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Updated: Aug 15, 2026
A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
Published on: February 13, 2020
Use of modified OSCEs to verify technical skill performance and competency of lay caregivers
J A Heermann1, J G Eilers, P A Carney
1University of Nebraska College of Nursing, Omaha, USA.
Background:
The demands on lay caregivers of blood and marrow stem-cell transplant recipients are complex. Effective caregiver education that clearly delineates and demonstrates what needs to be learned is needed, as well as a method to evaluate caregiver's skill-based competencies.
Method:
A pilot study was conducted to determine the feasibility of adapting objective structured clinical examinations (OSCEs) for teaching and evaluation in lay caregiver educational programs. A modified OSCE, a performance-based assessment process, with seven practice stations for the care of tunneled central lines was developed and tested with 13 laypersons. Inter-rater techniques were used to establish accuracy and reproducibility of the examination.
Results:
Reproducibility of station scenarios and accuracy in performance evaluation were supported by an overall kappa coefficient of 0.94, indicating excellent agreement. Participants' overall mean performance scores were 80% for knowledge and 94% for skills.
Conclusion:
The use of modified OSCEs for teaching and evaluating lay caregivers' competencies for complex care demands is feasible, accurate, and warrants further investigation.
