The Application of OSCE for Evaluating Clinical Competence in a BSN Program

Monday, 22 July 2013

Jun-Yu Fan, RN, PhD1
Sui-Whi Jane, PhD, RN1
Mei-Hsiang Lin, MSN, EdD1
Chu-Chun Chien, MD2
Wen- Pin Yu, MS3
(1)School of Nursing, Chang Gung University of Science and Technology, Tao-Yuan, Taiwan
(2)Internal medicine, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan
(3)Department of Nursing, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan

Learning Objective 1: The leaners will be able to familiar with the application of OSCE to assess the clinical competence before clinical practicum in a BSN nursing program.

Learning Objective 2: The learners will be able to apply the results of this presentation in their field to assess clinical competence.


     The purpose of the study was based on the “framework for clinical assessment” to examine whether a 12-station OSCE could enhance senior nursing students’ confidence, clinical competence as well as decrease their practicum stress in a BSN program students.


     This was a quasi-experimental design, a convenient sample of 100 senior nursing students from an University of Science and Technology of Northern part of Taiwan. Institutional review board approval was obtained (no: 99-2245B) prior to the beginning of data collection. The students was divided into two groups, experimental and control, the experimental group, 38 senior nursing students, received a “12-station OSCE” prior to 6-week clinical practicum (group O) versus control group (group C), 54 senior nursing students, was same as usual. We also interviewed 20 students (10 students of each group) to describe whether the OSCE evaluation could assist students to adapt the clinical practicum.


     There were no statistically significant differences in practicum score, overall practicum stress either before or after clinical practicum in both groups. The data were examined further, the group O showed statistically significant lower practicum stress score in "homework and work load (p = .003)" and "professional knowledge and skill (p= .013)" dimensions than group C. The group O students did face more stress from OSCE evaluation, but they admitted that the OSCE provided the preparation direction of clinical practicum and also examined their insufficient in knowledge and skills.


     Base on current results and to fulfill the gaps between teaching and clinical setting, our school decides all students will have an OSCE evaluation prior to 6-week clinical practicum. Now, we are not only establishing a OSCE national examination site but also providing more simulated clinical scenarios or environment whose purpose is to cultivate society trustable professional clinical nurses in nursing education arena.