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The objective structured clinical examination as an assessment strategy for clinical competence in novice nursing practitioners in Taiwan.
- Source :
- BMC Nursing; 6/7/2021, Vol. 20 Issue 1, p1-9, 9p, 2 Diagrams, 4 Charts
- Publication Year :
- 2021
-
Abstract
- Background: The conventional written tests and professional assessment have limitation in fair judgement of clinical competence. Because the examiners may not have total objectivity and may lack standardization throughout the assessment process. We sought to design a valid method of competence assessment in medical and nursing specialties. This work was aimed to develop an Objective Structured Clinical Exam (OSCE) to evaluate novice nursing practitioners' clinical competency, work stress, professional confidence, and career satisfaction. Methods: A Quasi-experimental study (pre-post). Fifty-five novice nursing practitioners received the OSCE three-months following their graduation, which consisted of four stations: history taking, physical examination, problem-directed management, interpersonal communication, and the required techniques of related procedures. The examiners had to complete an assessment checklist, and the participants had to complete a pre-post questionnaire (modified from a Nursing Competency Questionnaire, a Stress scale, and Satisfaction with Learning scale). Results: Among the novice nursing practitioners, 41 of them (74.5 %) passed the exam with a mean score of 61.38 ± 8.34. There was a significantly higher passing rate among nurses who were working in medical-surgical wards (85.7 %) and the intensive care unit-emergency department (77.8 %) compared to novice nursing practitioners working in other units. All the novice nursing practitioners at Station A had poor performance in assessing patients with a fever. OSCE performance was more associated with educational attainment and work unit, rather than the gender. Finally, the participants showed statistically significant increases in their clinical competency, confidence in their professional competence, satisfaction with the clinical practice, and decreased work stress after the OSCE. Conclusions: We found that the OSCE process had a positive educational effect, in providing a meaningful and accurate assessment of the competence of novice nursing practitioners. An appropriate OSCE program is vital for novice nursing practitioners, educators, and administrators. The effective application of OSCEs can help novice nursing practitioners gain confidence in their clinical skills. [ABSTRACT FROM AUTHOR]
- Subjects :
- NATIONAL competency-based educational tests
HOSPITALS
CONFIDENCE
INTENSIVE care nursing
FEVER
JOB stress
RESEARCH methodology
NURSING specialties
TASK performance
ENTRY level employees
PRE-tests & post-tests
T-test (Statistics)
CLINICAL competence
NURSES
JOB satisfaction
QUESTIONNAIRES
DESCRIPTIVE statistics
HOSPITAL wards
HOSPITAL nursing staff
STATISTICAL correlation
DATA analysis software
EMERGENCY nursing
NURSING assessment
EDUCATIONAL attainment
Subjects
Details
- Language :
- English
- ISSN :
- 14726955
- Volume :
- 20
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 150746667
- Full Text :
- https://doi.org/10.1186/s12912-021-00608-0