Objective structured clinical examination in practical teaching of 'Adult Surgical Nursing’

Abstract

Objective To explore the application of objective structured clinical examination (OSCE) in the 'Adult Surgical Nursing’ practical teaching. Methods OSCE testing approaches were designed from September 2014 to January 2015. A total of 52 students in Grade 2013 were tested in practical teaching of 'Adult Surgical Nursing’ using OSCE, which included comprehensive knowledge, trauma nursing, preoperative preparation, operation members′ preparation, operation cooperation, professional nursing procedures and judging ability of pictures and videos. The questionnaire surveys and test results analyzation were performed after the test. Results Qualification rate of OSCE test was 100%. Trauma nursing had the lowest score (73.19±4.27) and comprehensive knowledge had the highest score (83.77±4.41). The average index of difficulty and confidence were 0.63-0.78 and 0.66-0.72. According to questionnaire surveys, 96.2% of nursing students thought the OSCE needed to be promoted, 69.2% of nursing students felt tired during the test and 38.5% of nursing students considered that the localization of test affected students′ performance and the time controlling and place selection needed to be improved. Conclusions OSCE has good confidence and could truly report practical skills and comprehensive knowledge of nursing students. Nurses are stratified to the test. It could be optimized and promoted in the 'Adult Surgical Nursing’ practical teaching. Key words: Adult nursing; Surgical nursing; Objective structured clinical examination; Questionnaire survey; Practical teaching