客觀結構式臨床測試於護理教育之應用__臺灣人文及社會科學引文索引資料庫

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題名：	客觀結構式臨床測試於護理教育之應用
書刊名：	長庚護理
作者：	盧瑞華／王瑜欣
作者(外文)：	Lu, Jui-hua／Wang, Yu-hsin
出版日期：	2014
卷期：	25:3=87
頁次：	頁274-282
主題關鍵詞：	客觀結構式臨床測試；護生；護理教育；OSCE；Nursing students；Nursing education
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:2 共同引用:13 點閱:10

客觀結構式臨床測試（Objective Structured Clinical Examination, OSCE）自1975年開始使用於評量醫學生的臨床技術及能力後，也廣泛應用於健康照護專業，包括護理。本文透過一些文獻的回顧，陳述OSCE在護理教育上的發展，也討論一些OSCE 應用於評估護理學生時重要的議題，包括需要更完善的硬體、軟體規劃，當設計新的OSCE考題時，需要與評量目的相吻合，且須經過前趨測試；對於評分表和及格標準的審議、考試時間的安排、考站的規劃、標準化病人的培訓，以及成果評量都需要互相配合，才能增加該OSCE結果的信效度。結論是OSCE用於評價護理學生的臨床能力已成為非常重要及優良的方法，但若單一使用於評量其臨床能力時，則需要非常謹慎，必須確認是否符合能測出預期測量的目標。本文希望可以作為一個基礎，提供相關護理教育體系進行OSCE 之參考，共同合作以提供護理學生更佳之學習及評量效果。

以文找文

Developed in 1975, the Objective Structured Clinical Examination (OSCE), was an examination that originally designed to evaluate medical students' clinical competencies. It has been adapted and applied to other disciplines in health care such as nursing. This narrative review article briefly describes the historical developments of OSCE in nursing education as well as the current applications in the evaluations of nursing students. Several key elements for a successful implementation of the OSCE in nursing were identified which include a careful design of the OSCE and proper changes of students' performances after the test. In the OSCE, several OSCE stations are designed in advance with a small scenario in each station to measure students' responses, nursing or critical thinking skills, planning or patient instructions. For the OSCE to be successful, competencies should be tailored to meet with student's expected level. When a new OSCE is designed, researchers recommend matching students' competencies with their grade level and pre-test its accuracy before the exam day. In addition, for the OSCE results to be reliable, grading system, passing point, time frame allowed for the test, classroom arrangement, faculty and student ratio and standardized patient's responses should be planned in advance. In conclusion, the OSCE is a very important tool that is widely used in the evaluation of nursing students. However, it needs to be use with caution. Accuracy to the competency that was measured needs to be evaluated. We hope this article can provide some information for further development in nursing curricular.

以文找文

期刊論文
1.	Rushforth, H. E.(2007)。Objective structured clinical examination (OSCE): Review of literature and implications for nursing education。Nurse Education Today，27(5)，481-490。
2.	Al Ansari, A.、Ali, S. K.、Donnon, T.(2013)。The construct and criterion validity of the mini-CEX: A meta-analysis of the published research。Academic Medicine，88(3)，413-420。
3.	謝美玲(2011)。關懷溝通之美--談護生模擬訓練與東部護理生OSCE能力競賽。志為護理，10(3)，28-32。延伸查詢
4.	Baid, H.(2011)。The objective structured clinical examination within intensive care nursing education。British Association of Critical Care Nurses，16(2)，99-105。
5.	Bartfay, W. J.、Rombough, R.、Howse, E.、LeBlanc, R.(2004)。The OSCE approach in nursing education: objective structured clinical examinations can be effective vehicles for nursing education and practice by promoting the mastery of clinical skills and decisionmaking in controlled and safe learning environment。The Canadian Nurse，100(3)，18-23。
6.	Brand, H.、Schoonheim-Klein, M.(2009)。Is the OSCE more stressful? Examination anxiety and its consequences in different assessment methods in dental education。Europen Journal of Dentist Education，13，147-153。
7.	Durning, S. J.、Cation, L. J.、Jackson, J. L.(2007)。Are commonly used resident measurements associated with procedural skills in internal medicine residency training?。Journal of General Internal Medicine，22，357-361。
8.	Gnanathasan, C. A.、Abdullahl, J.、Achike, F. I.(2012)。Promoting students' acceptability:a survey of examinees (students) and examiners (faculty) perception of OSCE in a Malaysian medical school。Journal of Medical Education，16，9-21。
9.	Hanley, E.、Higgins, A.(2005)。Assessment of clinical practice in intensive care: a review of the literature。Intensive and Critical Care Nursing，21，268-275。
10.	Harden, R. M.(1990)。Twelve tips for organizing an objective structured clinical examination (OSCE)。Medical Teacher，12(3/4)，259-264。
11.	Harden, R. M.、Stevenson, M.、Downie, W. W.、Wilson, G. M.(1975)。Assessment of clinical competence using objective structured clinical examination (OSCE)。British Medical Journal，1(5955)，447-451。
12.	Khattab, A. D.、Rawlings, B.(2008)。Use of a modified OSCE to assess nurse practitioner students。British Journal of Nursing，17(12)，754-759。
13.	Liao, K. C.、Pu, S. J.、Liu, M. S.、Yang, C. W.、Kuo, H. P.(2013)。Development and implementation of a mini-Clinical Evaluation Exercise (mini-CEX) program to assess the clinical competencies of internal medicine residents: from faculty development to curriculum evaluation。BMC Medical Education，13，(31)1-(31)7。
14.	Major, D. A.(2005)。OSCEs -seven years on the bandwagon: the progress of an objective structured clinical evaluation programme。Nurse Education Today，25(6)，442-454。
15.	McWilliam, P. L.、Botwinski, C. L.(2012)。Identifying strengths and weakness in the utilization of Objective Structured Clinical Examination (OSCE)in a nursing program。Nursing Education，33(1)，35-39。
16.	Mitchell, M. L.、Henderson, A.、Groves, M.、Dalton, M.、Nulty, D.(2009)。The objective structured clinical examination (OSCE): optimizing its value in the undergraduate nursing curriculum。Nurse Education Today，29，398-404。
17.	Muldoon, K.、Biesty, L.、Smith, V.(2014)。I found the OSCE very stressful: Student midwives' attitudes towards an objective structured clinical examination (OSCE)。Nurse Education Today，34(3)，468-473。
18.	Naeem, N.(2013)。feasibility, acceptability and educational impact of Direct Observation of Procedural Skills (DOPS)。Journal of the College of Physicians and Surgeons Pakistan，23(1)，77-82。
19.	Norman, I.、Watson, R.、Murrells, T.、Calman, L.、Redfern, S.(2002)。The validity and reliability of methods to assess the competence to practice of pre-registration nursing and midwifery students。International Journal of Nursing Studies，39(2)，133-145。
20.	Selim, A. A.、Ramadan, F. H.、El-Gueneidy, M. M.、Gaafer, M. M.(2012)。Using Objective Structured Clinical Examination (OSCE) in undergraduate psychiatric nursing education: Is it reliable and valid?。Nurse Education Today，32(3)，283-288。
21.	Smith, V.、Muldoon, K.、Biesty, L.(2012)。The Objective Structured Clinical Examination (OSCE) as a strategy for assessing clinical competence in midwifery education in Ireland: a critical review。Nurse Education in Practice，12，242-247。
22.	Tagawa, M.、Imanaka, H.(2010)。Reflection and self directed and group learning improve OSCE scores。The Clinical Teacher，7，266-270。
23.	Torre, D. M.、Simpson, D. E.、Elnicki, D. M.、Sebastian, J. L.、Holmboe, E. S.(2007)。Feasibility, reliability and user satisfaction with a PDA-based mini-CEX to evaluate the clinical skills of third-year medical students。Teach Learn Medicine，19，271-277。
24.	Ward, H.、Barratt, J.(2005)。Assessment of nurse practitioner advanced clinical practice skills: using the objective structured clinical examination (OSCE): Helen Ward and Julian Barratt examine how OSCEs can be developed to ensure a robust assessment of clinical competence。Primary Health Care，15(10)，37-41。
25.	Ward, H.、Willis, A.(2006)。Assessing advanced clinical practice skills: Helen Ward and Annaliese Willis show how the development of an objective structured clinical assessment (OSCA) has enabled assessment of nurse practitioner advanced practice clinical skills at Masters leve。Primary Health Care，16(3)，22-24。
26.	Weller, J. M.、Jolly, B.、Misur, M. P.、Merry, A. F.、Jones, A.、Crossley, J. G.、Smith, K.(2009)。Mini-clinical evaluation exercise in anaesthesia training。British Journal of Anaesthesia，102(5)，633-641。
27.	Yang, Ying-ying、Lee, Fa-yauh、Hsu, Hui-chi、Huang, Chin-chou、Chen, Jaw-wen、Cheng, Hao-min、Huang, Chia-chang(20111200)。Assessment of First-year Post-graduate Residents: Usefulness of Multiple Tools。Journal of the Chinese Medical Association，74(12)，531-538。
28.	江如萍(2009)。因材施教--OSCE 首次運用在新進護理人員訓練。志為護理：慈濟護理雜誌，8(4)，64-65。延伸查詢
29.	蔡淳娟、林其和、陳琮琳、趙可式、葉宗烈、蔡景仁、張伊凡(20061200)。OSCE之測驗結果分析：成功大學醫學院經驗。醫學教育，10(4)，313-323。延伸查詢
30.	Harden, R. M.、Gleeson, F. A.(1979)。Assessment of clinical competence using an objective structured clinical examination (OSCE)。Medical Education，13(1)，41-54。
31.	Brosnan, M.、Evans, W.、Brosnan, E.、Brown, G.(2006)。Implementing objective structured clinical skills evaluation (OSCE) in nurse registration programmes in a centre in Ireland: A utilisation focused evaluation。Nurse Education Today，26(2)，115-122。
32.	Khattab, A. D.、Rawlings, B.(2001)。Assessing nurse practitioner students using a modified objective structured clinical examination (OSCE)。Nurse Education Today，21(7)，541-550。
33.	Walsh, M.、Bailey, P. H.、Koren, I.(2009)。Objective structured clinical evaluation of clinical competence: An integrative review。Journal of Advanced Nursing，65(8)，1584-1595。
34.	張念中、謝銘勳、陳榮邦、朱娟秀、蔡純娟、曾啟瑞(20100300)。客觀結構式臨床測試之規劃及執行。北市醫學雜誌，7(1)，1-12。延伸查詢
35.	Miller, George E.(1990)。The assessment of clinical skills/competence/performance。Academic Medicine，65(Suppl. 9)，S63-S67。
36.	Alinier, G.(2003)。Nursing Students' and Lecturers' Perspectives of Objective Structured Clinical Examination Incorporating Simulation。Nurse Education Today，23(6)，419-426。

圖書
1.	Benner, P.、Tanner, C.、Chesla, C.(2009)。Expertise in Nursing Practice Caring, Clinical Judgment, and Ethics。New York：Springer。
2.	CIPHER(2007)。Review of work-based assessment methods。Sydney：Centre for Innovation in Professional Health Education and Research。

其他
1.	Atherton, J.(2009)。Bloom's Taxonomy，http://www.learningandteaching.info/learning/bloomtax.htm。

圖書論文
1.	童恆新、王采芷(2009)。身體評估之OSCE 臨床能力鑑定簡介。身體評估之OSCE 臨床能力鑑定。台北：台灣愛思唯爾。延伸查詢

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