{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T05:00:06Z","timestamp":1790312406210,"version":"4.1.0"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"\n Background<\/jats:title>\n The rapid development of healthcare requires nursing practitioners to continually enhance their skills and adopt a holistic approach. Education is a key component of this process, and is linked with active professional work. The effectiveness of this education, however, is determined by the psychosocial factors of the clinical practice setting. The aim of this study is to assess the relationship between the level of holistic nursing competencies and the perceived quality of clinical practice among nursing students combining education with professional work.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The cross-sectional study was carried out among a group of 293 practising nurses (mean age 42.9 years, mean length of service 16.5 years) enrolled in a master's degree program. The following two tools were utilised: Holistic Nursing Competence Scale (HNCS) and Ascent to Competence Scale (ACS).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The participants showed a high level of holistic competencies (Me\u2009=\u20095.67), with the \u201cEthically-oriented practice\u201d and the \u201cProfessional development\u201d subscales receiving the highest scores (Me\u2009=\u20096.0). In terms of clinical setting, the \u201cLearning and Competence\u201d subscale obtained the highest score (Me\u2009=\u20094.0), while the \u201cBelongingness\u201d subscale was given the lowest score (Me\u2009=\u20093.71). The sociodemographic variables had no significant impact on the variables under study (\n p<\/jats:italic>\n \u2009&gt;\u20090.05). Correlation analysis revealed positive and statistically significant relationships between all HNCS and ACS subscales. The total HNC score showed the highest correlation with the ACS \u201cLearning and Competence\u201d subscale (\n \u03c1<\/jats:italic>\n \u2009=\u20090.506;\n p<\/jats:italic>\n \u2009&lt;\u20090.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The study demonstrated a positive and statistically significant association between the quality of the clinical practice environment and the level of holistic nursing competence. Among the examined factors, learning opportunities within the clinical setting emerged as the factor most strongly associated with holistic competence.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fmed.2026.1915951","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:27:36Z","timestamp":1790310456000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Holistic nursing competence and clinical learning experience among professionally active nursing students: a cross-sectional study"],"prefix":"10.3389","volume":"13","author":[{"given":"Magdalena","family":"Brodowicz-Kr\u00f3l","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences and Psychology, Collegium Medicum of the University of Rzesz\u00f3w","place":["Rzesz\u00f3w, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142","family":"Wi\u0119ch","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Psychology, Collegium Medicum of the University of Rzesz\u00f3w","place":["Rzesz\u00f3w, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Malm","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics and Statistics with e-Health Lab, Medical University of Lublin","place":["Lublin, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarzyna","family":"Wi\u015bniewska","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Radom Higher School","place":["Radom, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Soll\u00e1rov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra","place":["Nitra, Slovak Republic"]},{"name":"Department of Health Care Sciences, Faculty of Humanities, Tomas Bata University in Zlin","place":["Zlin, Czech Republic"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grzegorz J\u00f3zef","family":"Nowicki","sequence":"additional","affiliation":[{"name":"Department of Family and Geriatric Nursing, Faculty of Health Sciences, Medical University of Lublin","place":["Lublin, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1111\/inr.12514","article-title":"Holistic nursing competence scale: turkish translation and psychometric testing","volume":"66","author":"Aydin","year":"2019","journal-title":"Int Nurs 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