Original Article Font size: Decrease font Enlarge font

Perceptions of confidence among Saudi nursing interns during internship program: a cross-sectional study

Ahmad E. Aboshaiqah,a Regie B. Tumala,a Joel G. Patalagsa,a Ahmed A. Al-Khaibary,b Haya Al Fozan,c John Paul Ben T. Silanga

From the aCollege of Nursing, King Saud University, Riyadh, Saudi Arabia; bDepartment of Nursing Affairs, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia; cKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

How to cite this article:

Aboshaiqah AE, Tumala RB, Patalagsa JG, Al-Khaibary A, AL Fozan H, Silang JP. Perceptions of confidence among Saudi nursing interns during internship program: a cross-sectional study. Ann Saudi Med 2018; 38(4): 288-298.


BACKGROUND: Saudi nursing students are trained in theoretical and clinical nursing competencies for four years before transition to newly graduated nurses through a one-year internship program. The transition period is crucial as nursing students have low confidence without adequate clinical experience. 


OBJECTIVES: Validate and culturally adapt the Arabic version of the Self-Efficacy for Clinical Evaluation Scale (SECS) and explore nursing interns perceived confidence (self-efficacy).


DESIGN: Cross-sectional.


SETTING: Four public tertiary training hospitals in Riyadh, Saudi Arabia.


METHODS: A survey was conducted among nursing interns. Validity, reliability, and the cultural relevance of the Arabic-translated instrument was determined. Tests for differences and correlations were undertaken.


MAIN OUTCOME MEASURES: Perceived self-efficacy and impor.tance of learning objectives.


SAMPLE SIZE: 300 Saudi nursing interns.


RESULTS: The Arabic version of SECS was successfully adapted cross-culturally and was valid. Reliability tests showed Cronbach’s a=.95 for confidence and Cronbach’s a=0.96 for the importance subscales. The overall mean (SD) for perceived confidence and importance of clinical evaluation were 3.7 (0.9) and  4.1 (0.8), respectively. Gender (P<.001), length of internship (P=.009), and training hospital (P<.001) were significantly correlated and had a medium effect size with perceived self-efficacy.


CONCLUSION: Gaining knowledge that the gender, length of intern.ship and area of training affect the perceptions of the Saudi nursing interns towards self-efficacy can help preceptors formulate better strategies in developing nursing intern competence and gaining self-efficacy as they move from the academic to clinical nursing practice. The knowledge gathered in this study should be beneficial to nursing administrators, faculty, and mentors/preceptors.


LIMITATIONS: Results may not be generalizable due to the limitations in the setting and there are other factors not included in the study that may have explained variances in perceived self-efficacy.




Read Full Article

Submit Your Manuscript Here:

Indexed in: