Abstract
Introduction: Mini-CEX (Mini Clinical Evaluation Exercise) is a method of evaluation to assess the clinical skills of students through direct observation and provide constructive feedback. The aim of this study was to evaluate the effectiveness of Mini-CEX towards clinical competency achievement in neurological examination of clinical practice nursing students at General Hospital Medan.Methods: The research design was quasi experiment with the post-test only with control group approach. The samples were 60 respondents who divided into two groups: 27 respondents in the control group, and 33 respondents in the intervention group. Samples were chosen using the total sampling method.This study used the Mini-CEX to evaluate competency of nursing students and firstly developed in Indonesian by Nursing Study Program in Muhammadiyah University of Yogyakarta. The data were analyzed by descriptive and Mann Whitney test.Results :The study showed that mean score of neurological examination competence in the intervention group (77±8.33) was higher than the control group (68.19 ±7.53). There were significant differences of the clinical competency between two groups of samples with p value 0.000 (p<0.05). Conclusions : Clinical practice nursing students competency were improved using Mini-CEX method. It is recommended that the nursing study program use Mini-CEX method to evaluate clinical nursing practice so that student’s learning competency is increasing.
Highlights
Mini-CEX (Mini Clinical Evaluation Exercise) is a method of evaluation to assess the clinical skills of students through direct observation and provide constructive feedback
This study aims to investigate the difference of students’ competence evaluation results between the control group and the intervention group after the implimentation of mini-CEX.It is expected that the present study can be used as a model of student clinical competency evaluation through mini-CEX during nursing internship programto improve clinical competence of nursing students in their internship program after mini-CEX evaluation method developed
The population were all nursing students of internship program who were conducting clinical pratice of medical surgical nursing in General Hospital, Medan, comprised of 27 students in control group and 33 students in intervention group who were selected as samples through total sampling technique
Summary
Mini-CEX (Mini Clinical Evaluation Exercise) is a method of evaluation to assess the clinical skills of students through direct observation and provide constructive feedback. Competency based curriculum in nursing internship program comprised of 60% core clinical practice related creditsfrom its total credits (Permendikbud RI, 2014) This change requires alternation in terms of learning method as well as evaluation method. This difficulty might be caused by various factors, such as inadequacies of role model from clinical mentor, variety of advisory methods, technical training from clinical mentor, facilities including tools and infrastructures which support clinical learning process and clinical teaching method (AIPNI, 2014) These inadequacies might lead to the failure of clinical competence achievement as a professional nurse which is in accordance with the standard in nursing education. These opportunities shoud be maximized through an appropriate evaluation method, so that students will be encouraged to improve their competence gradually (Sudarso, Rahayu& Suhoyo, 2015)
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