Journal of Human Care Studies, Vol.3
October 2002, pp.22-29

The effect of clinical pre-practicum on undergraduate nursing students’
self-efficacy, trait- and state-anxiety, and fear of negative evaluationin maternal nursing practice.
Kazuyoshi SASAKI* , Chie KADOWAKI**, Keiko IKEUCHI***, and Yuki TAKESHITA**

Abstract
This study examined the effectiveness of pre-practicum in maternal nursing on self-efficacy in clinical practice.
Subjects were 18 female undergraduate students in the second year of a baccalaureate program. Two days of prepracticum was followed by three weeks of clinical practice in a hospital. Students completed 16-item General SelfEfficacy Scale, 25-item Maternal Nursing Self-Efficacy Scale, 30-item Fear of Negative Evaluation Scale, 20-item
Fear of Negative Evaluation on Clinical Practice Scale, State-Trait Anxiety Inventory at one week before the prepracticum, at the start and at the end of the pre-practicum, and after one, two and three weeks of clinical practice. Data
were analyzed by ANOVA followed by the Tukey’s test. Generalized self-efficacy, trait anxiety, and general fear ofnegative evaluation were not significantly altered by time of questionnaire completion, however maternal nursing selfefficacy rose significantly immediately after the start of pre-practicum. State anxiety tended to rise immediately before
pre-practicum but decreased significantly over the three weeks of clinical practice. Fear of negative evaluation onclinical practice tended to rise between the start of pre-practicum and after one week of clinical practice, but began
decreasing significantly after two weeks of clinical practice. From these findings, we concluded that the pre-practicum
was effective for promoting self-efficacy in clinical practice.
(clinical practice of maternal nursing)(Key words)(self-efficacy)(pre-practicum)(state anxiety)(fear of negative evaluation)

2000

*3

Center for Research on Human Developement and ClinicalPsychology, Faculty of School Education, Hyogo University of Teacher Education**
Faculty of Nursing and Health Sciences, Ehime University School of Medicine***
Nursing College, Wakayama Medical University
2002 7 102002 8 26

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