Advances in Medical Education and Practice (Feb 2021)
The Effect of Portfolio-Based Education and Evaluation on Clinical Competence of Nursing Students: A Pretest–Posttest Quasiexperimental Crossover Study
Abstract
Shahla Assadi Hoveyzian,1 Abdolali Shariati,2 Shayeste Haghighi,2 Sayed Mahmud Latifi,2 Mohammad Ayoubi3 1Abadan Faculty of Medical Sciences, Academic Board, Nursing and Midwifery School, Abadan, Iran; 2Ahvaz Jundishapur of Medical Sciences, Ahvaz, Iran; 3Cellular and Molecular Biology Branch, Science School, Tehran University, Tehran, IranCorrespondence: Shahla Assadi HoveyzianAcademic Board, Nursing and Midwifery School, Abadan Faculty of Medical Sciences, Abadan, IranTel + 98 916-304-6425Email [email protected]: Currently, revisions in education and evaluation in the nursing domain are necessary to increase the clinical competence of graduates. The aim of this study was to compare nursing students’ clinical competence using the portfolio method with conventional education and evaluation methods in clinical education.Methods: In this pretest–posttest quasiexperimental crossover study, all six-semester undergraduate nursing students of Ahvaz Jundishapur University of Medical Sciences were classified into four groups. They were selected based on the use of portfolio and conventional methods during their apprenticeship. Then, they were educated using conventional and portfolio methods. Their clinical competence was measured by a self-appraisal questionnaire. Data were statistically analyzed with independent and paired t-tests.Results: There were significant differences between average scores of clinical competence in all three domains before and after study in portfolio-based education method (P=0.0001). Furthermore, the average difference in scores before and after internship between the two educational groups in all three domains — cognitive (P=0.002), affective (P=0.0001), and psychomotor — (P=0001) was significant. Similarly, there was a significant difference in total average scores of clinical competence between the two methods (P=0.0001).Conclusion: The results showed the effect of educational method on increasing the clinical competence of nursing students in a clinical unit. This new method can be used as a combination of education, evaluation and student-centered methods.Keywords: clinical competence, education, nursing student, portfolio
