title: Nursing student and professor perceptions and assessments of the achievement of practicum competencies: A mixed method approach.
abstract: Within the context of the European Higher Education Area's requirement of competency-based assessments, the objective of the present study was to evaluate the Nursing Degree Practicum experience at the University of Girona (Spain) and ascertain student and faculty perceptions of the degree of competency achieved as a result of the practicum. This cross-sectional, descriptive, study combined quantitative analysis of a questionnaire and qualitative analysis of focus group comments. In the quantitative part of the study, 163 fourth-year nursing students completed the questionnaire; the qualitative analysis was derived from a focus group of 5 students and 5 professors. On the questionnaire, overall practicum evaluation was 8.39 on a 10-point Likert scale; scores evaluating the nurse mentor/instructor and nursing professor were 8.43 and 7.98, respectively. The geriatrics practicum experience received the lowest overall score (7.81), while the surgical practicum received the lowest score on the adequacy of knowledge acquired in the classroom in previous courses (5.54). The best scores were earned by the mental health and intensive/emergency care practicum experiences (a mean of 9.05 and 8.70, respectively). Students and professors in the focus group agreed that the practicum met the Nursing degree program's competency goals, highlighting practical activity as the best methodology to evaluate competencies. Participants highlighted the importance of reflective practice and the role of the nurse mentor/instructor in student learning, and indicated that it is essential for the university and the health care centers where students take practicum courses to maintain a strong relationship and good communication. Finally, feedback from the nurse mentor/instructor and Nursing professor was very important to students, both to motivate them and to help them learn.
authors.affiliation: Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071 Girona, Spain. Electronic address: concepcio.fuentes@udg.edu.
authors.forename: Concepció
authors.initials: C
authors.lastname: Fuentes-Pumarola
authors.affiliation: Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071 Girona, Spain. Electronic address: david.ballester@udg.edu.
authors.forename: David
authors.initials: D
authors.lastname: Ballester-Ferrando
authors.affiliation: Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071 Girona, Spain. Electronic address: sandra.gelabert@udg.edu.
authors.forename: Sandra
authors.initials: S
authors.lastname: Gelabert-Vilella
authors.affiliation: Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071 Girona, Spain. Electronic address: cristina.bosch@udg.edu.
authors.forename: Cristina
authors.initials: C
authors.lastname: Bosch-Farré
authors.affiliation: Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071 Girona, Spain. Electronic address: carme.malagon@udg.edu.
authors.forename: M Carme
authors.initials: MC
authors.lastname: Malagón-Aguilera
authors.affiliation: Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071 Girona, Spain. Electronic address: carolina.rascon@udg.edu.
authors.forename: Carolina
authors.initials: C
authors.lastname: Rascón-Hernán
authors.affiliation: Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071 Girona, Spain. Electronic address: anna.bonmati@udg.edu.
authors.forename: Anna
authors.initials: A
authors.lastname: Bonmatí-Tomàs
authors.affiliation: School of Nursing, University of Cantabria, Avda. Valdecilla s/n., 39008 Santander, Spain. Electronic address: roser.fernandez@unican.es.
authors.forename: Rosario
authors.initials: R
authors.lastname: Fernandez-Peña
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D004508:Education, Nursing, Baccalaureate / Q000379:methods*; D004521:Educational Measurement / Q000379:methods*; D005181:Faculty, Nursing / Q000523:psychology*; D005260:Female; D006801:Humans; D019359:Knowledge; D008297:Male; D013030:Spain; D013338:Students, Nursing / Q000523:psychology*
keywords: Clinical practice; Clinical skills learning and teaching; Competence; Nursing Students; Reflective practice; Students' and teachers' experiences