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A comprehensive approach to clinical evaluation

G R Woolley¹, M S Bryan, J W Davis

¹School of Nursing, Miami-Dade Community College, FL 33127-4693, USA.

The Journal of Nursing Education

|November 20, 1998

Summary

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This study introduces a new, comprehensive approach to nursing student clinical evaluation, aiming to reduce subjectivity and bias. The developed Clinical Performance Manual (CPM) offers a more objective method for assessing nursing skills.

Area of Science:

Nursing Education
Clinical Assessment
Healthcare Professional Development

Background:

Traditional summative clinical evaluations for nursing students often suffer from subjectivity and bias.
Existing measurement tools for clinical performance have demonstrated limitations in objectivity.
Previous experiences highlighted the need for a more robust evaluation framework.

Purpose of the Study:

To develop and implement a comprehensive and objective approach to the summative clinical evaluation of nursing students.
To enhance the measurement of cognitive, affective, and psychomotor skills in nursing education.
To address the historical challenges of subjectivity and bias in clinical performance assessment.

Main Methods:

Development and implementation of a Clinical Performance Manual (CPM) outlining five key evaluation components.

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Inclusion of professional behaviors, skills performance, plan of care, critical situations, and course assignments.

Data collection through faculty and student feedback, alongside reliability and validity studies.

Main Results:

The new evaluation process, involving 250 students over one year, was reviewed and discussed.
Reliability and validity studies confirmed the effectiveness of the new method.
A decision was made to continue utilizing this comprehensive approach to clinical evaluation.

Conclusions:

The developed Clinical Performance Manual (CPM) offers a more objective method for assessing nursing students.
The new evaluation process has demonstrated reliability and validity, improving upon traditional methods.
Recommendations include piloting and implementing this comprehensive approach in other nursing programs.