EFFECTIVENESS OF A STANDARD CLINICAL TRAINING PROGRAM IN NEW GRADUATE NURSES' COMPETENCIES IN VIETNAM: A QUASI- EXPERIMENTAL LONGITUDINAL STUDY WITH A DIFFERENCE-IN-DIFFERENCES DESIGN

Objective
This study aimad to estimate the effemiveness of a standard clinical training program for new graduate nurses in Vietnam.

Methods
A quasi-experimental longitudinal sludy wilh a difference-in-differences design was con- ducted. A total of 280 new graduate nurses completed a self-administered questionnaire. The intervention group consisted of 206 respondents (those having panicipated in standard clinical training) and the control group (those that did not receive training) of 74. Difierences in mean increases in competency scores between the intervention and control groups were estimated. The eflect size of the intervention was estimated by calculating Cohen’s d. A gen- eralized linear model was employed to identify the factors associated with mean increases.

Results
Tha mean increase in total competency scores (range: 0-6 points) in the intervention group was 0.73 points greater than in the control group with an intermediate effect size (Cohen's d
= 0.53; 959• CI 0.26 to 0.80). A greater reduction in standard deviation of total competency scores in1he intervention group was confirmed. Participation in standard clinical training pro- duced a positive association wilh a mean increase in tolal competency score without signifi- cance (§ = 0.04, P = 0.321). Provincial hospitals as clinical training venues had a significantly positive association (§ = 0.11, P = 0.007) with the mean increase in total competency scores. Competency at pre-clinical training was negatively(§= -0.75, P
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