Evaluation of undergraduate students’nursing assessment and communication skills through an objective structured clinical examination within a high-fidelity simulation using a student-simulated patient

作     者：Hao-Bin Yuan Hao-Bin Yuan

作者机构：School of Health Sciences and SportsMacao Polytechnic InstituteRua de Luis Gonzaga GomesMacaoChina 

出 版 物：《Frontiers of Nursing》 (护理前沿（英文）)

年 卷 期：2021年第8卷第2期

页      面：159-168页

学科分类：0402[教育学-心理学(可授教育学、理学学位）] 0401[教育学-教育学] 04[教育学] 1011[医学-护理学（可授医学、理学学位）] 040102[教育学-课程与教学论] 10[医学] 

基　　金：This project was supported by research funding from the Macao Polytechnic Institute(No.RP/ESS-06/2017) 

主　　题：communication high-fidelity simulation nursing assessment OSCE student-simulated patient 

摘      要：Objective:To evaluate nursing students’assessment and communication skills through an objective structured clinical examination(OSCE)within a high-fidelity simulation using a student-simulated patient(SSP)and analyze the validity,reliability,degree of difficulty,and discriminability of the ***:A descriptive study was conducted at one nursing school in *** scenarios were designed using a high-fidelity simulator combined with SSPs.A convenience sample of 54 baccalaureate nursing students completed the *** nursing assessment OSCE checklist(NAOC)and the communication evaluation rubric(CER)were used as observational measurements with three-point Likert scales(2=Achieved,1=Partly achieved,0=Not completed/Incorrect).Results:Difficulty coefficients of the exam were 0.63 for nursing assessment skills and 0.56 for communication *** discrimination index of the majority items of the NAOC(86.4%)was0.20,showing a better to good *** items of the CER had satisfactory indexes of item discrimination(from 0.38 to 0.84).Students received high scores in conducting blood oxygen saturation and cardiac and lung auscultation but low scores in vomiting and diarrhea *** presented good communication skills in eye contacting and listening,but culture assessment needs to be *** students with experiences in simulation or simulated patient(SP)interactions had better assessment and communication skills than students without those *** was a positive relationship between nursing assessment and communication skills(r=0.67,P=0.000).Conclusions:SSPs were involved in enhancing the realism of interactions in simulated *** students can conduct nursing assessments specific to patient conditions,explain the conditions to the patient,and ensure that the patient remains informed at all times of the precautions to be ***,students’cultural awareness and some communication skills need further ***