Analysis of the factors of missing score and insights from clinical nursing skills competition for nursing staff based on objective structured clinical examination model
LIU Ya
YANG Xuening
LIU Xiaoqing
PANG Bing
LIU Xuekui
SONG Yulei
WANG Ping
Abstract：Objective To explore the application of objective structured clinical examination(OSCE)model in clinical nursing skills competition of nursing staff,and to analyze factors contributing to score reduction.Methods A total of 60 nurses who participated in the final round of clinical nursing skills competition from 31 healthcare institutions in Xuzhou on September 17,2023 were selected,and their competition results were analyzed,and a qualitative interview were conducted to identify factors leading to score reduction.Results The difficulty coefficient of each test station ranged from 0.41 to 0.60,with discrimination indices between 0.42 and 0.62,indicating moderate difficulty and good discrimination power.The average score of the exam-ins was 57.16±17.13,with individual station scores as follows:health assessment station was 59.71±11.39,clinical problem processing station was 41.03±17.19,and practical skill operation station was 58.74±15.48,all of which followed a normal distribution.Combined with the qualitative interview,four key factors were identified:incomplete nursing assessment,weak nursing clinical thinking ability,insufficient proficiency in practical skills,and inadequate of communication ability.Conclusions The clinical nursing skills competition based on OSCE model can comprehensively and objectively evaluate the clinical comprehensive ability of nursing staff.Through the analysis of factors leading to score reduction offers valuable insights for developing targeted training strategies,guiding the cultivation of higher level nursing talent.
Keywords：Objective structured clinical examinationNursingClinical skills competitionFactor of score reductionAchievement analysisCapability evaluation
Publication Date：2024-09-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 405-411 )