Chapter 1

THE PROBLEM AND ITS BACKGROUND

Introduction
Clinical experience for students is a time to enter the work world of
nursing and caring. To function in the clinical setting students require a firm
grounding in a range of anatomical, physiological, sociological, psychological,
pharmacological and nursing interpretations and interventions. Moreover, they
must somehow acquire an understanding of the patient and start to develop a
professional identity. As students learn to become nurses there are elements of
their educational process that cannot be truly taught or explicated, only
experienced. For students, contextual learning occurs as they are immersed in
the clinical experience with patients.
Clinical competence evaluation is defined as an integrated form of
evaluation seeking to combine knowledge, understanding, problem solving,
technical skills, attitudes, and ethics in evaluation. Evaluation, as a way of
determining the clinical competence, is one of the fundamental principles of
development and student achievement measurement in patient care outcome. In
clinical evaluation, it must be ensured that the students in clinical settings have
an appropriate professional behavior, establish an appropriate interaction with
the patients, prioritize the problems, have the basic knowledge about clinical
methods, perform the care procedures correctly, and apply critical thinking.

Background Of The Study

This study examined and identified the performance of the nursing
students in the clinical field. It also explored and correlated those variables to the
factors affecting it. This study also shows the patient outcomes, is their needs
met, are they satisfied to the care render to them by the student nurse.
Clinical experience has been the vital part of nursing education. It is the
avenue for the students to utilize the theories that theyve learned in their
discussion. It prepares student nurses to be able of "doing" as well as "knowing"
the clinical principles in practice. The clinical practice stimulates students to use
their critical thinking skills for problem solving. It is where the student nurses
enhance their knowledge in nursing concepts and principles as well as to
develop and improve their skills and attitude towards rendering quality of nursing
services.
Nursing student's experiences of their clinical practice provide greater
insight to develop an effective intervention for every patient.
Researches evidence suggest that student nurses clinical performance
influences patient outcomes.

Chapter 2

REVIEW OF RELATED LITERATURE AND STUDIES

This chapter reviewed different literature and studies on the clinical
performance of nursing students and patient outcome which were taken from
local and foreign sources. The literature and studies were reviewed to provide a
clearest perception of the problem in the study.
Local Literature
According to Prasanna R. Deshpande, (2011) Patient can be
considered as the centre for any healthcare system. Now-a-days there is growing
realization for the patient-centered healthcare system. The outcomes of a clinical
intervention obtained by the patient i.e. patient-reported outcomes (PROs) are
seemed to be of more importance in future than any other outcomes like clinical,
physiological or caregiver-reported. As per studies, enhanced treatment
adherence and outcomes can be obtained by giving attention to patient feedback
on healthcare outcomes and patient behavior change. Deshpande et al (2011)
To prepare the learners to the professional roles of the nurse, teacher
models behavior and student actualizes the role/s guided by established learning
goals through creative and caring modes of delivery that promote competency,
empowerment, confidence, reflection and collaboration in the clinical setting. A
variety of creative, well-designed, collaborative, constant, and caring competency
monitoring and evaluation not only encourages superior performance of the
students but also improves the performance in clinical setting. Butcon (2011)