Volume 23, Issue 3 (9-2025)                   Nursing and Midwifery Journal 2025, 23(3): 21-29 | Back to browse issues page

Ethics code: IR.IAU.URMIA.REC.1403.006

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Nouri M, baljani E, rezaee moradali M. Effect of Social Adjustment Training on Academic Success and Clinical Competence of Nursing Students: A Quasi-Experimental Study. Nursing and Midwifery Journal 2025; 23 (3) :21-29
URL: http://unmf.umsu.ac.ir/article-1-5442-en.html
Effect of Social Adjustment Training on Academic Success and Clinical Competence of Nursing Students: A Quasi-Experimental Study
Mohammad Nouri1 , Esfandyar Baljani *2 , Monireh Rezaee moradali3
1- Department of Nursing, Ur.C., Islamic Azad University, Urmia, Iran
2- Department of Nursing, Ur.C., Islamic Azad University, Urmia, Iran , Esfandyar.Baljanies@iau.ir
3- Department of Midwifery, Ur.C., Islamic Azad University, Urmia, Iran
Abstract:   (45 Views)

Background Social adjustment is one of the most important signs of students' mental health and enables them to adapt to university life, improve their academic motivation, and maintain their physical and mental health. Clinical competence and recognition of its related factors, as one of the leading indicators of determining nursing performance, are essential for maintaining standards of nursing care. This study aimed to determine the effectiveness of social adjustment training on academic success and clinical competence in nursing students.
Methods This quasi-experimental, pre-test and post-test study was conducted on senior nursing students at the Islamic Azad University of Urmia in the academic year 2023-2024. The sample consisted of 40 students selected through Census sampling. Data was collected using demographic questionnaires, the Wells Academic Achievement Questionnaire, and Ebadi Clinical Competency Assessment Questionnaire. The nursing students received social adjustment training in six 60-minute group sessions, twice a week. At the end of the training, they completed the questionnaires again. For statistical analysis, SPSS version 23 was used, and descriptive statistics (mean and standard deviation) and the paired t-test were employed.
Results The results showed no significant difference in the average overall academic success scores of nursing students before and after the intervention (p > 0.05, t = 0.015). However, there was a statistically significant difference in the mean overall clinical competence scores of students before and after the intervention (p < 0.05).
Conclusion The social adjustment training program did not significantly affect academic achievement but improved clinical competence among nursing students. Therefore, educational programs aimed at improving the social adjustment of nursing students, such as specialized workshops, simulated scenarios, and role-playing techniques, can comprehensively contribute to the development of their clinical competency. This will enable students to enter the workforce with greater confidence and skill, thereby providing high-quality healthcare services.
 

Keywords: Academic success, Clinical competence, Nursing students, Social adjustment
Full-Text [PDF 372 kb]   (27 Downloads)    
Type of Study: Research | Subject: Nursing
References
1. Warbah L, Sathiyaseelan M, Vijayakumar C, Vasantharaj B, Russell S, Jacob K. Psychological distress, personality, and adjustment among nursing students. Nurse Educ Today. 2007;27(6):597-601. [DOI:10.1016/j.nedt.2006.09.002] [PMID]
2. Ghiasabadi Farahani E, Jafari Harandi R. Predict cognitive flexibility through social adjustment and responsibility among female students. Social Psychology Research. 2021;10(40):135-50. [google scholar]
3. Friedlander LJ, Reid GJ, Shupak N, Cribbie R. Social support, self-esteem, and stress as predictors of adjustment to university among first-year undergraduates. J Coll Stud Dev. 2007;48(3):259-74. [DOI:10.1353/csd.2007.0024]
4. Rodríguez MS, Tinajero C, Páramo MF. Pre-entry characteristics, perceived social support, adjustment and academic achievement in first-year Spanish university students: A path model. The Journal of psychology. 2017;151(8):722-38. [DOI:10.1080/00223980.2017.1372351] [PMID]
5. Basir Shabestari S, Shirinbak I, Sefidi F, Sherkat Daliri H. Evaluation of the relationship between educational development and social adjustment among Qazvin Dental students in 2010-11. Journal of medical education development. 2013;6(11):1-10. [google scholar]
6. Nema S, Bansal I. Correlates of Home Health Social Emotional Adjustment among Adolescence Girls. International Journal of Scientific and Research Publications. 2015;5(2). [google scholar]
7. Liu C, Zhao Y, Tian X, Zou G, Li P. Negative life events and school adjustment among Chinese nursing students: The mediating role of psychological capital. Nurse Educ Today. 2015;35(6):754-9. [DOI:10.1016/j.nedt.2015.02.002] [PMID]
8. Ahmad M, Anwar MN, Khan S. Social adjustments and self-efficacy of university students. PUTAJ-Humanities and Social Sciences. 2017;24(2):21-32. [google scholar]
9. moallemy s. On the relationship between mental health, spiritual intelligence and dysfunctional attitudes in students of Systan and Baluchestan University, Southeast of Iran. Journal of Fundamentals of Mental Health. 2010;12(48):9-702. [google scholar]
10. Li S, Zizzi S. A Case Study of International Students' Social Adjustment, Friendship Development, and Physical Activity. Journal of International Students. 2018;8(1):389-408. [DOI:10.32674/jis.v8i1.171]
11. Johnson KA. The Peer Effect on Academic Achievement among Public Elementary School Students. A Report of the Heritage Center for Data Analysis. 2000. [google scholar]
12. McCoy KP, George MR, Cummings EM, Davies PT. Constructive and destructive marital conflict, parenting, and children's school and social adjustment. Social Development. 2013;22(4):641-62. [DOI:10.1111/sode.12015] [PMID] [PMCID]
13. Brown CM, Troy NS, Jobson KR, Link JK. Contextual and personal determinants of preferring success attributed to natural talent or striving. Journal of Experimental Social Psychology. 2018;78:134-47. [DOI:10.1016/j.jesp.2018.03.017]
14. Mohammadi Y, Kaykha A, Sadeghi A, Kazemi S, Raeisoon M. Relationship of metacognition learning strategy and locus of control with academic achievement of students. Education Strategies in Medical Sciences. 2015;8(5):323-8. [google scholar]
15. York TT, Gibson C, Rankin S. Defining and measuring academic success. Practical assessment, research, and evaluation. 2019;20(1):5. [google scholar]
16. Ghiyasvandian S, Shahsavari H, Kazemnejad A, Goodarzi Z, Razavi SN. The relationship between classroom management style with engagement and academic achievement. Iran J Nurs Res. 2019;14(2).
17. Salmalian Z, Kazemnezhad Leili E. Correlation between self-concept and academic achievement of students. Journal of Holistic Nursing and Midwifery. 2014;24(1):40-7. [google scholar]
18. Tavakolizadeh J, Khodadadi Z. Assessment of mental health among first-year students entering the first semester in Gonabad University of Medical Sciences in 2009-2010. Internal Medicine Today. 2010;16(2):45-51. [google scholar]
19. Hellman AN, Cass C, Cathey H, Smith SL, Hurley S. Understanding poverty: teaching social justice in undergraduate nursing education. J Forensic Nurs. 2018;14(1):11-7. [DOI:10.1097/JFN.0000000000000182] [PMID]
20. Yengimolki S, Kalantarkousheh SM, Malekitabar A. Self-concept, social adjustment and academic achievement of Persian students. International Review of Social Sciences and Humanities. 2015;8(2):50-60. [google scholar]
21. Liu M, Yin L, Ma E, Lo S, Zeng L. Competency inventory for registered nurses in Macao: instrument validation. Journal of advanced nursing. 2009;65(4):893-900. [DOI:10.1111/j.1365-2648.2008.04936.x] [PMID]
22. Safadi R, Jaradeh M, Bandak A, Froelicher E. Competence assessment of nursing graduates of Jordanian universities. Nursing & health sciences. 2010;12(2):147-54. [DOI:10.1111/j.1442-2018.2009.00507.x] [PMID]
23. Blomberg AC, Lindwall L, Bisholt B. Operating theatre nurses' self‐reported clinical competence in perioperative nursing: A mixed method study. Nurs Open. 2019;6(4):1510-8. [DOI:10.1002/nop2.352] [PMID] [PMCID]
24. Dolan G. Assessing student nurse clinical competency: will we ever get it right? J Clin Nurs. 2003;12(1):132-41. [DOI:10.1046/j.1365-2702.2003.00665.x] [PMID]
25. Abdi A, Assadi P, Mohammadyari T, Miri J. General decision-making style and clinical competence of nurses working in the educational hospitals affiliated to Kermanshah University of Medical Sciences in 2014. J Nurs Educ. 2015;4(3):19-29. [google scholar]
26. Talebi S, Shahrabadi H, Rezvani A, Mohsenpour M. Senior Year Nursing Students' Viewpoints Regarding Access to Clinical Nursing Skills at Medical and Surgical Units in Sabzevar University of Medical Sciences. J Nurs Educ. 2016;5(3):32-40. [DOI:10.21859/jne-05035]
27. Elahi N, Alhani F, Ahmadi F. Iranian nursing instructors' perceived experiences of challenges of effective education: a qualitative content analysis. Journal of Qualitative Research in Health Sciences. 2012;1(3):229-39. [google scholar]
28. Nash R, Lemcke P, Sacre S. Enhancing transition: An enhanced model of clinical placement for final year nursing students. Nurse Educ Today. 2009;29(1):48-56. [DOI:10.1016/j.nedt.2008.06.004] [PMID]
29. Fan J-Y, Wang YH, Chao LF, Jane S-W, Hsu L-L. Performance evaluation of nursing students following competency-based education. Nurse Educ Today. 2015;35(1):97-103. [DOI:10.1016/j.nedt.2014.07.002] [PMID]
30. Xu Y, Shen J, Bolstad AL, Covelli M, Torpey M. Evaluation of an intervention on socio-cultural communication skills of international nurses. Nursing Economics. 2010;28(6):386. [google scholar]
31. Arani ZA, Asayesh H, Hoseini MHM. Study of association between social adjustment and spiritual health in Qom University of Medical Sciences students. Health. 2017;4(1):28-32. [google scholar]
32. Brown J, McDonald M, Besse C, Manson P, McDonald R, Rohatinsky N, et al. Nursing Students' Academic Success Factors: A Quantitative Cross-sectional Study. Nurse Educ. 2021;46(2):E23-e7. [DOI:10.1097/NNE.0000000000000882] [PMID]
33. Yezengaw TY, Debella A, Animen S, Aklilu A, Feyisa W, Hailu M, et al. Clinical practice competence and associated factors among undergraduate midwifery and nursing sciences students at Bahir Dar city, Northwest Ethiopia. Ann Med Surg (Lond). 2024;86(2):734-41. [DOI:10.1097/MS9.0000000000001518] [PMID] [PMCID]
34. Adib-Hajbaghery M, Aminolroayaee Yamini E. Assessing academic success and its predictors from the perspective of nursing students in Kashan University of Medical Sciences. Iranian Journal of Medical Education. 2015;15:510-20. [google scholar]
35. Ebadi A, Tabanejad Z, Pazokian M. Clinical competence among MSc students of critical care nursing. Iranian journal of medical education. 2015;14(12):1036-46. [google scholar]
36. Bayrami M, Hashemi Nosratabad T, Badri Gargari R, Dabiri S. The Effectiveness Of Social Competence Training Based On Felner Model On Social Adjustment Of Students Being Bullying Victims, With Regards To The Type Of Social Goal Orientation. Clinical Psychology Studies. 2016;6(23):1-24. [google scholar]
37. Felner R, Lease A, Phillips R. Social competence and the language of adequacy as a subject matter for psychology: A quadripartite tri-level framework. The development of social competence in adolescence. 1990;3. [google scholar]
38. Sharifi-Sarasiabi K, Dorri M, Najafi-Asl M, Heydari Hengami M. Investigating the realationship between adjustment factors and academic achievement of students (Paramedical-Nursing and Midwifery) Hormozgan University of Medical Sciences in 2017-2018. Development Strategies in Medical Education. 2021;8(2):52-63. [DOI:10.52547/dsme.8.2.52]
39. Tamannaeifar M, Rezaei H, Hadady S. Prediction of Students academic performance based on adjustment (academic, emotional and social) and personality traits. Med J Mashhad Univ Med Sci. 2019;62(December):374-87. [google scholar]
40. Sujana SA, Jaya HP, Fiftinova F. Social adjustment and academic achievement of EFL students at higher education. The Journal of English Literacy Education: The Teaching and Learning of English as a Foreign Language. 2021;8(2):138-49. [DOI:10.36706/jele.v8i2.14328]
41. Aghajari P, Hosseinzadeh M, Mahdavi N, Hashtroudizadeh M, Vahidi M. The effectiveness of life skills training on intrinsic and extrinsic learning motivation, academic achievement, and self-esteem in nursing students. J Nurs Educ. 2015;4(2):18-27. [google scholar]
42. Garshasbi A, Taghizadeh A. The effect of self-regulation skills training on academic achievement motivation and academic performance of nursing students in English lesson. Research in Medical Education. 2018;10(1):9-1. [DOI:10.29252/rme.10.1.9]
43. Ghafari S, Atashi V, Taleghani F, Irajpour A, Sabohi F, Yazdannik A. Comparison the Effect of two Methods of Internship and Apprenticeship in the Field on Clinical Competence of Nursing Students. Research in Medical Education. 2022;14(1):64-72. [DOI:10.52547/rme.14.1.64]
44. Leal LA, Silva AT, Ignácio DS, Soares MI, Ribeiro NM, Henriques SH. Educational strategy to develop nursing students' management competencies in hospital practice. Revista Brasileira de Enfermagem. 2022;75:e20210928. [DOI:10.1590/0034-7167-2021-0928] [PMID] [PMCID]
45. Falavarjani MF, Yeh CJ. Optimism and distress tolerance in the social adjustment of nurses: Examining resilience as a mediator and gender as a moderator. J Res Nurs. 2019;24(7):500-12. [DOI:10.1177/1744987119839102] [PMID] [PMCID]
46. Vaezi M, Vala M, Souri M, Mousavi A, Ghavamzadeh A. Emotional, social and occupational adjustment among oncology nurses. International journal of hematology-oncology and stem cell research. 2016;10(4):195. [google scholar]
47. sedaghat S, houshyari khah h, karimi E, cherghian B. The Effect of Portfolios Training on Nursing Students' Clinical Competence. Educational Development of Judishapur. 2014;5(3):191-8. [google scholar]
Add your comments about this article : Your username or Email:
CAPTCHA
Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Nursing And Midwifery Journal

Designed & Developed by : Yektaweb