Healthcare· 2026Q1
Changes in Self-Efficacy and Coping Associated with Implementation of a Faculty Clinical Support Model Among Nursing Internship Students: A Single-Group Pre-Post Study
- 0citations
- Q1SCImago
- 2026year
Short summary
A six-month implementation of a Faculty Clinical Support Model (FCSM) among 114 nursing interns resulted in statistically significant but educationally uncertain increases in coping (mean difference 0.14, p < 0.001) and self-efficacy (mean difference 0.04, p = 0.022), with most scores unchanged and changes below minimal detectable levels.
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Key points
- Nursing interns showed statistically significant but small increases in coping (mean difference 0.14) and self-efficacy (mean difference 0.04) after a six-month Faculty Clinical Support Model (FCSM) implementation.
- Most interns' scores on self-efficacy and coping scales remained unchanged, and the observed mean changes were below the minimal detectable change for both measures.
- The FCSM received favorable ratings from participants (mean 4.12/5.0), with 85.1% recommending it.
- The study design (single-group, pre-post) limits the ability to attribute the observed changes directly to the FCSM.
AI-generated from the title and abstract; the full text is not read.
Abstract
Background/Objectives: Nursing internship students face significant clinical stressors that may compromise wellbeing, self-efficacy, and coping. Evidence on structured faculty-led support in Middle Eastern nursing education remains limited. This study examined changes in nursing interns’ self-efficacy and coping over a six-month internship period during which a Faculty Clinical Support Model (FCSM) was implemented. Methods: A quasi-experimental, single-group pre-post design without a control group was employed. Of 172 eligible interns at Taibah University, Madinah, Saudi Arabia, 114 completed paired assessments at baseline (T0) and six months (T1). Self-efficacy was measured using an internship-contextualized Generalized Self-Efficacy Scale (GSE) and coping using the Placement Coping Scale (PCS); a five-item form assessed perceptions of the FCSM. Wilcoxon signed-rank tests on total scores were the primary analyses, with paired t-tests as sensitivity analyses; item-level (Holm-corrected) and gender-stratified analyses were exploratory. Results: Self-efficacy (M = 8.07 to 8.11; mean difference 0.04, 95% CI 0.005–0.08; p = 0.022; d = 0.21) and coping (M = 7.41 to 7.54; mean difference 0.14, 95% CI 0.07–0.20; p < 0.001; d = 0.39) increased slightly, but most participants’ scores were unchanged and mean changes were below each scale’s minimal detectable change. No gender × time interaction was found. The FCSM was rated favorably (M = 4.12/5.0), with 85.1% recommending it. Conclusions: Small, statistically significant increases in coping and self-efficacy followed FCSM implementation, but their educational significance is uncertain and, without a control condition, they cannot be attributed to the model. Controlled evaluations of structured faculty mentorship are warranted.
The authors' abstract, as published at the source. Healthcare, 2026 · DOI ↗
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Leadership and ManagementNursing