Assessment in clinical education: A comparison between a generic instrument and a course-specific criterion-based instrument

2018 ◽  
Vol 38 (4) ◽  
pp. 220-226 ◽  
Author(s):  
Johanna Ulfvarson ◽  
Lena Oxelmark ◽  
Maria Jirwe

Assessment of students’ clinical performance and reasoning raises critical questions of whether learning outcomes have been reached and whether the aims of a course/education programme have been fulfilled. The aim of this study was to compare two assessment instruments in clinical education. A cross-sectional, comparative design was used. Nursing students and supervisors from five universities and university colleges in Sweden were included in the study. A sample of 435 students was used. Data were collected with study-specific questionnaires targeted for the two groups, nursing students and supervisors, and were analysed using cross-tabulation, chi-square with WinSTAT. Students perceived supervisors using the instrument Assessment of Clinical Education (AClEd) to be more aware of what to assess and they experienced more support from the ‘AClEd supervisors’ as compared to the supervisors using the second instrument, the Assessment form for Clinical education (AssCe). Furthermore, the AClEd assessment was perceived to be fairer compared to the AssCe assessment. The criterion-referenced assessment instrument AClEd was perceived, by both nursing students and supervisors, to give a clearer view of the learning outcome and the possibility of a fair and comprehensive assessment.

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Oscar Arrogante ◽  
Gracia María González-Romero ◽  
Eva María López-Torre ◽  
Laura Carrión-García ◽  
Alberto Polo

Abstract Background Formative and summative evaluation are widely employed in simulated-based assessment. The aims of our study were to evaluate the acquisition of nursing competencies through clinical simulation in undergraduate nursing students and to compare their satisfaction with this methodology using these two evaluation strategies. Methods Two hundred eighteen undergraduate nursing students participated in a cross-sectional study, using a mixed-method. MAES© (self-learning methodology in simulated environments) sessions were developed to assess students by formative evaluation. Objective Structured Clinical Examination sessions were conducted to assess students by summative evaluation. Simulated scenarios recreated clinical cases of critical patients. Students´ performance in all simulated scenarios were assessed using checklists. A validated questionnaire was used to evaluate satisfaction with clinical simulation. Quantitative data were analysed using the IBM SPSS Statistics version 24.0 software, whereas qualitative data were analysed using the ATLAS-ti version 8.0 software. Results Most nursing students showed adequate clinical competence. Satisfaction with clinical simulation was higher when students were assessed using formative evaluation. The main students’ complaints with summative evaluation were related to reduced time for performing simulated scenarios and increased anxiety during their clinical performance. Conclusion The best solution to reduce students’ complaints with summative evaluation is to orient them to the simulated environment. It should be recommended to combine both evaluation strategies in simulated-based assessment, providing students feedback in summative evaluation, as well as evaluating their achievement of learning outcomes in formative evaluation.


2021 ◽  
pp. e20200018
Author(s):  
Sarah Wojkowski ◽  
Kathleen E. Norman ◽  
Paul Stratford ◽  
Brenda Mori

Purpose: This research examines 1 year of cross-sectional, Canada-wide ratings from clinical instructors using the Canadian Physiotherapy Assessment of Clinical Performance (ACP) and analyzes the performance profiles of physiotherapy students’ performance ratings over the course of their entry-to-practice clinical placements. Method: Canadian physiotherapy programmes that use the ACP were invited to submit anonymized, cross-sectional data for placements completed during 2018. Descriptive analyses and summary statistics were completed. Mixed-effects modelling was used to create typical performance profiles for each evaluation criterion in the ACP. Stepwise ordered logistic regression was also completed. Results: Ten programmes contributed data on 3,290 placements. Profiles were generated for each ACP evaluative item by means of mixed-effects modelling; three profiles are presented. In all cases, the predicted typical performance by the end of 24 months of study was approximately the rating corresponding to entry level. Subtle differences among profiles were identified, including the rate at which a student may be predicted to receive a rating of “entry level.” Conclusions: This analysis identified that, in 2018, the majority of Canadian physiotherapy students were successful on clinical placements and typically achieved a rating of “entry level” on ACP items at the end of 24 months.


Author(s):  
Fernanda Carneiro Mussi ◽  
Cláudia Geovana da Silva Pires ◽  
Luciana Santos Carneiro ◽  
Ana Lúcia Siqueira Costa ◽  
Fernanda Michelle Santos e Silva Ribeiro ◽  
...  

ABSTRACT Objective: To compare stress levels in freshman and senior nursing students. Method: A cross-sectional study was carried out in a public federal university of the state of Bahia, with students who answered questionnaires about sociodemographic variables, academic life, and a scale for assessing stress in nursing students. Chi-square and Fisher’s exact tests were applied to analyze the relationship between variables. To assess proportional trends between ordinal variables and groups, a chi-square test for linear trend was applied. The significance level was 5%. Results: One hundred and fifty-four students participated in the study. There was a tendency to higher stress levels among students in the last year compared to those in the first year, in four out of six domains: Performance of Practical Activities (p=0.00), Professional Communication (p=0.00), Environment (p=0.00) and Professional Education (p=0.00). Conclusion: High levels of stress were observed in students taking the last year. There is a need for broader research that includes other years of the course, an institutional reflection on stress factors and the adoption of an institutional policy that favors a better confrontation of stress factors.


2019 ◽  
Vol 9 (1) ◽  
pp. 41-46
Author(s):  
Swostika Shrestha ◽  
Srijana Ghimire

Background: Stress and self-esteem are common issues that everyone has to cope with at some time in their lives and they could also affect other things going on in a person’s’ life. The objective of the study is to identify the stress and self-esteem among nursing students. Methods: A descriptive cross-sectional study was carried out among B.Sc. Nursing students, Chitwan Medical College. The data was collected by us­ing structured questionnaire within 2 weeks. Obtained data were analyzed using IBM SPSS version 16.0. Descriptive statistics (mean, frequency, percentage and standard deviation) and inferential statistics (chi-square and correlation) were used for data analysis. Results: Out of 116 respondents, 23.3%, 25.9%, 25.9% and 25.0% were from first, second, third and fourth year respectively. More than half i.e. 50.9% of the respondents had high stress. Respondents had faced higher (68.1%) in teacher related stress followed by peer stress 67.2% and self-inflict 66.0%. About 61.2% of the respondents had low self-esteem. There was higher stress in first year students then other. The fact is that as the academic year increases, students become more familiar to the learning environment and able to cope better. There was statistical significant as­sociation between stress among nursing students and habit of problem sharing (p=0.04). Conclusions: It is concluded that respondents have high level of stress and low level of self-esteem. Therefore, intervention for increasing self-esteem and decreasing stress should be conducted by the college administration.


Author(s):  
Suvashri Sasmal ◽  
Moitreyee Roy

Background: The education system has faced severe trouble worldwide in COVID-19 pandemic since the beginning of 2020. In this context every educational institute including nursing colleges has adopted E-learning for smooth continuation of teaching learning process. Keeping this in mind this descriptive survey study aimed to identify the perception of the undergraduate nursing students towards E-learning during COVID 19 phase.Methods: A cross sectional web-based survey has been conducted through Google form with in west Bengal. By using snowball sampling, 327 sample were selected as study participants and they were received the structured questionnaire and submitted after giving their responses. Data were extracted and analysed with the help of different descriptive statistics, such as frequency, percentage, mean, median, standard deviation and inferential statistics in terms of chi-square by using SPSS 20.0 (IBM SPSS Statistics for Windows, version 20.0).Results: In this article 327 participants were enrolled among them 70.95% had indifferent perception, whereas only 14.07% possessed unfavourable perception towards E-learning. Compared with the indifferent percentage the participants with favourable perception was very less i.e. only 14.98%. We also found perception of E learning has no association with demographic variables but significant association is there between gadgets used to attend E learning.Conclusions: Nursing faculties need to address the student’s perception towards e-learning so that efforts can be directed towards improving their learning experience.


2015 ◽  
Vol 1 (01) ◽  
Author(s):  
Ayu Astari ◽  
Grace Solely Houghty ◽  
Renova Oktarini Br. Sibuea

ABSTRAK Pendahuluan: Sikap caring adalah salah satu identitas profesi keperawatan yang berusaha ditanamkan oleh institusi pendidikan keperawatan melalui proses sosialisasi profesi. Namun, pada kenyataannya ditemukan sikap mahasiswa yang tidak menunjukkan sikap caring. Tujuan penelitian ini adalah untuk mencari tahu ada atau tidaknya hubungan antara sosialisasi profesi dengan sikap caring mahasiswa. Landasan teori yang dipakai adalah model sosialisasi profesi Hinshaw dan Theory of Caring Swanson. Metode: Metode penelitian yang digunakan adalah metode kuantitatif, menggunakan pendekatan cross sectional. Populasi penelitian ini adalah 45 mahasiswa angkatan 2011 Fakultas Ilmu Keperawatan Universitas x. Sample diambil menggunakan teknik total sampling. Data diolah dan dianalisis menggunakan chi-square. Hasil: Hasil yang diperoleh dari penelitian menunjukan nilai signifikansi hubungan sosialisasi profesi dengan sikap caring sebesar 0,019. Uji korelasi sosialisasi profesi dengan setiap kategori caring Swanson menunjukkan hubungan dua sub variabel caring yaitu “knowing” (p value = 0,001) dan “being with” (p value = 0,04) sebagai dua komponen yang sangat dipengaruhi oleh proses sosialisasi profesi. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara sosialisasi profesi dengan sikap caring mahasiswa. Diskusi: Penelitian ini merekomendasikan agar penelitian selanjutnya dapat mengobservasi perilaku caring mahasiswa sehingga hasil yang didapatkan lebih akurat. Kata Kunci : Sosialisasi Profesi, Sikap Caring, Pendidikan Keperawatan  ABSTRACT Introduction : Caring attitude is one of the professional identity that is tried to be internalized by the nursing education institution through professional socialization process. The process begin since the students entering the faculty and improving as the time goes by. However, in reality, there are students who do not show caring attitude. The aim of this study was to find out if there is a correlation between professional socialization and caring attitude. Theoretical basis used is a model professional socialization Hinshaw and Swanson’s Caring theory. Method: The study used quantitative method with cross-sectional design. The population was 45 batch 2011 nursing students of Faculty of Nursing, University of x, using total sampling technique. The data analyzed using chi-square. Result: The significancy result of the correlation test between professional socialization and caring attitude is 0,019. The study also found that two sub variables of caring that are correlated with professional socialization are “knowing” (p value= 0,001) and “being with” (p value = 0,04). The results of this study indicate that there is significant relationship between professional socialization and sudent’s caring attitude. Discussion: This research recommends that further research can observe nursing student’s caring behavior in order to obtain more accurate results. Keyword: Professional Socialization, Caring attitude, Nursing Education  Full printable version: PDF


2015 ◽  
Vol 12 (1) ◽  
pp. 38-43
Author(s):  
K Vijayalakshmi ◽  
S Revathi ◽  
L Venkatesan

Background: Objective Structured Practical Examination (OSPE) is being widely used in the assessment of clinical performance of students in healthcare profession. Objective: This study was conducted to find out the feasibility and acceptability of Self and Peer-Evaluation in Objective Structured Practical Examination (OSPE) in Psychiatric nursing among Nursing Students. Methods: A cross sectional, descriptive correlational study was conducted at Apollo College of Nursing, Chennai among 84students of 3rd Year B.Sc Nursing in Psychiatric Nursing subject. Students were selected by using purposive sampling technique. OSPE consisting of 7 stations (using the predetermined check lists for each station) was conducted. Feedback was obtained from the students and teachers involved in evaluation, immediately after completing the evaluation by using 12 items feedback questionnaire. Data was analyzed by using Descriptive (Mean, frequency, percentage) and Inferential (t-test) statistics.Results: Self and Peer evaluation in OSPE in Psychiatric nursing among Nursing Students, was feasible to conduct. Most of the students and all the teachers have accepted these methods on its various aspects. Total mean acceptability scores of students and teachers were 40.43±6.33, 45.79±2.72/48 and 42.43±7.37, 44.64±1.76/48 in self and peer evaluation respectively.Conclusion: Students’ and teachers’ feedback are essential to implement any teaching learning activities including evaluation. Self and Peer Evaluation were feasible to conduct and well accepted by the students and teachers.DOI: http://dx.doi.org/10.3126/hren.v12i1.11984         Health Renaissance 2014;12(1):38-43


Author(s):  
Anisa Hidayah ◽  
Martina Sinta Kristanti ◽  
Mariyono Sedyowinarso

Background: Nurses are supposed to be able to show empathy to patients. Empathy is capability to feel the emotion, thought, and condition of the patient without involving self emotion. Capability of showing empathy in nurses is builtsince the period of education. Every stage in nursing education at nursing study program has different learning activities and load of materials. The difference may be affected by capability of showing empathy in students. The objective of this study is to identify difference in empathy capability of nursing students of Faculty of Medicine UGMMethod: This was a quantitative study with cross sectional design. Samples were taken through purposive proportional sampling involving 88 nursing students at Faculty of Medicine Universitas Gadjah Mada undergoing academic education (batch 2009 to 2012) and clinical education (batch 2007 and 2008). Empathy capability was assessed using Jefferson Scale of Physician Empathy – Nursing Student Version R (JSPE-R).Results: Average score of empathy capability was 113.26 with standard deviation 10.45. There was difference in empathy capability of students of batch 2007 to 2012 (p=0.014). Average score of empathy capability of the students decreased along with the duration of education. There was no difference in empathy capability based on gender (p=0.516), age (p=0.668), ethnic group (p=0.167), and stage of education (p=0.541). There was difference in score of standing in the patient shoes between academic and clinical students (p=0.022).Conclusion: There is difference in empathy capability in nursing students from different batch at Faculty of Medicine UGM.


Author(s):  
Sudhakara Reddy Muthyala ◽  
Venkateswarlu V.

Background: Handwashing is the act of cleaning one's hands for the purpose of removing soil, dirt & microorganisms. Through review of literature it is understood that the most nosocomial infections are thought to be transmitted by the hands of healthcare workers, handwashing is considered the single most important intervention to prevent nosocomial infections. This study is conducted to assess the knowledge, attitude and practices (KAP) on handwashing among the nursing students and to identify the areas of gap in their KAP along with the provisions for handwash.Methods: A descriptive, cross-sectional study was conducted among 192 nursing students at S.V. College of Nursing, Chittoor during October 2018 using pre-validated self-reported questionnaire. Statistical analysis was done with SPSS 20.0 software and Chi square test was used with “P” value<0.05 taken as statistically significant.Results: Among all respondents 85% were aware about washing their hands during all common critical times, but practicing was observed in 08% only. 50% felt that alcohol based hand rub is effective than hand wash with soap and water, but facilitated 10% only. While the final year students all (100%) are well aware about all critical times of handwashing, whereas 1st and 2nd years 71% and 3rd year students 87% are aware (P=0.002).Conclusions: There is a need of orientation and arrangements for proper hand wash to be improved.


2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Evi Annisa Haryati ◽  
Efri Widianti ◽  
Nur Oktavia Hidayati

ABSTRACT  During the industrial revolution of 4.0, everything becomes easily accessible. One of its developments is information and communication technology. The high use of a smartphone as communication tools can cause dependency which is characterized by repeatedly checking smartphones which can cause addiction so that it can cause fear or phobia, commonly known as Nomophobia. The aim of this study was to determine the overview of nomophobia in Nursing students at Padjadjaran University. This research used a quantitative descriptive method with cross-sectional approach. Samples were taken using a total sampling technique from the population of an active student of the Bachelor program in the year of 2016, 2017, 2018 and 2019 Faculty of Nursing, Padjadjaran University. Data were collected using the Nomophobia Questionnaire (NMP-Q) and analyzed using descriptive frequency distribution. The results of this study showed that the majority of respondents 559 (63.5%) showed moderate nomophobia, as many as 243 respondents (27.6%) showed severe nomophobia and 79 respondents (9%) showed mild nomophobia. The conclusion of this study is that majority of respondents belong to the category of moderate nomophobia. Therefore, it is recommended for the following institution to be able to develop policies that regulate the use of smartphones in the context of clinical education and practice.ABSTRAKPada era revolusi industri 4.0 segala sesuatunya semakin mudah diakses. Salah satu perkembangannya adalah teknologi informasi dan komunikasi. Tingginya penggunaan alat komunikasi smartphone dapat menimbulkan ketergantungan yang ditandai dengan selalu memeriksa smartphone yang dapat menimbulkan suatu kecanduan sehingga dapat menimbulkan ketakutan atau fobia yang lebih dikenal dengan sebutan Nomophobia. Tujuan penelitian ini adalah untuk mengetahui gambaran nomophobia pada mahasiswa Fakultas Keperawatan Universitas Padjadjaran. Penelitian ini menggunakan metode  deskriptif kuantitatif dengan pendekatan cross sectional. Sampel diambil dengan menggunakan teknik total sampling dari populasi mahasiswa aktif program Sarjana angkatan 2016,2017,2018 dan 2019 Fakultas Keperawatan Universitas Padjadjaran. Data dikumpulkan dengan menggunakan instrumen Nomophobia Questionnaire (NMP-Q dan dianalisis secara deskriptif  distribusi frekuensi. Hasil penelitian ini menunjukkan bahwa sebagian besar  responden 559 (63,5%) menunjukkan nomophobia sedang, sebanyak 243 responden (27,6%) menunjukkan nomophobia berat dan sebanyak 79 responden (9%) menunjukkan nomophobia ringan. Simpulan dari penelitian ini adalah sebagian besar responden tergolong kedalam kategori nomophobia sedang. Oleh karena itu, disarankan bagi pihak instansi untuk dapat mengembangkan kebijakan yang mengatur penggunaan smartphone dalam konteks pendidikan dan praktikum klinis.


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