Given the complex clinical situations and the dynamic nature of nursing, the greatest challenge for nursing educators is performing objective evaluation of students’ clinical competence. The Objective Structured Clin...Given the complex clinical situations and the dynamic nature of nursing, the greatest challenge for nursing educators is performing objective evaluation of students’ clinical competence. The Objective Structured Clinical Evaluation (OSCE) is designed to address this challenge and it has been widely used in nursing education. However, its implementation in nursing education in Taiwan has been limited. Accordingly, a quasi-experimental design was utilized to examine students’ clinical performance and stress levels using a 12-station OSCE assessment. Further, we investigated the inter-rater reliability and internal consistency of the OSCE. After controlling for scores of clinical performance, overall differences in pre- and post-practicum stress in the OSCE group were significantly higher than in the control group (F (1, 89) = 4.89, p = 0.03). There was no group effect on practicum performance after controlling for grade point average (F (1, 89) = 2.69, p = 0.14). Cronbach’s alpha for 12 OSCE stations ranged from 0.22 to 0.80 and inter-rater reliability for all 12 stations showed Pearson’s r ranging between 0.76 and 1.00. Cohen’s kappa ranged from 0.70 to 1.00展开更多
RN-to-BSN nursing programs fulfill a needed link to the BSN degree for nurses who hold associate or diploma degrees. Although enrollment rates are currently on the rise for all nursing programs retention remains an is...RN-to-BSN nursing programs fulfill a needed link to the BSN degree for nurses who hold associate or diploma degrees. Although enrollment rates are currently on the rise for all nursing programs retention remains an issue. Improving retention in nursing education, particularly RN-to-BSN programs, will help meet the demands for increasing numbers of BSN-educated nurses. The purpose of this study was to describe factors that restricted or promoted retention among RN-to-BSN students and examine if there was a difference in the measure of these factors between a group of senior students and junior students. Jeffreys’ (2004) nursing undergraduate retention and success (NURS) model, a conceptual framework, was used to guide the study. A non-experimental, descriptive, comparison design was used. This study was a replication of Jeffreys’ (2007) study utilizing a different population of RN-to-BSN students. Analysis was completed by descriptive techniques, and comparisons were made using independent t-tests. No significance was found between junior status students and senior status students for five factors of retention. Although all of the factors were found to be supportive, environmental factors were the least supportive and support from family and friends was found to the most supportive. More studies are needed focused on the RN-to-BSN student population to validate the findings of this study related to factors that restrict and support retention among this population so strategies can be developed to address the issues.展开更多
文摘Given the complex clinical situations and the dynamic nature of nursing, the greatest challenge for nursing educators is performing objective evaluation of students’ clinical competence. The Objective Structured Clinical Evaluation (OSCE) is designed to address this challenge and it has been widely used in nursing education. However, its implementation in nursing education in Taiwan has been limited. Accordingly, a quasi-experimental design was utilized to examine students’ clinical performance and stress levels using a 12-station OSCE assessment. Further, we investigated the inter-rater reliability and internal consistency of the OSCE. After controlling for scores of clinical performance, overall differences in pre- and post-practicum stress in the OSCE group were significantly higher than in the control group (F (1, 89) = 4.89, p = 0.03). There was no group effect on practicum performance after controlling for grade point average (F (1, 89) = 2.69, p = 0.14). Cronbach’s alpha for 12 OSCE stations ranged from 0.22 to 0.80 and inter-rater reliability for all 12 stations showed Pearson’s r ranging between 0.76 and 1.00. Cohen’s kappa ranged from 0.70 to 1.00
文摘RN-to-BSN nursing programs fulfill a needed link to the BSN degree for nurses who hold associate or diploma degrees. Although enrollment rates are currently on the rise for all nursing programs retention remains an issue. Improving retention in nursing education, particularly RN-to-BSN programs, will help meet the demands for increasing numbers of BSN-educated nurses. The purpose of this study was to describe factors that restricted or promoted retention among RN-to-BSN students and examine if there was a difference in the measure of these factors between a group of senior students and junior students. Jeffreys’ (2004) nursing undergraduate retention and success (NURS) model, a conceptual framework, was used to guide the study. A non-experimental, descriptive, comparison design was used. This study was a replication of Jeffreys’ (2007) study utilizing a different population of RN-to-BSN students. Analysis was completed by descriptive techniques, and comparisons were made using independent t-tests. No significance was found between junior status students and senior status students for five factors of retention. Although all of the factors were found to be supportive, environmental factors were the least supportive and support from family and friends was found to the most supportive. More studies are needed focused on the RN-to-BSN student population to validate the findings of this study related to factors that restrict and support retention among this population so strategies can be developed to address the issues.
