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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

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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

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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.

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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

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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?

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A mixed quantitative and qualitative design was usedA mixed quantitative and qualitative design was used

Study Design:Study Design:

MATERIALS and METHODSMATERIALS and METHODS

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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

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Students’ perception of OSCE

RESULTSRESULTS

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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

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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

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Stress

Lay pension

Staff member playing

double roles

Two staff members

station

Time factorPresence of

examiners as observers

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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

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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

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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”

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Perception of examiners to OSCE in general

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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

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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"

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Perception of examiners to Multiple simulated patient exam

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Observable and real

Acceptance

OSCE give chance to observe how students will behave as if they deal with a real patient"

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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"

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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

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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.

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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

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