Application of best practice guidelines for OSCEs—An Australian evaluation of their feasibility and value

Background: Objective Structured Clinical Examinations (OSCEs) are widely used in health professional education and should be based on sound pedagogical foundations. Objectives: The aim of this study is to evaluate the feasibility and utility of using Best Practice Guidelines (BPGs) within an OSCE f...

Full description

Bibliographic Details
Main Authors: Mitchell, M., Henderson, A., Jeffrey, C., Nulty, D., Groves, M., Kelly, Michelle, Knight, S., Glover, P.
Format: Journal Article
Published: Churchill Livingstone 2015
Online Access:http://hdl.handle.net/20.500.11937/8169
_version_ 1848745576949088256
author Mitchell, M.
Henderson, A.
Jeffrey, C.
Nulty, D.
Groves, M.
Kelly, Michelle
Knight, S.
Glover, P.
author_facet Mitchell, M.
Henderson, A.
Jeffrey, C.
Nulty, D.
Groves, M.
Kelly, Michelle
Knight, S.
Glover, P.
author_sort Mitchell, M.
building Curtin Institutional Repository
collection Online Access
description Background: Objective Structured Clinical Examinations (OSCEs) are widely used in health professional education and should be based on sound pedagogical foundations. Objectives: The aim of this study is to evaluate the feasibility and utility of using Best Practice Guidelines (BPGs) within an OSCE format in a broad range of tertiary education settings with under-graduate and post-graduate nursing and midwifery students. We evaluated how feasible it was to apply the BPGs to modify OSCEs in a course; students' perspective of the OSCE; and finally, if the BPG-revised OSCEs better prepared students for clinical practice when compared with the original OSCEs. Design: A mixed method with surveys, focus groups and semi-structured interviews evaluated the BPGs within an OSCE. Settings: Four maximally different contexts across four sites in Australia were used. Participants: Participants included lecturers and undergraduate nursing students in high and low fidelity simulation settings; under-graduate midwifery students; and post-graduate rural and remote area nursing students. Results: 691 students participated in revised OSCEs. Surveys were completed by 557 students; 91 students gave further feedback through focus groups and 14 lecturers participated in interviews. At all sites the BPGs were successfully used to modify and implement OSCEs. Students valued the realistic nature of the modified OSCEs which contributed to students' confidence and preparation for clinical practice. The lecturers considered the revised OSCEs enhanced student preparedness for their clinical placements.Discussion and Conclusions: The BPGs have a broad applicability to OSCEs in a wide range of educational contexts with improved student outcomes. Students and lecturers identified the revised OSCEs enhanced student preparation for clinical practice. Subsequent examination of the BPGs saw further refinement to a set of eight BPGs that provide a sequential guide to their application in a way that is consistent with best practice curriculum design principles.
first_indexed 2025-11-14T06:19:34Z
format Journal Article
id curtin-20.500.11937-8169
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T06:19:34Z
publishDate 2015
publisher Churchill Livingstone
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-81692017-09-13T14:37:00Z Application of best practice guidelines for OSCEs—An Australian evaluation of their feasibility and value Mitchell, M. Henderson, A. Jeffrey, C. Nulty, D. Groves, M. Kelly, Michelle Knight, S. Glover, P. Background: Objective Structured Clinical Examinations (OSCEs) are widely used in health professional education and should be based on sound pedagogical foundations. Objectives: The aim of this study is to evaluate the feasibility and utility of using Best Practice Guidelines (BPGs) within an OSCE format in a broad range of tertiary education settings with under-graduate and post-graduate nursing and midwifery students. We evaluated how feasible it was to apply the BPGs to modify OSCEs in a course; students' perspective of the OSCE; and finally, if the BPG-revised OSCEs better prepared students for clinical practice when compared with the original OSCEs. Design: A mixed method with surveys, focus groups and semi-structured interviews evaluated the BPGs within an OSCE. Settings: Four maximally different contexts across four sites in Australia were used. Participants: Participants included lecturers and undergraduate nursing students in high and low fidelity simulation settings; under-graduate midwifery students; and post-graduate rural and remote area nursing students. Results: 691 students participated in revised OSCEs. Surveys were completed by 557 students; 91 students gave further feedback through focus groups and 14 lecturers participated in interviews. At all sites the BPGs were successfully used to modify and implement OSCEs. Students valued the realistic nature of the modified OSCEs which contributed to students' confidence and preparation for clinical practice. The lecturers considered the revised OSCEs enhanced student preparedness for their clinical placements.Discussion and Conclusions: The BPGs have a broad applicability to OSCEs in a wide range of educational contexts with improved student outcomes. Students and lecturers identified the revised OSCEs enhanced student preparation for clinical practice. Subsequent examination of the BPGs saw further refinement to a set of eight BPGs that provide a sequential guide to their application in a way that is consistent with best practice curriculum design principles. 2015 Journal Article http://hdl.handle.net/20.500.11937/8169 10.1016/j.nedt.2015.01.007 Churchill Livingstone restricted
spellingShingle Mitchell, M.
Henderson, A.
Jeffrey, C.
Nulty, D.
Groves, M.
Kelly, Michelle
Knight, S.
Glover, P.
Application of best practice guidelines for OSCEs—An Australian evaluation of their feasibility and value
title Application of best practice guidelines for OSCEs—An Australian evaluation of their feasibility and value
title_full Application of best practice guidelines for OSCEs—An Australian evaluation of their feasibility and value
title_fullStr Application of best practice guidelines for OSCEs—An Australian evaluation of their feasibility and value
title_full_unstemmed Application of best practice guidelines for OSCEs—An Australian evaluation of their feasibility and value
title_short Application of best practice guidelines for OSCEs—An Australian evaluation of their feasibility and value
title_sort application of best practice guidelines for osces—an australian evaluation of their feasibility and value
url http://hdl.handle.net/20.500.11937/8169