基于OSCE的护理本科毕业技能考试设计与评价

Design and evaluation of graduation clinical skill examination based on objective structured clin- ical examination for college nursing undergraduates

目的探讨客观结构化临床考试（objective structured clinical examination，OSCE）运用于护理本科毕业技能考试的效果。方法参考与简化经典的OSCE形式，设计护理本科毕业技能考试，共设置护理评估、护理诊断、护理措施、健康教育4个考站。自制调查问卷了解考生的评价意见，应用SPSS16．0软件对考试成绩和调查数据进行统计学处理；计量资料以（x±s）表示，计数资料以百分比表示，组间比较用t检验，检验水准a=0．05。结果4个简化OSCE考站的学生考试平均成绩为（80．38±4．22）分，4个考站的得分率在72．20％～88．00％之间。超过93％的考生认为，考站的数量设置合理，OSCE成绩能或基本能衡量学生的临床护理综合能力。结论简化OSCE考站设计合理，能够客观地反映护理本科毕业生的临床能力；多数考生对简化OSCE的设计、组织、质量和效能比较满意。

Objective To evaluate the graduation clinical skill examination based on objective structured clinical examination（OSCE） for college nursing undergraduates. Methods Classic OSCE was simplified and taken as references for nursing undergraduate graduation clinical skill examination including nursing evaluation, nursing dignosis, nursing intervention and health education for stations. Self-made questionnaire was conducted among students. Examination scores and the questionnaire re- sults were statistically analyzed by SPSS 16.0 software. Measurement data and categorical data were shown as （ x ＋ s） and % respectively. T test was used in comparison between the groups according to the inspection level of a = 0.05, P 〈 0.05 means significant difference. Results Simplified OSCE was composed of 4 stations and the mean score was （80.38＋ 4.22） with mean scoring rate of the 4 sta- tions varied from 72.2% to 88.0%. More than 93% students thought that OSCE score can or basically can evaluate comprehensive clinical nursing competence, clinical thinking, communicating and adapta- bility. Conclusions Simplified OSCE is designed properly for the objective evaluation of nursing students＇ clinical competence and students are mostly satisfied with its design and organization, quality and efficiency.