Theory-practice gap: Nursing students' self-reported depth of understanding of bioscience and its relevance to clinical practice

PLoS One. 2023 Nov 30;18(11):e0294319. doi: 10.1371/journal.pone.0294319. eCollection 2023.

Abstract

Background: Bioscience subjects are essential as they allow nurses to have a clear understanding of the patient's condition and ultimately allow them to provide appropriate and timeous care. However, these subjects remain a significant problem in the endeavour to produce highly competent nurses.

Aim: The study aimed to investigate the nursing students' self-reported depth of understanding of bioscience and its relevance to clinical practice.

Methods: A quantitative research approach using a descriptive survey design was employed. The sample (n = 211) included second-, third- and fourth-year undergraduate nursing students. A three-part self-administered questionnaire was adapted and used to collect the data. Data were analysed using IBM Statistical Package for Social Sciences software version 25.0 (IBM SPSS-25). Descriptive statistics and Chi-squared test were performed to describe the relationship among the study variables.

Results: Participants rated their understanding of the application of Human Biology (n = 86, 40.76%) and Pharmacology (n = 88, 41.71%) as good, while Physics (n = 80, 37.91%) and Chemistry (n = 85, 40.28%) were rated as adequate. Most participants rated Human Biology (n = 175, 83.73%) and Pharmacology (n = 181, 86.19%) as essential, while Physics (n = 129, 61.72%) and Chemistry (n = 133, 63.64%) were rated as relevant to clinical practice. Physics (n = 112, 60.54%; n = 95, 50.53%) and Chemistry (n = 126, 68.85%; n = 113 61.41%) were rated as not relevant to monitoring a patient's heart rate and blood pressure. Participants' perception of the relevance of Chemistry in monitoring a patient's blood pressure was statistically significant (χ2 = 6.871 (df 2), p<0.05). Most participants (n = 57, 41.91%) performed at Task specific on Akinsanya's Bionursing model, suggesting an overall understanding of the foundational concepts and principles of bioscience.

Conclusion: The findings of the study provided evidence of the students' self-reported depth of understanding and perception of the relevance of bioscience and indicate a need for more emphasis on the importance of bioscience integration in clinical practice.

MeSH terms

  • Education, Nursing, Baccalaureate*
  • Humans
  • Professional Practice Gaps
  • Self Report
  • Students, Nursing*
  • Surveys and Questionnaires

Grants and funding

B Rafferty, study bursary from the university's Department of Research and Innovation for Postgraduate Studies. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.