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Published on: January 16, 2019
Development, Validity and Reliability of Objective Structured Clinical Examination in Nursing Students
Carolina Chabrera1, Eva Diago2, Laura Curell3
1Associate Professor, Health Department., TecnoCampus, Universitat Pompeu Fabra Research Group in Attention to Chronicity and Innovation in Health (GRACIS), Mataró, Barcelona, Spain.
The Objective Structured Clinical Examination (OSCE) is a valid and reliable tool for assessing nursing students' clinical skills. This study confirms its effectiveness in evaluating competencies while measuring student satisfaction and stress.
Area of Science:
- Nursing Education
- Clinical Assessment
- Measurement in Health Professions Education
Background:
- Assessing clinical competencies is crucial for nursing students' professional development.
- Objective Structured Clinical Examination (OSCE) is a key measurement instrument for this purpose.
Purpose of the Study:
- To develop and validate an OSCE for the nursing curriculum.
- To analyze the OSCE's reliability and validity.
- To measure nursing students' self-assessment, stress, and satisfaction levels.
Main Methods:
- An observational validation study was conducted in two phases: OSCE design and development, followed by validity and reliability analysis.
- Ten scenarios were created, covering six core nursing competencies.
- 118 nursing students participated in the study.
Main Results:
- The OSCE demonstrated strong validity: face validity, content validity (CVI .82-.95), and criterion validity (r = .71, p < .001).
- Reliability was good, with Cronbach's alpha at .84.
- Students reported high satisfaction and stress, with self-assessment scores lower than their performance scores.
Conclusions:
- A well-designed OSCE is a dependable and accurate method for evaluating nursing students' clinical competence.
- The findings support the use of OSCEs to enhance nursing education and assessment.
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