How the Final Swedish Clinical Exam Prepares the Nursing Students for Their Future Challenges-Qualitative Analysis


The national clinical final examination (NCFE) plays an important role in order to measure the level of knowledge and performance of nursing students. Our findings indicate that the design of the NCFE is beneficial for the students’ clinical reasoning and problem solution in the caring situation. The aim of this study was to investigate the experiences of the NCFE from lecturers who corrected the written part examination. A further aim was to study the lectures and the RN during observation in the bedside part of the examination. The NCFE is divided into two parts: a theoretical (written) part and a practical (bedside) part. In nursing education it is essential to assess nursing competencies for the future professional role such as the assessment of clinical competence that has become central to evaluate what outcomes are assessed. In addition, it provides a valuable approach to measure the level of knowledge and performance of nursing students. Future development of the NCFE is necessary regarding the degree to which the examination meets learning objectives and educational results.

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Ziegert, K. , Elmqvist, M. , Johanssons, U. , Larsson, M. and Andersson, P. (2014) How the Final Swedish Clinical Exam Prepares the Nursing Students for Their Future Challenges-Qualitative Analysis. Creative Education, 5, 1887-1894. doi: 10.4236/ce.2014.521211.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] AlKadri, H. M., Al Moamary, M. S., Roberts, C. H., & van der Vleuten, C. P. (2012). Exploring Assessment Factors Contributing to Students’ Study Strategies: Literature Review. Medical Teacher, 34, 42-50.
[2] Andersson, P. L., & Edberg, A. K. (2010). The Transition from Rookie to Genuine Nurse: Narratives from Swedish Nurses 1 Year after Graduation. Journal of Continuing Education in Nursing, 41, 186-192.
[3] Andersson, P. L., Ahlner-Elmqvist, M., Johansson, U.-B., Larsson, M., & Ziegert, K. (2012). Nursing Students’ Experiences of Assessment by the Swedish National Clinical Final Examination. Nurse Education Today, 33, 536-540.
[4] Athlin, E., Larsson, M., & Söderhamn, O. (2012). A Model for a National Clinical Final Examination in the Swedish Bachelor Programme in Nursing. Journal of Nursing Management, 20, 90-101.
[5] Banning, M. (2008). A Review of Clinical Decision Making: Models and Current Research. Journal ofClinical Nursing, 17, 187-195.
[6] Biggs, J., & Tang, C. (2011). Teaching for Quality Learning at University (4th ed.). Berkshire, England: Open University Press.
[7] Boursicot, K. A. M., Roberts, T. E., & Burdick, W. P. (2011). Structured Assessments of Clinical Competence. In T. Swanwick (Ed.), Understanding Medical Education, Evidence, Theory and Practice (pp. 246-258). London: Wiley-Blackwell.
[8] Ekebergh, M. (2011). A Learning Model for Nursing Students during Clinical Studies. Nurse Education in Practice, 6, 348-389.
[9] Graneheim, U. H., & Lundman, B. (2004). Qualitative Content Analysis in Nursing Research: Concepts, Procedures and Measures to Achieve Trustworthiness. Nurse Education Today, 24, 105-112.
[10] Hatfield, D., & Lovegrove, J. (2012). The Use of Skills Inventories to Assess and Grade Practice: Part 2—Evaluation of Assessment Strategy. Nurse Education in Practice, 12, 133-138.
[11] Jerlock, M., Falk, K., & Severinsson, E. (2003). Academic Nursing Education Guidelines: Tool for Bridging the Gap between Theory, Research and Practice. Nursing and Health Sciences, 5, 219-228.
[12] Johansson, U. B., Lilja Andersson, P., Larsson, M., Ziegert, K., & Ahlner-Elmqvist, M. (2014). Use of a National Clinical Final Examination in a Bachelor’s Programme in Nursing to Assess Clinical Competence—Students’, Lecturers’ and Nurses’ Perceptions. Open Journal of Nursing, 4, 501-511.
[13] Meah, Y. S., Smith, E., & Thomas, D. C. (2009). Student-Run Health Clinic: Novel Arena to Educate Medical Students on Systems-Based Practice. Mount Sinai Journal of Medicine, 76, 344-356.
[14] Miller, G. (1990). The Assessment of Clinical Skills/Competence/Performance. Academic Medicine, 65, 63-67.
[15] Norcini, J. J. (2005). Current Perspective in Assessment: The Assessment of Performance at Work. Medical Education, 39, 880-889.
[16] Norcini, J. J. (2011). Workplace Assessment. In T. Swanwick (Ed.), Understanding Medical Education, Evidence, Theory and Practice (pp. 232-245). London: Wiley-Blackwell.
[17] Rochmawati, E., & Wiechula, R. (2010). Education Strategies to Foster Health Professional Students’ Clinical Reasoning Skills. Nursing & Health Sciences, 12, 244-250.
[18] Simmons, B., Launza, D., Fonteyn, M., Hicks, F., & Holm, K. (2003). Clinical Reasoning in Experienced Nurses. Western Journal of Nursing Research, 25, 701-719.
[19] Smith, J., Thurkettle, M. A., & De la Cruz, F. A. (2004). Use of Intuition by Nursing Students: Instrument Development and Testing. Journal of Advanced Nursing, 47, 614-622.
[20] Swedish Law Collector (2008). The Law of Ethics for Evaluation of Medical Research. SFS 2008:192. Stockholm: Sveriges Riksdag. (In Swedish)
[21] Ziegert, K., Fridlund, B., & Lidell, E. (2007). Professional Support for Next of Kin’s of Haemodialysis Patients: A Content Analysis of Nursing Documentation. Journal of Clinical Nursing, 16, 353-361.
[22] öhlén, J., Furuaker, C., Jakobsson, E., Bergh, I., & Hermansson, E. (2011). Impact of the Bologna Process in Bachelor Nursing Programmes: The Swedish Case. Nurse Education Today, 31, 122-128.

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