Use of a National Clinical Final Examination in a Bachelor’s Programme in Nursing to Assess Clinical Competence—Students’, Lecturers’ and Nurses’ Perceptions

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Objective: The objective of this study was to evaluate the perceptions of students, lecturers, nurses
and clinical lecturers regarding the ability of the National Clinical Final Examination (NCFE) to assess
clinical competence, and whether the assessment was consistent with the qualifications for a
Bachelor of Science in Nursing as outlined by the Swedish Higher Education Authority. The NCFE is
divided into two parts (written and bedside) and aims to evaluate third-year nursing students’
clinical competence. Methods: Data were collected at 10 universities using study-specific questionnaires.
The total response rate was 84% (n = 1652). Results: The clinical lecturers indicated that
there was a need for improvement in the written part of the examination in order to adequately assess
clinical competence. Regarding the bedside part the clinical lecturers, nurses and students
perceived that the bedside part of the examination assessed whether the student had the clinical
competence required by a newly registered nurse. Conclusion: The two-part examination described
in this study was perceived as useful for assessing clinical competence and for the qualification
requirements for a Bachelor of Science in Nursing as outlined by the Swedish Higher Education
Authority. However, especially the written part requires further development. The model and
form of assessment ought to be applicable to graduate nursing programme internationally.


  • Unn-Britt Johansson
  • Petra Lilja Andersson
  • Maria Larsson
  • Kristina Ziegert
  • Marianne Ahlner-Elmqvist
Enheter & grupper

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Omvårdnad
Sidor (från-till)501-511
TidskriftOpen Journal of Nursing
StatusPublished - 2014
Peer review utfördJa


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