Perceived Impact of in-Service Training on the Quality Nursing Care Outcome on the Clinical Competence of Staff Nurses
Authors
Graduate School of Allied Health Sciences, University of the Visayas (Philippines)
Resty L. Picardo, DM, MAN, JD, RN
Gullas College of Medicine, Inc (Philippines)
Joan P. Bacarisas, DM, MAN, RN
Graduate School of Allied Health Sciences, University of the Visayas (Philippines)
Article Information
Publication Timeline
Submitted: 2026-07-30
Accepted: 2026-08-04
Published: 2026-09-03
Abstract
To develop clinical competence, in-service trainings are essential to help nurses stay current, use evidence-based practices, and ensure patient safety. There is a scarcity of studies on the interrelationship among profile, perceived impact of in-service training on quality nursing care outcomes, and clinical competence among nurses. This quantitative study utilizes the descriptive correlational design to assess the interrelationship among profile, perceived impact of in-service training on quality nursing care outcomes, and clinical competence among 90 nurses in a private hospital in Cebu. Findings of the study revealed that majority of the respondents were aged 18 to 35 years old, female, and with a bachelor’s degree. Majority had served for one to three years and were assigned to the wards. Majority of the nurses had a high perception about the impact of in-service training programs on quality nursing care outcomes. Also, majority of them had a high level of clinical competence. The profile of age, sex, educational attainment, years of service, and area of assignment did not correlate with perceived impact on in-service training programs on the quality of nursing care outcomes and clinical competence. However, the perceived impact on service training programs on quality nursing care outcomes was significantly correlated with clinical competence. As a result. a clinical competence sustenance plan was proposed.
Keywords
Clinical Competence; Correlational Design; Staff Nurses; Perceived Impact of In-Service Training; Quality of Nursing Care Outcomes
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References
1. Abbaspour, H., Heydari, A., & Esmaily, H. (2021). Study of the relationship between Nurses' work experience and clinical competency. Medical Education Bulletin, 2(1),155-62. https://doiorg/10.22034/MEB.2021.313001.1036 [Google Scholar] [Crossref]
2. Al-Hammouri, F., Hamdan, K. M., Haymour, A. M., Ibrahim, M. O., Malkawi, A., Al-Hiary, S. S., Albqoor, M. A., & Shaheen, A. M. (2024). Quality of nursing care: Predictors of patient satisfaction in a national sample. Nursing Open, 11(8), e2252. https://doi.org/10.1002/nop2.2252 [Google Scholar] [Crossref]
3. Alhussin, E. M., Mohamed, S. A., Hassan, A. A., Al-Qudimat, A. R., Doaib, A. M., al jonidy, R. M., al harbi, L. I., & Alhawsawy, E. D. (2024). Patients’ satisfaction with the quality of nursing care: A cross-section study. International Journal of Africa Nursing Sciences, 20, 100690, https://doi.org/10.1016/j.ijans.2024.100690. [Google Scholar] [Crossref]
4. Aquino, J. D. (2024). Effects of in-service training on the knowledge skills and attitudes of nurses. World Education Connect Multidisciplinary E-Publication, 4(2), 2-17. https://doi.org/10.5281/zenodo.10714709 [Google Scholar] [Crossref]
5. Asiamah, N., Mensah, H. K., & Ocra, B. (2019). An assessment of education, in-service training and tenure prolongation as methods for enhancing nursing performance. International Journal of Health Care Quality Assurance, 32(6), 910–926. https://doi.org/10.1108/IJHCQA-07-2018-0190 [Google Scholar] [Crossref]
6. Awad, Y. M., & Nemr Jouda, A. M. (2021). Effects of in-services training programs on nurses performance at governmental primary health. Journal of Strategic Studies for disasters and Opportunity Management, (12). [Google Scholar] [Crossref]
7. Bhandari, P. (2023). Correlation research. When and how to use. Scribbr. https://www.scribbr.com/methodology/correlational-research/#:~:text=A%20correlational%20research %20design%20investigates%20relationships%20between%20two%20variables%20(or,between%20correlational%20and%20experimental%20research%3F [Google Scholar] [Crossref]
8. Dziak, M. (2024). Donabedian model. EBSCO. https://www.ebsco.com/research-starters/social-sciences-and-humanities/donabedian-model [Google Scholar] [Crossref]
9. Eshraghi Arani, N., Adib Hajbaghery, M., & Azizi Fini, I. (2022). Clinical competence and clinical performance of nurses: A cross-sectional study. Medical Surgical Nursing Journal, 11(3), e132816. https://doi.org/10.5812/msnj-132816 [Google Scholar] [Crossref]
10. Firooznia, M., Hamta, A., & Shakerian, S. (2020). The effectiveness of in-service training “pharmacopeia home health” based on Kirkpatrick's model: A quasi-experimental study. Journal of Education and Health Promotion, 9(1), 218. https://doi.org/ 10.4103/jehp.jehp_170_20 [Google Scholar] [Crossref]
11. Gassas, R., & Salem, I. (2022). Factors affecting nurses' professional values: A Comprehensive integrative review. Nurse Education Today, 118. 105515. https://doi.org/10.1016/j.nedt.2022.105515. [Google Scholar] [Crossref]
12. Hoshino, J., Tamakoshi, K., Hotta, M., Muto, S., & Furukawa, N. (2024). In-service educational learning factors related to nursing competence among new nurses. Collegian, 31(2), 100-106. https://doi.org/10.1016/j.colegn.2023.12.004. [Google Scholar] [Crossref]
13. Ibrahim, N., Gida, M., Moussa, M., Moussa, M., & Abuelmaaty, G. (2015). The effect of in-services educational program for nurses about communication skills in general hospitals at Port-Said Governorate. International Journal of Advanced Research, 3, 950-962. [Google Scholar] [Crossref]
14. Liu, Q., Zhou, L., Tang, Y., Cheng, W., Zhang, Y., Ma, Y., Liu, Y., & Li, R. (2026). In-service training needs and expectations of junior nurses in Chinese emergency departments: A qualitative study based on the COM-B model. Australasian Emergency Care, 29(1), 36-44. https://doi.org/10.1016/j.auec.2025.08.001. [Google Scholar] [Crossref]
15. Lomodag, H. A. H., Bacarisas, J. P., & Picardo, R. L. (2025). Nursing management practices on the quality nursing care among nurses in a Level I hospital. International Journal for Research and Scientific Innovation. https://doi.org/10.51244/IJRSI.2025.120600166 [Google Scholar] [Crossref]
16. Maryville University (2023). Diversity in nursing . https://nursing.maryville.edu/blog/diversity-in-nursing [Google Scholar] [Crossref]
17. McCombes, S. (2023). Descriptive research. Definition, types, methods and examples. https://www.scribbr.com/methodology/descriptive-research/ [Google Scholar] [Crossref]
18. Mofdy Almarwani, A., & Alzahrani, N. S. (2023). Factors affecting the development of clinical nurses’ competency: A systematic review. Nurse Education in Practice, 73, 103826. https://doi.org/10.1016/j.nepr.2023.103826. [Google Scholar] [Crossref]
19. Mohamed, R. A., Alharbi, M. F. J., Aloufi, R., Abraham, N., Taref, N. N., Bauomy, E. S., Alkalash, S. H., Marzouk, M. M., & Almowafy, A. A. (2024). Perceived clinical competence and its related factors among registered nurses employed at selected outpatient clinics in Egypt. PLoS One, 19(12), e0314206. [Google Scholar] [Crossref]
20. Mutshatshi, T., Mothiba, T., & Malema, R. (2022). Exploration of in-service training needs for nurses implementing the nursing process at Regional Hospitals of Limpopo Province, South Africa. Open Public Health Journal, 15, e187494452209291. http://dx.doi.org/10.2174/18749445-v15-e221014-2022-58 [Google Scholar] [Crossref]
21. Mrayyan MT, Abunab HY, Abu Khait A, et al Competency in nursing practice: a concept Analysis. British Medical Journal. Open 2023;13:e067352. doi: 10.1136/bmjopen-2022-067352 [Google Scholar] [Crossref]
22. Nababan, T., & Saragih, E. (2018). Designing training module to improve nursing clinical competence based on needs analysis: A developmental study. Asian Journal of Scientific Research, 11, 319-328. https://doi.org/10.3923/ajsr.2018.319.328. [Google Scholar] [Crossref]
23. Nabizadeh-Gharghozar, Z., Alavi, N. M., & Ajorpaz, N. M. (2021). Clinical competence in nursing: A hybrid concept analysis. Nurse Education Today, 97, 104728. https://doi.org/10.1016/j.nedt.2020.104728. [Google Scholar] [Crossref]
24. Nakamura, K., Siongco, K.L.L., Moncatar, T.R.T. et al. In-service training programme for health and social care workers in the Philippines to strengthen interprofessional collaboration in caring for older adults: a mixed-methods study. Health Research Policy and System, 20(Suppl 1), 111 (2022). https://doi.org/10.1186/s12961-022-00914-2 [Google Scholar] [Crossref]
25. Notarnicola, I., Ivziku, D., Tartaglini, D., Filomeno, L., Gualandi, R., Ricci, S., Lommi, M., Porcelli, B., Raffaele, B., Montini, G., Ferramosca, F. M. P., Di Maria, E., De Benedictis, A., Baysal, E., Latina, R., Rocco, G., & Stievano, A. (2023). Self-perceived clinical competence of nurses in different working experiences: A cross-sectional Study. Healthcare, 11(21), 2808. https://doi.org/10.3390/healthcare11212808 [Google Scholar] [Crossref]
26. Ogunmuyiwa, Ayodeji O, Stella Chinwe Anyama 3, Bukola Beatrice Howells 4, Comfort Adebisi Ogunleye 5, Deborah Tolulope Esan. (2025). Gender and Age Differential on Competence Level in Clinical Practice Among Nursing Students in a Tertiary Institution in Nigeria. National Library of Medicine. https://pmc.ncbi.nlm.nih.gov/articles/PMC11963720/ [Google Scholar] [Crossref]
27. Rahmah, N. M., Hariyati, T. S., & Sahar J. (2021). Nurses' efforts to maintain competence: a qualitative study. J Public Health Research, 11(2), 2736. https://doi.org/10.4081/jphr.2021.2736 [Google Scholar] [Crossref]
28. Real, A. (2024). Patricia Benner Nursing Theory: Guide for today’s nurses. IntelyCare. https://www.intelycare.com/career-advice/patricia-benner-nursing-theory-guide-for-todaysmurses/#:~:text=Patricia%20Benner's%20theory%2C%20often%20referred,on%20them%2C%20and%20keep%20learning. [Google Scholar] [Crossref]
29. Reddy, V. (2026). In-service education for nursing professionals. Scribd. https://www.scribd.com/presentation/565806811/inservice-educatrion#:~:text=The%20document%20 defines%20in%2Dservice,helps%20improve%20future%20training%20programs. [Google Scholar] [Crossref]
30. Sayed Mohammed, H., Abd-El-lateef Mohammad, Z., Azer1, S. Z., & Khallaf, S. M. (2023). Impact of in-service training program on nurses’ performance for minimizing chemotherapy extravasation. Asian Pacific Journal of Cancer Prevention, 24, 3537-3542. https://doi.org/10.31557/APJCP.2023.24.10.353 [Google Scholar] [Crossref]
31. Shibiru, S., Aschalew, Z., Kassa, M., Bante, A., & Mersha, A. (2023). Clinical competence of nurses and the associated factors in public hospitals of Gamo Zone, Southern Ethiopia: A cross-sectional study. Nursing Research and Practice, 2023(1), 9656636. https://doi.org/10.1155/2023/9656636 [Google Scholar] [Crossref]
32. Stavropoulou, A., Rovithis, M., Kelesi, M., Vasilopoulos, G., Sigala, E., Papageorgiou, D., Moudatsou, M., & Koukouli, S. (2022). What quality of care means? Exploring clinical nurses’ perceptions on the concept of quality care: A qualitative study. Clinics and Practice, 12(4), 468-481. https://doi.org/10.3390/clinpract12040051 [Google Scholar] [Crossref]
33. Tamadoni, B. V., Shahbazi, S., Seyedrasooli, A., Gilani, N., & Gholizadeh, L. (2020). A survey of clinical competence of new nurses working in emergency department in Iran: A descriptive, cross-sectional study. Nursing OpenVolume 7(6), 1896-1901. https://doi.org/10.1002/nop2.579 [Google Scholar] [Crossref]
34. Tan, X., Pan, M., Wan, Z., Yang, Y., Zhang, L., Fang, Y., Li, X., & Shen, M. (2024). Current status and needs of in-service training for psychiatric nurses in 24 provinces of China: A cross-sectional survey. Frontiers in Psychology, 15, 1376274. https://doi.org/10.3389/fpsyg.2024.1376274 [Google Scholar] [Crossref]
35. Tura, M. R., Mulu, D., Kadir, A., Getahun, A., & Megersa, Y. (2024). Nurse's clinical competence and its associated factors among working in Ethiopia: A cross-sectional study. SAGE Open Nursing, 10, 23779608241275213. https://doi.org/10.1177/23779608241275213 [Google Scholar] [Crossref]
36. Xu, H., Dong, C., Lv, Y. et al. (2025). Determining core components of clinical competency for the students of master of nursing specialists: a descriptive qualitative study. BMC Medical Education, 25, 431. https://doi.org/10.1186/s12909-025-06974-6 [Google Scholar] [Crossref]
37. Yeh, M. L., Chang, B. Y., Dai, H. D., & Chung, M. H. (2025). Effect of training program on evidence-based practice competencies in hospital nurses in Taiwan: A quasi-experimental study. Journal of Nursing Research, 33(5), e412. https://doi.org/10.1097/jnr.0000000000000701 [Google Scholar] [Crossref]
38. Yoeum, B., Koy, V., Sam, R.,, & Hum, C. (2026). Factors influencing clinical competency among nursing students at a regional training center: a cross-sectional study Journal of Medical Education Development,1 9(2):101 -111. [Google Scholar] [Crossref]
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