Published March 4, 2026 | Version v1
Journal article Open

Comparative Assessment of Knowledge and Clinical Competency Level Among Government and Private Nursing Students

Description

Background: The nursing education produces knowledge and clinical competency as the primary outcomes that guarantee safe and effective patient care. The comparison of government and private nursing students assists in determining the possible differences in education and readiness to work in the field.

Aim: This study aimed to compare the knowledge and clinical competency levels of undergraduate nursing students in government and private institutions in Swat to identify differences in educational outcomes and practical skills.

Methodology: The study was a descriptive comparative cross-sectional study that was carried out on 235 nursing students with clinical experiences (117 government, 118 private). Simple random sampling was used to pick the participants. A structured questionnaire was used to collect data on such variables as demographics, theoretical knowledge, clinical skills, and views on the learning environment.

Results: Most students (61.7) had 10- 20 clinical hours a week, and 76.6% were exposed to a simulation lab. The theoretical knowledge of government students was better (mean 72.4, 10.5) than that of the private students (mean 61.2, 11.2). There were also higher levels of satisfaction with clinical supervision, lab preparation, feedback, and resource availability among government students. Chi-square test has shown that there is a significant relationship between the type of institution and the level of knowledge (23.76, p < 0.001).

Conclusion: The knowledge and clinical competency of the government nursing students were better than those of the students of the private institutions. The differences could be in the form of differences in clinical exposure, faculty support, class size, and availability of resources.

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Journal: 3066-3202 (ISSN)

Dates

Accepted
2026-03-04

References

  • 1. Prendi E, Stievano A, Caruso R, et al. Measuring professional competencies of registered nurses and nursing students. A cross-sectional comparative study. Acta Biomed. 2022;93(4):e2022282. doi:10.23750/abm.v93i4.13332 PubMed | Crossref | Google Scholar
  • 2. Farsi Z, Nasiri M, Sajadi SA, Khavasi M. Comparison of Iran's nursing education with developed and developing countries: a review on descriptive-comparative studies. BMC Nurs. 2022;21(1):105. doi:10.1186/s12912-022-00861-x PubMed | Crossref | Google Scholar
  • 3. 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 Educ Today. 2022;116:105470. doi:10.1016/j.nedt.2022.105470 PubMed | Crossref | Google Scholar
  • 4. Sharma SK, Arora D, Belsiyal X. Self-reported clinical practice readiness of nurses graduating from India: A cross-sectional survey in Uttarakhand. J Educ Health Promot. 2020;9:125. doi:10.4103/jehp.jehp_55_20 PubMed | Crossref | Google Scholar
  • 5. Hussain S, Khan A, Arshad L, Rubab E. Trapped in the Screen: Clinical Insights into Digital Addiction and Mental Health Among Young Adults. medtigo J Neurol Psychiatr. 2025;2(3):e3084234. doi:10.63096/medtigo3084234 Crossref | Google Scholar
  • 6. Beil-Hildebrand MB, Smith HB. Comparative Analysis of Advanced Practice Nursing: Contextual and Historical Influences in North American and German-Speaking European Countries. Policy Polit Nurs Pract. 2022;23(3):162-174. doi:10.1177/15271544221105032 PubMed | Crossref | Google Scholar
  • 7. Jeffery N, Donald F, Martin-Misener R, et al. A Comparative Analysis of Teaching and Evaluation Methods in Nurse Practitioner Education Programs in Australia, Canada, Finland, Norway, the Netherlands and USA. Int J Nurs Educ Scholarsh. 2020;17(1):/j/ijnes.2020.17.issue-1/ijnes-2019-0047/ijnes-2019-0047.xml. doi:10.1515/ijnes-2019-0047 PubMed | Crossref | Google Scholar
  • 8. Gunawan J, Aungsuroch Y, Fisher ML, McDaniel AM, Marzilli C. Perceived Managerial Competence of First-Line Nurse Managers: A Comparative Analysis Among Public Hospitals. Policy Polit Nurs Pract. 2020;21(3):151-163. doi:10.1177/1527154420926616 PubMed | Crossref | Google Scholar
  • 9. Almondes K, Bizarro L, Miyazaki C, et al. Comparative analysis of psychology responding to the COVID-19 pandemic in BRICS nations. Front Psychol. 2021;12:567585. doi:10.3389/fpsyg.2021.567585 Crossref | Google Scholar
  • 10. Tesfaye TS, Alemu W, Mekonen T. Perceived Clinical Practice Competency and Associated Factors Among Undergraduate Students of Medicine and Health Science Collage in Dilla University, SNNPR, Ethiopia. Adv Med Educ Pract. 2020;11:131-137. doi:10.2147/AMEP.S235823 PubMed | Crossref | Google Scholar
  • 11. CannistrĂ  M, Agasisti T, Amagir A, et al. A comparative analysis of financial literacy levels and initiatives among students in five European countries. Res Comp Int Educ. 2022;17(2):246-280. doi:10.1177/17454999211066183 Crossref | Google Scholar
  • 12. Kaur J, Sharma A. What do I know about social-emotional learning: a comparative analysis between public and private preschool teachers in Punjab. SAGE Open. 2022;12(2). doi:10.1177/21582440221091254 Crossref | Google Scholar
  • 13. Ahmer Z, Fatima R, Sohaira R, Fatima M. How important is medical ethics? Descriptive cross-sectional survey among medical students of Karachi. Eur J Environ Public Health. 2021. doi:10.21601/ejeph/11058 Crossref | Google Scholar
  • 14. Pavlic D, Burns HH, Wong A, Lehmer J. Comparative health systems immersion in South Korea: A constructivist competency-based approach to educating master's nursing students. J Prof Nurs. 2020;36(1):92-97. doi:10.1016/j.profnurs.2019.07.001 PubMed | Crossref | Google Scholar
  • 15. McFarlan S. An Experiential Educational Intervention to Improve Nurse Managers' Knowledge and Self-Assessed Competence With Health Care Financial Management. J Contin Educ Nurs. 2020;51(4):181-188. doi:10.3928/00220124-20200317-08 PubMed | Crossref | Google Scholar
  • 16. Guerrero JG, Tungpalan-Castro GM, Pingue-Raguini M. Impact of simulation debriefing structure on knowledge and skill acquisition for postgraduate critical care nursing students: three-phase vs. multiphase. BMC Nurs. 2022;21(1):318. doi:10.1186/s12912-022-01100-z PubMed | Crossref | Google Scholar
  • 17. Yi QF, Yan J, Zhang CJ, Yang GL, Huang H, Yang Y. The experience of anxiety among Chinese undergraduate nursing students in the later period of their internships: findings from a qualitative study. BMC Nurs. 2022;21(1):70. doi:10.1186/s12912-022-00847-9 PubMed | Crossref | Google Scholar
  • 18. Aldhafeeri F, Alosaimi D. Perception of satisfaction and self-confidence with high-fidelity simulation among nursing students in government universities. J Educ Pract. 2019;11:137. doi:10.7176/JEP/11-12-16 Crossref | Google Scholar
  • 19. Ankita B, Ipsa M. First year medical students' and standard precautions: The need for change. Clin Epidemiol Glob Health. 2021;9:221-226. doi:10.1016/j.cegh.2020.09.002 PubMed | Crossref | Google Scholar
  • 20. Chaisuwan C. The Influence of Cultural Values on Critical Thinking Dispositions among Baccalaureate Nursing Students: A Comparative Analysis between Thailand and the United States. Dissertation. Sage School of Health Sciences; 2020. The Influence of Cultural Values on Critical Thinking Dispositions among Baccalaureate Nursing Students: A Comparative Analysis between Thailand and the United States
  • 21. Tseng LP, Hou TH, Huang LP, Ou YK. Effectiveness of applying clinical simulation scenarios and integrating information technology in medical-surgical nursing and critical nursing courses. BMC Nurs. 2021;20(1):229. doi:10.1186/s12912-021-00744-7 PubMed | Crossref | Google Scholar
  • 22. Berhe S, Gebreyohannis T. Nursing students' challenges toward the clinical learning environment at the School of Nursing and Midwifery, Addis Ababa University: a qualitative study. Int J Afr Nurs Sci. 2021;15:100378. doi:10.1016/j.ijans.2021.100378 Crossref | Google Scholar
  • 23. Burau V, Falkenbach M, Neri S, Peckham S, Wallenburg I, Kuhlmann E. Health system resilience and health workforce capacities: Comparing health system responses during the COVID-19 pandemic in six European countries. Int J Health Plann Manage. 2022;37(4):2032-2048. doi:10.1002/hpm.3446 PubMed | Crossref | Google Scholar
  • 24. Aboubakr RM, Bayoumy HMM. Evaluating educational service quality among dentistry and nursing students with the SERVQUAL model: A cross-sectional study. J Taibah Univ Med Sci. 2022;17(4):648-657. doi:10.1016/j.jtumed.2022.01.009 PubMed | Crossref | Google Scholar
  • 25. Agrawal N, Kumar S, Bhargava S, Mahajan S, Usmanova G, Gautam A, Srivastava A, Shah H, Sinha P, Kumar AV, Bairagi A. Evaluating the effect of strengthening nurse midwifery pre-service education in two Indian states: a single group pre- and post-intervention study. Nurse Educ Today. 2020;104640. doi:10.1016/j.nedt.2020.104640 Crossref | Google Scholar
  • 26. Mayra K, Padmadas SS, Matthews Z. Challenges and needed reforms in midwifery and nursing regulatory systems in India: Implications for education and practice. PLoS One. 2021;16(5):e0251331. doi:10.1371/journal.pone.0251331 PubMed | Crossref | Google Scholar
  • 27. Purabdollah M, Zamanzadeh V, Ghahramanian A, Valizadeh L, Ghasempour M, Mousavi S. Determining and comparing the achieved competencies of graduating nursing students of public and private universities in Iran. BMC Med Educ. 2025;25(1):25. doi:10.1186/s12909-024-06622-5 PubMed | Crossref | Google Scholar
  • 28. Terefe TF, Geletie HA, GebreEyesus FA, et al. Clinical competency and associated factors among undergraduate nursing students studying in universities of Southern regional state of Ethiopia, 2021. Heliyon. 2023;9(8):e18677. doi:10.1016/j.heliyon.2023.e18677 PubMed | Crossref | Google Scholar
  • 29. Upashe S, Shil R, Shetty S. Self-reported clinical practice skill readiness of final-year nursing students studying in Bengaluru, Karnataka: an institutional-based cross-sectional study. J Health Allied Sci NU. 2022;13. doi:10.1055/s-0042-1744554 Crossref | Google Scholar
  • 30. Srivastava S, Pandurangan H, Kumar A. Development and validation of a comprehensive nursing competence assessment questionnaire (CNCAQ) to determine the perceived clinical competence of nursing graduates. Nurs Midwifery Res J. 2024;20:96-111. doi:10.1177/0974150X241247986 Crossref | Google Scholar