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Abstract Nurse internship program is designed to help nurses who have recently graduated in transition from being students to being skilled and confident professional nurses. Nursing internship programs are models of progressive experimental learning combined with structured learning. These programs provide a broad perspective for understanding the role of the professional nurse in improving children care in a hospital setting (Williams et al., 2007). Aim of the study: This study aimed to identify the relationship between learned and performed competencies of intern students of Imbaba’s TIH. • Resaerch Setting: The study was conducted at Imbaba’s TIH affiliated to Ministry of Health in Egypt ( cairo). • Research subject: A purposive sample composed of 80 from 100 intern students , who finished the study year (2013 – 2014), at the previously mentioned setting, who trained at pediatric department. Tools of data collection: Data was collected through using the following tools: • Pre-designed sheet questionnaire: (Appendix I) This tool was designed by the researcher after reviewing related literatures and was translated into Arabic language. This tool consisted of three parts: Tool I - Socio demoraghic characteristics of the intern students such as: student’s age, marital status, residence , private work and housing. Tool II- (Performance Assessment Sheet) adopted from the standardized tool (Performance Competency Assessment Checklist) and developed by The National Authority for Quality Assessment and Accreditation of Education (NARS) Kassem,2009 was used to measure performance of the interns. Scoring system The checklist about student’s practice was given scores, zero to the ”not done” performance, one mark to the ”not applicable ” performance and two marks to the ”done” performance.According to interns’ performance, they were categorized into poor < 50%, average < 75% and good performance ≥ 75%. Tool III- (Pediatric Procedures Observation Checklists) tool was adapted from Mary (2016) and was used to assess interns’ competencies level regarding pediatric procedures. Scoring system: The checklist about student’s practice was given scores, one mark to the competent practice and Zero to the incompetent practice. According to intern’s competences’, their competencies was categorized into incompetent practice < 75% and competent practice ≥ 75%. Content, face validity and reliability: It was ascertained by a group of experts consisted from (5) in pediatric nursing department. Their opinions were elicited regarding the format, layout, consistency, accuracy and relevance of the tools. Testing the reliability of the proposed tools was done statistically by Cronbach alpha test.Operational design: Preparatory phase: This phase included reviewing the literature related to knowledge and life style regarding nursing performance and pediatric competencies by using books, articles, journals, and the internet. This served to develop the study tools for data collection. Ethical considerations: The study proposal was approved by the ethical committee of the Faculty of Nursing, Ain Shams University, and an official permission to conduct the study was secured. All participants gave their oral permission to participate in the study. They were informed about the study purpose and about their rights to refuse or withdraw at any time without giving any reasons. The study maneuvers did not entail any harmful effects on participants. Pilot study: The pilot study was applied to 10% (8) of male and female pediatric nursing intern students in pediatric nursing departments of the hospital to test the clarity and arrangement of the items and time needed for each sheet. No modificationfor the question was done . The results of the data obtained from the pilot study of the involved of studied sample were not included in the study. Fieldwork: The actual field work was carried out over 6 months’ period from the first week of June 2015 up to the end of December 2015. The researcher interviewed the intern’s students at Imbaba’s TIH, explained the purpose of the study after introducing herself. The nurses were assured that the information collected would be treated confidentially, and it would be used only for the purpose of the research. Afterwards, individual interviewing was done after obtaining intern students’ consent to participate. The researcher visited the study setting 2 days/week (Monday and Thursday) from 9 am – 2 pm in pediatric department. Every checklist took a time of 45 minutes for each student. Administrative design: An official permission to conduct the study was obtained from the Dean of the Faculty of Nursing, Ain Shams University, and the Director of Imbaba’s TIH. The researcher then met the hospital director and explained the purpose and the methods of data collection. Results: • Findings of the current study can be summarized as follows: • The majority of the studied sample (93.8% ), were in the age group of 16-18 years old and (85.0%) were living with their families, while nearly two thirds (62.5%) were single and lived in rural areas. • More than half of the studied sample (53.8%) entered the institute due to university coordination, and nearly one third (27.5%) due to personal desire. • Nearly half of the studied sample (40.0%) performed effective documentation. • More than half of the studied sample (57.5%) not applicable for performed managerial activities. • Less than half of the studied sample (41.2% ), not applicable for performed nursing care of neonates and (45%) of them done immediate care of newborns. • One third of the studied sample (37.5%) had average total nursing performance, while (30%) had good performance.• Two thirds (68.8%) of studied sample were competent of performing pediatric procedures. • Statistically significant difference was found between marital status and residence of the studied sample and their performance at P<0.05. • High statistically significant difference between private work of the studied sample and their performance was found at P<0.01. • Statistically significant difference between age, residence and private work of the studied sample and their competencies was noted at P<0.05. • High statistically significant difference between performance of the studied sample and their competencies was observed at P<0.01. • No statistically significant difference between age and attending training courses and the performance of the study sample was found at P>0.05. • No statistically significant difference between marital status and attending training courses and the competences of the study sample was found at P>0.05.Recommendations: In the light of the study findings, the following recommendations were suggested: There must be more effective coordination between the health technical institutes and different health sectors to determine the pediatric nursing competencies that should be acquired by the intern students during their study to meet the demands placed on today’s nurses. It’s important to identify the role of intern students during their training in hospitals and detect certain tasks for each one to be implemented at workplace to maintain quality of health care for children. There’s a need for improved training of qualified nurses to new technologies used during their study to reduce the gap between the theoretical and practical knowledge in educational and work environments. Further studies are required in this regard. |