Training students to serve as standardized patients in an objective structured clinical examination is feasible: A mixed-methods study

Abstract

Aim

This study aimed to evaluate examinees’ perceptions of the performance of student standardized patients (SPs) and to explore student SPs’ experiences.

Background

Objective structured clinical examination (OSCE) is a standard approach to the task of evaluating students’ clinical competency that relies on SPs. However, professional SPs are characterized by high costs and insufficient availability. Training students to serve as SPs can help address this lack of OSCE resources. However, only preliminary evidence regarding this process and its feasibility has been reported.

Design

We used a concurrent mixed-method study design that included quantitative surveys and qualitative group interviews.

Methods

Our sample consisted of two-year Bachelor of Nursing program students and trained student SPs who were recruited in May 2021. We used a 5-item performance evaluation tool to assess the SPs’ performance. The reliability of this evaluation tool was indicated by a Cronbach’s α coefficient of.95. Descriptive statistics were used to assess the examinees’ satisfaction with the student SPs’ performance using SPSS 28.0 software. We used a semi-structured interview guide during a group interview; the interview was transcribed verbatim and analyzed via thematic analysis with the assistance of Microsoft Word software.

Results

Eighty-two nursing school students responded to the survey and 10 student SPs were included in a group interview. Nursing school students rated SPs’ performance favorably. The mean score assigned to the SPs on the performance scale was 4.41 out of 5. The student SPs described the challenges and benefits that they experienced regarding their role. The challenges they described included 1) staying true to my role, 2) overcoming a physically overwhelming role and 3) facing the threat of insecurity. However, the corresponding benefits included 1) gaining rewards, 2) advancing nursing competency and 3) experiencing a sense of accomplishment.

Conclusion

After undergoing training, the SPs performed well. They experienced a variety of challenges and obtained certain benefits. In health care education, recruiting students to serve as SPs is feasible.