College of Nursing, Medical University of South Carolina, Charleston, SC, United States.
College of Nursing, Medical University of South Carolina, Charleston, SC, United States.
Nurse Educ Today. 2018 May;64:132-137. doi: 10.1016/j.nedt.2018.01.027. Epub 2018 Feb 5.
The 360 Degree Evaluation Model is one means to provide a comprehensive view of clinical competency and readiness for progression in an online nursing program.
This pilot project aimed to evaluate the effectiveness of implementing a 360 Degree Evaluation of clinical competency of graduate advanced practice nursing students.
The 360 Degree Evaluation, adapted from corporate industry, encompasses assessment of student knowledge, skills, behaviors and attitudes and validates student's progression from novice to competent.
Cohort of advanced practice nursing students in four progressive clinical semesters.
Graduate advanced practice nursing students (N = 54).
Descriptive statistics and Jonckheere's Trend Test were used to evaluate OSCE's scores from graded rubric, standardized patient survey scores, student reflection and preceptor evaluation.
We identified all students passed the four OSCEs during a first attempt or second attempt. Scaffolding OSCE's over time allowed faculty to identify cohort weakness and create subsequent learning opportunities. Standardized patients' evaluation of the students' performance in the domains of knowledge, skills and attitudes, showed high scores of 96% in all OSCEs. Students' self-reflection comments were a mix of strengths and weaknesses in their self-evaluation, demonstrating themes as students progressed. Preceptor evaluation scores revealed the largest increase in knowledge and learning skills (NONPF domain 1), from an aggregate average of 90% in the first clinical course, to an average of 95%.
The 360 Degree Evaluation Model provided a comprehensive evaluation of the student and critical information for the faculty ensuring individual student and cohort data and ability to analyze cohort themes.
360 度评估模型是提供在线护理项目中临床能力和进步准备综合视图的一种手段。
本试点项目旨在评估实施研究生高级实践护理学生临床能力 360 度评估的有效性。
360 度评估源自企业行业，包括评估学生的知识、技能、行为和态度，并验证学生从新手到熟练的进步。
四个渐进式临床学期的高级实践护理学生队列。
研究生高级实践护理学生（N=54）。
使用描述性统计和 Jonckheere 趋势检验评估从分级量表、标准化患者调查评分、学生反思和导师评估中得出的 OSCE 分数。
我们确定所有学生都在第一次或第二次尝试时通过了四次 OSCE。随着时间的推移，为 OSCE 提供支架允许教师识别队列的弱点并创造后续的学习机会。标准化患者对学生在知识、技能和态度领域的表现进行评估，所有 OSCE 的评分均高达 96%。学生的自我反思评论反映了他们自我评价中的优势和劣势，展示了学生进步的主题。导师评估分数显示知识和学习技能（NONPF 领域 1）的最大增长，从第一临床课程的平均综合分数 90%，提高到平均 95%。
360 度评估模型为学生提供了全面的评估和教师的关键信息，确保了学生和队列数据的个体数据和分析队列主题的能力。
