Back to Journals » Advances in Medical Education and Practice » Volume 12

The Effect of Portfolio-Based Education and Evaluation on Clinical Competence of Nursing Students: A Pretest–Posttest Quasiexperimental Crossover Study

Authors Assadi Hoveyzian S, Shariati A, Haghighi S, Latifi SM, Ayoubi M

Received 19 September 2019

Accepted for publication 18 January 2021

Published 19 February 2021 Volume 2021:12 Pages 175—182


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Md Anwarul Azim Majumder

Shahla Assadi Hoveyzian,1 Abdolali Shariati,2 Shayeste Haghighi,2 Sayed Mahmud Latifi,2 Mohammad Ayoubi3

1Abadan Faculty of Medical Sciences, Academic Board, Nursing and Midwifery School, Abadan, Iran; 2Ahvaz Jundishapur of Medical Sciences, Ahvaz, Iran; 3Cellular and Molecular Biology Branch, Science School, Tehran University, Tehran, Iran

Correspondence: Shahla Assadi Hoveyzian
Academic Board, Nursing and Midwifery School, Abadan Faculty of Medical Sciences, Abadan, Iran
Tel + 98 916-304-6425

Purpose: Currently, revisions in education and evaluation in the nursing domain are necessary to increase the clinical competence of graduates. The aim of this study was to compare nursing students’ clinical competence using the portfolio method with conventional education and evaluation methods in clinical education.
Methods: In this pretest–posttest quasiexperimental crossover study, all six-semester undergraduate nursing students of Ahvaz Jundishapur University of Medical Sciences were classified into four groups. They were selected based on the use of portfolio and conventional methods during their apprenticeship. Then, they were educated using conventional and portfolio methods. Their clinical competence was measured by a self-appraisal questionnaire. Data were statistically analyzed with independent and paired t-tests.
Results: There were significant differences between average scores of clinical competence in all three domains before and after study in portfolio-based education method (P=0.0001). Furthermore, the average difference in scores before and after internship between the two educational groups in all three domains — cognitive (P=0.002), affective (P=0.0001), and psychomotor — (P=0001) was significant. Similarly, there was a significant difference in total average scores of clinical competence between the two methods (P=0.0001).
Conclusion: The results showed the effect of educational method on increasing the clinical competence of nursing students in a clinical unit. This new method can be used as a combination of education, evaluation and student-centered methods.

Keywords: clinical competence, education, nursing student, portfolio

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]