The Effect of the Objective Structured Clinical Examinations (OSCEs) Test to Clinical Skill Practices in Basic Medical Care of Nursing Students

Abstract

     The purpose of the descriptive study was to examine the effect of the Objective Structured Clinical Examinations (OSCEs) to clinical skill test in Basic Medical Care (BMC). The total of 119 undergraduate students from senior nursing student at Faculty of Nursing, Saint Louis College Academic year 2017 were recruited by a purposive sampling technique. The OSCEs included three components 1) Clinical scenarios (8 sets), 2) checklist form and criteria recorded score for clinical skills and 3) satisfaction for the OSCEs. Data were analyzed using descriptive statistics. Eight sets of the OSCEs clinical scenario were implemented to test clinical skills of BMC in nursing students. The result revealed that the OSCEs could evaluate and examine the different of each clinical skill in BMC. The majority of nursing students passed the OSCEs test (96.7%). Most of them had the skill of history illness assessment (92.4%). 70.6 % of them had a low score in the skill of problem lists and differential diagnosis. The majority of senior nursing students had a total score of the OSCEs at the excellent level (68.1%). Three percent of them had a poor level. The satisfaction score in total had a highest level (X=4.66, SD=.51) Findings provide evidence of the applicability of the eights OSCEs BMC to inform the development and delivery of simulation activities for nursing students. The OSCEs BMC could evaluate the difference of an individual clinical skills as well as improve nurse students’ skills.