Application of modified OSCE in evaluating core competencies of new nurses in neurosurgery standardized training

Wang Yi; Chen Xiaoying; Chen Fei; Tan Binbin; Yang Xue; Xian Jishu

doi:10.3760/cma.j.cn116021-20231112-01840

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Application of modified OSCE in evaluating core competencies of new nurses in neurosurgery standardized training

Nursing Education Study | 更新时间：2024-09-27

- Application of modified OSCE in evaluating core competencies of new nurses in neurosurgery standardized training
- Chinese Journal of Medical Education Research Vol. 23, Issue 9, Pages: 1253-1258(2024)
- 作者机构：
  
  陆军军医大学第一附属医院神经外科，重庆　400038
- 作者简介：
  
  Xian Jishu, Email: 1370321419@qq.com
- 基金信息：
  
  Key Topics of Teaching Reform of Army Medical University(2021A08)
- DOI：10.3760/cma.j.cn116021-20231112-01840
  CLC： R-05
- Published：20 September 2024，
  
  Received：12 November 2023，
- 稿件说明：
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王颐, 陈晓英, 陈飞, 等. 改良版OSCE在神经外科规范化培训新护士核心胜任力评价中的应用研究[J]. 中华医学教育探索杂志, 2024, 23(9): 1253-1258.

Wang Yi, Chen Xiaoying, Chen Fei, et al. Application of modified OSCE in evaluating core competencies of new nurses in neurosurgery standardized training. [J]. Chinese Journal of Medical Education Research, 2024,23(9):1253-1258.
王颐, 陈晓英, 陈飞, 等. 改良版OSCE在神经外科规范化培训新护士核心胜任力评价中的应用研究[J]. 中华医学教育探索杂志, 2024, 23(9): 1253-1258. DOI： 10.3760/cma.j.cn116021-20231112-01840.

Wang Yi, Chen Xiaoying, Chen Fei, et al. Application of modified OSCE in evaluating core competencies of new nurses in neurosurgery standardized training. [J]. Chinese Journal of Medical Education Research, 2024,23(9):1253-1258. DOI： 10.3760/cma.j.cn116021-20231112-01840.

摘要

目的

探讨改良版客观结构化临床考试（objective structured clinical examination， OSCE）用于神经外科规范化培训新护士核心胜任力评价的效果。

方法

对37名在神经外科进行规培的新护士实施考核和评价。以核心胜任力评价为核心，临床护理工作为主线，临床案例库为依托，构建改良版OSCE方案：即①入科时实施OSCE诊断性考核评价；②培训过程中实施OSCE引导下的过程性教学评价；③出科时实施OSCE结果性考核评价。OSCE考核包括护理评估、技能操作、临床思维、健康教育、人文关怀5个考站。采用SPSS 26.0进行

检验和秩和检验。

结果

在考评体验方面，护士对改良版OSCE的实施评价和教学满意度较高。在改良版OSCE方案的质量评价方面，出科时OSCE考核平均成绩与入科时比较差异有统计学意义（

=24.21，

0.001）；在自主学习能力评价方面，实施改良版OSCE后，护士的自主学习能力与入科时比较差异有统计学意义（

=10.29，

0.001）。在核心胜任力评价方面，出科与入科时相比，其核心胜任力分维度良好个人特质（

=5.24，

0.001）、临床护理能力（

=5.07，

0.001）、支持和人际沟通能力（

=5.12，

0.001）、评判性临床思维能力（

=5.17，

0.001）、专业建设与自我发展（

=5.05，

0.001）与总分（

=5.27，

0.001）得分的差异有统计学意义。

结论

改良版OSCE能够较为全面地评价神经外科规培新护士核心胜任力，具有较好的可行性和有效性，为规培轮转科室的教学管理提供了参考依据。

Abstract

Objective

To explore the effectiveness of modified objective structured clinical examination (OSCE) for evaluating the core competencies of new nurses on standardized training in neurosurgery.

Methods

Thirty-seven new nurses on standardized training in neurosurgery were evaluated using a modified OSCE protocol that was focused on core competencies required for clinical nursing practice on the basis of a clinical case library

which consisted of diagnostic assessment upon entrance

process teaching e

valuation during training

and outcome assessment upon exit

at five OSCE stations (nursing assessment

skill practice

clinical thinking

health education

and humanistic care). SPSS 26.0 was used to perform the

-test and rank sum test.

Results

The nurses highly recognized the effectiveness of modified OSCE and were largely satisfied with teaching. There were significant differences at entrance and exit in terms of the mean OSCE score (

=24.21

0.001)

independent learning ability (

=10.29

0.001)

and the scores of core competencies—good personal traits (

=5.24

0.001)

clinical nursing ability (

=5.07

0.001)

support and interpersonal communication ability (

=5.12

0.001)

critical clinical thinking ability (

=5.17

0.001)

professional construction and self-development (

=5.05

0.001)

and the total score (

=5.27

0.001).

Conclusions

The modified OSCE can comprehensively evaluate the core competencies of new nurses in neurosurgery standardized training

with good feasibility and effectiveness

which provides a reference for teaching management of standardized training programs.

关键词

客观结构化临床考试护理核心胜任力评价护士规范化培训

Keywords

Objective structured clinical examinationNursingCore competency evaluationStandardized training of nurses

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