The Effect of a Self-Reflection and Insight Program on the Nursing Competence of Nursing Students: A Longitudinal Study
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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.

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Nursing competence was significantly positively related to self-reflection and insight and negatively related to practice stress.

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Nursing students' competence was positively related to clinical teachers' instructional quality.

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Clinical practice experience, self-reflection and insight, and practice stress are predictors of nursing students' clinical competence.

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