Download - Article Number (4)
11
Article Number (4)
Application of Objective Structured Clinical
Examination in Community Health Nursing
Course: Experience of Staff Members and
Students
Dr. Amel Ibrahim AhmedDr. Amel Ibrahim AhmedDr. Sahar Mohamed SolimanDr. Sahar Mohamed Soliman
Dr. Lamiaa Amin AwadDr. Lamiaa Amin AwadCommunity Health Nursing Department Community Health Nursing Department
22
Objective Structured Clinical Examination (OSCE) is
the most valid and reliable tool
To
Evaluate clinical competence of students in a:
Comprehensive
Consistent
Structured manner
Objective Structured Clinical Examination (OSCE) is
the most valid and reliable tool
To
Evaluate clinical competence of students in a:
Comprehensive
Consistent
Structured manner
INTRODUCTION INTRODUCTION
33
There are different formats of OSCE to assess the
cognitive and psychomotor skills as well as the
knowledge recall and communication skills.
There are different formats of OSCE to assess the
cognitive and psychomotor skills as well as the
knowledge recall and communication skills.
44
Investigate the experience of staff member/ examiners and students
toward OSCE as a new approach of assessment.
Compare the applicability of using three different structured
methods of simulated patient to find out the most appropriate one
Investigate the experience of staff member/ examiners and students
toward OSCE as a new approach of assessment.
Compare the applicability of using three different structured
methods of simulated patient to find out the most appropriate one
AIM of the STUDYAIM of the STUDY
55
Research QuestionsResearch Questions
1 – What is the experience of students and examiners with
the application of OSCE?
2- What are the challenges that face students and
examiners in OSCE?
3- What are the views of students and examiners about
using different three structure methods in simulated
patient stations?
4- What is the most applicable structure method of
simulated patient station?
66
A mixed quantitative and qualitative design was usedA mixed quantitative and qualitative design was used
Study Design:Study Design:
MATERIALS and METHODSMATERIALS and METHODS
77
Quantitative Design is Comparative
Quantitative Design is Comparative
Applicability of simulation methods
Applicability of simulation methods
Students performancen= 160
Students performancen= 160
Qualitative DesignQualitative Design
Focus Group Discussion
Focus Group Discussion
Studentsn= 60
Studentsn= 60
All staff Members
n= 16
All staff Members
n= 16
88
Students’ perception of OSCE
RESULTSRESULTS
99
Organized method of clinical evaluation
OSCE needs high intellectual skills and high speed in performance
"OSCE was an organized method of evaluation and I recommend applying it for all practical courses"
"It needs concentration, depends on understanding and rapid performance"
OSCE in General
1010
OSCE is Stressful but relevant method of examination
OSCE needs high intellectual skills and high speed in performance
"OSCE was an organized method of evaluation and I recommend applying it for all practical courses"
"It needs concentration, depends on understanding and rapid performance"
1111
Perception of students to Multiple simulated patient exam
1212
Stress
Lay pension
Staff member playing
double roles
Two staff members
station
Time factorPresence of
examiners as observers
1313
Fairness and Objectivity
Lay person
station
(8 students)
Two staff members
station
(2 students)
"A lay people station was more objective and near to reality“
"Staff to staff station was the most fair"
Simulating reality
1414
Level of difficulty
Lay pension
(14 students)
""The lay person station was the most difficult, they do not have enough information about the health condition that the act“
"Some questions were not clear; there was a need for including more manifestation”.
limited information about the health condition they
were acting.
health condition that included in the
scenario
Scenarios are not clear
1515
Cooperation& clarification from examiner
Feelings and interpersonal relations
Facial expression of examiner
"Staff members were not cooperative"
“The staff understands the scenario and can facilitate my decision about the condition"
“Their facial expression, which indicates that I am going to a wrong answers”
1616
Perception of examiners to OSCE in general
1717
Fairness and objectivity and Comprehensiveness
OSCE as evaluation method
Advantages OSCE
""OSCE is an objective and comprehensive method of evaluation“
"OSCE is a very useful experience that measures several skills of students and add new skills to staff"
"Statements were clear"
Level of difficulty
1818
Crowding and ventilation
Exam environment
Allocated time
The environment was not suitable in the computer stations due to the crowding and the absence of air conditioning. But it was suitable at
skill lab and simulated patient stations”
"Time was not enough at all stations"
1919
Perception of examiners to Multiple simulated patient exam
2020
Observable and real
Acceptance
OSCE give chance to observe how students will behave as if they deal with a real patient"
2121
Lay person
Incorporation and limited information: "When students were asking about the manifestations or risk factors that were not mentioned in the scenario the lay person could not answer"
Staff member playing double roles
Confusion and stress:"I felt and behaved like a patient" Some students tried to extract the correct answer by asking a
direct question" I felt confused between the double roles as patient and examiner for a while if examinee ask about scenario condition once again, but I did not loss control"
Two staff members station
Overload:"Two staff station does not provoke exhaustion, but the examiners may loss concentration" Resources: "Two staff station needs a great number of staff members"
Most of participants approved to use one staff member to act as simulated patient and examiner at the same time
"It is better to use examiner as a patient at the same time"
Most of participants approved to use one staff member to act as simulated patient and examiner at the same time
"It is better to use examiner as a patient at the same time"
2222
All the academic staff members were satisfied with
applying OSCE in community health nursing course
They appreciated the learning experience and the
objectivity manner of the exam.
Some students indicated that OSCE was stressful but it
is affricative and relevant assessment method.
CONCLUSIONCONCLUSION
2323
Multiple simulated patients were the most stressful
stations
Most of participants approved to use one staff member
to act as simulated patient and examiner at the same
time.
2424
1- Use OSCE in formative and summative evaluation
2-Persons who acts as a simulated patient must be
understand the objective of OSCE and trained well on
essential issues which are:
How to act like a patient
How to use scenario information properly
Controlling of non- verbal communication
RECOMMENDATIONSRECOMMENDATIONS
2525