divided into two main categories: directive-regulated curricula and optional educational components. Most nurse competencies were linked to one or more educational components.

Conclusion:  This review found that competencies such as patient care initiation, interprofessional teamwork and nurse leadership received more research attention than others. The most frequently studied educational components were study modules / training in nursing curricula and clinical placements. However, no clear link was found between nurse competence and educational components for graduate nurses.

Keywords: competence, educational component, graduating nursing students, nursing education, scoping review

Received: August 5, 2024; Revised: September 3, 2024; Accepted: September 4, 2024; Published: September 10, 2024  Show citation

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Kielė V, Koskinen S, Istomina N, Tru¹ M, Leino-Kilpi H. Mapping the link between graduating nursing students’ professional competence and educational components: a scoping review. Central European Journal of Nursing and Midwifery. 2024;15(3):1197-2018. doi: 10.15452/cejnm.2024.15.0018.
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References

  1. Ääri, R.-L., Ritmala-Castrén, M., Leino-Kilpi, H., & Suominen, T. (2004). Biological and physiological knowledge and skills of graduating Finnish nursing students to practice in intensive care. Nurse Education Today, 24(4), 293-300. https://doi.org/10.1016/j.nedt.2004.02.003 Go to original source... Go to PubMed...
  2. Amre, H., Safadi, R., Jarrah, S., Al-Amer, R., & Froelicher, E. S. (2008). Jordanian nursing students' knowledge of osteoporosis. International Journal of Nursing Practice, 14(3), 228-236. https://doi.org/10.1111/j.1440-172X.2008.00691.x Go to original source... Go to PubMed...
  3. Arksey, H., & O'Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology: Theory and Practice, 8(1), 19-32. https://doi.org/10.1080/1364557032000119616 Go to original source...
  4. Blackman, I. R., & Giles, T. M. (2017). Can nursing students practice what is preached? Factors impacting graduating nurses' abilities and achievement to apply evidence-based practices. Worldviews on Evidence-Based Nursing, 14(2), 108-117. https://doi.org/10.1111/wvn.12205 Go to original source... Go to PubMed...
  5. Blum, R. H., Raemer, D. B., Carroll, J. S., Dufresne, R. L., & Cooper, J. B. (2005). A method for measuring the effectiveness of simulation-based team training for improving communication skills. Anesthesia and Analgesia, 100(5), 1375-1380. https://doi.org/10.1213/01.ANE.0000148058.64834.80 Go to original source... Go to PubMed...
  6. Brajtman, S., Fothergill-Bourbonnais, F., Casey, A., Alain, D., & Fiset, V. (2007). Providing direction for change: assessing Canadian nursing students learning needs. International Journal of Palliative Nursing, 13(5), 213-221. https://doi.org/10.12968/ijpn.2007.13.5.23491 Go to original source... Go to PubMed...
  7. Buchanan, K., Velandia, M., Weckend, M., & Bayes, S. (2021). Learning objectives of cultural immersion programs: a scoping review. Nurse Education Today, 100, 104832. https://doi.org/10.1016/j.nedt.2021.104832 Go to original source... Go to PubMed...
  8. Castleberry, A., & Nolen, A. (2018). Thematic analysis of qualitative research data: is it as easy as it sounds?. Currents in Pharmacy Teaching and Learning, 10(6), 807-815. https://doi.org/10.1016/j.cptl.2018.03.019 Go to original source... Go to PubMed...
  9. Chen, H. M., Liu, C. C., Yang, S. Y., Wang, Y. R., & Hsieh, P. L. (2021). Factors related to care competence, workplace stress, and intention to stay among novice nurses during the coronavirus disease (Covid-19) pandemic. International Journal of Environmental Research and Public Health, 18(4), 2122. https://doi.org/10.3390/ijerph18042122 Go to original source... Go to PubMed...
  10. Chiu, L. H., Trinca, J., Lim, L. M., & Tuazon, J. A. (2003). A study to evaluate the pain knowledge of two sub-populations of final year nursing students: Australia and Philippines. Journal of Advanced Nursing, 41(1), 99-108. https://doi.org/10.1046/j.1365-2648.2003.02511.x Go to original source... Go to PubMed...
  11. Choi, J., & De Martinis, J. E. (2013). Nursing informatics competencies: assessment of undergraduate and graduate nursing students. Journal of Clinical Nursing, 22(13-14), 1970-1976. https://doi.org/10.1111/jocn.12188 Go to original source... Go to PubMed...
  12. Collins, C. A., & Stiles, A. S. (2011). Predictors of student outcomes on perceived knowledge and competence of genetic family history risk assessment. Journal of Professional Nursing, 27(2), 101-107. https://doi.org/10.1016/j.profnurs.2010.09.007 Go to original source... Go to PubMed...
  13. Collins, S., & Hewer, I. (2014). The impact of the Bologna process on nursing higher education in Europe: a review. International Journal of Nursing Studies, 51(1), 150-156. https://doi.org/10.1016/j.ijnurstu.2013.07.005 Go to original source... Go to PubMed...
  14. Darling-Hammond, L., Flook, L., Cook-Harvey, C., Barron, B., & Osher, D. (2020). Implications for educational practice of the science of learning and development. Applied Developmental Science, 24(2), 97-140. https://doi.org/10.1080/10888691.2018.1537791 Go to original source...
  15. Dever, K. H., Roman, T. C., Smith, C. M., Bowllan, N. M., Dollinger, M. L., & Blaine, B. E. (2015). Comparing professional values and authentic leadership dimensions in baccalaureate nursing students: a longitudinal study. Journal of Nursing Education, 54(6), 339-342. https://doi.org/10.3928/01484834-20150515-05 Go to original source... Go to PubMed...
  16. Dilles, T., Stichele, R. R. Vander, Bortel, L. Van, & Elseviers, M. M. (2011). Nursing students' pharmacological knowledge and calculation skills: ready for practice?. Nurse Education Today, 31(5), 499. https://doi.org/10.1016/j.nedt.2010.08.009 Go to original source... Go to PubMed...
  17. Doherty, C. (2009). A qualitative study of health service reform on nurses' working lives: learning from the UK National Health Service (NHS). International Journal of Nursing Studies, 46(8), 1134-1142. https://doi.org/10.1016/j.ijnurstu.2009.01.014 Go to original source... Go to PubMed...
  18. Douglas, C., Windsor, C., & Lewis, P. (2015). Too much knowledge for a nurse? Use of physical assessment by final-semester nursing students. Nursing & Health Sciences, 17(4), 492-499. https://doi.org/10.1111/nhs.12223 Go to original source... Go to PubMed...
  19. Edwards, H., Smith, S., Courtney, M., Finlayson, K., & Chapman, H. (2004). The impact of clinical placement location on nursing students' competence and preparedness for practice. Nurse Education Today, 24(4), 248-255. https://doi.org/10.1016/j.nedt.2004.01.003 Go to original source... Go to PubMed...
  20. European Commission. (2005). Directive 2005 / 36 / EC. https://eur-lex.europa.eu/eli/dir/2005/36/oj
  21. European Commission. (2013). Directive 2013 / 55 / EU. https://eur-lex.europa.eu/eli/dir/2013/55/oj
  22. Fetter, M. S. (2009). Graduating Nurses' self-evaluation of information technology competencies. The Journal of Nursing Education, 48(2), 86-90. https://doi.org/10.3928/01484834-20090201-05 Go to original source... Go to PubMed...
  23. Flinkman, M., Leino-Kilpi, H., Numminen, O., Jeon, Y., Kuokkanen, L., & Meretoja, R. (2017). Nurse Competence Scale: a systematic and psychometric review. Journal of Advanced Nursing, 73(5), 1035-1050. https://doi.org/10.1111/jan.13183 Go to original source... Go to PubMed...
  24. Flood, J. L., & Commendador, K. A. (2016). Undergraduate nursing students and cross-cultural care: a program evaluation. Nurse Education Today, 36, 190-194. https://doi.org/10.1016/j.nedt.2015.10.003 Go to original source... Go to PubMed...
  25. Fukada, M. (2018). Nursing competency: definition, structure and development. Yonago Acta Medica, 61(1), 1-7. https://doi.org/10.33160/yam.2018.03.001 Go to original source... Go to PubMed...
  26. Ghasemi, M. R., Moonaghi, H. K., & Heydari, A. (2020). Strategies for sustaining and enhancing nursing students' engagement in academic and clinical settings: a narrative review. Korean Journal of Medical Education, 32(2), 103-117. https://doi.org/10.3946/KJME.2020.159 Go to original source... Go to PubMed...
  27. Gray, A. (2019). Body as voice: Restorative dance / movement psychotherapy with survivors of relational trauma. In H. Payne, S. Koch, J. Tantia, & T. Fuchs (Eds.), The Routledge international handbook of embodied perspectives in psychotherapy: approaches from dance movement and body psychotherapies, (1st ed., pp. 147-160). Routledge. https://doi.org/10.4324/9781315159416 Go to original source...
  28. Grech, J. (2021). Critical self-reflection for nurse educators: now more than ever!. Teaching and Learning in Nursing; 16(1), 89-91. https://doi.org/10.1016/j.teln.2020.09.001 Go to original source... Go to PubMed...
  29. Guerriero, S. (2013). Teachers' pedagogical knowledge and the teaching profession: background report and project objectives. OECD Publishing.
  30. Halcomb, E. J., Salamonson, Y., Raymond, D., & Knox, N. (2012). Graduating nursing students' perceived preparedness for working in critical care areas. Journal of Advanced Nursing, 68(10), 2229-2236. https://doi.org/10.1111/j.1365-2648.2011.05911.x Go to original source... Go to PubMed...
  31. Hassmiller, S. B., & Wakefield, M. K. (2022). The future of nursing 2020-2030: charting a path to achieve health equity.Nursing Outlook, 70(6), S1-S9. https://doi.org/10.1016/j.outlook.2022.05.013 Go to original source... Go to PubMed...
  32. Henderson, A., Rowe, J., Watson, K., & Hitchen-Holmes, D. (2016). Graduating nurses' self-efficacy in palliative care practice: an exploratory study. Nurse Education Today, 39, 141-146. https://doi.org/10.1016/j.nedt.2016.01.005 Go to original source... Go to PubMed...
  33. Hoidn, S., & Kärkkäinen, K. (2014). Promoting skills for innovation in higher education: a literature review on the effectiveness of problem-based learning and of teaching behaviours. OECD Education Working Papers, 100, 177-182.
  34. Humar, L., & Sansoni, J. (2017). Bologna process and basic nursing education in 21 European countries. Annali Di Igiene, 29(6), 561-571. https://doi.org/10.7416/ai.2017.2185 Go to original source... Go to PubMed...
  35. Kajander-Unkuri, S., Koskinen, S., Brugnolli, A., Cerezuela Torre, M., Elonen, I., Kiele, V., Lehwaldt, D., Löyttyniemi, E., Nemcová, J., de Oliveira, C. S., Palese, A., Rua, M., Salminen, L., ©ateková, L., Stubner, J., Sveinsdóttir, H., Visiers-Jiménez, L., & Leino-Kilpi, H. (2021). The level of competence of graduating nursing students in 10 European countries-comparison between countries. Nursing Open, 8(3), 1048-1062. https://doi.org/10.1002/nop2.712 Go to original source... Go to PubMed...
  36. Kajander-Unkuri, S., Meretoja, R., Katajisto, J., Saarikoski, M., Salminen, L., Suhonen, R., & Leino-Kilpi, H. (2014). Self-assessed level of competence of graduating nursing students and factors related to it. Nurse Education Today, 34(5), 795-801. https://doi.org/10.1016/j.nedt.2013.08.009 Go to original source... Go to PubMed...
  37. Kalam-Salminen, L., Valkonen, M.-R., Aro, I., & Routasalo, P. (2013). Client-centeredness of Finnish and Estonian nursing students and the support from nursing education to develop it. Students' self-evaluation. Nurse Education Today, 33(10), 1112-1118. https://doi.org/10.1016/j.nedt.2013.02.006 Go to original source... Go to PubMed...
  38. Kaplan, B., Holmes, L., Mott, M., & Atalah, H. (2011). Design and implementation of an interdisciplinary pediatric mock code for undergraduate and graduate nursing students. CIN: Computers, Informatics, Nursing, 29(9), 531-538. https://doi.org/10.1097/NCN.0b013e31821a166e Go to original source... Go to PubMed...
  39. Kardong-Edgren, S., & Campinha-Bacote, J. (2008). Cultural competency of graduating US Bachelor of Science nursing students. Contemporary Nurse, 28(1-2), 37-44. https://doi.org/10.5172/conu.673.28.1-2.37 Go to original source... Go to PubMed...
  40. Khalil, A. I., Hantira, N. Y., & Alnajjar, H. A. (2023). The effect of simulation training on enhancing nursing students' perceptions to incorporate patients' families into treatment plans: a randomized experimental study. Cureus, 15(8), e44152. https://doi.org/10.7759/cureus.44152 Go to original source... Go to PubMed...
  41. Kiekkas, P., Michalopoulos, E., Igoumenidis, M., Michalopoulos, A., & Stefanopoulos, N. (2019). Factors associated with self-reported competence of graduating nursing students. Collegian, 26(2), 267-272. https://doi.org/10.1016/j.colegn.2018.08.004 Go to original source...
  42. Kim, K. H. (2007). Clinical competence among senior nursing students after their preceptorship experiences. Journal of Professional Nursing, 23(6), 369-375. https://doi.org/10.1016/j.profnurs.2007.01.019 Go to original source... Go to PubMed...
  43. Kmet, L. M., Cook, L. S., & Lee, R. C. (2004). Standard quality assessment criteria for evaluating primary research papers from a variety of fields. Alberta Heritage Foundation for Medical Research. https://doi.org/10.7939/R37M04F16 Go to original source...
  44. Lahtinen, P., Leino-Kilpi, H., & Salminen, L. (2014). Nursing education in the European higher education area - variations in implementation. Nurse Education Today, 34(6), 1040-1047. https://doi.org/10.1016/j.nedt.2013.09.011 Go to original source... Go to PubMed...
  45. Lakanmaa, R., Suominen, T., Perttilä, J., Ritmala-Castrèn, M., Vahlberg, T., & Leino-Kilpi, H. (2014). Graduating nursing students' basic competence in intensive and critical care nursing. Journal of Clinical Nursing, 23(5-6), 645-653. https://doi.org/10.1111/jocn.12244 Go to original source... Go to PubMed...
  46. Lindfors, K., Flinkman, M., Kaunonen, M., Huhtala, H., & Paavilainen, E. (2022). New graduate registered nurses' professional competence and the impact of preceptors' education intervention: a quasi-experimental longitudinal intervention study. BMC Nursing, 21(1), 360. https://doi.org/10.1186/s12912-022-01133-4 Go to original source... Go to PubMed...
  47. Lira, A. L. B. de C., Adamy, E. K., Teixeira, E., & Silva, F. V. da. (2020). Nursing education: challenges and perspectives in times of the COVID-19 pandemic. Revista Brasileira de Enfermagem, 73(Suppl 2), e20200683. https://doi.org/10.1590/0034-7167-2020-0683 Go to original source... Go to PubMed...
  48. Lithuanian Education Academy. (2012). Code of ethics for researchers. http://www.lma.lt/mokslininko-etikos-kodeksas
  49. Liu, L., Mao, C.-L., & Barnes-Willis, L. E. A. (2008). Cultural self-efficacy of graduating baccalaureate nursing students in a state funded university in the Silicon Valley. Journal of Cultural Diversity, 15(3), 100-107.
  50. Manoochehri, H., Imani, E., Atashzadeh-Shoorideh, F., & Alavi-Majd, A. (2015). Competence of novice nurses: role of clinical work during studying. Journal of Medicine and Life, 8(Spec Iss 4), 32-38.
  51. Matlhaba, K. L., & Nkoane, N. L. (2022). Understanding the learning needs to enhance clinical competence of new professional nurses in public hospitals of South Africa: a qualitative study. Belitung Nursing Journal, 8(5), 414-421. https://doi.org/10.33546/bnj.2180 Go to original source... Go to PubMed...
  52. May, B. A., Edell, V., Butell, S., Doughty, J., & Langford, C. (1999). Critical thinking and clinical competence: a study of their relationship in BSN seniors. The Journal of Nursing Education, 38(3), 100-110. https://doi.org/10.3928/0148-4834-19990301-04 Go to original source... Go to PubMed...
  53. Meretoja, R., Leino-Kilpi, H., & Kaira, A.-M. (2004). Comparison of nurse competence in different hospital work environments. Journal of Nursing Management, 12(5), 329-336. https://doi.org/10.1111/j.1365-2834.2004.00422.x Go to original source... Go to PubMed...
  54. Newman, N. A., & Lattouf, O. M. (2020). Coalition for medical education-A call to action: a proposition to adapt clinical medical education to meet the needs of students and other healthcare learners during COVID-19. Journal of Cardiac Surgery, 35(6), 1174-1175. https://doi.org/10.1111/jocs.14590 Go to original source... Go to PubMed...
  55. Numminen, O. H., Leino-Kilpi, H., van der Arend, A., & Katajisto, J. (2009). Nursing students and teaching of codes of ethics: an empirical research study. International Nursing Review, 56(4), 483-490. https://doi.org/10.1111/j.1466-7657.2009.00748.x Go to original source... Go to PubMed...
  56. Opoku, E. N., Van Niekerk, L., & Jacobs-Nzuzi Khuabi, L. A. (2020). Exploring the factors that affect new graduates' transition from students to health professionals: a systematic integrative review protocol. BMJ Open, 10(8), e033734. https://doi.org/10.1136/bmjopen-2019-033734 Go to original source... Go to PubMed...
  57. Poorchangizi, B., Borhani, F., Abbaszadeh, A., Mirzaee, M., & Farokhzadian, J. (2019). The importance of professional values from nursing students' perspective. BMC Nursing, 18(1), 26. https://doi.org/10.1186/s12912-019-0351-1 Go to original source... Go to PubMed...
  58. Repo, H., Vahlberg, T., Salminen, L., Papadopoulos, I., & Leino-Kilpi, H. (2017). The cultural competence of graduating nursing students. Journal of Transcultural Nursing, 28(1), 98-107. https://doi.org/10.1177/1043659616632046 Go to original source... Go to PubMed...
  59. Reyes, H., Hadley, L., & Davenport, D. (2013). A comparative analysis of cultural competence in beginning and graduating nursing students. ISRN Nursing, 2013, 929764. https://doi.org/10.1155/2013/929764 Go to original source... Go to PubMed...
  60. Snyder, H. (2019). Literature review as a research methodology: an overview and guidelines. Journal of Business Research, 104, 333-339. https://doi.org/10.1016/j.jbusres.2019.07.039 Go to original source...
  61. Sullivan, D. T., Hirst, D., & Cronenwett, L. (2009). Assessing quality and safety competencies of graduating prelicensure nursing students. Nursing Outlook, 57(6), 323-331. https://doi.org/10.1016/j.outlook.2009.08.004 Go to original source... Go to PubMed...
  62. Summers, J. (2009). Principles of healthcare ethics. In E. E. Morrison (Ed.), Health care ethics: critical issues for the 21st century. (2nd ed., pp. 47-64). Sudbury, MA: Jones and Bartlett. http://hdl.handle.net/10822/953367
  63. Theander, K., Wilde-Larsson, B., Carlsson, M., Florin, J., Gardulf, A., Johansson, E., Lindholm, C., Nordström, G., & Nilsson, J. (2016). Adjusting to future demands in healthcare: curriculum changes and nursing students' self-reported professional competence. Nurse Education Today, 37, 178-183. https://doi.org/10.1016/j.nedt.2015.11.012 Go to original source... Go to PubMed...
  64. van Eps, M. A., Cooke, M., Creedy, D. K., & Walker, R. (2006). Student evaluations of a year-long mentorship program: a quality improvement initiative. Nurse Education Today, 26(6), 519-524. https://doi.org/10.1016/j.nedt.2006.01.009 Go to original source... Go to PubMed...
  65. World Health Organization. (2021). The WHO global strategic directions for nursing and midwifery (2021-2025). https://www.who.int/publications/i/item/9789240033863
  66. World Health Organization. Dept. Human Resources for Health. (2009). Global standards for the initial education of professional nurses and midwives. http://www.who.int/iris/handle/10665/44100
  67. World Medical Association (2001). World medical association Declaration of Helsinki, ethical principles for scientific requirements and research protocols. Bulletin of the World Health Organization, 79(4), 373-374.
  68. Yamamoto, Y., Okuda, R., & Fukada, M. (2021). Factors affecting clinical nursing competency: a cross sectional study. Yonago Acta Medica, 64(1), 46-56. https://doi.org/10.33160/yam.2021.02.008 Go to original source... Go to PubMed...
  69. Zaitoun, R. A., Said, N. B., & de Tantillo, L. (2023). Clinical nurse competence and its effect on patient safety culture: a systematic review. BMC Nursing, 22(1), 173. https://doi.org/10.1186/s12912-023-01305-w Go to original source... Go to PubMed...

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