Development and Application of a Contextual Assessment Method for Clinical Competency of Newly Hired Nurses Based on the Mini-CEX

Tong Li¹, Qi Feng¹, Yuxuan Ma¹, Bing Yang¹ and Fang Huang^1,

¹The First Affiliated Hospital of Henan Polytechnic University (Jiaozuo Second People's Hospital), Jiaozuo, Henan Province 454000, China

Cite this paper:
Tong Li, Qi Feng, Yuxuan Ma, Bing Yang and Fang Huang. Development and Application of a Contextual Assessment Method for Clinical Competency of Newly Hired Nurses Based on the Mini-CEX. American Journal of Public Health Research. 2025; 13(5):224-227. doi: 10.12691/ajphr-13-5-3

Abstract

Objective: To develop a contextual assessment method based on the Mini-Clinical Evaluation Exercise (Mini-CEX) for evaluating the clinical competency of newly hired nurses and validate its effectiveness in enhancing clinical skills, teaching quality, and patient satisfaction. Methods: A non-concurrent controlled trial was conducted from July 2024 to July 2025. The control group (n=43, 2024 cohort) received routine theoretical and operational assessments, while the intervention group (n=50, 2025 cohort) underwent the Mini-CEX-based contextual assessment. The protocol was developed using the Delphi expert consultation method. Clinical instructors received unified frame-of-reference training. Outcomes included clinical performance scores, clinical competency, and humanistic care competency evaluated via bedside contextual assessments. Results: The intervention group demonstrated significantly higher scores in: Clinical performance (90.5±6.2 vs. 79.3±8.1, P<0.01) Clinical competency (231.31±16.58 vs. 202.31±13.26, P<0.01) Humanistic care competency (230.21±22.38 vs. 205.21±23.26, P<0.01). Conclusion: The Mini-CEX-based contextual assessment objectively evaluates clinical competency in newly hired nurses, effectively enhances clinical and humanistic care literacy, and ensures assessment homogeneity through frame-of-reference training. This method provides a reference for standardized training evaluation.

Keywords:
Mini-CEX Newly hired nurses Clinical competency Contextual assessment

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References:

[1]	Ministry of Education of the People's Republic of China. Opinions on accelerating the construction of high-level undergraduate education and comprehensively improving talent training capabilities [J]. Gaz State Counc People's Repub China, 2019(3): 34-41. (Chinese).
[2]	National Health Commission of the People's Republic of China. Notice on issuing the National Nursing Development Plan (2021-2025) [J]. Gaz State Counc People's Repub China, 2022(23): 57-63. (Chinese).
[3]	Reebals C, Wood T, Markaki A. Transition to Practice for New Nurse Graduates: Barriers and Mitigating Strategies [J]. West J Nurs Res, 2022, 44(4): 416-29.
[4]	Miller CM, Meyer K, Riemann LA, et al. Transition Into Practice: Outcomes of a Nurse Residency Program [J]. J Contin Educ Nurs, 2023, 54(1): 32-9.
[5]	Kleib M, Arnaert A, Sugars R, et al. Mentors' and supervisors' perspectives regarding newly qualified nurses' practice in digitally enabled workplaces: A qualitative study [J]. Int J Nurs Stud, 2025, 162: 104968.
[6]	Afaneh T, Villamor MY, Opinion F, et al. Exploring the gap between school of nursing theoretical foundations and clinical practice [J]. J Prof Nurs, 2023, 49: 158-64.
[7]	TANG XZ. Effect analysis of scenario simulation training on improving the competence of newly hired nurses in oncology specialty [J]. Chin J Cancer Prev Treat, 2019, 26(Suppl 1): 295-6. (Chinese).
[8]	NING YJ, XU GH, FENG YJ, et al. Construction of an evaluation index system for clinical practice ability of newly hired nurses [J]. J Nurs, 2023, 30(17): 11-5. (Chinese).
[9]	Hansen W, Zuma SM. Guidelines to support newly qualified professional nurses for effective clinical practice [J]. Curationis, 2024, 47(1): e1-e8.
[10]	Walters G, Hoffart N, Kring D, et al. Work Readiness of Newly Licensed RNs [J]. J Nurs Adm, 2022, 52(9): 469-73.
[11]	YANG LP, DUAN PB, HAN SX. Research status and hotspots of narrative nursing based on Web of Science database [J]. J Clin Med Pract, 2022, 26(13): 119-24. (Chinese).
[12]	LIU F, WANG YQ, WEN XL, et al. Evaluation of the effect of systematic mentorship training based on Watson's caring theory on cultivating humanistic care quality of new nurses [J]. Chin Nurs Manag, 2021, 21(1): 85-91. (Chinese).