الفهرس 
Nursing Education
Concepts related performance evaluationOnly 14 pages are availabe for public view
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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.