Assessing nursing clinical skills competence through objective structured clinical examination (OSCE) for open distance learning students in Open University Malaysia

Background: The objective structured clinical skills examination (OSCE) has over the years emerged as a method of evaluating clinical skills in most medical and allied professions. Although its validity and objectivity has evoked so much debate in the literature, little has been written about its ap...

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Main Authors: Oranye, Nelson Ositadimma, Che'an Ahmad,, Nora Ahmad,, Rosnida Abu Bakar,
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Published: 2012
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Online Access:http://library.oum.edu.my/repository/840/
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spelling my.oum.8402020-10-19T14:11:46Z Assessing nursing clinical skills competence through objective structured clinical examination (OSCE) for open distance learning students in Open University Malaysia Oranye, Nelson Ositadimma Che'an Ahmad, Nora Ahmad, Rosnida Abu Bakar, RC Internal medicine LC5800 Distance education Background: The objective structured clinical skills examination (OSCE) has over the years emerged as a method of evaluating clinical skills in most medical and allied professions. Although its validity and objectivity has evoked so much debate in the literature, little has been written about its application in non-traditional education systems such as in distance learning. This study examined clinical skills competence among practising nursing students who were enrolled in a distance learning programme. The study examined the effect of work and years of nursing practice on nurses' clinical skills competence. Methodology: This study used observational design whereby nursing students' clinical skills were observed and scored in five OSCE stations. Two instruments were used for the data collection -- A self-administered questionnaire on the students' bio-demographic data, and a check list on the clinical skills which the examiners rated on a four point scale. Results: The findings revealed that 14% of the nurses had level four competence, which indicated that they could perform the tasks correctly and complete. However, 12% failed the OSCE, even though they had more than 10 years experience in nursing and post basic qualifications. Inter-rater reliability was 0.92 for the five examiners. Factor analysis indicated that five participant factors accounted for 74.1% of the variations in clinical skills performance. Conclusion: An OSCE is a necessary assessment tool that should be continuously applied in nursing education, regardless of the mode of the education program, the student's years of experience or his/her clinical placement. This study validates the need for OSCE in both the design of tertiary nursing degree programs and the assessment of nurses' clinical competency level. (Abstract by authors) 2012 Article PeerReviewed Oranye, Nelson Ositadimma and Che'an Ahmad, and Nora Ahmad, and Rosnida Abu Bakar, (2012) Assessing nursing clinical skills competence through objective structured clinical examination (OSCE) for open distance learning students in Open University Malaysia. Contemporary Nurse, 41 (2). pp. 233-241. http://library.oum.edu.my/repository/840/
institution Open University Malaysia
building OUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Open University Malaysia
content_source OUM Knowledge Repository
url_provider http://library.oum.edu.my/repository/
topic RC Internal medicine
LC5800 Distance education
spellingShingle RC Internal medicine
LC5800 Distance education
Oranye, Nelson Ositadimma
Che'an Ahmad,
Nora Ahmad,
Rosnida Abu Bakar,
Assessing nursing clinical skills competence through objective structured clinical examination (OSCE) for open distance learning students in Open University Malaysia
description Background: The objective structured clinical skills examination (OSCE) has over the years emerged as a method of evaluating clinical skills in most medical and allied professions. Although its validity and objectivity has evoked so much debate in the literature, little has been written about its application in non-traditional education systems such as in distance learning. This study examined clinical skills competence among practising nursing students who were enrolled in a distance learning programme. The study examined the effect of work and years of nursing practice on nurses' clinical skills competence. Methodology: This study used observational design whereby nursing students' clinical skills were observed and scored in five OSCE stations. Two instruments were used for the data collection -- A self-administered questionnaire on the students' bio-demographic data, and a check list on the clinical skills which the examiners rated on a four point scale. Results: The findings revealed that 14% of the nurses had level four competence, which indicated that they could perform the tasks correctly and complete. However, 12% failed the OSCE, even though they had more than 10 years experience in nursing and post basic qualifications. Inter-rater reliability was 0.92 for the five examiners. Factor analysis indicated that five participant factors accounted for 74.1% of the variations in clinical skills performance. Conclusion: An OSCE is a necessary assessment tool that should be continuously applied in nursing education, regardless of the mode of the education program, the student's years of experience or his/her clinical placement. This study validates the need for OSCE in both the design of tertiary nursing degree programs and the assessment of nurses' clinical competency level. (Abstract by authors)
format Article
author Oranye, Nelson Ositadimma
Che'an Ahmad,
Nora Ahmad,
Rosnida Abu Bakar,
author_facet Oranye, Nelson Ositadimma
Che'an Ahmad,
Nora Ahmad,
Rosnida Abu Bakar,
author_sort Oranye, Nelson Ositadimma
title Assessing nursing clinical skills competence through objective structured clinical examination (OSCE) for open distance learning students in Open University Malaysia
title_short Assessing nursing clinical skills competence through objective structured clinical examination (OSCE) for open distance learning students in Open University Malaysia
title_full Assessing nursing clinical skills competence through objective structured clinical examination (OSCE) for open distance learning students in Open University Malaysia
title_fullStr Assessing nursing clinical skills competence through objective structured clinical examination (OSCE) for open distance learning students in Open University Malaysia
title_full_unstemmed Assessing nursing clinical skills competence through objective structured clinical examination (OSCE) for open distance learning students in Open University Malaysia
title_sort assessing nursing clinical skills competence through objective structured clinical examination (osce) for open distance learning students in open university malaysia
publishDate 2012
url http://library.oum.edu.my/repository/840/
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score 13.209306