A clinical practice program with self-reflection learning exercise during clinical practicum effectively increases nursing students' self-reflection and clinical competence and decreases practice stress.
Nursing competence was significantly positively related to self-reflection and insight and negatively related to practice stress.
Nursing students' competence was positively related to clinical teachers' instructional quality.
Clinical practice experience, self-reflection and insight, and practice stress are predictors of nursing students' clinical competence.