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Implementation of a Practice-based Reflection Training Programme in Undergraduate Nursing Interns for Reflective Practice Competency and Humanistic Caring Ability: A Quasi-experimental Study

Year: 2025
Type: article
Study design: Clinical Trial
Abstract: PURPOSE: To examine the effectiveness of a practice-based reflection training programme in enhancing reflective practice competency and humanistic caring ability among undergraduate nursing interns. METHODS: A convenience sample of 95 undergraduate nursing interns from a tertiary hospital was recruited to join a quasi-experimental study. Participants in the control group (n = 48) underwent a traditional training programme between September 2021 and April 2022. Those in the intervention group (n = 47) participated in a practice-based reflection training programme that contained 8 sessions between September 2022 and April 2023. The two groups were compared in terms of their levels of reflective practice competency measured by the Nursing Reflective Practice Questionnaire (NRPQ) and humanistic caring ability measured by the Nursing Humanistic Caring Assessment Tool (NHCAT). Additionally, each intern in the intervention group submitted a reflective essay on humanistic caring which was analyzed by content analysis. RESULTS: After the intervention, the intervention group showed statistically significantly higher mean scores compared to the control group for reflective practice competency (160.94 ± 11.02 vs 147.60 ± 13.95, p < .001) and humanistic caring ability (124.02 ± 7.35 vs 115.52 ± 8.31, p < .001). By content analysis of 45 reflective essays, the most commonly reported theme related to humanistic care was "responsibility" (present in 38 essays, mentioned 153 times), followed by "empathy" (present in 36 essays, mentioned 149 times) and "communication skills/competence" (present in 32 essays, mentioned 125 times). CONCLUSIONS: The practice-based reflection training programme was shown to be effective to enhance reflective practice competency and humanistic caring ability among undergraduate nursing interns in China. Further studies are needed to examine its long-term impacts on nursing interns.
Authors: Dong-Lan Ling, Ka Yan Ho, Jing-Da Pan, Chang Zhang, Wen-Ting Xu, Ke-Lan Lin, Ting Mao, Jin Li, Hao Chen, Shu-Fang Zhang, Hong-Li Liu, Liu-Yuan Zeng, Hong-Jing Yu
Language: English
Subfield: Education
Open Access status: gold
Estimated APC paid: $1,500
OpenAlex ID: W4416137652
FWCI: 13.18
Cites: 17
Cited by: 4
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