OSCE to assess competency in IV medication administration

IF 1.9 Q2 NURSING

Teaching and Learning in Nursing Pub Date : 2025-01-01 DOI:10.1016/j.teln.2024.11.003

Christine M. Thomas PhD , Eunice Park-Clinton DNP, Adrienne Wharry DNP, Michelle Kaulback EdD, Daniel Bileth DNP, Nancy Barker EdD

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引用次数: 0

Abstract

Background

Competency-based education (CBE) supports nursing student learning and safe practices by adopting repeated practice and feedback.

Aim

The project aimed to examine processes to increase student competencies in intravenous (IV) medication administration and Objective Structured Clinical Evaluation (OSCE) methods using best practices in simulation.

Methods

This pilot project examined CBE and OSCE processes in building student confidence and competency in IV medication administration skills.

Using a quasi-experimental design, the effects of CBE on confidence were examined by differences in student (n = 19) confidence levels pre and post IV medication administration practice sessions with senior nursing students using IV Therapy Self-Confidence Scale. End of program confidence levels were compared with OSCE scores to examine the correlations between confidence and competence.

Results

Confidence levels increased significantly (<.05), while the relationship between confidence and competence in IV medication administration was mixed.

Conclusions

Confidence in nursing skills does not equate to competency. Implementing CBE and OSCE using simulation best practices is a challenge.

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背景基于能力的教育（CBE）通过采用反复练习和反馈来支持护理专业学生的学习和安全实践。目的该项目旨在利用模拟的最佳实践来检验提高学生静脉注射（IV）用药管理能力的流程和客观结构化临床评估（OSCE）方法。该试点项目采用准实验设计，使用静脉注射治疗自信心量表，通过与高年级护理学生进行静脉注射给药实践课程前后学生（n = 19）自信心水平的差异，考察 CBE 对自信心的影响。将课程结束时的自信水平与 OSCE 分数进行比较，以考察自信与能力之间的相关性。结果自信水平显著提高（< .05），而自信与静脉用药管理能力之间的关系不一。利用模拟最佳实践实施 CBE 和 OSCE 是一项挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Teaching and Learning in Nursing NURSING-

CiteScore

2.60

自引率

10.50%

发文量

119

审稿时长

37 days

期刊介绍： Teaching and Learning in Nursing is the Official Journal of the National Organization of Associate Degree Nursing. The journal is dedicated to the advancement of Associate Degree Nursing education and practice, and promotes collaboration in charting the future of health care education and delivery. Topics include: - Managing Different Learning Styles - New Faculty Mentoring - Legal Issues - Research - Legislative Issues - Instructional Design Strategies - Leadership, Management Roles - Unique Funding for Programs and Faculty