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Table 4 Students with higher clinical competence and the 10 lowest self-assessed items at baseline (paired sample t-test)

From: Development of clinical competence – a longitudinal survey of nurse practitioner students

Item no.

Item

Baseline

Mean (SD)

Follow-up

Mean (SD)

Difference

Mean

45

I assess patients’ health needs by telephone, e-mail or other electronic devices

4.50 (2.39)

5.75 (3.06)a

1.25

46

I give health promotion advice and recommendations to patients by telephone, e-mail or other electronic devices

5.56 (2.79)

5.78 (3.87 a

0.22

8

I interpret, analyse and reach alternative conclusions about patients’ health conditions after a detailed mapping of health history and health assessment (physical examination)

5.75 (1.91)

8.25 (1.36)

2.50⁎⁎

1

I am independently responsible for health assessment (systematic physical examination), examinations and treatment of patients with complicated medical conditions

5.92 (1.88)

7.67 (2.23)

1.75

18

I take responsibility for competence development at my workplace

6.17 (2.37)

7.92 (1.62)

1.75

7

I exclude differential diagnoses when assessing patients’ health conditions

6.58 (1.68)

8.42 (1.00)

1.84

14

I systematically gather information from each patient about her/his health resources

6.73 (1.85)

8.64 (1.29) a

1.91

6

I evaluate and modify patients’ medical treatment

6.67 (1.56)

7.42 (1.68)

0.75

15

I have knowledge of the interactions of various types of medication and what side-effects they may cause for the patients I am responsible for

6.67 (1.83)

8.75 (0.97)

2.08

13

I develop and administer health-promoting and illness-preventive actions for patients

7.00 (1.35)

8.67 (0.89)

1.67

  1. Notes: Bold font indicates statistically significant differences
  2. a Competency not covered in the programme: item no. 14—1 student; item no. 45—4 students; and item no. 46—3 students
  3. p < 0.05