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. 2021 Jul 9;16(7):e0254238. doi: 10.1371/journal.pone.0254238

Table 4. Comparison of mean, standard deviation, and effect size of total competency scores between intervention and control groups.

  Intervention group (n = 206) Control group (n = 74) Mean increase in competency scores between intervention-control groups Effect size b
Baseline Follow up Cohen’s d (95% CI) a Baseline Follow up Cohen’s d (95% CI) a Intervention Control Cohen’s d (95% CI) a
Mean (SD) Mean (SD) Mean (SD) Mean (SD) Mean increase (SD) Mean increase (SD)
Competency Score [min 0- max 2 pt]
    1 Data collection 1.03 (0.62) 1.59 (0.50) 0.99 (0.71–1.28) 1.20 (0.53) 1.64 (0.45) 0.90 (0.42–1.37) 0.57 (0.77) 0.44 (0.60) 0.17 (-0.09–0.44) No
    2 Assessment 0.88 (0.49) 1.55 (0.47) 1.40 (1.09–1.70) 1.12 (0.46) 1.52 (0.41) 0.92 (0.44–1.40) 0.67 (0.63) 0.40 (0.52) 0.45 (0.18–0.72) Small
    3 Nursing diagnosis 1.02 (0.51) 1.65 (0.48) 1.27 (0.97–1.57) 1.23 (0.47) 1.60 (0.45) 0.80 (0.33–1.28) 0.63 (0.63) 0.37 (0.54) 0.43 (0.16–0.70) Small
    4 Nursing plan development 1.13 (0.47) 1.71 (0.34) 1.41 (1.11–1.72) 1.29 (0.37) 1.65 (0.35) 1.00 (0.52–1.48) 0.59 (0.52) 0.36 (0.46) 0.44 (0.17–0.71) Small
    5 Privacy protection 1.45 (0.49) 1.85 (0.29) 0.99 (0.70–1.28) 1.55 (0.40) 1.84 (0.29) 0.83 (0.36–1.31) 0.40 (0.55) 0.30 (0.45) 0.19 (-0.07–0.46) No
    6 Proper care delivery 1.37 (0.50) 1.89 (0.23) 1.34 (1.03–1.64) 1.38 (0.42) 1.82 (0.33) 1.17 (0.67–1.66) 0.53 (0.53) 0.44 (0.46) 0.18 (-0.09–0.44) No
    7 Medication administration 1.32 (0.45) 1.81 (0.23) 1.37 (1.07–1.68) 1.43 (0.39) 1.74 (0.30) 0.89 (0.41–1.37) 0.49 (0.47) 0.31 (0.42) 0.39 (0.12–0.66) Small
    8 Care continuity 1.18 (0.55) 1.74 (0.39) 1.18 (0.88–1.47) 1.34 (0.41) 1.69 (0.37) 0.90 (0.42–1.37) 0.56 (0.59) 0.35 (0.53) 0.37 (0.11–0.64) Small
    9 First aids 1.01 (0.50) 1.65 (0.41) 1.40 (1.10–1.70) 1.20 (0.44) 1.57 (0.41) 0.87 (0.39–1.35) 0.64 (0.55) 0.37 (0.52) 0.49 (0.22–0.76) Small
    10 Rapport with patients 1.43 (0.58) 1.88 (0.26) 1.00 (0.71–1.29) 1.70 (0.40) 1.81 (0.38) 0.28 (-0.18–0.74) 0.45 (0.65) 0.11 (0.53) 0.54 (0.27–0.81) Intermediate
    11 Interpersonal communication 1.32 (0.55) 1.77 (0.36) 0.97 (0.68–1.26) 1.56 (0.49) 1.79 (0.35) 0.54 (0.08–1.00) 0.45 (0.63) 0.22 (0.53) 0.38 (0.11–0.65) Small
    12 ICT Skills 1.21 (0.61) 1.75 (0.43) 1.02 (0.73–1.31) 1.47 (0.53) 1.79 (0.37) 0.70 (0.23–1.17) 0.54 (0.71) 0.32 (0.59) 0.33 (0.06–0.59) Small
    13 Intelligible explanation 1.11 (0.56) 1.71 (0.44) 1.19 (0.90–1.49) 1.26 (0.54) 1.64 (0.47) 0.75 (0.28–1.22) 0.60 (0.64) 0.39 (0.64) 0.34 (0.07–0.60) Small
    14 Health education 0.88 (0.50) 1.53 (0.50) 1.30 (1.00–1.60) 1.06 (0.48) 1.50 (0.44) 0.96 (0.48–1.44) 0.65 (0.61) 0.44 (0.58) 0.35 (0.08–0.61) Small
    15 Teamworking 1.44 (0.41) 1.83 (0.26) 1.14 (0.84–1.43) 1.58 (0.32) 1.79 (0.30) 0.68 (0.21–1.15) 0.39 (0.50) 0.21 (0.38) 0.37 (0.10–0.63) Small
    16 Documentation 1.20 (0.50) 1.74 (0.35) 1.25 (0.95–1.55) 1.34 (0.38) 1.69 (0.34) 0.97 (0.49–1.45) 0.54 (0.54) 0.35 (0.43) 0.38 (0.11–0.64) Small
    17 Care management 1.03 (0.43) 1.60 (0.41) 1.36 (1.05–1.66) 1.24 (0.43) 1.56 (0.41) 0.76 (0.29–1.23) 0.57 (0.56) 0.33 (0.49) 0.44 (0.17–0.71) Small
    18 Medical equipment management 0.93 (0.49) 1.52 (0.52) 1.17 (0.87–1.46) 0.98 (0.47) 1.49 (0.50) 1.05 (0.57–1.54) 0.59 (0.67) 0.51 (0.59) 0.12 (-0.15–0.39) No
    19 Resource management 0.80 (0.58) 1.45 (0.63) 1.07 (0.78–1.37) 1.01 (0.52) 1.45 (0.59) 0.79 (0.32–1.26) 0.65 (0.79) 0.44 (0.71) 0.27 (0.01–0.54) Small
    20 Working environment 1.29 (0.49) 1.81 (0.29) 1.29 (0.99–1.59) 1.44 (0.42) 1.73 (0.36) 0.74 (0.27–1.21) 0.51 (0.53) 0.29 (0.48) 0.44 (0.17–0.70) Small
    21 Quality improvement 1.02 (0.49) 1.60 (0.44) 1.25 (0.95–1.54) 1.24 (0.40) 1.58 (0.45) 0.80 (0.33–1.27) 0.58 (0.61) 0.35 (0.55) 0.39 (0.13–0.66) Small
    22 Evidence based practice 0.63 (0.54) 1.26 (0.64) 1.06 (0.77–1.36) 0.85 (0.52) 1.26 (0.55) 0.77 (0.29–1.24) 0.63 (0.74) 0.41 (0.66) 0.31 (0.05–0.58) Small
    23 Professional development 1.21 (0.50) 1.77 (0.34) 1.31 (1.01–1.61) 1.49 (0.39) 1.68 (0.37) 0.50 (0.04–0.96) 0.57 (0.58) 0.19 (0.52) 0.66 (0.39–0.94) Intermediate
    24 Legal compliance 1.44 (0.52) 1.89 (0.24) 1.11 (0.82–1.41) 1.65 (0.37) 1.78 (0.33) 0.37 (-0.09–0.83) 0.45 (0.56) 0.14 (0.46) 0.58 (0.31–0.85) Intermediate
    25 Moral responsibility 1.27 (0.60) 1.78 (0.41) 0.99 (0.70–1.28) 1.49 (0.47) 1.74 (0.37) 0.59 (0.13–1.06) 0.51 (0.71) 0.25 (0.61) 0.39 (0.12–0.66) Small
Total Competency Score [min 0- max 6 pt] 3.55 (1.22) 5.16 (0.91) 1.50 (1.19–1.81) 4.13 (0.93) 5.01 (0.91) 0.96 (0.48–1.44) 1.61 (1.42) 0.88 (1.17) 0.53 (0.26–0.80) Intermediate

a Effect size and 95% confidence interval were calculated by using Psychometrica (33).

b Effect size was categorized into five levels: Adverse Effect: <0; No Effect: 0─0.2; Small Effect: 0.2─0.5; Intermediate Effect: 0.5─0.8, and Large Effect: ≥ 0.8.