Does Implementing for an Objective Structure Clinical Examination Make A Difference?,WAFAA F. SLEEM, AHLAM M. EL-SHAER and HALA G. ELATROUSH
Abstract
Introduction: Objective structure Clinical Examination (OSCE) is more sophisticated examination methods to assess competencies such as problem-solving abilities, critical think-ing and communication skills, and has gained acceptance as a benchmark for clinical skills assessment.
Aim: The main aim of this study was to implement an objective structure clinical examination (OSCE) of undergrad-uate nursing students enrolled in nursing administration course and examining student's perspectives for OSCE.
Methods: The study was used experimental design, and conducted at the Nursing Administration Department, Faculty of Nursing, Mansoura University. The total number of the nursing students enrolled in the third academic year of 2011/2012 was (385) at the Nursing Administration Depart-ment, (179 students were experimental group who examined by OSCE as a new method for clinical exam and 209 students were control group, who examined by traditional method (checklist exam). A self-administered questionnaire was developed by Pierre et al., (2004) was adapted in this study. The questionnaire assesses OSCE evaluation, quality of performance testing, and student’s perception of validity and reliability.
Result: The results of this study indicate that students examined by using OSCE had variation in their grades than students examined by traditional methods. OSCE has been accepted by the majority of nursing students as an evaluation tool for their clinical skills. Most students viewed OSCE as a fair assessment tool which covered a wide range of knowl-edge, minimized the chance of failing and highlighted areas of weaknesses. One third of students felt that OSCE was stressful and intimidating. Most students agreed that OSCE is objective tool in terms of a true measure of clinical skills and no statistical relationship were found regarding the students degrees of OSCE and their feedback.
Recommendation: The study recommends that OSCE as an effective and valid assessment method must be used to assess students’ clinical competencies in nursing administration course.