• Sally Shaapan Mallek Nursing Administration, Faculty of Nursing, Suez Canal University, Egypt
  • Wafaa Abd El-Azeem El-Hosany Nursing Administration, Faculty of Nursing, Suez Canal University, Egypt



Background: Clinical teaching is an important component of clinical education. In nursing, clinical teaching is ensured by clinical nurse educators. The quality of the student- teacher interaction in the clinical field can either facilitate or hinder the students' integration of theory to practice. The study aimed to assess the effect of training program on clinical teaching skills of the clinical instructors at faculty of nursing, Suez Canal University. Design: A quasi-experimental study design. Setting: this study was conducted in three settings as follows: Faculty of nursing SCU, Suez Canal university hospitals and Ismailia general hospital. Sample: Convenient sample were included all clinical instructors (43) who participate in students' clinical teaching during the academic years 2016/2017 and 2017/2018.Tools: Tool (1): Self-Need Assessment Sheet which included two parts. Part I: personnel data of clinical instructors, Part II: it contains question about the needs related to clinical teaching skills. Tool (2): clinical teaching skills observational checklist. Results: There was a statistically significant improvement between mean scores of clinical instructors in relation to their skills at pre, post and follow up. Mean score at pre-program was (46.6±4.62) which increased at post program (82.4±2.8) and slightly declined at follow-up to (82.1±2.93). Conclusion: the clinical teaching skills of clinical instructors improved post and follow up implementation of the program compared to pre implementation of the program. Recommendation: Ongoing professional education for clinical instructors about clinical teaching skills and a clinical teaching efficacy scale must be developed to evaluate clinical nursing instructors based on the attributes of rules and their capabilities.


Training Program, Clinical Teaching Skills, Clinical Instructors


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Abd El Aziz, L.T. (2009). Implementation of Conflict Resolution Strategies and its Effect on Stress Level among Nursing Personnel at Banha University Hospital. Unpublished Doctorate Thesis, Faculty of Nursing, Banha University, Egypt.

Adb Rabou, H.M. (2011). Training Preceptorship Program for Qualified Nurses. Doctorate Thesis, Faculty of Nursing, Ain Shams University, Egypt, 116, pp 195-198.

Ali, G.W. (2012). Caring and Effective Teaching Behavior of Clinical Nursing Instructors in Clinical Area as Perceived by Their Students. Journal of Education and Practice, 3(7), pp 15-26.

Asfour, A. & El Soussi, A. (2011). A Qualitative Study of Effectiveness of Clinical Teaching. Journal of American Science, 7(7), pp 409-420.

Aziz, A.W. (2005): Developing a Standard for Teaching Staff Role. Unpublished Doctorate Thesis, Faculty of Nursing, Ain Shams University, Egypt, pp 183.

Badran, F.M. (2014). The effect of the training program on clinical teaching skills for faculty assistant. Doctorate Thesis, Faculty of Nursing, Ain Shams University, Egypt.

Baraz, S., Memarian, R. & Vanaki, Z. (2015). Learning challenges of nursing students in clinical environments: A qualitative study in Iran. Journal of education and health promotion, 4, 52.

Basavanthappa, B.T. (2012), Nursing Education. 2nd edition. India: Jaypee Brothers Medical Publishers (p) LTD, pp140-142.

Brink, Y. & Louw, Q. (2012). Clinical instruments: reliability and validity critical appraisal. Journal of Evaluation in Clinical Practice, 18(2), pp 1126-1132.

Bulechek, G.M., Butcher, H.K., Dochterman, J.M. & Wagner, C.M. (2013). Nursing interventions classification (NIC). 6th Edition. Jakarta: EGC.

Carlsson, E., Wann-Hansson, C. & Pilhammar, E. (2009). Teaching during clinical practice: strategies and techniques used by preceptors in nursing education. Nurse Education Today, 29(5), pp 522-526.

Chan, Z.C.Y. (2019). Nursing students' view of critical thinking as ‘Own thinking, searching for truth, and cultural influences’. Nurse Education Today, 78, pp 14-18.

Clark, C.M. (2008). Student Voices on Faculty Incivility in Nursing Education: A Conceptual Model. Nursing Education Perspectives, 29(5), pp 284-289.

Collier, A.D. (2018). Characteristics of an effective nursing clinical instructor: The state of the science. Journal of Clinical Nursing, 27(1-2), pp 363-374.

Croxon, L. & Maginnis, C. (2009). Evaluation of clinical teaching models for nursing practice. Nurse Education in Practice, 9(4), pp 236-243.

Dwyer, C.P., Hogan, M.J., Harney, O.M. & Kavanagh, C. (2016). Facilitating a student-educator conceptual model of dispositions towards critical thinking through interactive management. Educational Technology Research and Development, 65(1), pp 47-73.

Elçigil, A. & Sarı, H. (2008). Students’ Opinions About and Expectations of Effective Nursing Clinical Mentors. Journal of Nursing Education, 47(3), pp 118-23

Elisha, S. (2010). An educational curriculum used to improve the knowledge and perceptions of certified registered nurse. Anesthetist Clinical Educators, AANA Journal, 76(4), pp 287-292.

Factor, E.M.R. & de Guzman, A.B. (2017). Explicating Filipino student nurses’ preferences of clinical instructors’ attributes: A Conjoint Analysis. Nurse Education Today, 55, pp 122–127.

Flood, L.S. & Robinia, K. (2014). Bridging the gap: strategies to integrate classroom and clinical learning. Nurse Education Practice, 14(4), pp 329-332.

Gaberson, K.B. & Oermann, M.H. (2010). Clinical Teaching Strategies in Nursing. 2nd edition. New York: Springer Publishing.

Hallin, K. & Danielson, E. (2010). Preceptoring Nursing Students: Registered Nurses'm Perceptions of Nursing Students' Preparation and Study Approaches in Clinical Education. Nurse Education Today, 30(4), pp 296-302.

Hayajneh, F. (2011). Role Model Clinical Instructor as Perceived by Jordanian Nursing Students. Journal of Research in Nursing, 16(1), pp 23-32.

Heidari, M.R. & Norouzadeh, R. (2015). Nursing students' perspectives on clinical education Journal of Advances in Medical Education and Professionalism, 3(1), pp 39-43.

Henderson, A., Cooke, M., Creedy, D.K. & Walker, R. (2012). Nursing Students' Perceptions of Learning in Practice Environments: A Review. Nurse Education Today, 32(3), pp 299-302.

Heydari, A., Yaghoubinia, F. & Roudsari, R. (2013). Supportive relationship: Experiences of Iranian students and teachers concerning student-teacher relationship in clinical nursing education. Iranian Journal of Nursing and Midwifery Research, 18(6), pp 467-474.

Hou, X., Zhu, D., & Zheng, M. (2010). Clinical nursing faculty competence inventory‐development and psychometric testing. Journal of Advanced Nursing, 67(5), 1109-1117.

Huang, L., Wang, Z., Yao, Y., Shan, C., Wang, H., Zhu, M., Lu, Y., Sun, P. & Zhao, X. (2015). Exploring the association between parental rearing styles and medical students' critical thinking disposition in China. BMC medical education, 15, pp 1-8.

Ismail, L.M-N., Aboushady, R.M-N. & Eswi A., (2016). Clinical instructor's behaviour: nursing student's perception toward effective clinical instructor's characteristics. Journal of Nursing Education and Practice, 6(2), pp 96–105.

Jansson, I. & Ene, K.W. (2016). Nursing students' evaluation of quality indicators during learning in clinical practice. Nurse Education in practice, 20, pp 17-22.

Jasemi, M., Whitehead, B., Habibzadeh, H., Esmaeili, Z.R. & Rezaie, S.A. (2018). Challenges in the clinical education of the nursing profession in Iran: A qualitative study. Nurse Education Today, 67, pp 21-26.

Jouybari, L. & Sanagoo, A. (2009). An effective instructor: A deep look at students and instructors’ experiences and perspectives. Strides in Development of Medical Education Journal, 6(2), pp 119-28 (Persian).

Kamel, F.F. (2010). Study the Effectiveness of Teaching the Clinical Administrative Course by Using Computer Based Training in Developing Nurse Intern Administrative Knowledge and Skills at Banha University, Egypt, pp 87.

Kan, Z. & Stabler-Haas, S. (2009). Fast Facts for The Clinical Nursing Instructor Clinical Teaching in A Nutshell, Springer Publishing Company, LLC. New York pp 3- 14.

Khan, B.A., Ali, F., Vazir, N., Barolia, R. & Rethan, S. (2012). Students’ perceptions of clinical teaching and learning strategies: A Pakistani Perspective. Nurse Education Today, 32(1), pp 85–90.

Khan, N., Shafi, S. & Akhtar, S. (2015). Availability of clinical nurse instructor enhance the application of theory into practice in tertiary care hospitals (LRH, KTH, HMC), KPK, Peshawar, Pakistan. International Journal of Innovative Research and Development, 4(1), pp 293-297.

Knox, J. E., & Mogan, J. (1985). Important clinical teacher behaviours as perceived by university nursing faculty, students and graduates. Journal of Advanced Nursing, 10(1), pp 25-30.

Kube, M. (2010). The Relationship of Nursing Faculty Clinical Teaching Behaviors to Student Learning. Dissertation for Doctor in Education from College of Saint Mary College of Saint Mary, United States – Nebraska.

Labrague, L.J., McEnroe-Petitte, D.N., D'Souza, M.S., Hammad, K.S. & Hayudini, J.N.A. (2019). Nursing faculty teaching characteristics as perceived by nursing students: An integrative review. Scandanavian Journal of Caring Sciences, 34(1), pp 23-33.

LaFauci, F. (2009). Second Year Associate Degree Nursing Students and Nursing Faculty Attitudes towards Clinical Educational Experiences. Dissertation, Dowling College, United States, New York.

Lau, Y. & Wang, W. (2013). Development and evaluation of a learner-centered training course on communication skills for baccalaureate nursing students. Nurse Education Today, 33(12), pp 1617-1623.

Lejonqvist, G.B., Eriksson, K. & Meretoja, R. (2016). Evaluating clinical competence during nursing education: A comprehensive integrative literature review. International Journal of Nursing Practice, 22(2), pp 142-151.

Lovic, R., Prlic, N., Barac, I., Pluzaric, J., Puseljic, S., Berecki, I. & Radic, R. (2014). Specificities and differences in nursing students’ perceptions of nursing clinical faculties' competences. Journal of Professional Nursing, 30(5), pp 406–417.

Madhavanprabhakaran, G.K., Shukri, R.K., Hayudini, J. & Narayanan, S.K. (2013). Undergraduate Nursing Students’ Perception of Effective Clinical Instructor: Oman. International Journal of Nursing Science, 3(2), pp 38-44.

Mahfouz, H.E. (2011). Developing Clinical Teaching Skills of the Assisting Teaching Staff at Benha Faculty of Nursing. Doctorate Thesis, Faculty of Nursing, Benha University, Egypt.

Mlek, M. (2011). Nursing Learning Experiences in Clinical Setting. Unpublished Master Thesis, Concordia University, Montreal, Quebec, Canada, pp 25-30.

Molodysky, E., Sekelja, N. & Lee, C. (2006). Identifying and training effective clinical teachers--new directions in clinical teacher training. Australian Family Physician, 35(1-2), pp 53-55.

Mousa, F., Adam, S. & Hassan, R. (2012). Developing and Validating Standards for Effective Clinical Training Settings for Nurse Students. Master Thesis, Faculty of Nursing, Ain Shams University, Egypt.

Nazari, R. & Mohammadi, E. (2015). Characteristics of competent clinical instructors: a review of the experiences of nursing students and instructor. Journal of Nursing and Midwifery Sciences, 2(2), pp 11-22.

Nelson, N. (2011). Beginning Nursing Students Perceptions of The Effective Characteristics and Caring Behaviors of Their Clinical Instructor. Dissertation. Capella University, USA.

Oermann, M.H. & Gaberson, K.B. (2013). Evaluation and Testing in Nursing Education. 3rd edition. New York: Springer Publishing.

Parvan, K., Hosseini, F.A. & Bagherian, S. (2018). The Relationship Between Nursing Instructors' Clinical Teaching Behaviors and Nursing Students' Learning in Tabriz University of Medical Sciences in 2016. Education for Health, 31(1), pp 32-38.

Polit, D., & Tatano-Beck, C. (2008). Nursing research: Generating and assessing evidence for nursing practice. 8th edition. Philadelphia PA: Lippincott Williams & Wilkins.

Rowbotham, M. & Owen, R.M. (2015). The effect of clinical nursing instructors on student self-efficacy. Nurse Education in Practice, 15(6), pp 561–566.

Sadeghi A., Oshvandi K. & Moradi Y. (2019). Design of Clinical Competency Model for nursing undergraduates, Explaining the inhibitory characteristics of clinical instructors in the process of developing clinical competence of nursing students: a qualitative study. Journal of Family Medicine and Primary Care, 8(5), pp 1664–1670.

Salimi, T., Khodayarian, M., Rajabioun, H., Alimandegari, Z., Anticchi, M., Javadi, S. & Namjoo, Z. (2012). A survey on viewpoints of nursing and midwifery students and their clinical instructors at Faculty of Nursing and Midwifery of Shahid Sadoughi University of Medical Sciences towards clinical education during 2009-2011. The Journal of Medical Education and Development, 7(3), pp 67-78.

Soliman, M.E., EL Sawi, K.A., Mohamed, L.A., Hashem, H.Y. & El-Sebaee, H.A. (2006). Promoting Clinical Teaching Skill among Nursing Instructor at Faculties of Nursing, Faculty of Nursing, Cairo University, Egypt. The Third annual International Scientific Conference of Maternal Health Nursing Department, pp 56-67.

Sudh, R, (2013). Nursing education: Principles and concepts; nursing educational programs, Jaypee Brother's Medical Publishers Ltd, India. pp 208-213.

Van Graan, A.C., Williams, M.J. & Koen, M.P. (2016). Clinical judgement within the South African clinical nursing environment: A concept analysis. Health SA Gesondheid, 21(2), pp 33-45.

Vanguri, P.R. & Konin, J. (2008). The Acquisition of Instructional Strategies through Four Sessions' Athletic Trainer Clinical Instructor Workshop. The Internet Journal of Allied Health Sciences and Practice, 6(1), pp 1-10.

World Health Organization (2005). Effective teaching: AGuide for Educating Health Care Providers. Reference Manual, Geneva; pp 90-91.



How to Cite

Sally Shaapan Mallek, & Wafaa Abd El-Azeem El-Hosany. (2020). TRAINING PROGRAM FOR IMPROVING CLINICAL TEACHING SKILLS AS A COMPETENCE OF CLINICAL INSTRUCTORS. The Malaysian Journal of Nursing (MJN), 12(1), 16-41.