Stroud S D, Smith C A, Edlund B J, Erkel E A
College of Nursing, Medical University of South Carolina, Charleston 29435, USA.
Clin Excell Nurse Pract. 1999 Jul;3(4):230-7.
The evaluation of clinical competencies of nurse practitioner (NP) students has traditionally been accomplished by direct observation of student-patient interactions. Adult and family NP faculty at the Medical University of South Carolina directly observe students at their clinical site at least twice each semester. Recently, faculty recognized the need for additional validation of clinical decision-making skill development and added the Clinical Competency Evaluation (CCE), a standardized simulated patient encounter, to the evaluation process. The purpose of the CCE is to (a) maximize use of available evaluation technology, (b) evaluate student clinical skills in a controlled, standardized environment using a criterion-referenced format, (c) give students an additional performance feedback mechanism, and (d) identify benchmarks to validate student advancement and completion of the NP program. This article discusses how the CCE process was developed, current methods of conducting and grading the examination, faculty and student evaluation of the outcomes, and recommendations.
传统上，执业护士（NP）专业学生的临床能力评估是通过直接观察学生与患者的互动来完成的。南卡罗来纳医科大学的成人及家庭NP专业教员每学期至少在临床实习地点直接观察学生两次。最近，教员们认识到需要对临床决策技能发展进行额外验证，并在评估过程中增加了临床能力评估（CCE），这是一种标准化的模拟患者问诊。CCE的目的是：（a）最大限度地利用现有的评估技术；（b）在可控的标准化环境中使用标准参照格式评估学生的临床技能；（c）为学生提供额外的绩效反馈机制；（d）确定基准以验证学生在NP项目中的进步和完成情况。本文讨论了CCE流程的开发过程、当前进行考试及评分的方法、教员和学生对结果的评估以及建议。
