Evidence map›Paper›PMID 41204166›Full record

ArticleBMC nursing2025

Exploring factors associated with clinical competence among nursing students volunteering in Indigenous communities: a cross-sectional analysis.

An-Chi O Yang, Shiou-Fang Lu, Yi-Ting Hu, Fang-Tsuang Lu, Jen-Hung Wang, Pei-Ru Hu, Shu-Fen Lo

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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

An-Chi O YangDepartment of Nursing, College of Nursing, Tzu Chi University, Hualien, Taiwan.
Shiou-Fang LuDepartment of Nursing, College of Nursing, Tzu Chi University, Hualien, Taiwan.
Yi-Ting HuDepartment of Nursing, College of Nursing, Tzu Chi University, Hualien, Taiwan.
Fang-Tsuang LuCharity Development Department, Tzu Chi Charity Foundation, Hualien, Taiwan, ROC.
Jen-Hung WangTzu Chi University, Hualien, Taiwan, ROC.
Pei-Ru HuDepartment of Nursing, College of Nursing, Tzu Chi University, Hualien, Taiwan.
Shu-Fen LoDepartment of Nursing, College of Nursing, Tzu Chi University, Hualien, Taiwan. shufen5712@gms.tcu.edu.tw.

Funding

The Buddhist Tzu Chi Charity Foundation 111-CU-A05
6 · The paper itself

Abstract

backgroundAlthough volunteer service in Indigenous communities provides valuable experiential learning for nursing students, its impact on clinical competence remains underexplored. This study investigated associations among volunteer motivation, self-efficacy, and clinical competence in nursing students serving Indigenous communities.

methodsA cross-sectional, descriptive study was carried out among nursing students enrolled in five-year vocational and two-year technical programs in eastern Taiwan. Data were collected between July 1, 2021, and June 30, 2023, using structured questionnaires: the volunteer motivation scale, volunteer self-efficacy scale, and clinical internship competence scale. Statistical analyses included descriptive statistics, Pearson correlation, and stepwise multiple linear regression.

resultsA total of 123 nursing students were initially recruited; ten participants were excluded due to incomplete responses or withdrawal, yielding a final sample of 113 students (92% response rate; aged 17-25). Participants exhibited elevated levels of volunteer motivation (M = 94.42, SD = 10.30) and self-efficacy (M = 86.58, SD = 9.13), with moderate clinical competence (M = 58.04, SD = 6.88). Significant positive correlations were observed between clinical competence and both volunteer motivation (r = .87) and self-efficacy (r = .85). Stepwise multiple regression identified self-efficacy (β = 0.58, p < .001), internship grade (β = 0.14, p = .001), and volunteer motivation (β = 0.31, p = .001) as significant predictors, explaining 79% of the variance in clinical competence.

conclusionStructured volunteer service in Indigenous communities appears to enhance nursing students' clinical competence, likely through increased motivation and self-efficacy. Integrating such experiences into nursing education may better prepare students for diverse clinical settings and improve readiness to address community health disparities. Future curricula should consider systematically incorporating structured, culturally responsive volunteer programs. Longitudinal studies are recommended to assess the long-term impact on professional development and health outcomes in underserved populations.

Indexed as

Clinical competenceIndigenous communitiesNursing studentsSelf-efficacyService learningVolunteer motivation

Identifiers

PMID41204166
PMCPMC12595639

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.