The Effects of an OPT Model-Based Computerized Nursing Process Program on Clinical Performance Confidence and Clinical Practicum Satisfaction among Nursing Students

This study examined the effects of an Outcome-Present State Test (OPT) Model-Based Computerized Nursing Process Program (OPT-CNPP) on clinical performance confidence and clinical practicum satisfaction among fourth-year nursing students. A quasi-experimental design was used to compare an experimental group utilizing the OPT-CNPP with a control group using traditional, paper-based methods. Both outcomes were measured using a 100-point Numeric Rating Scale (NRS) at three time points (pre-test, week 1, and week 2 of clinical practice). Data were analyzed using Repeated Measures ANOVA. The results showed that students utilizing the OPT-CNPP demonstrated significantly higher confidence and satisfaction compared to the control group (Confidence: F=9.21, p=.003 for group effect; Satisfaction: F=9.01, p=.003 for group effect). A significant group-by-time interaction effect was also confirmed for both confidence (F=13.50, p<.001) and satisfaction (F=10.05, p<.001). The OPT-CNPP effectively enhances student confidence and satisfaction, supporting its role as an optimal clinical reasoning education strategy.