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Published on: January 16, 2019
Objective structured clinical examination and advanced practice nursing students.
Jane M Kurz1, Kathleen Mahoney, Lori Martin-Plank
1Department of Nursing, College of Health Professions, Temple University, Philadelphia, PA 19140, USA. jkurz@temple.edu
Objective Structured Clinical Examination (OSCE) with standardized patients (SPs) significantly improved graduate nursing students' clinical competency, course satisfaction, and preceptor evaluations compared to traditional methods.
Area of Science:
- Medical Education
- Nursing Education
- Clinical Skills Assessment
Background:
- Measuring clinical competency in Advanced Health Assessment courses presents challenges for educators.
- Traditional methods often lack impartial evaluation, prompting exploration of alternative assessment tools.
- Objective Structured Clinical Examination (OSCE) utilizing standardized patients (SPs) is a potential solution.
Purpose of the Study:
- To compare the effectiveness of OSCE with SPs versus traditional teaching methods in a graduate nursing Health Assessment course.
- To evaluate the impact of OSCE/SPs on student clinical competency, satisfaction, and practical skills.
Main Methods:
- A quasi-experimental study guided by Problem-based Learning Theory.
- 37 graduate nursing students were divided into a research group (OSCE/SPs) and a control group (traditional methods).
- Outcomes measured included practical examination grades, clinical preceptor evaluations, satisfaction scores, and self-evaluations.
Main Results:
- Statistically significant differences favored the research group in practical examination grades, preceptor evaluations, and satisfaction scores.
- The research group demonstrated higher overall course scores compared to the control group.
- No significant difference was found in self-evaluation of current assessment skills between the groups.
Conclusions:
- Incorporating OSCE and SPs positively impacts students' clinical competency, satisfaction, and performance evaluations.
- Educators are encouraged to adopt OSCE and SPs to enhance health assessment education.
- Future research should employ longitudinal designs and qualitative data for deeper insights.