Evidence map›Paper›PMID 41644495›Full record

SynthesisNursing open2026

Clinical Practice Competency and Associated Factors Among Midwifery and Nursing Students in Ethiopia: A Systematic Review and Meta-Analysis.

Yabibal Asfaw Derso, Molalign Aligaz Adisu, Tegene Atamenta Kitaw, Habtamu Hurisa Dadi, Habtamu Bekele Beriso, Wagaw Abebe, Tesfaye Engdaw Habtie, Dagnaw Tigabu, Melesse Abiye Munie, Abraham Dessie Gessesse and 1 more

Abstract readSystematic ReviewMeta-AnalysisReview
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Yabibal Asfaw DersoDepartment of Surgical Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.
Molalign Aligaz AdisuDepartment of Pediatric and Child Health Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.
Tegene Atamenta KitawDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.
Habtamu Hurisa DadiDepartment of Surgical Nursing, College of Health Science, Wolaita Sodo University, Woldia, Ethiopia.
Habtamu Bekele BerisoDepartment of Surgical Nursing, College of Health Science, Wolaita Sodo University, Woldia, Ethiopia.
Wagaw AbebeDepartment of Medical Laboratory, College of Health Science, Woldia University, Woldia, Ethiopia.ORCID https://orcid.org/0009-0008-2435-7369
Tesfaye Engdaw HabtieDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.ORCID https://orcid.org/0009-0006-7943-3280
Dagnaw TigabuDepartment of Pediatric and Child Health Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.ORCID https://orcid.org/0009-0002-1821-6865
Melesse Abiye MunieDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.
Abraham Dessie GessesseDepartment of Pediatric and Child Health Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.
Aynalem Yetwale HiwotDepartment of Clinical Midwifery, College of Health Science, Woldia University, Woldia, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical practice competency is crucial for midwifery and nursing students, as it directly impacts the quality of patient care and health outcomes. AIM/

objectiveThis systematic review and meta-analysis aims to evaluate the level of clinical practice competency among midwifery and nursing students in Ethiopia and identify associated factors influencing their competency.

designA comprehensive literature search was conducted across multiple databases, including MEDLINE, Scopus, Web of Science, Cochrane Library, Hinari and Google Scholar.

methodsStudies were included if they examined clinical practice competency among midwifery and nursing students in Ethiopia and were published before 10 August 2025. Two independent reviewers conducted study selection, data extraction and quality assessment, with discrepancies resolved by a third reviewer. Meta-analysis was performed using random-effects models, and heterogeneity was assessed using I

resultsThe review included nine studies with a total of 2706 participants. The pooled proportion of clinical practice competency among midwifery and nursing students was 39.02% (95% CI: 29.95%-48.09%), showing substantial heterogeneity (I

conclusionsThe review revealed a low clinical practice competency rate of 39.02%, indicating a critical need for improved training. Factors positively impacting competency highlight the importance of supportive environments and targeted interventions to enhance clinical skills among nursing and midwifery students. LIMITATIONS: The most significant limitation of this systematic review is the high degree of heterogeneity among the included studies, as reflected by an I

trial registrationPROSPERO: CRD420251111145.

Indexed as

Clinical CompetenceMidwiferyStudents, NursingEthiopiaFemaleHumansassociated factor Ethiopiaclinical practice competencymidwifery studentsnursing students

Identifiers

PMID41644495
PMCPMC12875850

What OpenQuestion holds

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Registered trials

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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.