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探索护生在模拟客观结构化临床考试(OSCE)中使用视频记录评估其心肺复苏(CPR)表现时的想法和经验。

An exploration of student nurses' thoughts and experiences of using a video-recording to assess their performance of cardiopulmonary resuscitation (CPR) during a mock objective structured clinical examination (OSCE).

机构信息

School of Nursing and Midwifery, University of Dundee, 11 Airlie Place, Dundee, United Kingdom.

出版信息

Nurse Educ Pract. 2010 Sep;10(5):285-90. doi: 10.1016/j.nepr.2010.01.004. Epub 2010 Feb 9.

Abstract

Cardiopulmonary resuscitation (CPR) is an essential skill taught within undergraduate nursing programmes. At the author's institution, students must pass the CPR objective structured clinical examination (OSCE) before progressing to second year. However, some students have difficulties developing competence in CPR and evidence suggests that resuscitation skills may only be retained for several months. This has implications for practice as nurses are required to be competent in CPR. Therefore, further opportunities for students to develop these skills are necessary. An action research project was conducted with six students who were assessed by an examiner at a video-recorded mock OSCE. Students self-assessed their skills using the video and a checklist. Semi-structured interviews were conducted to compare checklist scores, and explore students' thoughts and experiences of the OSCE. The findings indicate that students may need to repeat this exercise by comparing their previous and current performances to develop both their self-assessment and CPR skills. Although there were some differences between the examiner's and student's checklist scores, all students reported the benefits of participating in this project, e.g. discussion and identification of knowledge and skills deficits, thus emphasising the benefits of formative assessments to prepare students for summative assessments and ultimately clinical practice.

摘要

心肺复苏术 (CPR) 是本科护理课程中教授的一项重要技能。在作者所在的机构,学生必须通过心肺复苏术客观结构化临床考试 (OSCE) 才能进入第二年。然而,有些学生在发展心肺复苏术能力方面存在困难,有证据表明,复苏技能可能只能保留几个月。这对实践有影响,因为护士必须具备心肺复苏术能力。因此,有必要为学生提供更多发展这些技能的机会。一项行动研究项目对六名学生进行了评估,评估者在视频记录的模拟 OSCE 中对学生进行了评估。学生使用视频和检查表对自己的技能进行自我评估。进行了半结构化访谈,以比较检查表分数,并探讨学生对 OSCE 的想法和经验。研究结果表明,学生可能需要通过比较之前和现在的表现来重复这项练习,以发展他们的自我评估和心肺复苏术技能。尽管评估者和学生的检查表分数存在一些差异,但所有学生都报告说参与该项目有好处,例如讨论和确定知识和技能缺陷,从而强调了形成性评估对为学生准备总结性评估并最终为临床实践做准备的好处。

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