Journal of Health And Care
Volume 27, Issue 4 (winter 2025)
JHC 2025, 27(4): 385-400 |
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Ethics code: IR.ARUMS.REC.1403.253
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samenezhad H, Dadkhah B, samenezhad S, Mohammadi M A. The Relationship between Academic Advising and Nursing Competency in Nursing Students. JHC 2025; 27 (4) :385-400
URL: http://hcjournal.arums.ac.ir/article-1-1677-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1677-en.html
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
Abstract: (59 Views)
Background: Nursing competency is one of the key factors in improving the quality of clinical care and patient health. Besides, academic advising can play an effective role in enhancing students’ academic performance and professional competency. Therefore, this study was conducted to determine the relationship between academic advising and nursing competency among nursing students at the Ardabil School of Nursing and Midwifery in 2024.
Methods: This correlational descriptive study was conducted on 350 nursing students using stratified random sampling. The data collection tools included a three-part questionnaire: demographic characteristics, academic advising and counseling evaluation tool among undergraduate nursing students (Selim et al, 2023), and nursing competence (Huang et el, 2022). Data were analyzed using SPSS version 27 and statistical tests, including independent t-test, one-way ANOVA, Pearson correlation coefficient, and linear regression.
Results: The results showed that 81.6% and 68.9% of the students rated their status of academic advising and nursing competency, respectively, as moderate. A positive and significant correlation was observed between academic advising and nursing competency (r=0.41, p<0.001). Additionally, academic advising was identified as the strongest predictor of nursing competency, explaining 16% of its variance.
Conclusion: The study findings indicated that there was a positive and significant relationship between academic counseling and nursing competency of nursing students. Therefore, receiving favorable academic counseling can help improve students' professional competencies and clinical skills. Accordingly, strengthening counseling structures, increasing the quality and availability of counseling services, and providing purposeful educational programs can lead to improved professional performance and clinical readiness of nursing students.
Methods: This correlational descriptive study was conducted on 350 nursing students using stratified random sampling. The data collection tools included a three-part questionnaire: demographic characteristics, academic advising and counseling evaluation tool among undergraduate nursing students (Selim et al, 2023), and nursing competence (Huang et el, 2022). Data were analyzed using SPSS version 27 and statistical tests, including independent t-test, one-way ANOVA, Pearson correlation coefficient, and linear regression.
Results: The results showed that 81.6% and 68.9% of the students rated their status of academic advising and nursing competency, respectively, as moderate. A positive and significant correlation was observed between academic advising and nursing competency (r=0.41, p<0.001). Additionally, academic advising was identified as the strongest predictor of nursing competency, explaining 16% of its variance.
Conclusion: The study findings indicated that there was a positive and significant relationship between academic counseling and nursing competency of nursing students. Therefore, receiving favorable academic counseling can help improve students' professional competencies and clinical skills. Accordingly, strengthening counseling structures, increasing the quality and availability of counseling services, and providing purposeful educational programs can lead to improved professional performance and clinical readiness of nursing students.
References
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3. Gholami AH, Sadeghi A, Khalili A, Gharaee H. Persian version of quality patient care scale: a letter to the editor. Iran Journal of Nursing. 2022;35(138):342-45. [Persian] [DOI:10.32598/ijn.35.138.2462.9]
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5. Hoseini SA, Rokhafroz D, Tahery N, Latifi SM. Investigating the relationship between time management and the quality of nursing care and satisfaction of patients admitted to teaching hospitals in Khuzestan province, 2020. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2021;7(2):85-95. [Persian]
6. Shirozhan S, Arsalani N, Seyed Bagher Maddah S, Mohammadi-Shahboulagh F. Competencies of rehabilitation nurses to care for patients with disabilities: a qualitative study. Iranian Journal of Rehabilitation Research in Nursing. 2022;9(2):1-12. [Persian]
7. Huang S-M, Fang S-C, Hung C-T, Chen Y-H. Psychometric evaluation of a nursing competence assessment tool among nursing students: a development and validation study. BMC Medical Education. 2022;22(1):372. [DOI:10.1186/s12909-022-03439-y] [PMID] []
8. Fukada M. Nursing competency: definition, structure and development. Yonago Acta Medica. 2018;61(1):001-7. [DOI:10.33160/yam.2018.03.001] [PMID] []
9. Taheri-Ezbarami Z, Adib M, Behboudi F. Assessment of students' cultural needs in Guilan University of Medical Sciences. Research in Medical Education. 2023;15(3):4-13. [Persian] [DOI:10.32592/rmegums.15.3.4]
10. Amini R, Jouzi M, Moghimian M, Khorasani P. Effect of the educational counseling program by the supervisor on the level of anxiety in bachelor degree nursing students. Journal of Nursing Education. 2013;2(2):1-9. [Persian]
11. Dehghan S, Nikookar SH, Nadi Ghara AA, Asgari E, Shabani Kordshouli R. A study of the current and desirable status of academic counseling from the students' view points in Mazandaran University of Medical Sciences. Research in Medical Education. 2022;14(4):66-74. [Persian] [DOI:10.61186/rme.14.4.66]
12. Iatrellis O, Samaras N, Kokkinos K, Xenakis A. Elevating academic advising: natural language processing of student reviews. Applied System Innovation. 2024;7(1):12. [DOI:10.3390/asi7010012]
13. Astereki MA, Izadi M, Mardani Rad M, Zare Bahramabadi M. The effectiveness of academic counseling based on cognitive-behavioral approach on resilience, motivation and academic emotions of students with academic failure. Islamic Life Style. 2023;6(4):228-36.
14. Seo Y-S, Choi E-J, Jeong C-y. Effects of self-growth group counseling programs on the self-esteem, ego-identity, and communicative competence of nursing students'. Journal of Korean Clinical Health Science. 2017;5(3):9.
15. Najafi Ghezeljeh T, Keyvanloo Shahrestanaki S, Mohammadbeigi T, Haghani S. Patient safety competency in emergency nurses in educational-medicalcenters of Iran University of Medical Sciences, 2020. Iran Journal of Nursing. 2022;34(134):60-73. [Persian] [DOI:10.32598/ijn.34.6.5]
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20. Addis G, Loughrey N. Experiences and evaluation of the new standards for student supervision and assessment. British Journal of Nursing. 2025;34(1):36-40. [DOI:10.12968/bjon.2024.0334] [PMID]
21. Bizuneh S. Belief in counseling service effectiveness and academic self-concept as correlates of academic help-seeking behavior among college students. Frontiers in Education. 2022;7:834748. [DOI:10.3389/feduc.2022.834748]
22. Cheung RYS, Siu AMH, Shek DTL. Survey of needs and expectations for academic advising in a Hong Kong University. NACADA Journal. 2017;37(2):21-32. [DOI:10.12930/NACADA-15-047]
23. Johnson C, Gitay R, Abdel-Salam AG, BenSaid A, Ismail R, Naji Al-Tameemi RA, et al. Student support in higher education: campus service utilization, impact, and challenges. Heliyon. 2022;8(12):e12559. [DOI:10.1016/j.heliyon.2022.e12559] [PMID] []
24. Qiu L, Xu H, Li Y, Zhao Y, Yang Q. Gender differences in attitudes towards psychological help-seeking among chinese medical students: a comparative analysis. BMC Public Health. 2024;24(1):1314. [DOI:10.1186/s12889-024-18826-x] [PMID] []
25. Ismail A, Roslan L, Ismail HB, Salleh NAM. Students' satisfaction towards academic advising service. Asian Journal of University Education. 2021;17(3):291-98. [DOI:10.24191/ajue.v17i3.14497]
26. Levinstein M. Examining the role of the student-advisor relationship in a holistic, intrusive advising approach for student retention. Journal of Access, Retention, and Inclusion in Higher Education. 2020;3(1):4.
27. Wang CX, Houdyshell M. Remote academic advising using synchronous technology: knowledge, experiences, and perceptions from students. NACADA Journal. 2021;41(2):40-52. [DOI:10.12930/NACADA-20-27]
28. Terranova Tracy. Exploring the role of the student-advisor relationship: the transformative educational journey of big picture learning high school students. Doctoral Thesis. Providence, Rhode Island. John Hazen White College of Arts & Sciences: Johnson & Wales University; 2021.
29. Goemans M, Kapinos B. A quantitative study of community college student-advisor appointments and student success metrics. NACADA Journal. 2024;44(1):38-54. [DOI:10.12930/NACADA-23-31]
30. Feygin A, Miller T, Bettinger E, Dell M. Advising for college success: a systematic review of the evidence. College Completion Network. 2022:1-31
31. Gordon, Caleb Samuel. The difference in satisfaction among academic advising formats for online college students. Doctoral Thesis. Lynchburg, VA; Liberty University; 2020.
32. Rodriguez Ott N, Staklis S, Boyette J. The effectiveness of student coaching in community colleges. Community College Journal of Research and Practice. 2020;44(8):549-62. [DOI:10.1080/10668926.2019.1621786]
33. Taylor I, Bing-Jonsson PC, Finnbakk E, Wangensteen S, Sandvik L, Fagerström L. Development of clinical competence - a longitudinal survey of nurse practitioner students. BMC Nursing. 2021;20(1):130. [DOI:10.1186/s12912-021-00627-x] [PMID] []
34. O'Rae A, Peters K, Shajani Z, Burkett J, Laing C. Improving the evaluation of clinical competence in undergraduate students, evidence and technology: an integrative review. Journal of Professional Nursing, 2025;56:19-25. [DOI:10.1016/j.profnurs.2024.10.003] [PMID]
35. Mehdipour-Rabori R, Bagherian B, Nematollahi M. Simulation-based mastery improves nursing skills in BSc nursing students: a quasi-experimental study. BMC Nursing. 2021;20(1):10. [DOI:10.1186/s12912-020-00532-9] [PMID] []
36. Madjid FT, Villacorte LM, Cajigal JV, Rosario-Hussein CD, Saguban RB, Gudoy N, et al. Factors influencing the clinical competency among nursing students: a cross-sectional study. Hail Journal of Health Sciences. 2023;5(1):7-12.
37. Ogunmuyiwa AO, Anyama SC, Howells BB, Ogunleye CA, Esan DT. Gender and age differential on competence level in clinical practice among nursing students in a tertiary institution in Nigeria. SAGE Open Nursing. 2025;11:23779608251331587. [DOI:10.1177/23779608251331587] [PMID] []
38. Masibo RM, Kibusi SM, Masika GM. Gender dynamics in nursing profession: impact on professional practice and development in Tanzania. BMC Health Services Research. 2024;24(1):1179. [DOI:10.1186/s12913-024-11641-5] [PMID] []
39. Tura MR, Mulu D, Kadir A, Getahun A, Megersa Y. Nurse's clinical competence and its associated factors among working in Ethiopia: a cross-sectional study. SAGE Open Nursing. 2024;10:23779608241275213. [DOI:10.1177/23779608241275213] [PMID] []
40. Dokoohaki R, Rambod M, Pasyar N, Parviniannasab AM, Shaygan M, Kalyani MN, et al. Comparison of professional competency and anxiety of nursing students trained based on two internship models: a comparative study. BMC Medical Education. 2024;24(1):968. [DOI:10.1186/s12909-024-05956-4] [PMID] []
41. Abbaspour H, Heydari A, Esmaily H. Study of the relationship between nurses' work experience and clinical competency. Medical Education Bulletin. 2021;2(1):155-62.
42. Pérez MA, Urrejola-Contreras GP. The impact of employment on the learning environments of nursing students at a private university. Educación Médica. 2024;25(6):100951. [DOI:10.1016/j.edumed.2024.100951]
43. Zeleníková R, Gurková E, Pěrůžková R, Štureková L, Jarošová D, Kajander‐Unkuri S. Self‐assessed competence of final‐year nursing students. Nursing Open. 2023;10(7):4607-18. [DOI:10.1002/nop2.1708] [PMID] []
44. Grande RAN, Berdida DJE, Susanto T, Khan A, Waelveerakup W, Saad Z. Nursing competency inventory and professional competence of graduating students in six Asian countries: a cross-sectional study. Nurse Education Today. 2022;116:105470. [DOI:10.1016/j.nedt.2022.105470] [PMID]
45. Workneh M, Kassa M, Mihrete S, Belege F, Nigussie J, Goshiye D, etal. Level of clinical competency and associated factors of nursing students in Ethiopia: systematic review and meta-analysis. BMC Nursing. 2024;23(1):738. [DOI:10.1186/s12912-024-02377-y] [PMID] []
46. Fedyk M. Nursing science as the study of how to reconcile behavioral messiness with clinical norms and ideals. Studies in History and Philosophy of Science. 2023;99:37-45. [DOI:10.1016/j.shpsa.2022.12.006] [PMID]
47. Firouzkouhi Mr, Abdollahimohammad A. The Iran-Iraq war and the COVID-19 pandemic: shifting points in the socialization of professional nursing in Iran. Journal of Military Medicine. 2021;22:1084-85. [Persian]
48. Gholami AH, Sadeghi A, Khalili A, Gharaee H. Persian version of quality patient care scale: a letter to the editor. Iran Journal of Nursing. 2022;35(138):342-45. [Persian] [DOI:10.32598/ijn.35.138.2462.9]
49. Valizadeh l, Orujlu S, Mahboudi F, Zali M. Iranian nurses' competency: an integrative review. Nursing and Midwifery Journal. 2020;18(2):129-40. [Persian]
50. Hoseini SA, Rokhafroz D, Tahery N, Latifi SM. Investigating the relationship between time management and the quality of nursing care and satisfaction of patients admitted to teaching hospitals in Khuzestan province, 2020. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2021;7(2):85-95. [Persian]
51. Shirozhan S, Arsalani N, Seyed Bagher Maddah S, Mohammadi-Shahboulagh F. Competencies of rehabilitation nurses to care for patients with disabilities: a qualitative study. Iranian Journal of Rehabilitation Research in Nursing. 2022;9(2):1-12. [Persian]
52. Huang S-M, Fang S-C, Hung C-T, Chen Y-H. Psychometric evaluation of a nursing competence assessment tool among nursing students: a development and validation study. BMC Medical Education. 2022;22(1):372. [DOI:10.1186/s12909-022-03439-y] [PMID] []
53. Fukada M. Nursing competency: definition, structure and development. Yonago Acta Medica. 2018;61(1):001-7. [DOI:10.33160/yam.2018.03.001] [PMID] []
54. Taheri-Ezbarami Z, Adib M, Behboudi F. Assessment of students' cultural needs in Guilan University of Medical Sciences. Research in Medical Education. 2023;15(3):4-13. [Persian] [DOI:10.32592/rmegums.15.3.4]
55. Amini R, Jouzi M, Moghimian M, Khorasani P. Effect of the educational counseling program by the supervisor on the level of anxiety in bachelor degree nursing students. Journal of Nursing Education. 2013;2(2):1-9. [Persian]
56. Dehghan S, Nikookar SH, Nadi Ghara AA, Asgari E, Shabani Kordshouli R. A study of the current and desirable status of academic counseling from the students' view points in Mazandaran University of Medical Sciences. Research in Medical Education. 2022;14(4):66-74. [Persian] [DOI:10.61186/rme.14.4.66]
57. Iatrellis O, Samaras N, Kokkinos K, Xenakis A. Elevating academic advising: natural language processing of student reviews. Applied System Innovation. 2024;7(1):12. [DOI:10.3390/asi7010012]
58. Astereki MA, Izadi M, Mardani Rad M, Zare Bahramabadi M. The effectiveness of academic counseling based on cognitive-behavioral approach on resilience, motivation and academic emotions of students with academic failure. Islamic Life Style. 2023;6(4):228-36.
59. Seo Y-S, Choi E-J, Jeong C-y. Effects of self-growth group counseling programs on the self-esteem, ego-identity, and communicative competence of nursing students'. Journal of Korean Clinical Health Science. 2017;5(3):9.
60. Najafi Ghezeljeh T, Keyvanloo Shahrestanaki S, Mohammadbeigi T, Haghani S. Patient safety competency in emergency nurses in educational-medicalcenters of Iran University of Medical Sciences, 2020. Iran Journal of Nursing. 2022;34(134):60-73. [Persian] [DOI:10.32598/ijn.34.6.5]
61. Selim A, Omar A, Awad S, Miligi E, Ayoub N. Validation of student academic advising and counseling evaluation tool among undergraduate nursing students. BMC Medical Education. 2023;23(1):139. [DOI:10.1186/s12909-023-04115-5] [PMID] []
62. 17- Jafari M, Dadkhah B, Mohammadi MA. Investigating the relationship between nursing managers' ethical decision-making confidence and the ethical behavior of nurses in hospitals in northwestern Iran. Journal of Nursing Management. 2025:1-12 [DOI:10.1155/jonm/3448243]
63. Aljohani KA, Almarwani AM, Tubaishat A, Gracia PRB, Natividad MJB, Gamboa HM, et al. Nursing and health sciences students' perspective on the functions of academic advising. SAGE Open Nursing. 2023;9:23779608231172656. [DOI:10.1177/23779608231172656] [PMID] []
64. Al Hussaini M, Jamshaid M. The impact of educational counseling on students' academic decisions, self-esteem, and career development: an analytical study. Journal of Asian Multicultural Research for Educational Study. 2025;6:13-19. [DOI:10.47616/jamres.v6i1.570]
65. Addis G, Loughrey N. Experiences and evaluation of the new standards for student supervision and assessment. British Journal of Nursing. 2025;34(1):36-40. [DOI:10.12968/bjon.2024.0334] [PMID]
66. Bizuneh S. Belief in counseling service effectiveness and academic self-concept as correlates of academic help-seeking behavior among college students. Frontiers in Education. 2022;7:834748. [DOI:10.3389/feduc.2022.834748]
67. Cheung RYS, Siu AMH, Shek DTL. Survey of needs and expectations for academic advising in a Hong Kong University. NACADA Journal. 2017;37(2):21-32. [DOI:10.12930/NACADA-15-047]
68. Johnson C, Gitay R, Abdel-Salam AG, BenSaid A, Ismail R, Naji Al-Tameemi RA, et al. Student support in higher education: campus service utilization, impact, and challenges. Heliyon. 2022;8(12):e12559. [DOI:10.1016/j.heliyon.2022.e12559] [PMID] []
69. Qiu L, Xu H, Li Y, Zhao Y, Yang Q. Gender differences in attitudes towards psychological help-seeking among chinese medical students: a comparative analysis. BMC Public Health. 2024;24(1):1314. [DOI:10.1186/s12889-024-18826-x] [PMID] []
70. Ismail A, Roslan L, Ismail HB, Salleh NAM. Students' satisfaction towards academic advising service. Asian Journal of University Education. 2021;17(3):291-98. [DOI:10.24191/ajue.v17i3.14497]
71. Levinstein M. Examining the role of the student-advisor relationship in a holistic, intrusive advising approach for student retention. Journal of Access, Retention, and Inclusion in Higher Education. 2020;3(1):4.
72. Wang CX, Houdyshell M. Remote academic advising using synchronous technology: knowledge, experiences, and perceptions from students. NACADA Journal. 2021;41(2):40-52. [DOI:10.12930/NACADA-20-27]
73. Terranova Tracy. Exploring the role of the student-advisor relationship: the transformative educational journey of big picture learning high school students. Doctoral Thesis. Providence, Rhode Island. John Hazen White College of Arts & Sciences: Johnson & Wales University; 2021.
74. Goemans M, Kapinos B. A quantitative study of community college student-advisor appointments and student success metrics. NACADA Journal. 2024;44(1):38-54. [DOI:10.12930/NACADA-23-31]
75. Feygin A, Miller T, Bettinger E, Dell M. Advising for college success: a systematic review of the evidence. College Completion Network. 2022:1-31
76. Gordon, Caleb Samuel. The difference in satisfaction among academic advising formats for online college students. Doctoral Thesis. Lynchburg, VA; Liberty University; 2020.
77. Rodriguez Ott N, Staklis S, Boyette J. The effectiveness of student coaching in community colleges. Community College Journal of Research and Practice. 2020;44(8):549-62. [DOI:10.1080/10668926.2019.1621786]
78. Taylor I, Bing-Jonsson PC, Finnbakk E, Wangensteen S, Sandvik L, Fagerström L. Development of clinical competence - a longitudinal survey of nurse practitioner students. BMC Nursing. 2021;20(1):130. [DOI:10.1186/s12912-021-00627-x] [PMID] []
79. O'Rae A, Peters K, Shajani Z, Burkett J, Laing C. Improving the evaluation of clinical competence in undergraduate students, evidence and technology: an integrative review. Journal of Professional Nursing, 2025;56:19-25. [DOI:10.1016/j.profnurs.2024.10.003] [PMID]
80. Mehdipour-Rabori R, Bagherian B, Nematollahi M. Simulation-based mastery improves nursing skills in BSc nursing students: a quasi-experimental study. BMC Nursing. 2021;20(1):10. [DOI:10.1186/s12912-020-00532-9] [PMID] []
81. Madjid FT, Villacorte LM, Cajigal JV, Rosario-Hussein CD, Saguban RB, Gudoy N, et al. Factors influencing the clinical competency among nursing students: a cross-sectional study. Hail Journal of Health Sciences. 2023;5(1):7-12.
82. Ogunmuyiwa AO, Anyama SC, Howells BB, Ogunleye CA, Esan DT. Gender and age differential on competence level in clinical practice among nursing students in a tertiary institution in Nigeria. SAGE Open Nursing. 2025;11:23779608251331587. [DOI:10.1177/23779608251331587] [PMID] []
83. Masibo RM, Kibusi SM, Masika GM. Gender dynamics in nursing profession: impact on professional practice and development in Tanzania. BMC Health Services Research. 2024;24(1):1179. [DOI:10.1186/s12913-024-11641-5] [PMID] []
84. Tura MR, Mulu D, Kadir A, Getahun A, Megersa Y. Nurse's clinical competence and its associated factors among working in Ethiopia: a cross-sectional study. SAGE Open Nursing. 2024;10:23779608241275213. [DOI:10.1177/23779608241275213] [PMID] []
85. Dokoohaki R, Rambod M, Pasyar N, Parviniannasab AM, Shaygan M, Kalyani MN, et al. Comparison of professional competency and anxiety of nursing students trained based on two internship models: a comparative study. BMC Medical Education. 2024;24(1):968. [DOI:10.1186/s12909-024-05956-4] [PMID] []
86. Abbaspour H, Heydari A, Esmaily H. Study of the relationship between nurses' work experience and clinical competency. Medical Education Bulletin. 2021;2(1):155-62.
87. Pérez MA, Urrejola-Contreras GP. The impact of employment on the learning environments of nursing students at a private university. Educación Médica. 2024;25(6):100951. [DOI:10.1016/j.edumed.2024.100951]
88. Zeleníková R, Gurková E, Pěrůžková R, Štureková L, Jarošová D, Kajander‐Unkuri S. Self‐assessed competence of final‐year nursing students. Nursing Open. 2023;10(7):4607-18. [DOI:10.1002/nop2.1708] [PMID] []
89. Grande RAN, Berdida DJE, Susanto T, Khan A, Waelveerakup W, Saad Z. Nursing competency inventory and professional competence of graduating students in six Asian countries: a cross-sectional study. Nurse Education Today. 2022;116:105470. [DOI:10.1016/j.nedt.2022.105470] [PMID]
90. Workneh M, Kassa M, Mihrete S, Belege F, Nigussie J, Goshiye D, etal. Level of clinical competency and associated factors of nursing students in Ethiopia: systematic review and meta-analysis. BMC Nursing. 2024;23(1):738. [DOI:10.1186/s12912-024-02377-y] [PMID] []
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