Author:
Nyangeni Thandolwakhe,van Rooyen Dalena R.M.,ten Ham-Baloyi Wilma
Abstract
Background:
Although objective structured clinical examinations (OSCEs) are deemed objective and bias-free, human error, inconsistency, nonuniformity in grading, and inter-rater variability have been reported. Quality management of OSCEs therefore is crucial.
Method:
Semistructured individual interviews with 14 nurse educators and a qualitative document analysis of 15 external moderators' reports were conducted.
Results:
Participants identified measures in place that facilitated quality in management of OSCEs, including a peer review system, control measures ensuring confidentiality, pre-OSCE briefing, orientation, and validation of assessment tools. However, gaps were identified relating to inadequate OSCE assessment tools and documents, as well as a lack and maldistribution of resources, such as physical space, appropriate fidelity manikins, and sufficiently trained examiners.
Conclusion:
To address gaps, developing robust policies, pilot testing OSCEs and assessment tools, efficiently budgeting for and using required resources, conducting in-depth examiner briefing and training, and setting a gold standard for assessment practices are recommended.
[
J Nurs Educ
. 2023;62(3):155–161.]
Subject
Education,General Nursing
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