The Development of Clinical Education Model Based on Community of Practice for the Patient Safety Competency Achievement in Nursing Students: a Pls-Sem Approach

Abstract

Background: Patient safety goals competence has not been achieved optimally by nursing students. The efforts to solve this condition are through improving clinical education based on community of practice. The study aims to analyze the development of a clinical education model based on community of practice for the patient safety goals competency achievement in nursing students.   Methods: This research method was a cross-sectional approach. The number of respondents were 125 nurses in the professional student program who were taken by a purposive sampling technique. The study assessed student factors, clinical educator factors, learning facilities factors, clinical education factors, and outcome factors (patient safety goals competency outcomes through using questionnaire. Datacollected from February to April 2023 in university hospital, Semarang City, Central Cava, Indonesia. Data analysis techniques in this study used the Structural Equation Modeling (SEM) of AMOS 5.0 softwares package.   Results: Student factors, clinical educator factors, and learning facility factors have a significant effect on clinical education based on community of practice with p value <0.05, t statistic > 1.96, with path coefficient in the range of 0.251 -0.353. Student factors, clinical educator factors, learning facility factors, and community of practice-based clinical education have a significant effect on patient safety goals competencyy achievement with p value <0.05, t statistics > 1.96, and the path coefficient is in the range 0.135-0.372.   Conclusions: The clinical education model based on the community of practice is formed by student factors, clinical educator factors, learning facility factors, and community of practice-based clinical education that directly influence the achievement of patient safety goals competency by nursing students. The clinical education model based on community of practice should be applied as a learning method in improving patient safety goals competency outcomes for nursing students in the clinical area.