The Effect of Implementing OSCE Mandatory Training among Large Numbers of Undergraduate Medical Surgical Nursing Student ontheir Clinical Competencies
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 7, Issue 1
Abstract
The Objective Structured Clinical Examination (OSCE) is a useful way to assess competence at undergraduate and postgraduate levels. Students and lecturers should be well prepared to make the most of them. OSCE is used increasingly in nurse education, to assess clinical skill proficiency. Good preparation for an OSCE is vital for both those running the assessments and for students. Used effectively, OSCEs can help students gain confidence to use their skills in their clinical work.OSCEas a performance-based assessment method is a well-established student assessment tool. Its popularity in the assessment of clinical competence is well documented and prominent in situations where reliability and content validity are fundamental. Aim: the aim of the study was to evaluate the effect of implementingOSCEfor mandatory training among large numbers of undergraduate medical surgical nursing students on their clinical competencies in the Faculty of Nursing; University of Alexandria. Methods: quasi experimental deign was adopted. The implementation process followed an eight step-approach were drawn and implications were generated. Adequate preparation of faculty and students, which is a fundamental ingredient to ensure reliability of the examination, and in minimizing stress and anxiety respectively. Implementation of the OSCE was carried out on 100 students enrolled in medical surgical nursing course.Students 'achievement and perspectives were investigated. Results: the results indicated that, following the implementation we acknowledged that OSCEs are suitable for testing clinical, technical and practical skills which may not be adequately assessed through traditional assessment methods as they possess the ability to improve the validity and reliability of assessments. There were high statistical significant differences between OSCE and traditional methods in the first and second trial (p< 0.000). The highest rate of satisfaction belonged to OSCE methods of evaluation as the students reported that OSCE measured course objectives (86.0%), enhanced teaching level (99.0%), related theory to practice (99.0%), increased decision-making ability (98.0%), enhanced methods of evaluation (97.0%), and made exam well developed (98.0%) than the traditional method. The mean score of students' opinion was (28.1+ 9.6).Conclusion: OSCE can be used as an appropriate method in evaluating large numbers of undergraduate nursing student's clinicalcompetencies because of various advantages such as improving students’ clinical performance, preparing highly qualified and competent graduates, increasing decision making abilities and enhance teaching level.
Authors and Affiliations
Heba Abdel Mowla Ahmed, Eman Abdel Aziz Ahmed, Nadia Yasein Aljaber
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