Abstract

Project Summary: Final semester nursing students are required to obtain a minimum score on a standardized test to graduate. Although these tests are highly predictive of NCLEX success, a didactic exam cannot evaluate a students' readiness to practice clinically. In the summer of 2010, End of Program OSCE was designed to exam students' ability to perform safely in the clinical setting.

Methodology: A pilot study was conducted in the summer of 2010 to determine the clinical competency of 16 graduating senior nursing students. Students were tested on their ability to perform basic skills and to think critically as they cared for simulated patients in a realistic and controlled environment. Checklists were used to verify students' completion of tasks.

Discussion: The End of Program OSCE design was based on national nursing education standards including Institute of Medicine (IOM), Quality and Safety in Nursing Education (QSEN), National League of Nursing (NLN), and Commission on Collegiate Nursing Education (CCNE). The University of Texas at Arlington College of Nursing's Curricular Concepts along with the top 10 DRGs in North Texas were integrated into the patient care scenarios. Communication skills, safe medication administration, and the ability to perform a focused assessment were evaluated.

Conclusions and Implications for Nursing Education: The initial end of program OSCE was used to gather data about the students' performance in the clinical setting. Each student was evaluated on their ability to perform in the controlled clinical environment of the Smart Hospital. Data revealed the need for a consistent evaluation method, better communication with the students, and the need for student remediation. The remediation took place during student's Capstone in the hospital with a preceptor. Ongoing changes will be discussed. Passing OSCE ensures employers that our graduates are safe and ready to perform competently at the entry level.

Description

41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & convention Center.

Author Details

Cecilia Flores, RN, MSN; Jennifer Roye, RN, MSN, CPNP

Sigma Membership

Unknown

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Simulation, Transition to practice, OSCE

Conference Name

41st Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Grapevine, Texas, USA

Conference Year

2011

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Acquisition

Proxy-submission

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Developing and implementing end of program OSCE (Objective Structured Clinical Examinations) for an undergraduate BSN program

Grapevine, Texas, USA

Project Summary: Final semester nursing students are required to obtain a minimum score on a standardized test to graduate. Although these tests are highly predictive of NCLEX success, a didactic exam cannot evaluate a students' readiness to practice clinically. In the summer of 2010, End of Program OSCE was designed to exam students' ability to perform safely in the clinical setting.

Methodology: A pilot study was conducted in the summer of 2010 to determine the clinical competency of 16 graduating senior nursing students. Students were tested on their ability to perform basic skills and to think critically as they cared for simulated patients in a realistic and controlled environment. Checklists were used to verify students' completion of tasks.

Discussion: The End of Program OSCE design was based on national nursing education standards including Institute of Medicine (IOM), Quality and Safety in Nursing Education (QSEN), National League of Nursing (NLN), and Commission on Collegiate Nursing Education (CCNE). The University of Texas at Arlington College of Nursing's Curricular Concepts along with the top 10 DRGs in North Texas were integrated into the patient care scenarios. Communication skills, safe medication administration, and the ability to perform a focused assessment were evaluated.

Conclusions and Implications for Nursing Education: The initial end of program OSCE was used to gather data about the students' performance in the clinical setting. Each student was evaluated on their ability to perform in the controlled clinical environment of the Smart Hospital. Data revealed the need for a consistent evaluation method, better communication with the students, and the need for student remediation. The remediation took place during student's Capstone in the hospital with a preceptor. Ongoing changes will be discussed. Passing OSCE ensures employers that our graduates are safe and ready to perform competently at the entry level.