Volume 18, Issue 2 (May 2020)                   Nursing and Midwifery Journal 2020, 18(2): 118-128 | Back to browse issues page

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Rafati F, Pilevarzade M, Kiani A, soltaninejad A. DESIGNING, IMPLEMENTATION AND EVALUATION OF OSCE TO ASSESS NURSING STUDENTS CLINICAL COMPETENCE IN JIROFT FACULTY OF NURSING AND MIDWIFERY. Nursing and Midwifery Journal 2020; 18 (2) :118-128
URL: http://unmf.umsu.ac.ir/article-1-3773-en.html
1- Nursing instructor, School of Nursing & Midwifery, Jiroft University of Medical Sciences, Jiroft, Iran
2- Assistant Professor, Ph. D in Nursing, School of Nursing & Midwifery, Jiroft University of Medical Sciences, Jiroft, Iran
3- Nursing instructor, School of Nursing & Midwifery. Jiroft University of Medical Sciences, Jiroft, Iran
4- Community health nursing instructor, School of Nursing & Midwifery, Jiroft University of Medical Sciences, Jiroft, Iran (Corresponding Author) , a.soltaninejad@yahoo.com
Abstract:   (4403 Views)
Background & Aims: Assessment of nursing students' clinical competency is one of the concerns of nursing instructors. This descriptive study was conducted with the aim of designing, implementation and evaluation of Objective Structured Clinical Examination (OSCE) for assessing the clinical competence of nursing students in nursing faculty of Jiroft. Materials & Methods: This cross sectional study was conducted in three stages: designing, implementation and evaluation. Firstly, according to the priority of the instructors, 10 skills were selected from nursing clinical skills and their checklists were developed. 27 nursing students participated in OSCE on one day. For assessment of OSCE Kirkpatrick model, Criterion validity and reliability was measured. For criterion validity, correlation between the last 4 clinical scores mean and total OSCE score was measured. A likert three points questionnaire with 16 items and one open question at the end of questionnaire was used to examine the students' reaction to OSCE according to the Kirkpatrick model. Results: In results 50% of all students were completely satisfied, 34.6% (N=10) were relatively satisfied from OSCE, and 57.7% (N=16) of the students believed that OSCE has shown their learning weaknesses. 76.9% (N=21) of students believed OSCE as an opportunity for learning. 96/2% (N=27) believed that OSCE was stressful. Qualitative analysis of the open question led two categories including the strengths of test and the weaknesses of test. The correlation between the total score of OSCE and the criterion validity was 0.43 and was significant. In the internal consistency of OSCE, the correlation between total score and each station score was significantly positive, except the basic resuscitation station, communication with the patient station and professional ethics station. The Cronbach's alpha calculated between stations' scores was 0.55. Conclusion: OSCE as a valid, reliable and nursing student’s accepted assessment tool is recommended to assessing nursing skills
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Type of Study: Research | Subject: آموزش علوم پزشکی

References
1. Elahi N, Alhani F, Ahmadi F. Challenges to effective teaching, reflection on experience, and perceived nursing: a content analysis. J qual Res Health Sci 2012;1(3): 229-39. [URL]
2. Collins S, Hewer I. The impact of the Bologna process on nursing higher education in Europe: A review. Int J Nurs Stud 2014;51(1): 150-6. [DOI:10.1016/j.ijnurstu.2013.07.005] [PMID]
3. Navas-Ferrer C, Urcola-Pardo F, Subirón-Valera AB, German-Bes C. Validity and reliability of objective structured clinical evaluation in nursing. Clin Simul Nurs 2017;13(11): 531-43. [DOI:10.1016/j.ecns.2017.07.003]
4. Cassidy S. Interpretation of competence in student assessment. Nurs Stand 2009;23(18): 39-47. https://doi.org/10.7748/ns.23.18.39.s52 [DOI:10.7748/ns2009.01.23.18.39.c6740] [PMID]
5. Walsh T, Jairath N, Paterson MA, Grandjean C. Quality and safety education for nurses clinical evaluation tool. J Nurs Educ 2010;49(9): 517-22. [DOI:10.3928/01484834-20100630-06] [PMID]
6. Radwin LE, Cabral HJ, Woodworth TS. Effects of race and language on patient-centered cancer nursing care and patient outcomes. J Health Care Poor Underserved 2013;24(2): 619-32. [DOI:10.1353/hpu.2013.0058] [PMID]
7. Garrett-Wright D, Abell CH, Cornell A. Using Role-modeling and Professional Socialization to Develop Future Leaders in Nursing Education.ky.nurse 2008;56(2): 13. [Google Scholar]
8. Khan KZ, Ramachandran S, Gaunt K, Pushkar P. The objective structured clinical examination (OSCE): AMEE guide no. 81. Part I: an historical and theoretical perspective. Med. Teach 2013;35(9): e1437-e46. [DOI:10.3109/0142159X.2013.818634] [PMID]
9. Bloom BS, Engelhart MD, Furst EJ, Hill WH, Krathwohl DR. Taxonomy of educational objetives: the classification of educational goals: handbook I: cognitive domain. New York, US: D. Mckay; 1956. [URL]
10. Kachur EK, Zabar S, Hanley K, Kalet A, Bruno JH, Gillespie CC. Organizing OSCEs (and Other SP Exercises) in Ten Steps. Objective Structured Clinical Examinations: Springer; 2012. p. 7-34. [DOI:10.1007/978-1-4614-3749-9_2]
11. Bartfay WJ, Rombough R, Howse E, LeBlanc R. The OSCE approach in nursing education: Objective structured clinical examinations can be effective vehicles for nursing education and practice by promoting the mastery of clinical skills and decision-making in controlled and safe learning environments. Can Nurse 2004;100(3): 18. [Google Scholar]
12. Mitchell ML, Henderson A, Groves M, Dalton M, Nulty D. The objective structured clinical examination (OSCE): optimising its value in the undergraduate nursing curriculum. Nurse Educ Today 2009;29(4): 398-404. [DOI:10.1016/j.nedt.2008.10.007] [PMID]
13. Alinier G. Nursing students' and lecturers' perspectives of objective structured clinical examination incorporating simulation. Nurse Educ Today 2003;23(6): 419-26. [DOI:10.1016/S0260-6917(03)00044-3] [PMID]
14. 14 D N. Techniques for measuring clinical competence: objective structured clinical examinations. Med Educ 2004;38(2): 199-203. [DOI:10.1111/j.1365-2923.2004.01755.x] [PMID]
15. Stunden A, Halcomb E, Jefferies D. Tools to reduce first year nursing students' anxiety levels prior to undergoing objective structured clinical assessment (OSCA) and how this impacts on the student's experience of their first clinical placement. Nurse Educ Today 2015;35(9): 987-91. [DOI:10.1016/j.nedt.2015.04.014] [PMID]
16. Rushforth Helen E. Objective structured clinical examination (OSCE): review of literature and implications for nursing education. Nurse Educ Today 2007, 27(5): 481-90. [DOI:10.1016/j.nedt.2006.08.009] [PMID]
17. FAN Jun-Yu. Application of the Objective Structure Clinical Evaluation in evaluating clinical competence for a BSN program. Open J Nurs, 2014, 4.12: 868. [DOI:10.4236/ojn.2014.412092]
18. Abdelaziz A, Hany M, Atwa H, Talaat W, Hosny S. Development, implementation, and evaluation of an integrated multidisciplinary Objective Structured Clinical Examination (OSCE) in primary health care settings within limited resources. Med Teach 2016;38(3): 272-9. [Google Scholar]
19. Eldarir SA, El Sebaae HA, El Feky HA, Hussein H, El Fadil N, El Shaeer IH. An introduction of OSCE versus traditional method in nursing education: Faculty capacity building and students' perspectives. J Am Sci 2010;6(12): 1002-14. [Google Scholar]
20. Adib-Hajbaghery M, Yazdani M. Effects of OSCE on learning, satisfaction and test anxiety of nursing students: a review study. Iran J Med Educ 2018;18: 70-83. [Google Scholar]
21. Bolourchifard F, Neishabory M, Ashketorab T, Nasrollahzadeh S. Satisfaction of nursing students with two clinical evaluation methods: objective structured clinical examination (OSCE) and practical examination of clinical competence. Adv Nurs Midwifery 2010;19(66): 38-42. [Google Scholar]
22. Turner JL, Dankoski ME. Objective structured clinical exams: a critical review. Fam Med 2008;40(8): 574-8. [Google Scholar]
23. Morley M. Simulation and baccalaureate nursing students' clinical competence. (Dissertation).Canada: University of Ottawa (Canada); 2007. [Google Scholar]
24. El-Nemer A, Kandeel N. Using OSCE as an assessment tool for clinical skills: nursing students' feedback. Aust J Basic Appl Sci 2009; 3(3): 2465-72.
25. LEE, Claire B., et al. A student-initiated objective structured clinical examination as a sustainable cost-effective learning experience. Med Educ Online 2018, 23(1): 1-8. [DOI:10.1080/10872981.2018.1440111] [PMID] [PMCID]
26. 26 Mcwilliam PL, Botwinski CA. Identifying Strengthsandweaknessesin Theutilizationofobjective Structured Clinical Examination (OSCE) In Anursing Program. Nurs Educ Perspect 2012;33(1): 35-9. [DOI:10.5480/1536-5026-33.1.35] [PMID]
27. Rentschler DD, Eaton J, Cappiello J, McNally SF, McWilliam P. Evaluation of undergraduate students using objective structured clinical evaluation. J Nurs Educ 2007;46(3). [DOI:10.3928/01484834-20070301-09] [PMID]
28. Smidt A, Balandin S, Sigafoos J, Reed VA. The Kirkpatrick model: A useful tool for evaluating training outcomes. J Intellect Dev Disabil 2009;34(3): 266-74. [DOI:10.1080/13668250903093125] [PMID]
29. Hastie MJ, Spellman JL, Pagano PP, Hastie J, Egan BJ. Designing and implementing the objective structured clinical examination in anesthesiology. Anesthesiology 2014;120(1): 196-203. [DOI:10.1097/ALN.0000000000000068] [PMID]
30. IMANI M, HOSSEINI TM. Is OSCE successful in pediatrics? J Med Educ 2005;6 (2): 153-8. [Google Scholar]
31. Panchenko D. The Sherrington-Kirkpatrick model. Springer Science & Business Media, 2013. [DOI:10.1007/978-1-4614-6289-7]
32. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24(2): 105-12. [DOI:10.1016/j.nedt.2003.10.001] [PMID]
33. Humphrey-Murto S, Mihok M, Pugh D, Touchie C, Halman S, Wood TJ. Feedback in the OSCE: what do residents remember? Teach Learn Med 2016;28(1): 52-60. [DOI:10.1080/10401334.2015.1107487] [PMID]
34. Shitu B, Girma T. Objective structured clinical examination (OSCE): examinee's perception at department of pediatrics and child health, Jimma University. Ethiop J Health Sci 2008;18(2). [Google Scholar]
35. Selim AA, Ramadan FH, El-Gueneidy MM, Gaafer MM. Using Objective Structured Clinical Examination (OSCE) in undergraduate psychiatric nursing education: is it reliable and valid? Nurse Educ Today 2012;32(3): 283-8. [DOI:10.1016/j.nedt.2011.04.006] [PMID]
36. Selim AA, Dawood E. Objective structured video examination in psychiatric and mental health nursing: a learning and assessment method. J Nurs Educ 2015;54(2): 87-95. [DOI:10.3928/01484834-20150120-04] [PMID]
37. Framp A, Downer T, Layh J. Using video assessments as an alternative to the Objective Structured Clinical Examination (OSCE). Aust Nurs Midwifery J 2015;23(1): 42. [Google Scholar]
38. Massey D, Byrne J, Higgins N, Weeks B, Shuker M-A, Coyne E, et al. Enhancing OSCE preparedness with video exemplars in undergraduate nursing students. A mixed method study. Nurse Educ Today 2017;54: 56-61. [DOI:10.1016/j.nedt.2017.02.024] [PMID]
39. Fidment S. The objective structured clinical exam (OSCE): A qualitative study exploring the healthcare student's experience. Student engagement and experience Journal 2012;1(1): 1-18. [DOI:10.7190/seej.v1i1.37]
40. Sabin M, Weeks KW, Rowe DA, Hutton BM, Coben D, Hall C, et al. Safety in numbers 5: evaluation of computer-based authentic assessment and high fidelity simulated OSCE environments as a framework for articulating a point of registration medication dosage calculation benchmark. Nurse Educ Pract 2013;13(2): e55-e65. [DOI:10.1016/j.nepr.2012.10.009] [PMID]
41. Moattari M, Abdollahzargar S, Mousavinasab M, Zare N, Beygimarvdasht P. Reliability and validity of OSCE in evaluating clinical skills of nursing students. J Med Educ 2009 ; 13( 3): 79 -85. [URL]
42. Bates R. A critical analysis of evaluation practice: the Kirkpatrick model and the principle of beneficence. Eval Program Plann 2004;27(3): 341-7. [DOI:10.1016/j.evalprogplan.2004.04.011]

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