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The novice objective structured clinical evaluation tool: psychometric testing.
Mireille Walsh1, Patricia Hill Bailey, Sharolyn Mossey
1School of Nursing, Northern College of Applied Arts and Technology, Timmins, Ontario, Canada. walshm@northern.on.ca
The Novice Objective Structured Clinical Evaluation Tool demonstrates good reliability and validity for assessing nursing students. Further testing is recommended to confirm its stability and interrater reliability for quality and safety education.
Area of Science:
- Nursing Education
- Clinical Assessment
- Psychometric Evaluation
Background:
- Undergraduate nursing programs utilize Objective Structured Clinical Evaluation (OSCE) for competence assessment.
- The Novice Objective Structured Clinical Evaluation Tool is used to evaluate student performance in early clinical courses.
- Established reliability and validity are crucial for the assessment tool's effectiveness in quality and safety education.
Purpose of the Study:
- To evaluate the psychometric properties of the Novice Objective Structured Clinical Evaluation Tool.
- To determine the reliability and validity of the OSCE tool used in undergraduate nursing.
- To assess the tool's suitability for evaluating quality and safety education components.
Main Methods:
- Psychometric testing was performed on a sample of 565 nursing students over three years (2002-2004).
- Exploratory factor analysis and reliability testing were conducted on the 25-item tool.
- Principal axis factoring with multiple rotations (oblimin, promax) was employed.
Main Results:
- Factor analysis identified two key factors: Safety (Factor 1) and Anticipation (Factor 2).
- Spearman-Brown reliability coefficients were 0.93 for Safety and 0.77 for Anticipation.
- Cronbach's alpha values were 0.94 for Safety and 0.71 for Anticipation, indicating adequate internal consistency.
Conclusions:
- The Novice Objective Structured Clinical Evaluation Tool exhibits adequate construct validity and reliability.
- Further research should include test-retest analysis to assess stability.
- Evaluating interrater reliability is recommended to assess equivalency dimensions and confirm the tool's merit for quality and safety education assessment.
