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Understanding the influences on self-confidence among first-year undergraduate nursing students in Ireland

Chesser-Smyth, PA; Long, T

Authors

PA Chesser-Smyth



Abstract

Aim. To report a mixed-methods study of the development of self-confidence in Irish nursing students undertaking the first year of an undergraduate nursing programme.

Background. Self-confidence underpins nurses’ competence to carry out care effectively, yet there is little empirical evidence of how this attribute is fostered in pre-registration preparation. There is an assumption, however, that self-confidence develops independently and spontaneously.

Design. A sequential, mixed methods three-phase design was used.

Method. The design involved pretest and posttest measurements of self-confidence, focus group interviews, a student self-evaluation questionnaire and analysis of the
relevant curriculum content. Data were collected between September 2007–April 2008 and sampling was from three cohorts of students at three different Institutes of
Technology in Ireland. Data collection matched the nature of the data, including descriptive, non-inferential statistics and qualitative content analysis.

Results. There was considerable variation in the amount and nature of theoretical preparation. Factors in clinical practice exerted the most influence. Self-confidence
fluctuated during the first clinical placement and as students’ self-confidence developed, simultaneously, motivation towards academic achievement increased. Conversely, self-confidence was quickly eroded by poor preceptor attitudes, lack of communication, and feeling undervalued.

Conclusion. The development of self-confidence is complex and multi-factorial. This study offers further understanding of facilitators and barriers that may be
relevant elsewhere in promoting student nurses’ developing self-confidence. The development of self-confidence must be recognized as a central tenet for the design and delivery of undergraduate programmes.

Citation

Chesser-Smyth, P., & Long, T. (2013). Understanding the influences on self-confidence among first-year undergraduate nursing students in Ireland. Journal of Advanced Nursing, 69(1), 145-157. https://doi.org/10.1111/j.1365-2648.2012.06001.x

Journal Article Type Article
Acceptance Date Mar 3, 2012
Online Publication Date Apr 4, 2012
Publication Date Jan 1, 2013
Deposit Date May 10, 2012
Journal Journal of Advanced Nursing
Print ISSN 0309-2402
Electronic ISSN 1365-2648
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 69
Issue 1
Pages 145-157
DOI https://doi.org/10.1111/j.1365-2648.2012.06001.x
Publisher URL http://dx.doi.org/10.1111/j.1365-2648.2012.06001.x
Related Public URLs http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-2648